Sculptra for Breast Implant Rippling

asked 1 year ago by jf6466 in CA
Latest answer by Carmen Kavali, MD
Question viewed 472 times
Tags: breasts, silicone implant, high profile, rippling, subglandular

A cosmetic surgeon suggested Sculptra or Artefill for breast implant rippling. I am 4 wks post op with revision surgery. Subglandular saline implants replaced with Silicone high profile implants. There is already noticeable rippling. I am very thin so submuscular placement may not help much. I also have considerable sagging so would need a lift with submuscular placement. I would like to avoid a lift since I have had problems in the past with scarring. Any advice greatly appreciated.

9 answers to Sculptra for Breast Implant Rippling

What to do for breast implant rippling?

1. Make sure you're seeing a surgeon who is specifically certified by the American Board of Plastic Surgery (NOT "cosmetic" surgery). And find out whether the surgeon does a lot of breast revision work. 2. Sculptra is NOT the answer here. Completely off-label, unpredictable in the breast (I would imagine), and cost-prohibitive for the amount you likely need. Plus, it's not permanent. Same goes for Artefill, except that it is... more

Carmen Kavali, MD
Atlanta Plastic Surgeon

Sculptra and Artefill about a breast implant is "off lable"

Many possible concerns r.e. using semi-permanent fillers about breast implants. Firstly is the concern that you would pierce the implant creating a leak. Secondly is that the material would not do what you wish it to do- fill out the area of rippling, but rather gather in the area about the ripple. Dr. Mayl Fort lauderdale

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Sculptra or Artefill for breast implant rippling - Not a good idea

Regarding: "Sculptra for Breast Implant Rippling A cosmetic surgeon suggested Sculptra or Artefill for breast implant rippling. I am 4 wks post op with revision surgery. Subglandular saline implants replaced with Silicone high profile implants. There is already noticeable rippling. I am very thin so submuscular placement may not help much. I also have considerable sagging so would need a lift with submuscular placement. I would like to avoid a lift since I have had problems in the... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Sculptra for Breast Implant Rippling

Your concerns are very complexing and need great personalized attention. Over the internet any recommendation are a guess. Because you failed to post photos and your surgery history is a bit confusing. Seek in person opinions for a treatment plan. Personally I would not use SCULPTRA in this area, I would try Selphyl.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Ways to hide breast augmentation rippling

Thanks for your question - In our San Francisco area practice we would not typically use Sculptura or other injectables in this "off label" manner. There are several issues: Typically rippling is a consequence of thin tissue over the implant - this can cause damage to the implants when injections are applied. Multiple injections in the area increase the risk of implant infection. The volume of the injections that must be used can be very expensive.... more

Steven H. Williams, MD
San Francisco Plastic Surgeon

Sculptra for Breast Implant Rippling is an option

I have used Scultpra specifically for the problem you are describing - visible breast implant edges in a thin woman after implant reconstruction. In fact, I have published this specific technique in the Breast Journal in 2009. You can view this entire article on my website - drschulmanplasticsurgery.com/Breast-JournalCorrection-of-Chest-Wall-Deformity-After-Implant-Based-Breast-Reconstruction-Using-poly-l-Lactic-Acid-Sculptra.pdf The other options listed such as fat injections... more

Matthew Schulman, MD
New York Plastic Surgeon

Sculptra is not accepted for breast augmentation

I would avoid Sculptra for the breast region as the skin is thin and nodules may develop and then show. I also wonder if there would be any concern with Radiologist's interpretation of mammograms in the futurre.

Ronald Shelton, MD
Manhattan Dermatologist

Please see a BOARD CERTIFIED plastic surgeon

I am concerned about the term "cosmetic surgeon". I have found over the years that doctors without approved training and test certification of the American Board of Medical Specialties call themselves a nebulous term "cosmetic surgeon". Please make sure you are in the right office before proceding. As a board certified dermatologist, I do a lot of Sculptra, but no breast implants, so that is my only comment.

Mary Lupo, MD
New Orleans Dermatologist

Sculptra is not an accepted way to conceal implant wrinkling

I would suggest rejecting the suggestion to use Sculptra or Artefill as a means for implant concealment. The most efficient way to conceal visible wrinkling is to place the implant in the submuscular position. Addition of Strattice acellular dermal matrix might also be helpful. Fat grafting can also be useful.