What Procedure Will Remove the Rippling and Increase my Breast Size?

I had a breast aug. in 3/2008 with saline impants filled to 465cc over the muscle. I loved the results. Since then I have had another baby and breast fed. Now I have rippling(my main concern) and slight sagging. Some doctors suggest under the muscle whith a lift others say to stay over the muscle with saline implants. I want to be bigger and want to know what would work best for me? I would really like to avoid a lift if at all possible.

Tags:

Comment on this

20 Doctor Answers | Asked by Scottsdale9872 in Scottsdale, AZ

Doctor Answers (20)
Community Comments (0)

At some point a lift is unavoidable in breast augmentation.

Your desire to go larger is your choice I guess. You wiill need a lift and the implant must go under the muscle. Saline implants overfilled will work nicely and I actually prefer them in yur type of anatomy but the gels will do well also. To simply stuff in larger implants will be unwise. Talk to 3 ABPS FACS Surgeons.

Revision with support

I would recommend subfascial augmentation with silicone implants as this isvthe only way to establish the support that you need at this point

Bad result from implants on top of the muscle

Your photographs should be an educational poster as to why implants belong under the muscle. You have severe capsular contractures causing hard spherical breasts that sag too much. In my opinion, your best opportunity for a long -term good result is a three step process. Have your implants removed. Wait for several months and then have a breast lift. After you have recovered from this, have larger implants placed under the muscle. I have treated a number of women with... more

Rippling associated with breast implants

Based on your pictures, the best option would be to place silicone implants in the submuscular position. By placing the implants in the submuscular position, the rippling will be masked by increased soft tissue coverage. Increasing in size and the need for a lift would be better discussed in person with a board certified plastic surgeon.

Misshapen breast after breast implant and capsular contracture

Your photos show capsular contractures with sharply visible implant edges and rippling of the upper half of the implants especially on the left. The rippling is visible because there is not alot of tissue between the upper half to the implant and the outside world. Also there is vertical distortion of the nipple complexes and the left breast is larger than/droops more than the right. If you just replace the implants with larger saline implants placed on top of the chest muscles you will... more

Breats revision following augmentation

You have multiple issues that are apparent from your photos. These include: 1. breast mound positioned inappropriately low 2. tightening of your capsule around the implant You need to have implants removed, breasts lifted to a proper position so that your breast mound extends naturally from your chest wall, and to replace your breast implants in a subpectoral position.

Placement of Breast Implants

Your breast implants certainly have the implant look. The usually occurs when the implants are placed above the muscle and the patient is thin or has minimal breast tissue. My advice would be under the muscle silicone breast implant placement. You may need a lift, but without seeing you in person, it is impossible to tell. Good Luck.

Implant issues

You may want to consider under the msucl efor more soft tissue coverage in the upper pole. As for a lift, I would have to examine you. You may be lucky to just need a circumareola lift or possibly a vertical lift..

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

What Procedure Will Remove the Rippling and Increase my Breast Size?

I would strongly recommend Silicone gel behind the muscle. Be sure you consult with a Board Certified Plastic Surgeon who understands the importance of choosing the right profile implant so that you have less of a risk of rippling. If you have too large an implant, your rippling risk is still high. Peri-areola mastopexy can be nearly a scarless lift, and can give you a little skin tightening and lift your nipples up giving you a better cosmetic result. But for your... more

Severe rippling and deformities from saline implants above the muscle

Your situation is an extremely common one that I see here in Scottsdale and one that could have been avoided. (In fact, I had a patient in my office just today with an identical problem!) For many reasons, saline implants placed above the muscle (especially larger ones like yours) virtually always lead to very inferior results including severe rippling, stretching and thinning of the skin, with drooping and other deformities. There are a few possible approaches that can provide you with... more