Hi, i had my breasts enlarged the first time to 525cc dual plane silicone and wanted bigger so a year ago i went to 800cc dual plane silicone however i had a 'knuckle' and my doctor tryed to fix it 6 months later... however its been 4months since my 'corrective' surgery and this is what ive ended up like.. my left breast is perfect however my right has really bad rippling down the cleavage. im really upset and ive spent a fortune on my boobs and this is the outcome, what can i do to fix it? xx
Answer: Rippling/Wrinkling after Breast Implant
You are in a tight spot, literally. You implants are a bit too wide for your chest wall. I completely agree with Dr. Baxter, your choices are limited. If you are not already in a high profile implant, you can consider increasing the profile of the implant (a high profile 800 cc implant is more narrow than a moderate plus profile 800cc implant, and a moderate profle 800cc implant is more narrow than a moderate profile 800 cc implant. Barring changing the profile or downsizing, Strattice is a viable option.
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CONTACT NOW Answer: Rippling/Wrinkling after Breast Implant
You are in a tight spot, literally. You implants are a bit too wide for your chest wall. I completely agree with Dr. Baxter, your choices are limited. If you are not already in a high profile implant, you can consider increasing the profile of the implant (a high profile 800 cc implant is more narrow than a moderate plus profile 800cc implant, and a moderate profle 800cc implant is more narrow than a moderate profile 800 cc implant. Barring changing the profile or downsizing, Strattice is a viable option.
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CONTACT NOW Answer: What Can I Do to Fix the Rippling/Wrinkling on my Breasts? Hi lauracoverdale, Breast implant waviness or rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. It is not due to any defect with the implant, it is just a possible phenomenon usually seen in thinner breast augmentation patients with larger implants (often saline implants placed dual plane or over the muscle). This issue can happen with both silicone and saline implants, but is more prevalent with saline. Implants placed beneath the muscle help to minimize it, but some areas the breast may still show some rippling as pectoralis muscle doesn't give total coverage. It is often accentuated with certain positions (bending over,or leaning). Once knuckling or rippling occurs it can be very difficult to correct, but it can be minimized by replacing larger implants with smaller, placing under the muscle and possibly incorporating biologic fabrics.You are essentially just seeing the implant bag because the there is little to nothing between it and your skin. It's one of the risks associated with going very large in size, unfortunately.
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CONTACT NOW Answer: What Can I Do to Fix the Rippling/Wrinkling on my Breasts? Hi lauracoverdale, Breast implant waviness or rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. It is not due to any defect with the implant, it is just a possible phenomenon usually seen in thinner breast augmentation patients with larger implants (often saline implants placed dual plane or over the muscle). This issue can happen with both silicone and saline implants, but is more prevalent with saline. Implants placed beneath the muscle help to minimize it, but some areas the breast may still show some rippling as pectoralis muscle doesn't give total coverage. It is often accentuated with certain positions (bending over,or leaning). Once knuckling or rippling occurs it can be very difficult to correct, but it can be minimized by replacing larger implants with smaller, placing under the muscle and possibly incorporating biologic fabrics.You are essentially just seeing the implant bag because the there is little to nothing between it and your skin. It's one of the risks associated with going very large in size, unfortunately.
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October 4, 2016
Answer: Fixing Rippling/Winkling On the Breasts The primary causes of rippling/wrinkling of the breasts following breast augmentation are: 1. The patient is very thin, with little fat to camouflage the implant. 2. The implant is placed above the muscle. 3. Saline implants are used. Replacing the saline implant with a silicone gel implant often improves rippling dramatically. In addition, converting the position of the implant to under the muscle as opposed to over the muscle can also improve upper breast rippling. Finally,, in the patient who is excessively thin, gaining some weight can be helpful. Overinflating a saline implant does not typically eliminate rippling of the implant.
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CONTACT NOW October 4, 2016
Answer: Fixing Rippling/Winkling On the Breasts The primary causes of rippling/wrinkling of the breasts following breast augmentation are: 1. The patient is very thin, with little fat to camouflage the implant. 2. The implant is placed above the muscle. 3. Saline implants are used. Replacing the saline implant with a silicone gel implant often improves rippling dramatically. In addition, converting the position of the implant to under the muscle as opposed to over the muscle can also improve upper breast rippling. Finally,, in the patient who is excessively thin, gaining some weight can be helpful. Overinflating a saline implant does not typically eliminate rippling of the implant.
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August 26, 2016
Answer: Fixing Breast Implant Rippling & Wrinkling If you're very thin or lean, any type of #implant can display some #wrinkling. However, #positioning under the muscle may help. Silicone implants do better than saline in this case. Also, adding a mesh (i.e. #ADM or similar) can help. Also, replacing with smaller implants, skin #tightening and #capsulectomy may also treat #rippling or #wrinkling.
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CONTACT NOW August 26, 2016
Answer: Fixing Breast Implant Rippling & Wrinkling If you're very thin or lean, any type of #implant can display some #wrinkling. However, #positioning under the muscle may help. Silicone implants do better than saline in this case. Also, adding a mesh (i.e. #ADM or similar) can help. Also, replacing with smaller implants, skin #tightening and #capsulectomy may also treat #rippling or #wrinkling.
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February 29, 2016
Answer: Rippling Breast Implant Rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. Implants placed beneath the muscle help to minimize this phenomena but the lower and outside breast (as pectoralis muscle is no longer present), towards the cleavage where the muscle thins out or on top of the breast where breast tissue is often lacking are the most common places to see rippling. It is often accentuated with certain positions (e.g. bending over,or leaning). Most of the time, rippling is felt along the outer side of the breast and the inner side of the breast next to the cleavage. Breast implant waviness (rippling) that is felt but not noticeable to the eye is very common and should not be a concern. However, when rippling is visible, patients are often self-conscious about their appearance.Factors that are associated with increased rippling include:Traditional Saline implants (IDEAL® Saline implants less likely)Textured implantsLarge implantsThin patients with low BMIImplants placed above the musclePrior history of ripplingFactors which are less likely to have rippling include:Heavier and larger breasted womenUsing a highly cohesive form-stabile silicone implants (gummy bear)Smooth implantsSmaller implantsSubmuscular placementOnce rippling occurs it is very difficult to correct. Rippling can be minimized by placing a biologic fabrics (e.g. AlloDerm®, Strattice™, SERI®), submuscular conversion if implants are above the muscle, fat transfer, use of adjacent tissue (muscle or fascia) if available, and in persistent cases implant removal and fat transfer. Seek the care of the best board certified plastic surgeon possible with experience in breast revision surgery.#rippling#breastaugmentation
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CONTACT NOW February 29, 2016
Answer: Rippling Breast Implant Rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. Implants placed beneath the muscle help to minimize this phenomena but the lower and outside breast (as pectoralis muscle is no longer present), towards the cleavage where the muscle thins out or on top of the breast where breast tissue is often lacking are the most common places to see rippling. It is often accentuated with certain positions (e.g. bending over,or leaning). Most of the time, rippling is felt along the outer side of the breast and the inner side of the breast next to the cleavage. Breast implant waviness (rippling) that is felt but not noticeable to the eye is very common and should not be a concern. However, when rippling is visible, patients are often self-conscious about their appearance.Factors that are associated with increased rippling include:Traditional Saline implants (IDEAL® Saline implants less likely)Textured implantsLarge implantsThin patients with low BMIImplants placed above the musclePrior history of ripplingFactors which are less likely to have rippling include:Heavier and larger breasted womenUsing a highly cohesive form-stabile silicone implants (gummy bear)Smooth implantsSmaller implantsSubmuscular placementOnce rippling occurs it is very difficult to correct. Rippling can be minimized by placing a biologic fabrics (e.g. AlloDerm®, Strattice™, SERI®), submuscular conversion if implants are above the muscle, fat transfer, use of adjacent tissue (muscle or fascia) if available, and in persistent cases implant removal and fat transfer. Seek the care of the best board certified plastic surgeon possible with experience in breast revision surgery.#rippling#breastaugmentation
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January 3, 2016
Answer: Rippling You have a visible ripple due to inadequate soft tissue coverage over you implant. There may also be an element of scar on the medial aspect of the implant pocket. I think your best option is to downsize your implant, probably to a lower-profile shape, and add additional tissue thickness with strattice or alloderm grafts to this area. Fat grafting may also help, but I'm not sure you currently have a thick enough tissue envelope to permit this technique.
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CONTACT NOW January 3, 2016
Answer: Rippling You have a visible ripple due to inadequate soft tissue coverage over you implant. There may also be an element of scar on the medial aspect of the implant pocket. I think your best option is to downsize your implant, probably to a lower-profile shape, and add additional tissue thickness with strattice or alloderm grafts to this area. Fat grafting may also help, but I'm not sure you currently have a thick enough tissue envelope to permit this technique.
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