What is the Best Implant for my Secondary Surgery?

I had subglandular BA in May 2012 with 360mm textured teardrop natrelle implants (13cm width). I have visible rippling since 4weeks mainly in cleavage area. My surgeon attempted fat grafting with no success. I am very thin and have a loose breast envelope with minimal breast tissue after kids and breast feeding. My breast widths are 12 and 12.5. I have been advised to have larger volume smooth inspira implants. Is this an easy exchange? Is there a higher risk for problems verses the primary?

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8 Doctor Answers | Asked by Amy284

Doctor Answers (8)
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Rippling post augmentation

Amy I am not familiar with smooth inspira implants,and you didnt say if your present implants (textured natrell implants) are saline or gels. I think the best solution is getting more tissue between you and the world. I would try a mentor moderatly high profile smooth gel implant under your pectoralis muscles. Wether to use a dermal substitute or more fat grafting would be another decision because you can still have wrinkling with a silicone implant, your doctor would have to make that... more

How do I fix rippling of my breast implants?

Rippling after breast augmentation can result from several factors including: placement of the implant (subglandular vs. sub pectoral) type of implant (saline vs. gel) size of the implant (large vs. small) amount of pre-existing breast tissue (small amount vs. large amount) The first factor in each of these variables tends to increase the risk for rippling and so these would be areas where you could start to address this issue. A basic... more

Teardrop Implants in Subglandular Plane

The rippling can be improved by submuscular placement, fat grafting, the placement of a dermal matrix, switch to a smooth silicone implant and appropriate pocket dissection. Kenneth Hughes, MD Los Angeles, CA

Rippling

Rippling occurs with thin coverage over the implants. Sometimes placing them under the muscle is the way to go. Also strattice coverage may help as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Change the characteristics of your augmentation

There are, essentially, four characteristics to decide upon with breast augmentation. 1. What size or shape you desire 2. What kind of implant to use (saline implant vs. silicone implant, smooth implant vs. textured implant, teardrop vs. round implant) 3. Where the implant should go (above the muscle or below the muscle) and 4. Where to put the incision. When something isn't right the first time, these are, essentially, the four things that can be changed to get things how... more

Breast implant revision choices

Although you didn't say specifically, it sounds like your implants are above the muscle. A submuscular conversion should help with the ripples in the upper inner quadrant and a smooth walled implant using silicone gel is usually better. All this needs to be sorted out in person with your chosen doctor.

What is the Best Implant for my Secondary Surgery?

Ripples are somewhat less likely with smooth vs textured implants, and with silicone vs saline implants.Given the position of ripples in the cleavage area, I think the best thing you can do is have the implants moved to the submuscular position. I am really not sure why a larger volume would help the situation. Thanks, all the best.

Best Breast Operation for Subglandular Breast Implant Rippling?

Thank you for the question. Given your description of body type and breast implant “rippling”, you may want to rethink the surgical plan. The relatively simple removal/replacement currently planned may leave you with the same issues. However, re-augmenting the breasts with the breast implants ( preferably silicone gel) in the sub muscular (dual plane) position will be more likely to help you with the rippling issues you are experiencing. Sometimes the use of a... more