Types and Selection of Silicone Breast Implants — Comparison of Differences by Surgical Technique

The results of silicone breast implant surgery depend on four axes of the Implant (prosthesis): "surface," "shape," "firmness of contents," and "placement layer." Which is correct varies depending on body type and tissue volume, and there is no single optimal solution.[1]Zettis Beauty Clinic offers these Treatments.

Surface — Smooth or Textured

The outer surface comes in two types: a smooth, polished finish and a textured finish. The choice between the two varies depending on the facility and surgeon, and a nationwide UK survey has shown varying approaches to surface selection[2]Recently, the relationship between textured surface and BIA-ALCL has been at the center of discussion, and basic research has also reported that surface wear particles can trigger inflammatory reactions[3]Meta-analyses comparing textured and smooth devices have shown that postoperative outcomes may differ depending on the surface[4]。In response to this trend, the preference has shifted toward smoother options.

Shape and composition — Round / Anatomical, gel firmness

The shape comes in two types: round, which expands uniformly top and bottom, and teardrop-shaped anatomical. The silicone gel inside varies in viscosity (cohesivity); firmer gels maintain shape better, but we balance this with natural feel and texture.[5]。When tissue is thin and rippling is a concern, strategies include selecting higher-viscosity gel or placing the implant in a deeper plane.[5]。

Placement layer — Surface texture varies with coverage thickness

Whether placed subglandular, subfascial, or submuscular changes the coverage thickness, tactile sensation, and likelihood of rippling.[1]。The thinking is that thinner tissue calls for deeper placement with thicker coverage, but this creates other trade-offs such as appearance during movement. This is an individual decision based on body assessment.

How to choose in the end? — Decided by compatibility, not superiority

There is no uniform winner across the four axes; the choice depends on a combination of breast tissue volume, body type, desired result, and acceptable revision surgery risk.[1]。For surface choice, we apply safety considerations; for shape and composition, the key is balancing texture with shape retention. The final combination will be proposed by a Zetis Beauty Clinic physician after assessing your breast condition.