The textured implant, however, may adhere to the scar capsule. If it does, then technically the scar capsule should be removed in part or in whole when the implant is exchanged, as small fragments of the silicone texturing which break off the implant may be left behind in the scar tissue once the implant is removed. This will be a bigger operation, more expensive for the patient and perhaps create a longer down time for the patient. Less problems with wrinkling than textured, particularly with Mentor smooth round implants. Lower cost to the patient.
Massage can produce a more natural cleavage plane.
The implant manufacturers do not recommend massage for textured implants, as they want the tissue to 'grow into' the texturing. Thus they are more likely to have less natural movement. The capsule contracture rates with smooth and textured implants appear to be similar over time. Massage can help to reduce capsule. All About Breast Augmentation and Breast Implants .