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What Will Lessen The Chances of Rippling?

asked 1 year ago by noripples in Toronto, ON
Latest answer by Tom J. Pousti, MD
Question viewed 818 times
Tags: 130-149 lbs, 5 ft 4 in to 5 ft 7 in, 450-499cc, rippling, risk

I am 5'4", 140 lbs and currently a deflated, mildly sagging 34C. My base width is 14.5cm. I'm scheduled to get 469cc textured silicone implants (14.1cm) in a few days. My PS and I have decided on dual plane, inframammary. I am wondering if there is any way to determine the likelihood of rippling... especially since my weight tends to fluctuate within about 10 lbs (breasts usually don't fluc. a lot as far as I can tell). Should I go with less cc's/smaller diameter to reduce this chance? Thx.

14 answers to What Will Lessen The Chances of Rippling?

Rippling of Breast Implants

Thank you for the question and picture. Generally speaking, 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 extension weight any rippling/palpability of... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Which Breast Implant and Placement would give me the LEAST Rippling?

Regarding: "What Will Lessen The Chances of Rippling? I am 5'4", 140 lbs and currently a deflated, mildly sagging 34C. My base width is 14.5cm. I'm scheduled to get 469cc textured silicone implants (14.1cm) in a few days. My PS and I have decided on dual plane, inframammary. I am wondering if there is any way to determine the likelihood of rippling... especially since my weight tends to fluctuate within about 10 lbs (breasts usually don't fluc. a lot as far as I can te more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Rippling with gel-filled breast implants

Silicone gel-filled breast implants are not inherently ripply feeling like saline-filled implants are and will not ripple because of over-filling or under-filling as they are pre-filled. Actual ripples in your situation would only be created because of the textured surface of the implant (which there is no need for) or from a problem with the capsule space that heals around the implant. The risk of capsule problems is minimized by the subpectoral positioning and by making sure the size... more

Scott L. Replogle, MD
Denver Plastic Surgeon

PHOTO: Options for diminishing tendency for rippling.

You have adequate breast tissue to minimize the visibility of rippling. Dual plane will also diminish this tendency. Use of high profile implants are also associated with less tendency for rippling. The use of textured silicone implants in the USA is not as popular and once a fold or ripple develops with these implants, the texturing may make the rippling more prominent.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

How to lessen the chance of rippling with silicone breast implants - smooth vs textured prosthesis

Although it is impossible to absolutely determine the likelihood of rippling, there are several factors that come in to play. One is the type of implant and the other is the placement and the amount of breast tissue that overlies the prosthesis. That being said, a submuscular or predominantly submuscular placement of a smooth silicone prosthesis, is least likely to result in either visible or palpable rippling. I no longer use textured implants since there is a higher incidence of folds and... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Smooth Silicone Gel Implants and adequate tissue cover will minimize rippling

I agree that you have adequate breast tissue (tissue cover) to have a ver low likelyhood of visible rippling. I agree with a dual-plane subpectoral approach in terms of the pocket created for the implant; however, I disagree with the use of textured silicone implants because i find that the "grow" into the capsular tissue and are more prone to "fold flaws" and creating visible or palpable rippling/wrinkles. The truth is that almost all saline or silicone... more

James F. Boynton, MD
Houston Plastic Surgeon

Which Implants?

My suggestion for most patients is a smooth, round, moderate profile silicone breast implant placed under the muscle. However, every patient is different and the surgeon needs to modify their technique for each patient to achieve the best results. Good luck.

David Shafer, MD
New York Plastic Surgeon

Avoiding rippling

I prefer smooth implants, it is better to go under the muscle, and it looks like you have a decent amount of tissue to cover the implants.

Steven Wallach, MD
Manhattan Plastic Surgeon

What Will Lessen The Chances of Rippling?

Your PS is doing everything possible to reduce the effect of rippling. Except using textured, I recommend smooth. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

How to reduce rippling with breast implants

Smooth, silicone breast implants placed under the pectoral muscle have the lowest incidence of rippling. You may want to discuss with your surgeon using a slightly smaller implant as 469cc is fairly large and can lead to a thinning out of your breast tissues as time goes on. Also converting to a smooth (not textured) implant may help in your case. Best wishes, Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon

Smooth breast implants may reduce rippling

Ripple is caused by thin cover over an implant allowing the implant to 'show through' after augmentation. Both a saline and a silicone gel implant can ripple. The saline implant has less cohesive fill and therefore will tend to ripple more. Submuscular coverage will substantially reduce visible ripple in all implants. A large implant will tend to ripple more because of the weight and traction forces. Finally a textured implant will ripple more than a smooth implant because of... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast augmentation with gel implants are the least likely to ripple

It seems that your surgeons plan to put silicon gel implants partially under the muscle is the best was to avoid rippling of the breast. When I look at your breast photos it looks like you have enough breast tissue to cover the implants whether they are under the breast or partly under the muscle. Saline implants have a much higher chance of rippling. It is thought by many that textured implants are less likely to get hard but may tend to ripple a little more. Regardless it seems you and... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

Silicone implants cause less rippling

In my patients with silicone implants, I rarely see rippling. If it occurs ,it's usually on the underside where it's not as noticeable. On breast reconstructions I performed for patients who have had previous breast augmentation and removal of the capsule,I will use dermal matrix products such as Alloderm or Bio design to add an extra supporting layer to the implant. I find that this helps when there's very thin covering over the implant

Joseph M. Perlman, MD
Houston Plastic Surgeon

doctorperlman.com

Placement & Type of Implant Affect Rippling

I feel that the chances of rippling decrease with the use of silicone implants which are placed below the pectoralis muscle superiorly. I also think there is less likihood of rippling with smooth rather than textured implants.