but if your healing doesn't improve your results you will have to consider options down the road. I assume your capsule was removed and you must be on the thin side. The implant itself is probably not causing the ripples and instead the traction of the weight on your skin (think water balloon held by the tied end). If things do not improve, you have to consider going under the muscle to diminish the upper pole rippling and if rippling severe, even consider the textured anatomic implant. Know your surgeons revision policy and make sure your surgeon understands your concerns so that most may be addressed with revisions.
If I understand your question correctly, then the solution might be changing the site of the implant to below the muscle and using a textured implant.
Earl Stephenson, Jr, MD, DDS, FACS
Under muscle implants benefit from coverage over the upper portion of the implants so going over will make ripples more visible. High profile implants are also more prone to traction ripples on the upper pole. The solution often requires adding support from below and coverage above. This can be done with an internal bra using SERI Scaffold or an acellular matrix such as Strattice. Once you have gone from under to over muscle, especially with a capsulectomy for capsular contracture, it is difficule to re-elevate the muscle to put impl;ants under again.
Placing implants over the muscle leaves less natural tissue to hide the inherent ripples in an implant. A larger implant will also make the ripples more noticeable as there is more implant (with ripples) showing compared to natural tissue (which has no ripples).
There are solutions to your problem. Unfortunately, they all require more surgery and more money. Ask your surgeon about converting to under the muscle implants, using an acellular dermal allograft, or using a more form stable implant.
The high profile implant in a previously moderate plus pocket is not causing any problems.