When considering breast augmentation, a patient’s guide to choosing between smooth and textured breast implants can be one of the most valuable tools. This decision impacts not only how the implants feel and look, but also potential risks and long-term results. At BB Clinic, we aim to empower you with the knowledge needed to make the best choice for your body and lifestyle.
Understanding Breast Implants
Before diving into smooth vs. textured implants, it’s essential to understand what breast implants are made of and how they function. All breast implants have an outer silicone shell, and they can be filled with either silicone gel or saline (salt water).
There are two major surface types of implants:
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Smooth Implants: These have a soft, slippery outer shell that moves freely within the breast pocket.
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Textured Implants: These have a rough surface designed to adhere slightly to the surrounding tissue.
Each type has unique benefits and considerations. Let’s explore them in detail.
What Are Smooth Breast Implants?
Smooth breast implants have a sleek outer shell and are known for their natural feel and movement.
Benefits of Smooth Implants
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Natural Movement: Smooth implants tend to move with the breast tissue, offering a more natural look and feel.
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Softer Texture: Patients often report that smooth implants feel softer than textured ones.
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Lower Risk of Rippling (in silicone implants): Especially when placed under the muscle, rippling is less noticeable.
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Smaller Incisions: Due to their flexibility, they are easier to insert, which may result in smaller scars.
Considerations
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Increased Mobility: Because they don’t adhere to tissue, they can shift more within the breast pocket.
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Higher Capsular Contracture Risk (in some cases): Some studies suggest a slightly higher risk of scar tissue tightening around smooth implants compared to textured ones.
What Are Textured Breast Implants?
Textured implants have a rough surface that slightly sticks to surrounding tissue, helping them stay in place.
Benefits of Textured Implants
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Stability: Designed to prevent the implant from rotating, especially in shaped (teardrop) implants.
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Lower Capsular Contracture Risk: Some studies indicate that textured implants have a lower risk of hard scar tissue forming around them.
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Better for Teardrop Shapes: Anatomically shaped implants often require texturing to maintain proper orientation.
Considerations
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Firmer Feel: Textured implants may not feel as soft as smooth ones.
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Higher Risk of BIA-ALCL: Some textured implants have been linked to a rare condition called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Always discuss this with your surgeon.
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More Noticeable in Thin Patients: The rougher surface can sometimes be felt or seen more easily.
What Is Capsular Contracture?
Capsular contracture is a condition where scar tissue forms tightly around the implant, causing firmness or distortion. While both implant types can develop this issue, textured implants were initially introduced to reduce this risk. However, surgical technique, placement, and post-op care play major roles.
At BB Clinic, our surgeons use meticulous surgical techniques to reduce all risks associated with breast implants, regardless of surface type.
What Is BIA-ALCL?
BIA-ALCL is a very rare type of lymphoma associated with certain textured implants. It is not breast cancer, but a cancer of the immune system. The risk is extremely low, but it’s a key factor to consider when choosing textured implants.
Symptoms may include:
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Swelling
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Pain
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Fluid buildup around the implant
At BB Clinic, your safety is our top priority. We discuss all risks openly during your consultation and only use implants approved by regulatory bodies.
Choosing the Right Implant for Your Body
Your Anatomy
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Body type: Slim patients may benefit from smooth implants for a softer, less visible result.
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Breast tissue: Those with more natural tissue may have more options for implant types and placement.
Desired Look and Feel
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Natural movement: Smooth implants tend to move more naturally.
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Firm appearance: Textured implants, especially teardrop-shaped ones, offer a more sculpted shape.
Lifestyle
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Active lifestyle: Smooth implants may feel more comfortable with movement.
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Athletes or fitness enthusiasts: Placement under the muscle with smooth implants is often preferred.
Implant Shape
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Round: Both smooth and textured can be used.
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Teardrop (anatomical): Usually textured to prevent rotation.
Implant Placement: Does It Matter?
Yes! Placement can affect the overall result, comfort, and risks.
Submuscular (under the muscle):
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Provides more coverage and natural slope
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Reduces risk of rippling and capsular contracture
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Often used with smooth implants
Subglandular (above the muscle):
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Faster recovery
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More noticeable implant edges, especially in thinner patients
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Sometimes used with textured implants for stability
Your surgeon at BB Clinic will help you determine the best placement for your unique anatomy and goals.
Are Textured Implants Being Phased Out?
Due to the BIA-ALCL association, some textured implants have been recalled or restricted in certain countries. However, not all textured implants pose the same risk. The type of texturing (macro vs. micro) matters.
At BB Clinic, we stay current with the latest health guidelines and only offer implants with the highest safety profiles.
Common Myths About Implant Textures
Myth 1: Textured implants are always better
Truth: It depends on your goals. Smooth implants may be better for round shape and natural movement.
Myth 2: Smooth implants never cause complications
Truth: All implants carry risks. Proper surgical technique and post-op care are critical.
Myth 3: Textured implants feel more natural
Truth: In most cases, smooth implants feel softer and more natural to the touch.
Consultation at BB Clinic: What to Expect
When you come to BB Clinic for a consultation, we provide:
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Personalized assessment
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In-depth discussion of your goals
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Examination of your anatomy
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Simulation of expected results
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Review of all implant types and options
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Answers to all your questions
We believe in transparency, comfort, and care throughout your journey.
Final Thoughts: How to Decide?
Choosing between smooth and textured breast implants is a personal decision. It depends on your body, your preferences, and your goals. Always consult with a qualified surgeon who understands your unique needs.
