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20 years ago, when I started my training in plastic and aesthetic surgery, breast augmentation using implants in private or university clinics was mainly done using textured implants (which have a rough layer on the surface). A few years ago, studies showed that textured breast implants could lead to chronic inflammation over the long term. This problem led to the development of ultra-smooth textured implants such as Motiva Ergonomix® implants. When it comes to breast augmentation, choosing the right silicone implants is extremely important. Whether it’s the size, the shape, the manufacturer, the consistency, the surface of the implant or the cost, there is certain information you absolutely must know.