Breast Augmentation: Q&A
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Why Am I Experienceing Rippling 7 1/2 Weeks Post Op from Lift and Implants?
I had cohesive gel implants over the muscle (right side 304 left side 339) with a lift (lolipop incision). I am thinner, 5'7" about 132lbs, I just noticed rippling over a week ago, more so on my left breast. The rippling is on the side and bottom especially when I bend forward. The implants seem to sit lower than my breast crease as I can feel them standing straight up. I go back to see him next week to address this but would like to know if this is his fault, and what my options are?
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16 Doctor Answers |
Asked by
Tammyfromwinnipeg
in Winnipeg, MB
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Rippling of Implants 2 months after surgery
That's one of the con's about having the implants placed subglandular. When implants are over the muscle, they are only covered by skin and fat. If the patient is thin and doesn't have a lot of their own fat, there is a likely chance of rippling.
I strive to put implants behind the muscle (submuscular) or dual-plane (partially under) when I can. I rarely recommend over the muscle unless the patient has significant amount of their own tissue.
Having said this,...
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Breast Augmentation
All implants have wrinkling. If you visit your surgeon's office to try on sample implants, whether saline or silicone, they all wrinkle when you hold them in your hand. Wrinkling is less obvious with silicone implants. So you can at least feel good that you chose cohesive gel silicone. On your preop photo, your breast tissue is thinned. Your tissue is evidently thin enough to allow the wrinkling to be visible. Wrinkling may be part and parcel of having the implant, especially if...
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Rippling after implants and lift
Sounds like you have thin skin and your implants are above the muscle. This is a difficult problem and may require camoflage by use of an acellular dermal matrix. Donald R. Nunn MD Atlanta Plastic Surgeon.
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Rippling of breasts because implants are in front of the muscle
Though rippling is far more common with saline implants, the reason that you are experiencing this issue with silicone implants is that your implants are above the muscle rather than behind it. Your skin and breast tissue are extremely thin and there is very poor elasticity - so this problem will not go away. A better solution would have been to place the implants in a submuscular pocket (behind the muscle) where there is more tissue between the implant and your skin. This position also...
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Rippling and implants
Implants above the muscle, have a higher risk of rippling in the superior pole because there is less soft tissue coverage than under the muscle, but the inferior pole is always more palpable. Sometimes strattice can be used to camouflage the rippling.
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Rippling is a Much Greater Risk with Implants above the Muscle
Hi there-
The short answer to your question is because the implants were placed above the muscle.
You should discuss this with your surgeon as I would not expect it to improve by itself.
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Rippling after Breast Implants
Rippling of breast implants may be related to several factors:
amount of soft tissue and breast tissue coverage over the breast implants.
submuscular or subglandular position of implants.
type of implants: saline, silicone, double gel (Natrelle Style 510).
Rippling occurs in 5%-10% of breast augmenation surgeries. Patients with a thin complexion, have more possibilities of having a noticeable postoperative rippling.
Rippling -in selected patients- can be...
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Implants over the muscle are more likely to ripple
It is important you discuss your concern with your surgeon, but implants above the muscle in someone as thin as you have a much higher chance of wrippling even if they are cohesive gels.
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Rippling after breast augmentation
Rippling or wrinkling after breast augmentation can be equally bothersome for patients and their plastic surgeons. Unfortunately, it is not uncommon. Some studies put the incidence at nearly 6%. Rippling is also more common when textured implants are used instead of smooth shelled implants. I usually tell patients that if they can feel their ribs, they will be able to feel the edges of their implants. Moreover, if they can see their ribs, they may...
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Rippling after breast augmentation
When implants are placed over the muscle on a patient with thin skin and tissue cover, rippling may be observed. This would be more pronounced hwen you bend over but most patients do not walk around bent over! All breast tissue changes shape in that position. This is by no means the fault of your surgeon. Your options include placing the implants under the muscle or adding a layer of alloderm but it is still early in the healing process. You should allow some time to get used to your...
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