Why I prefer smooth wall breast implants rather than textured implants

Textured implants have been available for about 40 years. The texturing of implants came into the plastic surgical market to reduce the amount of capsular contraction that occurred around smooth gel implants. Various types of texturing were applied in order to reduce the scar tissue around the implants, when the implant was placed under the breast tissue. 

It was found however that an implant placed underneath the muscle had a lot less chance of getting scar tissue and less capsular contraction. So the usefulness of texturing was reduced by the placement of the implants partially under the pectoral muscle and that is why we reverted back to using the smooth wall implant in most cases. Another reason texturing was in vogue was the misconception that the implant wouldn’t move. In fact that didn’t happen and implants tended to get fluid around them and move anyway. 

The form, stable or teardrop implant or anatomical implant had problems where it would move and spin, which would give the patient a very funny shape and so again that was another reason not to use a textured gel implant or saline anatomical textured implant. The polyurethane implant was produced in order that, the implant would not move and cause less capsular contraction, but it stuck to the tissues and the sticking to the tissues created its own problems and low grade inflammation which was prolonged and the implants were very difficult to remove. Smooth implants usually feel better having a lower rate of wrinkling and as shown recently on Chanel 9 a lot less bacterial contamination than textured implants.

Reference:  http://www.9news.com.au/national/2014/11/11/16/02/commonly-used-breast-implant-linked-to-rare-cancer 

I hope this explanation gives patients confirmation that this has been a progression of different experiences, with different implants over a long period of time. This has led us to believe that the smooth walled implant has created less problems for the patients having a successful breast implant surgery. I have performed this on over 6,000 patients within a 30 year period and the smooth walled implants is what I use in approximately 90% of cases.