What Can I Do to Fix the Rippling/Wrinkling on my Breasts?

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

Doctor Answers (14)

Rippling

+4

Rippling can develop when the tissuea re very thin. Sometiems this can be treated with Strattice or alloderm to add a layer of coverage to the implant.


Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Fat grafting and smaller implants

+4

Your breast tissue is over stretched and does not cover the implant. Thin layer of skin covering the implant. You need to down size your implant and use fat grafting to ct as spacer. You can check my web site for example of patients that fat grafting has replaced implants.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 52 reviews

Rippling

+4
Your problem exhibits what happens when too large an implant is used for your tissue characteristics. It would probably be best to reduce the implant size and add some acellular dermal matrix in the area of the rippling. Adding fat grafts my help to camouflage the rippling. There are no guarantees that either of these approaches will totally resolve the problem. Good luck.

Todd B. Koch, MD
Buffalo Plastic Surgeon
4.5 out of 5 stars 7 reviews

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Rippling/Wrinkling after Breast Implant

+3

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.

Nia Banks, MD, PhD
Washington Plastic Surgeon
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Rippling and Large Implants

+2

Unfortunately the problems you are having are not uncommon when very large implants stress the ability of the skin and breast tissue to adapt to them. Your breast are getting increasing close together and further surgery risks the development of synmastia where the implant pockets connect. Use of AlloDerm to thicken the skin over the area of rippling would be my choice to try to improve it.

Richard Linderman, MD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 7 reviews

Fat grafting is another method that may help with your problem

+2

While I agree with the suggestion to down size your implants and to make sure the dimensions of your implants meet the dimensions  of your breast, there is an additional possibility to minimize the ripples. I would suggest that a great technique is to expand the soft tissue volume of your breast with fat grafting. This is a technique that can restore not only volume but texture to your breast. 

Carl W. "Rick" Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 10 reviews

Strattice for implant rippling

+2

With very large implants like yours, the tissue gets stretched and thins around the implants so going larger probably contributed to making the ripples worse. The only realistic option at this point would be to build an internal bra with Strattice grafts. Downsizing would also help.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 23 reviews

Combination of Large Implants With Inadequate Soft Tissue Coverage

+1

                  The combination of large implants in women with inadequate soft tissue coverage can cause a variety of problems. Your pictures suggest greater problems than just a medial breast ripple. It appears that your implants are encroaching on the midline and putting you at risk for a condition known as synmastia, where the breast merge across the midline obliterating your cleavage.

                  Correction of the problem will probably require several surgical maneuvers. These include the replacement of your current breast implants with smaller implants with a decreased transverse dimensions. The use of an acellular matrix such as alloderm or strattice to function as an internal bra for support. It may also be necessary to perform a breast lift if decreasing breast size results in breast sag.

                  It’s important that you discuss your concerns with your plastic surgeon so a treatment plan can be formulated. It’s also important to wait 3-6 months before proceeding with revisional surgery. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 73 reviews

Rippling after Breast Augmentation

+1
The less natural tissue coverage over a breast implant, the greater the risk of rippling. By natural tissue I mean your skin, breast tissue, fatty tissue and muscle.  Silicone breast implants have the least risk of causing rippling but it can still occur. By performing a dual plane, you still have muscle coverage over the upper half of the implant. The options to help improve your rippling include increasing the coverage over the implant with a ADM (this is an acellular dermal matrix such as Alloderm).  Another option would be switching to a more highly cohesive gel implant however this would give your breasts a firmer feel.  I would discuss these options with your Board Certified Plastic Surgeon.

Christopher J. Morea, MD
Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 35 reviews

Downsizing or fat transfer can help.

+1
Rippling is most commonly seen in women with saline implants who have very little natural breast tissue. What happens is the breast tissue does not provide sufficient padding to cover the implant, or the skin has been stretched so thin that the implant becomes visible. This looks like the case with your implants as well, even though they are silicone. I agree with other surgeons here who suggest downsizing as a possibility. However, you might consider consultation with a breast augmentation specialist who is skilled in fat transfer. The addition of some extra fat cells over the rippling area may be enough to resolve the issue without downsizing.

David N. Sayah, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.