Sizing: Saline to Silicone & Going Smaller with a Breast Augmentation Revision. Is It Possible? Advice?

1st PS says yes,2nd says no & 3rd tells me a completely diff story. 1st PS recommends under musc. HP gel imp (but says I will be 'fuller', not nec. bigger), 2nd PS rec. staying subglandular & switching to Mod.+ silicone.I'm 5'2/100lbs A cup-C cup.I don't want to wake up w/ a D cup if I choose under musc.route. Had implts since 03 & rippling is getting worse. Why am I getting so many diff answers? See current photos, please help w/any advice. I'm getting the revision, but want to do it right!

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8 Doctor Answers | Asked by M.R. in Minneapolis, MN

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Revision Breast Augmentation Problems: Tissue Cover is Paramount!

Were your breasts the same size before your surgery, or was the left one larger/droopy? You can easily 'see the implants' through your breast tissue. Why do you think that is? This is a difficult problem, and not one I can explain in a couple of sentences. This hopefully was all explained to you when you first made your decision to get implants done- but I suspect you are in this situation because it was not explained to you. My impression is that you... more

Implant exchange

The rippling in the upper pole should get better with palcing the implants under the muscle, but you may stil have it in the lower pole. You may need alloderm as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Downsizing implants

Given the visible rippling in the upper protions of the breast, Iw ould hihly recommend that you consider implants placed under the muscle. As to size, it depends on your preferenc for a laorge or smaller breast.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Rippling in the Upper Pole of the Breast

Sizing: Saline to Silicone & Going Smaller with a Breast Augmentation Revision. Is It Possible? Advice? 1st PS says yes,2nd says no & 3rd tells me a completely diff story. 1st PS recommends under musc. HP gel imp (but says I will be 'fuller', not nec. bigger), 2nd PS rec. staying subglandular & switching to Mod.+ silicone.I'm 5'2/100lbs A cup-C cup.I don't want to wake up w/ a D cup if I choose under musc.route. Had implts since 03 & rippling is... more

Rippling after breast augmentation can be corrected.

Hi. 1) Simply switching to silicone implants over the muscle may not correct your rippling. You need either under the muscle placement, or else the upper breast tissue can be reinforced with Alloderm. 2) High profile implants are overfilled and less likely to cause rippling. 3) There is no substitute for examining you, but I would side with 1st PS.

Switch to Silicone under Muscle Should Improve Rippling

Changing your saline implants to silicone implants placed under your pectoralis muscle should give you the best chance of correcting your rippling. You could change to a slightly smaller implant, but if you do, you might also consider a small verical lift.

Rippling breast implants

If you ask 10 doctors their opinion about anyting including the time you will likely get 10 different answers. In your specific case the photos show capsular contracture (the edges of the implant do not blend into the surrounding breast tissue), rippling especially on the left upper half, no cleavage, some right left breast asymmetry and implants that lie below the lower edge of the pectoralis major muscles in a thin apparently short individual. I doubt you have any fat elsewhere on your... more

Silicone implants will help

You have very thin tissue over the implants and this makes it hard to give you the result you seek. I will offer you another option and I have done this on many patients that have similar problem. I would use fat grafting to provide thicker tissue over the implant and then change your implants to silicone and under the muscle (same size). You are very thin and amount of the fat that available to harvest is very limited. I have removed and replaced the implants with fat grafting in... more