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Smooth vs. Textured
Breast implants can be smooth or textured. Smooth breast implants have the feel of a balloon while their textured counterparts feel more like fine sand paper. There are benefits and drawbacks to both surface types that a prospective patient may wish to discuss in detail with her breast augmentation surgeon.
Smooth Breast Implants
Smooth breast implants move freely in their pocket and usually have thinner shells than textured implants.
- longer implant life
- lower patient cost
- less risk of rippling
Textured implants were originally designed to reduce the risk of capsular contracture. Capsular contracture occurs when the scar around the breast implant grows and squeezes on the implant, causing the breast to harden. The claim that textured implants do, in fact, reduce the risk of capsular contracture has not been conclusively proven in medical studies. Textured implants have been found to have a higher rate of leaking and rippling of the breast after surgery.
Availability of Texture Based on Shape
Anatomical or contoured implants are only available with a textured surface, because their textured surface prevents the implant from flipping or turning in the pocket. This is important because movement can cause distortion of the breast's shape. Because round implants do not change their shape with movement, they are available with the smooth surface.