Breast Implants: Q&A
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What to Do About Rippling with Silicon Implants?
I am a little over 4 weeks post op allergan 492cc round mod plus subpectoral augment. I am 33, 5'3" 110lb, with already wide set breasts, previously a 32C with some breast tissue with loose skin. Visible rippling/implant edge laterally, now seeing rippling medially one breast. Options? Thank you!
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8 Doctor Answers |
Asked by
d7marie
in california
+2
The use of grafts of an acellular dermal matrix or you own fat are viable solutions.
When patients have visible rippling following breast augmentation there are several solutions to help correct this problem. These would include repositioning the implant beneath the pectoral muscle if they had originally been placed above the muscle. If the implants were saline filled then changing the implants to silicon gel would help since the latter are associated with less visible rippling. However, since these maneuvers were incorporated in your original operation the options...
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Rippling and silicone breast implants
It is too early at 4 weeks to conclude anything but in general if silicone gel breast implants are rippling it's because of a size discrepancy between the implant and the capsule around it or because the capsule is not smooth and even around the implant.
The way to understand rippling is that the term is confused between look and feel. All saline-filled implants feel ripply because that's what saline feels like if you can feel it. If the tissue coverage is adequate then...
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Options for rippling with silicone implants.
The problem you are experiencing are likely due to your thin breast tissue. Options for managment include switching to high profile implants, acellular dermal matrix coverage, fat grafting.
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Rippling under the muscle with silicone
It sounds like you are very thin. The best way to camouflage the implants is to use a thick piece of alloderm to provide an additional layer of soft tissue coverage.
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Implant rippling options
Placing the implant under the muscle and using a gel or silicone implant is the best way to minimize rippling. If the ripples are persistent then you may consider using alloderm (acellular dermis) to line the implant pocket and provide more coverage of the implant.
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Options to conceal rippling with silicone implants
As you have experienced, all implants tend to ripple, some more than others. Yours are style 15 which I think ripple less than other gel implants. So concealment by adding "padding" is what is needed, and you have already made a good choice by going under the muscle. However, there is no muscle coverage laterally or on the bottom, so that is where it is most typically seen. Medially it may be due to partial release of the muscle in order to try to get the implants close...
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Ripple can be seen with a silicone gel implant and thin cover
The appearance of a silicone gel implant can depend on the breast tissue available to hide the implant from view. Submuscular placement is usually the best option, especially in a thin breast. Many are surprised to hear that a silicone implant can indeed ripple or show a fold as can a saline implant. With your current full 492 cc implant, you might consider a smaller size, and you may have a better result. Another consideration is a form stable implant such as the Allergan 410...
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Correcting Breast Implant Rippling
I'm sorry to hear of your predicament. All breast implants ripple but Saline filled implants ripple more than Silicone gel implants. For this reason it is important to cover breast implants with as much soft tissue as possible (making an under the gland saline implant a much worse choice than an under the muscle silicone gel implant).
The fact that you see ripples along the sides attests to your being very thin with insufficient cover. Seeing ripples along the inner side may mean that...
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