Breast Implant Revision: Q&A

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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

11 Doctor Answers | Asked by lauracoverdale in Newcastle upon Tyne, United Kingdom
+2

Rippling

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.
+2

Fat grafting and smaller implants

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.
+2

Rippling

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.

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+2

Fat grafting is another method that may help with your problem

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. 
+2

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... more
+2

Strattice for implant rippling

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.
+1

Rippling after very large implant

800 cc is an extremely large implant and it is apparent that the implants are too large for your chest width and the skin type. Sometimes too big is not only too big but too problematic. The difficulty now is planning a revision and there are no guarantees that this will be successful instead of creating a different set of problems.
+1

Fix Breast Implant Rippling?

Thank you for the question. Your pictures demonstrate the nature of the problem very well. Generally, palpability and rippling of breast implants may be related to several factors. These include the amount of soft tissue and breast tissue coverage over the breast implants, the position of the breast implants (submuscular versus sub glandular), the type of implants (saline versus silicone), and the degree of overfilling of saline filled implants. Generally, weight loss will... more
+1

Rippling and Large Implants

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.
+1

Rippling Breast Implants

From the pictures, it appears that you have rippling caused by thin skin.  So, the treatment would be to increased the amount of tissue or volume between the implant and your skin.  A treatment option would be placement of Alloderm or Strattice between the implant and your skin.  However, this may not correct the rippling completely.  Another treatment may be fat grafting to the area to increase the tissue thickness.  However, you may just have skin that is too thin... more
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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.

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