Implant Surface

Smooth

Smooth implants are used in 90% of breast augmentations. They are less likely to be rippled in appearance, and because they are made with thinner walls than a textured implant, they are more natural to the touch.

Textured

Textured implants were designed to lower the chances of capsular contracture (see risks and complications). Theoretically, the textured surface was designed to prevent scar tissue fibers from laying down uniformly in a parallel fashion and thus tightening up. Unfortunately, there is no concrete evidence at this time to support this claim. The textured surface on a contoured implant was also intended to prevent the implant from flipping or being upside down after implantation. The tissue would adhere to the texture thus preventing its free rotation.

The down sides to textured implants are as follows: Increased likelihood of visible rippling

Higher deflation rates

Firmer in appearance

Higher Cost