MP or HP Breast Implants for Less Rippling?

The biggest factor that reduces rippling is tissue coverage ---it is not the implant!

Putting high profile implants in someone who was "flat" is a recipe for tissue thinning and implant visibility, be that rippling or even the edges of a non-rippling implant.

High profile implants have their role for reconstruction after mastectomy, but in a 90 pound woman it is a prescription for a round, fake look, and tissue thinning over time which will be unable to conceal the presence of underlying implants.

I don't know what size you are now...but if you were sized appropriately for your tissues, then you should not change your implants simply for size.

Thank you for your question. If you are changing styles of implants but not the volume, then impact on skin stretching above and beyond what has already happened with the first breast augmentation should be minimal.  If you go larger, then you will continue to stretch your tissues.  Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin. Some implant styles are more prone such as an overfilled saline implant. Others are less prone such as a shaped silicone implant. So one approach is to change an implant to one that is less prone to rippling such as the shaped silicone implants. Another approach would be to add some thickness to the breast tissue. This can be done by fat grafting where fat is carefully layered between the skin and the implant. Another is to add a dermal matrix sheet between the breast and the implant where the rippling is visible to blunt the impression of the implant on the overlying skin. If you notice the rippling soon after surgery, I often recommend waiting until around the six month mark as your breasts may continue to change during that recovery period. I would visit with a board certified plastic surgeon to discuss your options in more detail.

The larger the implant, the more likely you will stretch and thin your soft tissue covering it an more likely to have additional waviness. I would follow the advice of your board certified plastic surgeon. It is very difficult to determine the exact size, profile type, and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the following link.