When it comes to breast augmentation, there are different types of implants that can be chosen to accomplish the treatment goals. One of the factors that we can change is choosing a textured versus a smooth implant. What does the literature say about textured implants versus smooth implants? Both types will give you a similar result, but the textured implant has two advantages over the smooth implant. When we look at the texture of the implant, this means the outer shell of the implant. The textured implant feels like sandpaper when you touch it, versus the smooth implant, which is completely smooth. Textured implants tend to create a less mobile capsule than smooth implants. When you have a textured implant, your breast actually does not move as naturally as with smooth implants, because the tissue grows into the texture of the implant itself. So, you must determine if you want to have more natural movement of your breasts, versus movement that is more stiff.
Textured implants came on the market primarily to prevent capsular contracture. We have discussed in multiple videos what capsular contracture is; it is a condition that occurs in 8 to 10% of women, where the breast gets distorted secondary to unknown factors. The textured implant is a good option for you if your surgeon prefers to perform breast augmentation above the muscle. In these cases there is no question that textured implants reduce the risk of capsular contracture compared to smooth implants. The literature gets a little bit more complicated when we compare textured implants to smooth implants under the muscle; studies have shown that regardless of implant type, if you place an implant under the muscle, the rate of capsular contracture is essentially the same.
Ultimately, texture of implants is a factor that should be considered during your consultation. If you have a history of capsular contracture or you prefer a less mobile breast, among other things, then a textured implant will be a better option for you. Otherwise, most surgeons use the smooth implants, because most patients want a more natural look, and smooth implants do that better than a textured implant when it comes to how mobile your breast is going to be during activities.
Discuss your concerns about textured versus smooth implants with your plastic surgeon. He will provide the best information regarding the best option for you when it comes to choosing the texture of your implant.
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