Deep Indentations After Breast Augmentation? (photo)

I had breast implants in 1991 and after 21 years of enjoying them with no problems they have to be exchanged because rupture after a mammogram. After surgery I noticied these terrible deep indentations in my breast, I talked to the surgeon, he said there was nothing he could do about it. Went to another surgeon who placed different implants and now the same thing is happening. What's the problem? Will bigger implants will take care of it? I am desperate and sad, need all the advice possible. Tx

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6 Doctor Answers | Asked by wildorchid

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Deep indentations after breast surgery

I have been at this for 26 years and have seen all kinds of wrinkles and ripples but never have I seen anything quite like what you have. I don't know if those implants are saline or silicone, whether they are below the muscle, but if they aren't, they should be to get more tissue over them. Also, are the dents the implants showing through exceptionally thin skin? You might need to layer in a large sheet of Strattice to thicken the coverage over the implants. ... more

Rippling From Lack of Support

Rippling can happen when your breast does not have enough tissue to support it. Since you need implant support, it would be a good idea to get them under the muscle. You could also switch from saline to silicone, which would greatly help as well. As far as correcting the groves, you could try a fat transfer or a breast lift may help as well.

Deep Indentations After #BreastAugmentation? (photo) ANS:

My guess is that you have above the muscle implants and very very thin tissue. It looks like to me that you have what we call "traction" rippling and can happen with any type of implant and even in some women without implants. You have no support of your skin or breast tissue when I assume your capsule was removed from the rupture and now have an implant that is pulling on your skin from gravity. I would probably recommend an implant exchange to below the muscle for coverage and support and... more

Deep Indentations After Breast Augmentation

If these are indeed ripples, they are the deepest and most visible I have seen. If these are saline implants, switching to silicone should be considered If these are above the muscle, placing them under the muscle should be considered. If neither, using a spacer such as fat injections or acellular dermal matrix should be considered. Whoever thinks about another surgery should find out from the previous surgeons if there were any unusual findings at... more

Deep indentations after implant removal

The deep indentations may represent the thinness of the tissues after removal of the other implants and now you have rippling. You may need to place the implants under the muscle or even add strattice to camouflage the area. Some wound consider fat grafting if this does not improve.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Deep Indentations After Breast Augmentation?

Though in thought and one choice of treatment I agree with Dr Rand, I have seen this, though rarely, in my 34 years of active practice. What has happen is the original implants most likely formed a firm capsule. When the removal occurred for rupture I assume you has a partial capsulectomy. Thus the tissue remaining was very thin. Replacement allowed the skin envelope to contract to fit the residual replaced implant size/space causing the severe rippling. Just increasing size will not correct... more