6mths Postop. 125lbs, age 50,very little breast tissue, sorry no photos
What is the Best Solution for Visible Ripples at the Cleavage After a Mastopexy/aug 625cc Subglandular, Smooth Round?
Doctor Answers 11
In general, a combination of putting the implants under the muscle, using silicone gel implants, adding fat and/or the use of an acellular dermal matrix such as Alloderm or Strattice is most likely to be successful in addressing ripples. They are most common in - as appears to be the case with you - subglandular implants in women who have relatively little tissue (breast, fat) of their own.
I hope that this helps and good luck,
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The best way to avoid rippling is to go under the muscle. This gives you the added layer of muscle on top of the implants In addition changing from saline to silicone will help. Changing pockets can be a challenging operation and you will need to go with a larger implant to achieve a similar size.
What is the Best Solution for Visible Ripples at the Cleavage After a Mastopexy/aug
Fat injections may correct the rippling,alternatively acellular dermal graft or mesh may benecessary
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Correction of Rippling of Subglandular Breast Implants?
Thank you for the question.
As you can imagine, precise advice would necessitate direct examination. However, generally speaking, sub glandular breast implant rippling can be improved significantly with “conversion” of the breast implant position to the sub muscular position. Also, the use of acellular dermal matrix may be a helpful tool in this regard.
I would suggest in-person consultation with board certified plastic surgeons who can demonstrate significant experience helping patients in your situation.
Subglandular Augmentation with Little Breast Tissue
Subglandular augmentation in a person with little tissue and rippling is to be expected. A switch to a submuscular plane will help to some degree for the portion of the implant that is covered by muscle. For the remainder of the ripping, fat grafting or dermal matrices are your two alternatives for camouflage. Kenneth Hughes, MD Los Angeles, CA
Implants, especially the size you have, do much better behind the muscle. You should have your implants converted to the submuscular position.
Ary Krau MD FACS
Rippling after breast augmentation
Rippling after a breast augmentation can best be treated with conversion of a submammary augmentation to a subpectoral position. If rippling still persists, I would consider fat grafting to the rippled areas, or a revisional operation in which acellular dermal tissue such as Alloderm or Surgimend would be placed under the skin to add some support and contour to the rippledd area. Always contact your Plastic surgeon for further advice in this regard.
Best of luck to you.
Frank Rieger M.D. Tampa Plastic Surgeon
Rippling after subglandular aug with mastopexy
Rippling can develop over areas that have little soft tissue coverage. If thisis in the upper pole, then you may consider implant placement under the muscle.
Rippling Less Likely With Submuscular Implant Placement
You are less likely to have visible implant rippling with silicone implants placed under the muscle. Your implants are also very large which will also lead to a higher incidence of problems.
Under muscle to minimize breast implant ripples
One of the primary reasons that most implants are placed under the muscle is to minimize visible ripples. Another thing to consider is whether the diameter of the implants is large relative to the anatomic base diameter of the breast, especially with relatively large implants. Acellular matrix such as Strattice can be helpful.