Textured breast implants contain a textured shell around the filler. There are two basic shell types, or covering, of breast implants – textured and smooth. Texturing was developed to try and lower the chance of developing a capsular contracture after a breast augmentation. A capsular contracture is basically a firm scar that can develop around an implant. While all breast implants will develop a capsule, normally the capsule is thin and soft. A capsular contracture is what everyone would like to avoid. One very good way to lower the chance of getting a capsular contracture is to place the breast implant under the pectoralis muscle. Why this placement lowers the chance of developing a capsular contracture is not clear. Textured implants have definitely been shown to lower the chance of developing a capsular contracture when placing a breast implant above the muscle. The question is does placing a textured implant under the muscle lower the chance of developing a capsular contracture when compared with a smooth implant under the muscle. This is not very clear yet, however there is a small amount of preliminary data that possibly demonstrates a small benefit. The breast implant company Sientra warrants their implants against capsular contracture – should a primary breast augmentation patient develop a significant capsular contracture with a textured Sientra breast implant, they will issue a new implant at no charge.