Are Textured Implants Under Muscle Hard?

Texturing is a process which supposedly lowers the incidence of capsular contracture. However, this is not consistent. It promote growth of the capsule into around the textured surface which creates the impression of a thicker capsule as well a relatively immobile one. Furthermore not all textureing is the same

Textured breast implants have been shown to have less scaring around them and are utilized when shaped into a cohesive gel that is anatomic or tear drop. The textured shell allows for tissue adherence and keeps the anatomic implant in one position, which is not necessary for a round implant, especially when placed under the muscle. They have been shown to have more rippling which is related to the thicker scar around the implant. This would be nullified when placed under the muscle. In the US, textured anatomic silicone implants are not available, but outside of the US they are. Is there an advantage? That is difficult to say, because breast augmentation should have little margin for error, and an anatomic implant and a textured implant can add that extra variable which can throw the final result off. You will be happy with a smooth round breast implant placed in the subpectoral pocket. 

Yes, the feel of a textured implant is different.  If you are placing them under the muscle there is no real indication to use a textured implant.  The feel of a scar around a smooth implant is a little bit thinner.  The incidence of contracture under the muscle is the same for a textured and a smooth implant.  The data is very inconclusive so a smooth implant under your muscle is indicated.

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