Is Rippling on Saline Implants Only a Cosmetic Issue or Do I Need to Do Something? Doctor Answers, Tips
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Is Rippling on Saline Implants Only a Cosmetic Issue or Do I Need to Do Something?

I had saline implants positioned behind the muscle five years ago. I have noticed rippling on the outer side of one of my implants. I do not wish to undergo another surgery if it is not required at this time. Is this something to be concerned about or is it purely cosmetic? Thanks, Nicole

10 Doctor Answers | Asked by Nicole23 in South Carolina
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Implant ripples: aesthetic or functional problem?

Rippling is generally not considered a medical problem. It is generally considered aesthetically undesireable. However, the most popular explanation for implant failure is due to crease fold failure. Theoretically, persistent ripples could lead to a higher rupture rate.
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Rippling is a cosmetic and a not health issue and as such requires no revisionary surgery.

The rippling you see on the breast surface is actually a product and reflexion of the rippling on the surface of the underlying implant.There must be adequate tissue in the form of breast tissue or muscle to be able to camouflage the presence of rippling on the surface of the implant. I am not surprised that you have rippling on the sides of your breast because there is not any muscle in that location capable of covering the implant. Rippling seems to be only a cosmetic problem. There... more
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Rippling is cosmetic issue

Rippling is strictly a cosmetic issue and sometimes very difficult to correct.  Changing the pocket location, implant, or even using alloderm may be necessary.

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Rippling Is A Cosmetic Issue

Rippling can happen with any implant, and in any position.  However, it really is just a cosmetic issue, not a functional one, when it occurs on the lateral aspect of the breast.  There are different things that people try to improve the rippling ( change the pocket, change the implant, add some tissue to the area), but there is nothing that says you have to.  I hope this helps.
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Rippling is usually cosmetic, but ...

While rippling is usually only cosmetic, it can result in erosion of the tissue and even exposure if untreated or severe.  This should be evaluated by a plastic surgeon and if the implants are ready to be changed you might want to consider going with silicone, as this ripples less.
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Rippling with implants usually only a cosmetic issue

Because the muscle only covers the top and inner portion of the implant, rippling when it occurs is seen on the sides and bottom. It is rarely a medical issue, but if it is due to underfilled implants it can contribute to a deflation. That is also a harmless event but an inconvenience. No medical reason to rush to surgery but there are good options for concealing rippling when the time comes, especially using Strattice: www.renewingyou.com
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Rippling after saline breast augmentation is not a health issue.

What you describe is commonly seen with salin implants, particularly in thin patients.  If the implant is placed below the pectoralis muscle, the portion you describe is beyond it so it is not submuscular and thus not camouflaging the shell of the prosthesis.  Nothing to worry about and probably not such a problem that switching to silicone gel is indicated.  If you have a failure of your implants in the future and want them replaced, you should consider silicone gel. more
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Rippling on saline implants

As Drs. Rand and Adlea have stated, these are inherent risks to the implant itself. There is nothing wrong or a complication. As for rippling, the worse implant is textured saline, followed by smooth saline, than textured silicone, finally the best for minimal rippling is smooth silicone. Thanks for the interesting question. From MIAMI DR. B
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Rippling of breast implants

That is totally normal and is just because the outer aspect of the implant isn't under the muscle so the thinner coverage allows you to feel and sometimes see ripples.  Not a problem unless it bothers you.  If so, change to gel and it will be much less.
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ALL Breast implants Ripple - THAT is why we PREFER to put them behind the Pectoralis Muscle

ALL Breast Implants ripple. When you take a zip lock bag, fill it with water, hold it upright and look at its top, the bag will simulate what saline does to the implant shell. Although silicone gel implants ripple as well, they do so to a lesser extent than saline implants. When we match implants to our patients, we ideally try and use implants that can be covered by muscle and breast tissues to cover and hide these ripples. The wider the implant and the less the cover the more... more
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