Are Textured Implants Right for You?

Chicago plastic surgeon discusses which implant is best, smooth or textured.

Many of the women who come to my practice near Chicago for breast augmentation come to me with an idea of the size and type of implants they want. There are some factors women tend to be less sure about, though, even if they have done a lot of research. One such factor is breast implant texture. Breast implants come in both smooth and “textured,” or rough-surfaced. Both are completely safe, and both can produce beautiful aesthetic results, so the choice is largely based on a patient’s preference.

Anatomically shaped implants, which some patients like because they mimic the shape of a natural breast with more fullness at the bottom, come with textured shells. This kind of shell allows a patient’s natural tissue to grow into the very fine texture over time, so the implant stays securely in place. This is important for anatomically shaped implants, because they should not be able to rotate, which would create a misshapen appearance.

Round implants can be either smooth or textured. Smooth-shelled implants move more naturally within the breast pocket because tissue doesn’t adhere to the implants in the same way as with a textured shell. Another benefit of smooth implants is that patients can perform massage techniques after surgery to encourage settling and softness. Patients with textured shells should not massage their breasts after surgery.

Some studies have shown that textured implants may be associated with a reduced risk of capsular contracture, which is when scar tissue becomes overly hard around an implant, causing discomfort, distortion, or both. With either a smooth or textured shell, though, capsular contracture is rare.

If you’re unsure whether textured or smooth implants are right for you, be sure to discuss it with a qualified plastic surgeon who can guide you in your choice. You can also visit my website to learn more about other breast implant options.

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