Best Course for Revision Due to Rippling and Wrinkling? (photo)

I am at one year post op. I previously had 325cc Saline implants above the muscle. I recently had the Saline switched to a 457 Silicone gel implant placed under the muscle due to rippling. I was hoping that this would fix the issue. I have had one PS who suggested repositioning the implants and another PS who suggested replacing them with smaller saline implants, using Strattice and doing a breast lift. The other problem is that I have pain everyday since the surgery that has not gone away.

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8 Doctor Answers | Asked by ltannos in Friendswood, TX

Doctor Answers (8)
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Breast implant revision

You have rippling and also mild synmmastia. I recommend exchanging to a smaller implant, a neo-subpectoral pocket with Strattice re-inforcement.

Best Course for Revision Due to Rippling and Wrinkling?

Sorry that the ripples and pain are an issue because the frontal photo shows a very acceptable result. I might think about sub cutaneous placed fat grafts as a possible answer.

Breast revision

Fixing the capsule, putting smaller implants in, and adding an acellualr dermal matrix like Strattice may be a reasonable solution. An exam in person would be important.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Best Course for Revision Due to Rippling and Wrinkling? (photo)

I believe that the implants are too large for your body frame I would recommend replacement with smaller moderate profile plus smooth round silicone implants placed under the fascia , possibly with mesh support

Correct Breast Implant Rippling and Wrinkling?

I'm sorry to hear about the disappointing experience you have had after breast surgery. At this point, I'm sorry to say, you are dealing with a difficult situation. If your implants have been successfully placed "under the muscle", then I think your best bet for an improvement ( not perfection), is the of capsulorraphy techniques Internal suture repair/downsizing of breast implant pockets), the use of silicone gel breast implants and acellular dermal matrix (allografts)... more

Best Course for Revision Due to Rippling and Wrinkling?

With large implants and thin skin cover it is tough to correct ripples, even, as you now know, by switching to silicone and moving the implants under the muscle. The breasts appear to have quite an acceptable appearance in the at rest position on the left. Flexing will always distort submuscular implants, and the forward posturing is aethetically the worst. (This is true for natural breast tissue--I doubt you would find this pose in Playboy on a full breasted model, implanted or... more

Rippling after placement of gel implants under the muscle might require extensive treatment for good results.

I agree with the other answers you have received. Acellular dermal matrix or fat injections can improve the situation after a smaller implant has been placed. These are fairly extensive and costly treatments, however.

Best Course for Revision Due to Rippling and Wrinkling

In general, saline implants placed above the muscle in someone with thin tissues have a higher risk for rippling and wrinkling visible through the skin. It is typically a reasonable solution to change implants to silicone and move the pocket under the muscle to reduce the ripples and wrinkles; however, this does not eliminate the possibility of wrinkles, especially in the lower, outer quadrant of the breasts. This is because the muscle does not cover the implant in this area. Also, silicone... more