Dr. Zuckerman generally recommends that patients select smooth implants for their breast augmentation, but textured implants are thought to have lower risk of position changes for shaped implants and possibly lower the risk of capsular contracture. As a result, they are sometimes used in breast augmentation revision surgery. The choice of implant style does not have a large effect on the breast augmentation outcome. Both kinds are FDA-approved and both are made by all three major breast implant manufacturers. As your surgeon, Dr. Zuckerman is happy to use either type and will make a recommendation to you based on the specifics of your anatomy and medical history. Then after discussion of your goals, together you will finalize your choice.