Redo Implants to Fix Wrinkles/Rippling?

asked 1 year ago by pao in Beacon, NY
Latest answer by Tom J. Pousti, MD
Question viewed 2,297 times
Tags: wrinkles, 110-129 lbs, 5 ft 4 in to 5 ft 7 in, saline implants, under muscle, A cup, moderate, revision, rippling, round

Have Mentor round moderate saline implants 325 filled to 375. I'm 5'7", 123.6 lbs, lean, not much dense breast tissue, thin skin. Originally A cup. I work out regularly. Have rippling,wrinkling on sides, visibility & palpability. Implants under muscle. Considering switching to Mentor Memorygel moderate plus. Do I go with a smaller implant (i.e., 350cc) or go with a larger implant (i.e., 400cc or 450cc) to alleviate issues? Wouldn't mind being slightly bigger. Doc says HP not for me.

10 answers to Redo Implants to Fix Wrinkles/Rippling?

How to fix implant rippling

Rippling with implants is a common issue. It is usually seen in thinner women without out much natural breast tissue who have elected to have saline implants. Because of the low viscosity of the saline compared to silicone gel implants, the shell of the implant is easier to deform. Overfilling (as was done in your case) can help counter this effect, although, it can lead to scalloping of the implant (think ripples that don't move). There are solutions for rippling, although they are... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Rippling of breast implants

Thank you for the question. 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 the implants. Deflation of... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Palpability and rippling of implants

Rippling and palpability are related to the thin soft tissue coverage over the implant. Yes, silicone may preduce these symptoms, and placing them under the muscle may help as well, but alloderm may be necessary to add additional coverage.

Steven Wallach, MD
Manhattan Plastic Surgeon

Correcting Palpable and Visible Augmented Breast Rippling

Regarding: "Redo Implants to Fix Wrinkles/Rippling? Have Mentor round moderate saline implants 325 filled to 375. I'm 5'7", 123.6 lbs, lean, not much dense breast tissue, thin skin. Originally A cup. I work out regularly. Have rippling,wrinkling on sides, visibility & palpability. Implants under muscle. Considering switching to Mentor Memorygel moderate plus. Do I go with a smaller implant (i.e., 350cc) or go with a larger implant (i.e., 400cc or 450cc) to... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

How to minimize risk of rippling after breast augmentation

In my opinion, there are several issues which can be considered in order to minimize risk of breast implant rippling. First, pick an implant which fits within the dimensions of your breast. If the implant is too wide, it will push against the side of your breast, thus increasing the risk of rippling. If choosing saline implant, the implant should ideally be filled to its maximum recommended volume or even slightly over-filled. Silicone implants will have less chance of... more

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Visible and palpable saline implant wrinkles and ripples

The high profile implants have a lower tendency to ripple and I would possibly adivse the use of a 350 high profile silicone gel implant to minimize the visibility of the wrinkling. Fat grafting is an option but not without risks and I would advise proceeding with implant exchange first.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

How to address breast implant rippling

Since you have rippling with saline breast implants, I would recommend converting to a silicone gel implant which has a lower incidence of rippling/wrinkling. You can also decrease the size of the implant slightly as you are relatively thin and this will help. Furthermore, you may need a synthetic skin (acellular dermal matrix) placed in between the implant and your tissue to help camoflauge the implant, this can be done with either Strattice or Alloderm. Hard to say exactly... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Silicone gel implant will help but not 100%

You have limited amount of breast tissue ,not enough to cover the implant(saline or silicone). I would not recommend to go bigger . The best option is to have fat injection and also change to silicone gel implants at the same time. Fat injection will help to add volume between the implant capsule and skin.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Implant rippling

Pao, To treat implant rippling you can choose a more cohesive gel or fat grafting to add fat coverage on top of the implant. at 5'7" and 123lb you're pretty skinny and therefore any rippling will be more visible than in a heavier patient. Thus you have two problems: an implant that is rippling, and skinny body that does not hide implant imperfections well. To address the first problem, you can chose to go with a more cohesive (harder) implant.... more

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Implant swap does not always fix wrinkles

The issue at hand here is lack of soft tissue coverage over the implants. All implants wrinkle and fold to some degree- saline more than silicone. Larger implants fold and wrinkle more than smaller ones. Without the benefit of a photo or physical exam, my suggestion would be do downsize volume, switch to silicone implants, and consider acellular dermal matrix (like Strattice by LifeCell) covering to improve soft tissue thickness over the implants. You could also consider fat... more