Muscle Detached from Sternum From Breast Augmentation - Will It Get Worse over Time?

Your results are quite good and we should all be so lucky. Rippling is an inherent property of implants. Overfilling a saline implant (above the amount listed on the box) on the other hand can be unsightly & doesn't necessarily prevent the appearance of rippling. Although all implants have some rippling saline implants have the most and cohesive gel have the least. I do not believe your rippling is due to overdissection of muscle.

The rippling becomes visible from the outside when the implant has more of it and the tissue between the outside world and edge of the implant is thinner. That is why saline implants are usually placed under the muscle. Despite that rippling along the lower and outer edges of the implant are still a possibility because the muscle does not extend down to those areas. You probably have rippling on the upper part of the implant as well it just does not show because the tissue is thicker (the implant is also covered by muscle here).

The questions then are is this bad enough to do something about it and will it get worse with time. My personal opinion is it is not bad enough to do anything about it now unless it really bothers you. Will it get worse over time? Probably but that time frame could be quite long. My personal opinion is no breast implant patient gets only one operation and the time between operations should be as long as possible. If/when you get your next operation your best bets are probably switch to a cohesive gel implant and/or place an acellular dermal matrix to thicken the tissue in the lower inner quadrant of the right breast and make the rippling less visible.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Thank you for the question.

Based on your description you may be experiencing medial  (towards the cleavage)  implant malposition.  this situation along with the rippling can be corrected using internal suture technique (capsulorraphy)  along with  allograft  (acellular  dermal matrix).

Generally speaking, one of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla).

Although you are not experiencing symmastia,  you may still benefit from  repair of the implant pocket immediately and with a  possible exchange  to silicone gel implants.

I hope this helps.

To directly answer your question is the first issue I wish to elaborate upon. In my opinion from the posted photos you do NOT have pectoral sternal over dissection or "SYMMASTIA". The photos demonstrate no midline connection. As for the issues present on your photos Dr George Marosan's post outlines in detail your issues and offers a great treatment plan.