Introduction: Choosing the Right Implant Surface

Breast augmentation remains one of the most sought-after cosmetic procedures globally, and in 2025, the focus has shifted toward customization, safety, and natural aesthetics. Among the many choices patients face, one of the most essential is selecting between smooth and textured breast implants. This decision impacts not just the visual outcome, but also comfort, longevity, and post-surgical care.

Understanding the pros and cons of each implant surface is crucial for making an informed decision. Smooth implants are known for their natural movement and soft touch, while textured implants were originally developed to reduce risks like capsular contracture. But with recent global scrutiny surrounding certain textured implant types, patients are more curious than ever about which is truly safer and more effective.

In this guide, we’ll walk you through everything you need to know about the differences between smooth and textured implants, including expert insights from one of South Korea’s leading aesthetic centers — Human PS Clinic, located in the heart of Gangnam, Seoul.

With over a decade of surgical excellence and leadership by Dr. Kim Kook Hyun, Human PS Clinic is a trusted name for breast surgery, offering procedures like subfascial augmentation and HD endoscopic breast surgery using top-tier implants like Motiva, Mentor, and Sebbin. Whether you’re considering your first augmentation or a revision, knowing your implant surface options is the first step toward achieving beautiful, long-lasting results.

What Are Smooth Breast Implants?

Smooth breast implants are characterized by their polished, frictionless exterior. Because they do not have a textured grip, smooth implants are designed to move freely within the breast pocket. This mobility often leads to a more natural feel and appearance, especially when placed correctly by an experienced surgeon.

These implants are often favored for their reduced association with inflammation and rare complications. They are typically placed either under the breast tissue or beneath the pectoral muscle, using techniques like the submuscular or subfascial approach, which are both offered at Human PS Clinic.

In terms of sensation and movement, smooth implants have a reputation for being softer to the touch and adapting better to body movement — ideal for patients seeking a very natural look. However, the lack of surface grip can sometimes increase the chances of implant displacement or rotation, which is why surgical technique plays a key role in achieving long-term satisfaction.