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Will 450 Cc of Breast Implant Cause Rippling?

I heard getting 450 cc or over will cause rippling, is this true? I'm an A cup and want a C or small D cup.

Asked 32 months ago by Guam in Guam

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450-499cc rippling risk

Size does not matter

Size really does not matter in this case. The most important issue is how much of your own tissue you have covering the implant. Good luck.

David Shafer, MD

New York Plastic Surgeon

ASPS

It's a matter of breast implant viscosity

Viscosity is the resistance a material has to change in form. Rippling is related to the viscosity of surrounding tissues, the implant shell, and implant fill material. 1) The surrounding tissues A thick layer of tissue cover, such as muscle or fat, will mask implant surface imperfections. Very thin coverage will easily reveal any underlying imperfections 2) The implant shell itself Some implant shells are very soft, like the Mentor smooth saline shell, which when underfilled can wrinkle... more

Ricardo Rodriguez, MD

Baltimore Plastic Surgeon

ASPS

Rippling with breast augmentation or enhancement using implants

There are many factors that contribute to the exiistence or visibility of rippling: Postion of implant (over or under the muscle) Position of patient (prone or supine) Type of implant (moderate or high profile) Shape of implant (anatomic or round) Implant material (silicone or saline) Degree of implant fill (saline) Soft tissue coverage ( Surface texture (Smooth or textured Amount of breast ptosis (sag) Degree of capsule formation or capsular contracture Weight gain or loss Depending on... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Rippling of Breast Implants

Thank you for the question. Generally speaking, palpability and rippling of breast implants may be related to several factors. These include the amount of soft tissue and breast tissue coverage over the breast implants, the position of the breast implants (submuscular versus sub glandular), the type of implants (saline versus silicone), and the degree of overfilling of saline filled implants. Generally, weight loss will extension weight any rippling/palpability of the... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

It depends on how much breast tissue you have

If you have adequate breast tissue of your own you may have minimal rippling. In a woamn with small breasts, she may see rippling with a 200cc implant. I would discuss your concerns with your plastic surgeon before surgery. Dr Edwards

Michael C. Edwards, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Size of implant does not cause rippling.

Hi! 1) I very seldom recommend very large implants like 450 cc's for breast augmentation in New York. They look fake and age badly. 2) But size and rippling are not related. You can get rippling with saline implants of any size, and even with underfilled ("moderate profile") silicone implants of any size. Also textured implants can cause rippling. To avoid rippling, I recommend moderate PLUS profile or high profile, smooth walled silicone implants

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Rippling depends on your breast and skin covering

Imperfections with implants (rippling, firmness, etc) are noticeable in most individuals with poor tissue. Think of the tissue as a drape or a cover. So, if you have a good cover, you can hide the imperfections below. If the cover is thick, then the imperfections are harder to see. If the implants are large, and the breast tissue is small, then more imperfections will be visible. If you are going from an A cup and adding 450 cc implants, then it is very likely that most of the final result... more

Sirish Maddali, MD

Portland Plastic Surgeon

Rippling depends on several factors

The relative amounts of skin, breast tissue and fat and muscle that cover the implant, the fill of the implant and the covering of the implant shell all go into the degree to which rippling will be seen or felt. The more of you that is in the final breast, the more it will look like you. The more of the implant in the final result, the more it looks like the implant.

John P. Stratis, MD

Harrisburg Plastic Surgeon

ASAPS ASPS

Source of rippling

Ripples are always present in saline, and silicone, implants. The question is, when are they detectable? Some ripples are felt but not seen and others are both seen and felt. Detectability of rippling is related to relative proporiton of implant to normal breast tissue in volume and dimensions. Larger implants are going to show relatively more rippling when placed in narrower or smaller breasts. A 450cc. implant will undoubtedly show rippling in most women's breasts but perhaps not at all... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

It all depends on your tissue cover

All implants ripple somewhat and how much it shows depends on how much breast tissue/fat covers the implant. The 450 cc is no more likely to ripple than a smaller implant in a patient with good tissue cover, but both can show rippling in a very thin patient. Talk it over with your surgeon and consider using high profile implants, which tend to show rippling less. Silicone implants also feel less "ripply" and you may want to consider those.

Francisco Canales, MD

Santa Rosa Plastic Surgeon

ASAPS ASPS

Rippling and breast implant size

The main cause of rippling has to do with the volume of soft tissue coverage over the implant and not so much the implant itself, especially when talking about silicone gel implants. Saline implants that are under filled have a higher risk or rippling as well.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast implant ripple depends on tissue cover

How well an implant is hidden under the natural tissues will determine how visible the implant will be. It is true that over time the breast tissue over an implant will thin and in the case of a subglandular implant the upper edge can be noticeable as an unnatural round edge. A saline implant will have a tendency to show ripples through and this is a drawback to the saline implant. The size of the implant is less of a factor though a very large implant, say over 500cc may cause greater... more

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Peter E. Johnson, MD

Des Plaines Plastic Surgeon

ASAPS ASPS

Ripples are not dependent on implant size

Ripples are basically a problem of saline implants, not gel. The size isn't as important as how thin your tissue is over the implants. The bigger the implant, however, the more it will tend to thin out your tissue over time.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Breast implant rippling is not caused by certain size

The size of a breast implant does not cause rippling. Rippling is caused by placing a saline implant above the muscle in a patient with little breast tissue. Hope that helps!