I am 6 months post op with mentor round silicone under the muscle. I have lots of rippling on the bottom of my implant and in the lower half of the inner cleavage that can be felt in the upright position. I can also feel a slight tugging in my lower breast when not wearing a bra. Is this slight bottoming out and could that be causing the rippling? I also think they sit a little low. Can anything be done to raise them up a bit and minimize the rippling? Thanks so much
Answer: 6 months post op, possible bottoming out and rippling? From the photos you provided, it appears that your implants have not bottomed out. I always tell my patients that an augmentation frequently magnifies existing breast asymmetry. You are also very thin with very little natural breast tissue in the lower pole which can mean that rippling can be more evident even with silicone implants. If the rippling is very bothersome, you might want to inquire about Sientra high fill silicone implants. These implants are slightly overfilled to push out against the casing to reduce rippling. Best of luck.
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Answer: 6 months post op, possible bottoming out and rippling? From the photos you provided, it appears that your implants have not bottomed out. I always tell my patients that an augmentation frequently magnifies existing breast asymmetry. You are also very thin with very little natural breast tissue in the lower pole which can mean that rippling can be more evident even with silicone implants. If the rippling is very bothersome, you might want to inquire about Sientra high fill silicone implants. These implants are slightly overfilled to push out against the casing to reduce rippling. Best of luck.
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January 28, 2015
Answer: Revision? Unfortunately rippling goes with the territory when you have little breast tissue and body fat. You have a nice result and a revision does not seem warranted at this point. But always bring your concerns to your surgeon.All the best to you.
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January 28, 2015
Answer: Revision? Unfortunately rippling goes with the territory when you have little breast tissue and body fat. You have a nice result and a revision does not seem warranted at this point. But always bring your concerns to your surgeon.All the best to you.
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January 28, 2015
Answer: 6 months post op, possible bottoming out and rippling? Overall you have an excellent outcome;
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January 28, 2015
Answer: 6 months post op, possible bottoming out and rippling? Overall you have an excellent outcome;
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January 28, 2015
Answer: 6 months post op, possible bottoming out and rippling? Without a physical examination it is difficult to address your concern. You have rippling which is palpable, but not visible on these photos. You do not have bottoming out. The rippling is secondary to thin tissue coverage over the implants. This can be improved in a couple of ways; either by fat grafting in the lower poles of the breasts (minimally invasive) or re-operation and placement of ADM like Strattice to add additional cover over the implant from the muscle edge to the inframmmary folds. See your surgeon or seek a second opinion from a board certified plastic surgeon. Good luck.
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January 28, 2015
Answer: 6 months post op, possible bottoming out and rippling? Without a physical examination it is difficult to address your concern. You have rippling which is palpable, but not visible on these photos. You do not have bottoming out. The rippling is secondary to thin tissue coverage over the implants. This can be improved in a couple of ways; either by fat grafting in the lower poles of the breasts (minimally invasive) or re-operation and placement of ADM like Strattice to add additional cover over the implant from the muscle edge to the inframmmary folds. See your surgeon or seek a second opinion from a board certified plastic surgeon. Good luck.
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January 28, 2015
Answer: Breast Implant Revision This can be a difficult problem. Your breast were a bit asymmetric before the surgery so my guess is the surgeon employed a dual plane technique with muscle release in the lower portion of the breast to give you a rounder fuller shape under the breast. If the skin in this area is a bit thin, then the implant will be more palpable. Unfortunately, surgery to correct this would require placing an internal "bra" made of acellular dermis (Strattice, Alloderm) or silk (Seri Scaffold) to support the implant internally and help take some of the pressure off your thin tissues. This would be quite an undertaking and you would need to weigh the pros and cons carefully with your board certified plastic surgeon before undergoing more surgery.
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January 28, 2015
Answer: Breast Implant Revision This can be a difficult problem. Your breast were a bit asymmetric before the surgery so my guess is the surgeon employed a dual plane technique with muscle release in the lower portion of the breast to give you a rounder fuller shape under the breast. If the skin in this area is a bit thin, then the implant will be more palpable. Unfortunately, surgery to correct this would require placing an internal "bra" made of acellular dermis (Strattice, Alloderm) or silk (Seri Scaffold) to support the implant internally and help take some of the pressure off your thin tissues. This would be quite an undertaking and you would need to weigh the pros and cons carefully with your board certified plastic surgeon before undergoing more surgery.
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