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Options for Rippling Saline Breast Implants?

asked 3 years ago by Jamey1234 in St. Peters Mo
Latest answer by Tom J. Pousti, MD
Question viewed 390 times
Tags: breasts, breast size

I used to have Silicone gel implants but they ruptured, leaked and has massive capsular contraction. They also made me very very ill. I had them removed and replaced with nothing to spare me life.

Years later, I had Saline implants (submuscular) but they are rippling on the underside. Yes, I am thin but I has some tissue to use. I am now a size 34C was a D but they settled. I really want something to work. I do not want any thing silicone. Your help is appreciated. Thank You.

4 answers to Options for Rippling Saline Breast Implants?

+2

Rippling and saline implants

Because of your refusal to switch to silicone gel, which is a much better alternative for rippling than saline, I don't see that you have any options. If you are thin, it is difficult to camouflage the viscosity difference between your tissue and the salt water in the implant-thus the rippling. An obvious option is to remove the implants and be done them. This would leave you with native volume which might be more of a problem to you than rippling. I would avoid "gimic" surgery to... more
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Treatment of Rippling?

Thank you for the question. Sorry to hear about your challenging history. In regards to rippling of breast implants... 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,... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Rippling saline implants

Jamey, Thanks for the question. Ideally, for management of lower pole rippling, you would be best suited with silicone implants. However, if you are averse to this option, a reasonable alternative would be to have Alloderm, Strattice, or a comparable tissue matrix implemented to line the implant pocket along the areas of the profound rippling. There is always the downside risk that this tissue matrix could become infected. Additionally, tissue matrix tends to be fairly costly, especially... more
Glenn Vallecillos, MD

Beverly Hills Plastic Surgeon
+1

Silicone or a tissue matrix like Alloderm

I agree that a change out to silicone would be your best option. Remember that the new silicone implants are more of a "gel" consistency and not a "liquid". Also, remember that your saline implant shell is actually made of silicone! For severe cases of rippling, you may inquire about Alloderm or other tissue matrixes that can be placed over the implants to hide the ripples internally. This is for severe cases that have not responded to other treatments.... more
David Rankin, MD

Jupiter Plastic Surgeon

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