How Do You Correct Uneven, Rippling Implants?

Breast augmentation done on Feb 4, 2011. I have 530 left and 540 right moderate profile saline. About 2 1/2 months my right boob starting looking different. Sits lower and no fullness at the top. I am just wondering what caused this and what should be done about this? Also I have a ripple on my other boob in the cleavage area. I believe the dr didnt overfill the implant enough. Are there any options for that?

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rippling uneven 6 months post-op

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7 Doctor Answers | Asked by Fairy24

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Bottoming out and saline implant rippling require re-operation.

Your right implant has begun to bottom out, and you require surgical capsulorrhaphy with cautery and sutures to raise your crease. Over correction is advised as it will tend to drop again, particularly if your surgeon was successful in creating a pocket with a (proper) thin, soft, pliable capsule that yields a soft, natural breast feel. Getting the implant back into its proper position will fill out your upper pole more like the opposite breast. Saline implants can ripple even if the... more

Repair of breast implants and breast implant rippling

I would advise you to consult with a plastic surgeon in order to assess the degree of positional rippling and to determine whether implant exchange is an option. During this procedure, the breasts implants can be adjusted to obtain more symmetry.

Brest implant asymmetry and rippling

Certainly breasts have some asymmetry. Yes, the one on your right does look slighlty lower which would also mean less upper pole fullness, but certainly within the norm. RIppling can develop from lack of soft tissue coverage. Overfilling the implant may improve this or exchanging for silicone or adding an acellular dermal matrix.

Steven Wallach, MD

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Manhattan Plastic Surgeon

Breast implant asymmetry and rippling

From your description and photographs, it appears that the right breast implant has "bottomed out", in other words, the tissue / skin of the lower portion of the right breast has stretched more than the left, (unless your breasts were asymmetric in a similar way preoperatively - unknown without preop photo). The position of the implant (above or below the muscle) and surgical techniques are critical to minimizing the possibility of rippling. A patient's skin and breast... more

Uneven breasts

The issue you have is that the fold under your right breast, for one of a few reasons, is not strong enough to support your implant. The fold moved down on your chest and it is now a bit lower than the fold on the left breast. The lower position of the fold allowed the implant to migrate downward. You will likely feel the implant clearly separate from your overlying breast at the very bottom of your right breast. The solution to this is stratight forward, but is... more

Breast implant asymmetry

It looks like your right breast implant sits lower on your chest wall compared to the left breast implant. This is referred to as inferior displacement (bottoming out) of the right implant. Based on your description and picture you may also have medial (towards cleavage) displacement of the left breast implant. This implant positioning causes the nipple/areola to appear too high on the breast mound on the right. Furthermore, the nipple/areola appears to be off... more

You Have Lower Pole Stretch.

The implant on the right shows lower pole stretch due to the size and weight of the saline implants. This often happens in implants that are relatively large in tissue that is relatively thin. You don't mention if you are above or below the muscle. Options include: 1. Tightening of the lower pocket on the right. 2. Make sure the implants are submuscular. 3. Consider a switch to silicone - this will help rippling. Overfilling will help rippling, but will make lower pole stretch worse. more