What does it mean when breast implants have “texture”? January 25, 2023 The breast implants we offer at Heights Plastic Surgery are either “smooth” or “textured.” Smooth breast implants have a softer, more natural feel to them than textured implants. They also give a less rippled appearance in the skin after surgery. That being said, smooth breast implants pose a greater risk for the formation of scar tissue, also known as capsular contracture. Textured breast implants tend to be more firm than smooth breast implants; however, they run a much lower risk of producing scar tissue, also known as capsular contracture. Some breast implants, such as teardrop-shaped implants, only come textured due to the lesser risk of rotation in the pocket.