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

asked 1 year ago by Scottsdale9872 in Scottsdale, AZ
Latest answer by Rian Maercks, MD
Question viewed 2,360 times
Tags: sagging, 450-499cc, bigger, rippling

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.

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

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.

George Commons, MD
Palo Alto Plastic Surgeon

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

Rian Maercks, MD
Miami Plastic Surgeon

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

James McMahan, MD
Columbus Plastic Surgeon

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.

Naveen Setty, MD
Plano 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

Aaron Stone, MD
Los Angeles Plastic Surgeon

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.

Arian Mowlavi, MD
Laguna Beach Plastic Surgeon

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.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

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
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

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

www.drbandy.com

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

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Breast revision question

You will get varied answers depending on the plastic surgeon but my advice would be a site change to partially under the muscle with a change to silicone gel implants accompanied by a breast lift. This will provide the best option to decrease upper breast rippling, improve shape and rejuvinate your breasts. I hope this helps Dr Edwards Note: Dr. Edwards cannot give advice about specific medical problems nor should answers provided by Dr. Edwards be substituted for a complete... more

Michael C. Edwards, MD
Las Vegas Plastic Surgeon

www.medwardsmd.com

Reducing breast implant ripple

A ripple can occur with both a saline and a silicone gel breast implant, more so with saline. Ripple is avoided by increasing cover over the breast implant with submuscular breast augmentation. Breast feeding and the pressure of your subglandular implants has caused thinning which make the implants you are wearing appear round and let the ripple show through. The best solution is replacement with a submuscular implant, though this is not likely to work out with a larger implant. The best... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Correction of Rippling in Breast Implants

You appear from your photo to have several problems, many of which are probably related to the fact that your implants are too large. Therefore, I would not suggest an increase in your breast size. You will obtain your greatest improvement by removing your implants and replacing them with smaller silicone implants placed under your pectoralis muscle. You also would benefit from a lift.

John Whitt, MD
Louisville Plastic Surgeon

Bigger implants over the muscle can make rippling worse

Large implants above the muscle are more likely to have rippling, and going larger can make it even worse. The heavier implants will stretch the skin even more causing more sagging. If you are sure that you really want to go larger then consider having an internal bra procedure with Strattice. This will add support and coverage and may be enough to avoid having to do a lift.

Richard Baxter, MD
Seattle Plastic Surgeon

Ripples and implants

If you are thin enough to have ripples on top of the muscle, than any saline implant might cause ripples even if placed under the muscle, because the muscle still will not completely cover the implant on the lower outer side. If you switch to silicone and place the implants under the muscle, the chance of ripples goes down but not completely. I have switched from on top of the muscle to under and from saline to gel, and ripples were still visible on top of the breasts because there was just... more

Victor Au, MD
Chapel Hill Plastic Surgeon

Silicone gel implants show much less ripples than saline filled implants

With out measuring the position of your nipples and examining your breast it is difficult to determine if you would be benefitted by a mastopexy of the skin envelope of your breast. What I can definitely say is that I never use saline implants under the breast because of the problem with ripples that can be seen and felt. If I put an implant under the breast I alway use textured gel implants for several reasons. Foremost I do this to minimize the ripples, second the textured implants become... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

Rippling and Larger Implants?

Your photos do suggest stretching of the skin and soft tissues of the breast. Options to help reduce rippling and palpability of the implant would include placing the implants below the muscle as well as the use of silicone breast implants. Placing implants below the muscle may ,however, increase the need for a breast lift to avoid a double-bubble deformity where your natural breast tissue continues to sag while the implant below the muscle stays in a more superior... more

Stephen Delia, M.D.
Boston Plastic Surgeon

You may not need a lift!

After having a baby, the breasts can change, and in your situation, they have. This can be corrected. The nipple-areola complex should be at the same distance to the middle of your upper arm. Looking at your pictures, the nipple is in good position so you don't neccessary need a lift. One of your options could be to change the implants to silicone, stay on top of the muscle and go bigger in implant size. This will give you a little more lift and less rippling. Another... more

Leo Lapuerta, MD
Houston Plastic Surgeon

Breast Augmentation, Breast Enlargement, Breast Implants

You have a problem that is common to many women who receive breast implants. The implants are saline and above your muscles of the chest wall. The skin has stretched and the implants have migrated down the chest wall. You had a baby and this changes the overall structure of the breast ligaments and you lost some of your own breast tissues. This type of case is difficult to correct but can be done. Any plans to revise your surgery would have to be made... more

Jay H. Ross, MD
Tampa Plastic Surgeon

Breast Augmentation Revision

Your best option to reduce rippling and to create a more natural appearing breast, is to have your saline implants replaced with silicone gel implants placed beneath the muscle.