Will Textured MP Breast Implants Cause Rippling?

asked 2 years ago by midere in Florida
Latest answer by Steven Wallach, MD
Question viewed 900 times

I had a Breast augmentation 3 years ago Saline 300cc subglandular. I had rippling. Then 6 months ago, I had another surgery vertical lift and a re-aug with moderate smooth silicone gel with 275cc subglandular, but I am having problems again with rippling. This time, however, seems even. I went to the doctor and he told me that even if I have another surgery, I would have a big chance of having the same problem again. This time he suggested textured moderate plus implants at 400cc. Do you think this will cause another rippling problem? Could you please give me some other suggestion?

7 answers to Will Textured MP Breast Implants Cause Rippling?

Rippling of implants

If you have failed reconstruction because of rippling, you may want to consider alloderm for a thicker coverage over the implant.

Steven Wallach, MD
Manhattan Plastic Surgeon

Bigger breast implants will likely produce more rippling

Hello, Assuming that rippling is indeed the problem and you have already switched to silicone gel implants, going larger will probably produce more rippling especially if you stay "over the muscle." If you go with "under the muscle" implants this time, I would stay away from textured implants and keep to a similar size to give you the best chance of making things better.

John P. Di Saia, MD
Orange Plastic Surgeon

Rippling is less a function of the implant style

I suspect that your problem with rippling is a function of the relative size of your implant. There are a number of factors that influence rippling but all implants have rippling, that is one of the imperfections of the procedure. The issue is how to hide it. Smooth implants translate the rippling less because the implant is not adherent to the overlying soft tissue whereas textured implant are designed to make the soft tissue stick to the implant surface. Implant under the muscle show... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Moderate profile implants are underfilled and have more rippling.

Hi! Here are some suggestions: 1) "Moderate" profile implants are really low profile, they are underfilled, and they have a higher risk of rippling. Just switching to smooth walled moderate PLUS profile or high profile cohesive silicone gel implants may help you. 2) Textured surface will increase the risk of rippling. Not a good idea. 3) Implant pockets can be reinforced with Alloderm to minimize rippling. 4) Rippling in upper part of breasts can be improved with implants... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Change the implant pocket

If your implants are sub mammary and you continue to have problems with rippling, I suggest you ask your surgeon to move them to a sub pectoral pocket. This will add more coverage between your skin and the implant and always reduces the amount of visible wrinkles. A textured implant usually is worse for rippling and does not feel as natural, especially on top of the muscle.

Leslie H. Stevens, MD
Beverly Hills Plastic Surgeon

Textured MP Breast implants and Rippling

Dear Midere, Having not examined you before your procedures and now I can only speak in generalities which may not apply to you. ALL implants (but saline MORE than gel filled) are associated with rippling. Textured implants on the US market are associated with more rippling than smooth (saline or gel) implants. Finally, implants UNDER the muscles will project less rippling than implants over the muscle, as you had done. Personally, I would advise against using a textured implant (either... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Lessening the chance of breast implant rippling

In my experience (30 years), rippling is more common with textured implants because the capsule around the implant attaches to the implant making the rippling worse. I would use a high profile silicone gel implant because the edge contour of the implant makes it less likely to ripple.

Robert Vitolo, MD
Manhattan Plastic Surgeon

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