What is the difference between smooth and textured implants, round and anatomical?
Many techniques have been developed over the years to decrease the scar tissue (capsular contracture) around breast implants. Originally it was thought that a textured shell may decrease the capsule, but this in fact is probably not true. Some plastic surgeons feel that a capsule may cause more rippling and other difficulties, probably does not decrease the capsule formation rate. Round implants are used much more commonly than anatomic or “breast shaped” implants. This is a very personal decision but most plastic surgeons do not feel that the use of anatomic implants are warranted, and in fact may not look any better when placed under the breast or pectoralis muscle. Anatomic implants can also shift or rotate causing an unnatural appearance, and possibly needing a re-operation.
