If your implants are older, or if the correction on the affected side requires a differently sized or shaped implant then a bilateral exchange makes sense.
Rippling can be a tough problem, especialy in thin individuals, and you already have gel implants under the muscle. Hard to go beyond that, except perhaps total muscular coverage which has it's own set of problems.
Leaving the implants out for a year is good if the pocket and or skin has been stretched and you want to let things return to their shape as much as possible before moving ahead. Not sure it would help your situation that much.




