Leeza, Unfortunately this is not an uncommon occurence...

Leeza,

Unfortunately this is not an uncommon occurence when saline implants are used for breast augmentation in very thin women with very little overlying breast tissue or fat.  In most cases, as long as it is not painful or is not visible, it is tolerated by the patient.  But there are a few options that can be considered:

Sometimes, there is just a small wrinkle ot fold in the implant, and the surgeon can go back in, rotate the implant a bit, and even fill it with a bit more saline to help smooth this out.  It will usually do the trick.

If you are very thin-skinned in this area, another option is to place some more tissue between the implant and your skin to act as a bit of padding and prevent the wrinkle from being seen or felt.  This tissue is usually either some of your own skin from another part of your body or a product called Alloderm (as your doc about it) which works quite nicely.

Finally, while all types of implants can have wrinkling or rippling, I find that this is less common in my patients with silicone implants.  If this is something you would consider doing, talk to your plastic surgeon about it.

Hope that helps and best of luck,

Dr. S

While all patients with saline implants can feel the implant edges in the lower and outer poles of the breast if they try, what you are describing I would say isn't "normal."  Preferrably, your implants were placed submuscular for more tissue cover of the saline.  Sometimes patients will be feeling the implant valve mechanism.  You might well need to consider switching to gel or just having to live with this imperfection.  Perhaps ask another local plastic surgeon to check this out.

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