I'm 6 Months Post-op and Slightly Bottomed Out. Rippling Starting to Appear. Will It Get Worse with Time?

asked 1 year ago by PetiteGirl in Canada
Latest answer by Scott L. Replogle, MD
Question viewed 554 times
Tags: 6 months post-op, bottom out, rippling

I had my breast augmentation almost 7 months ago. I have bottomed out and I believe my problem is minimal but I'm starting to get visible rippling in my cleavage on my bottomed out breast. I don't like the rippling but I can still hide it. I'm trying to decide if it's worth a revision. My question is "Does bottoming out typically get worse with time?" "Will the rippling become more visible?" I'm scared a revision will make my results look worse.

7 answers to I'm 6 Months Post-op and Slightly Bottomed Out. Rippling Starting to Appear. Will It Get Worse with Time?

Bottomed Out Breast Implants and Rippling

Hello Petitegirl, The reality is that implants continue to thin tissues for years, and that your rippling will probably become more apparent with time. Saline implants ripple more, and also settle more with time due to the 'water hammer' effect. Silicone gel implants are softer, don't settle as vigorously, and is more difficult to feel rippling. Looking at your photos, your right inframammary fold has been more significantly lowered and the implant is... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Bottoming out issues

I generally agree with the previous answers. The lower pole on the right is slightly stretched compared to the left and slightly less than perfect but well within normal for minor breast asymmetry. It will probably stay about the same over time but it's not possible to know or control it. Rippling is a separate issue although to the extent that the lower pole on the right is stretched out it will have less coverage over the implant and thus make rippling more apparent. Saline... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Rippling and bottoming out

Your rippling may get a little worse over time but as far as bottoming out, the current inframammary fold will likely stay put. You have a very nice result, not perfect, but very nice. The enemy of very nice is better. I would get some great bras and be happy. If issues occur in the future, deal with them then. Lisa Lynn Sowder, M.D.

Lisa L. Sowder, MD
Seattle Plastic Surgeon

Tissue stretches with time.

Your result is fine and not worth any revision at this time. Rippling often gets more visible with time as your tissue thins and stretches. Cohesive silicone gel implants ripple less often but this still occurs frequently when moderate to larger implants are used. This problem is most visible along the lower half of the breast as the implant is not covered by muscle and thicker tissue. How much and how quickly your tissues will stretch and how this will affect your... more

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

Breast implant rippling over time

The amount of ripple seen over a breast implant will depend on the amount of natural breast tissue to cover, and the position of the pocket. Generally the tissue and skin will relax and conform to the implant over the first year, and then become fairly stable over many years. Your implants are not bottomed out, and we would think that there is little reason to believe that they will become so. My vote is to avoid revision and go with your result which is quite good until the present implants... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Bottoming out

In the normal arms down pose, their is little to no bottoming out. Rippling as you say usually develops as the tissues thin out. They can get worse with time.

Steven Wallach, MD
Manhattan Plastic Surgeon

Bottomed out breasts

The view that matters most is the one with your arms down. The arms up ones just create distortions. In the arms down view, your "bottomed out" breast is very minor. It shouldn't get any worse. The rippling is from being thin (are you also saline?). Don't lose any body fat and they shouldn't get worse. If they are saline, you might need to change to gel and at that time get the pocket tightened up.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

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