Breast Implants before & after photos
79%
949 reviews
Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
Breast Implants Cost $6,600 average cost

MP or HP Breast Implants for Less Rippling?

I am 5 foot 3 and 92 lbs. I currently have moderate plus smooth round gel implants but am now considering switching to high profile. Since I was flat prior to my Breast augmentation without breast tissues, I am concerned that High Profile implants will overstretch or thin out my breasts and cause damage to the chest wall in the long run. What do you think? I have heard different views in terms of rippling and am now very confused. Which Silicone implant profile ripples less? I hope to hear agreeing opinions at leas.

Asked 32 months ago by imnyc in New York
Sort 14 expert answers by:
+3

Rippling and implant profile

Hi, I've used many different types of breast implants, and I have not seen a difference in rippling between moderate plus versus high profile implants. I would agree with one of my colleagues on this forum that moderate implants and textured implants do seem to be associated with slightly more rippling. The amount of rippling you may see is also influenced by how much tissue is covering the implants. Since you are very thin, I would recommend having the implants placed beneath your chest... more
Nina S. Naidu, MD
New York Plastic Surgeon
+3

The enemy of good is better...

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... more
Steven Teitelbaum, MD
Los Angeles Plastic Surgeon
+2

They all ripple the same

There is no difference in the rippling of different implants. Because you have so little breast tissue over the implant is the reason that the ripples are evident. Going to a high profile implant will stretch the overlying breast tissue more where the implant is. The more pressure the implant places on the breast tissue the thinner it will get as well as thinning of the ribs.
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+2

Rippling and implants

Rippling occurs because there is not enough soft tissue coverage over the implants. Sometimes products like Alloderm can be sued to add another layer between the implant and skin to camouflage the rippling. Larger implants only temporize things. Sometimes overfilled saline implants correct the problem but the implants feel harder.
Steven Wallach, MD
Manhattan Plastic Surgeon
+2

Little difference between these two profiles

I definitely feel the moderate profile implants ripple more than the moderate plus and high profile implants but I am not convinced there is a significant difference between the moderate plus and the high profile.If you are trying to improve the rippling present with your moderate plus by increasing the profile I will caution against this. The problem I assume you are having is more likely related to the breast tissue and skin than the implant.A high profile implant with the same base... more
Robert W. Kessler, MD
Orange County Plastic Surgeon
+2

Both Moderate PLUS profile and high profile breast implants prevent rippling.

Hi! I think I have answered another question of yours. You don't say why you want to change implants. Here are some facts: 1) I have seen rippling with textured implants. I don't use these. 2) "Moderate" profile round, smooth walled silicone gel breast implants can cause rippling because they are really low profile, and they are under filled. I don't use these either. 3) We have not seen rippling with either moderate plus profile or high profile implants, and these are the... more
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Tissue coverage is more of an issue than implant profile

The things that increase the possibility of implant rippling are quality of breast tissue, type of implant (saline vs silicone), location of implant (above or below muscle). The quality of breast tissue is something a patient has very little control over. Placing silicone implants, below the muscle (in my opinion) decreases the chance of developing rippling. The profile of the implant has more to do with projection and shape of the breast. High profile, more projection and rounder shape... more
David A. Robinson, MD
Munster Plastic Surgeon
+1

Why go to high profile implants?

You don't mention why you want to go to high profile implants. Going to high profile implants will not make rippling better. The main reason to go to high profile implants is to narrow the diameter of the implants so they "fit" on your chest better. If an implant is too wide for your chest, it can go too far under your arm. This doesn't look good. If your implants are placed under the muscle and fit on your chest, there is no reason to go to high profile implants....
Parham Ganchi, MD
Wayne Plastic Surgeon
+1

Breast Implant and Rippling

Dear Imnyc You ask a very good question in regards to all breast implants- whether saline or silicone and shape of the implants. The bottom line is that if you have very thin breast tissue then the visible or palable rippling of the breast implant is likely no matter what type of implant in used. If you change to a high profile implant you will most likely end up with a very prominen and round shaped breast- more visibly augmented than a 'natural' shape of breast and no change in the... more
Trevor M. Born, MD
Toronto Plastic Surgeon
+1

Silicone implants and rippling

Unfortunately, rippling is something that all implants my do regardless of what kind you get. If the skin is stretched out too much with either HP implants or very large ones then yes, you may feel the rippling more. Nonetheless, as your swelling goes away and the implants settle you may feel rippling. This is true even if you get the implants underneath the muscle. When rippling does happen it's usually painless. However, if the rippling is caused by severe scar tissue, you may need... more
Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon
+1

Actually, I think that the Mentor Memory Gel Moderate Plus

I feel that the Mentor Memory Gel Moderate Plus has the least rippling of the silicone implants, although tissue coverage is a much more important factor. If you are thin, subpectoral plecemnt is preferred to avoid upper pole rippling. Don't count on the implant to avoid this as it is a vexing problem if it occurs and can require further surgery to 'fix".
W. Tracy Hankins, MD
Las Vegas Plastic Surgeon
+1

Visible rippling is caused by inadequate tissue coverage.

As you describe that you were "flat" prior to augmentation and you are 92lbs tells me that you do not have a lot of fat and only minimal breast tissue at best. Rippling is seen most commonly with saline implants, but it can be seen with gel implants as well. Rippling is a result of thin or inadequate tissue coverage and also a traction pull phenomenon that the weight of the implants can cause especially in someone with a thin skin envelope. Going to a larger implant will solve... more
George Marosan, MD
Bellevue Plastic Surgeon
+1

Hiding ripples

All implants have ripples to a certain degree. Hiding the ripples require soft tissue coverage so any implant that falls outside the normal boundaries of your nastural breast carries the risk of visible rippling. You can over-inflate a saline implant and "blow out" the ripples but this just leads to a firmer implant. As mentioned, under the muscle position, non-texture smooth implants, and silicone gel produce less translation of the ripples to the skin surface. The smaller you go... more
Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
+1

The Profile or Shape of the Implant Doesn't Affect Rippling

But the thickness of your overlying skin and breast tissue does. So does the use of a textured implant (generally more wrinkling) vs. a gel implant (less wrinkling). Sometimes rippling is inevitable in thin individuals with little breast tissue, regardless of the type of implant, especially when you lean forward or raise your arms. You are right that an implant that is not sized appropriatey for your amount of skin can damage the skin or result in an unnatural breast shape or abnormal... more
John LoMonaco, MD
Houston Plastic Surgeon
Use of this website and the posting of any reviews or other content on this website constitutes acceptance of the RealSelf® Terms of Service. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. © 2011 RealSelf, Inc. All rights reserved.