In my video, I explain the difference between textured and smooth implants as well as the advantages and disadvanatges of each.
Textured are more adherent
recommend textured implants over smooth because they are more likely to adhere and
not displace. In the sub-pectoral
position, the muscle compresses the implant and the implants can extrude
inferiorly and laterally requiring revision.
The textured implants are more adhesive and less likely to displace.
Gary Horndeski, M.D.
Smooth versus textured Implants?
surface of the outer shell of breast implants can be either smooth or textured.
There are pros and cons of each and the best implant for any particular patient
depends on many factors including individual anatomy and desired outcome.
Smooth implants usually have thinner shells and move more freely in their
pocket than their textured counterparts. Many plastic surgeons believe that the
thinner shell allows smooth implants to feel more natural. Implants with smooth
surfaces are less likely to ripple. Textured implants were designed to lower
the risk of capsular contracture, but whether it achieves that is open to
debate. The textured implants may have a greater chance of leakage or
deflation. One type of implant, known as the anatomical or teardrop-shaped
implant ("gummy-bear" or form-stable), is only available with a
textured surface, because this surface helps keep these contour shaped implants
in position and diminishes the risk of rotation and distortion. Some of the
differences of the implant surface characteristics depend on whether the fill
material is saline or silicone gel.
most plastic surgeons in the U.S. prefer smooth implants. You should discuss
your concerns with your plastic surgeon, who should be certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for Aesthetic Plastic Surgery (ASAP).
Singer, MD FACS
Textured breast implants have less chance of capsular contraction than smooth
Thank you for your important question. Recent research has documented that textured breast implants are half as likely to cause capsular contraction than are smooth-walled silicone gummy bear implants.
Smooth versus textured breast implants
The outer surface of breast implants has changed over the past 25 years in an attempt to minimize capsular contracture, a hard scar which can form around the implant giving you a deformed shape to the breast. I have had extensive experience with many types of implants and like many other surgeons believe that smooth wall implants provide the most natural feeling and appearance.Textured implants will not easily rotate so if you require atomic shaped implants, otherwise known as teardrop implants, then these may be appropriate for your particular anatomy. I suggest you have a lengthy discussion with your plastic surgeon regarding your goals and expectations.
Textured are preferred by most if you are placing the implant above the muscle or using a shaped (tear drop) implant. Smooth are the most common choice if the implant is round and under the muscle. The decision is based on your placement choice, your starting breast and body size, and the type of implant you choose. A board certified plastic surgeon can help you with these choices at your consultation.
Smooth versus textured implants
Certainly each implant will have its pros and cons. The majority of implants use these days are smooth implants. When placed beneath the muscle the likelihood of developing a capsular contracture is just as low with smooth as textured implants. My personal experience has been that textured implants tend to ripple more and you can feel the edge more through your skin. If you are using a teardrop shaped implant the textured implant is more beneficial because it helps stop the implant from rotating.
Smooth versus textured Implants: Which is Best?
The other consultants have addressed the difference in the shell between textured (rough) and smooth. There is no best. There is just what works best for you and you will need to seek a consultaion for that answer.
Round, smooth silicone implants are the most common implants used for breast augmentation. However, more textured implants are being used since the approval of the tear-drop shaped implants. The shaped implants are textured to prevent movement and rotation. Most plastic surgeons advise their patient not to massage shaped implants to prevent rotation. The round implants can be massaged since rotation will not change the shape of the breasts. I recommend seeing a plastic surgeon for consultation to discuss the other advantages and disadvantages of textured vs smooth.
The “Gummy Bear” breast implant is a shaped, textured
surface implant. This was initially developed when there was a moratorium on the
normal implants with the thinking that solid gel implants would be approved by
the FDA. Shaped implants have been an advance for breast reconstruction where
there is insufficient skin in the upper pole. Since they are a shaped implant
they must be held in position. If they turned sideways, it is not a good look.
They all these implants in position by putting a coarse textured surface on it
that your body grows into like Velcro. I think these implants are very firm and
not natural feeling. For breast augmentation I far prefer the smooth silicone
implant. This gives a much softer, more natural feeling result.