I had a Breast augmentation 3 years ago Saline 300cc subglandular. I had rippling. Then 6 months ago, I had another surgery vertical lift and a re-aug with moderate smooth silicone gel with 275cc subglandular, but I am having problems again with rippling. This time, however, seems even. I went to the doctor and he told me that even if I have another surgery, I would have a big chance of having the same problem again. This time he suggested textured moderate plus implants at 400cc. Do you think this wilopl cause another rippling problem? Could you please give me some other suggestion?
Will Textured MP Breast Implants Cause Rippling?
Doctor Answers 8
Rippling of implants
If you have failed reconstruction because of rippling, you may want to consider alloderm for a thicker coverage over the implant.
Bigger breast implants will likely produce more rippling
Assuming that rippling is indeed the problem and you have already switched to silicone gel implants, going larger will probably produce more rippling especially if you stay "over the muscle." If you go with "under the muscle" implants this time, I would stay away from textured implants and keep to a similar size to give you the best chance of making things better.
Rippling is less a function of the implant style
I suspect that your problem with rippling is a function of the relative size of your implant. There are a number of factors that influence rippling but all implants have rippling, that is one of the imperfections of the procedure. The issue is how to hide it. Smooth implants translate the rippling less because the implant is not adherent to the overlying soft tissue whereas textured implant are designed to make the soft tissue stick to the implant surface.
Implant under the muscle show rippling less than subglandular implants since there is an extra layer of think muscle covering the top half of the implant.
Silicone implant produce less noticeable rippling because of the viscosity of the gel versus saline cushions the folds.
However, if your implants are wider than your native breast tissue, then the naturally rippling implant will show from out beneath the breast. If the proportion of breast is predominantly implant, then your breast will act more like your implant. The key to reducing rippling is choosing an implant that is covered nearly entirely by you own breast and to keep the volume relative low or a minor contribution to your final volume.
Otherwise, I fear that you will be chasing an imperfection and go round and round trying to chase your ripples away.
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Moderate profile implants are underfilled and have more rippling.
Hi! Here are some suggestions:
1) "Moderate" profile implants are really low profile, they are underfilled, and they have a higher risk of rippling. Just switching to smooth walled moderate PLUS profile or high profile cohesive silicone gel implants may help you.
2) Textured surface will increase the risk of rippling. Not a good idea.
3) Implant pockets can be reinforced with Alloderm to minimize rippling.
4) Rippling in upper part of breasts can be improved with implants under the muscle. Changing implant position will not help rippling in the bottom of the breasts.
Change the implant pocket
If your implants are sub mammary and you continue to have problems with rippling, I suggest you ask your surgeon to move them to a sub pectoral pocket. This will add more coverage between your skin and the implant and always reduces the amount of visible wrinkles.
A textured implant usually is worse for rippling and does not feel as natural, especially on top of the muscle.
Textured MP Breast implants and Rippling
Having not examined you before your procedures and now I can only speak in generalities which may not apply to you.
ALL implants (but saline MORE than gel filled) are associated with rippling. Textured implants on the US market are associated with more rippling than smooth (saline or gel) implants. Finally, implants UNDER the muscles will project less rippling than implants over the muscle, as you had done.
Personally, I would advise against using a textured implant (either saline or gel). To minimize the likelihood of recurrent rippling, I would advise closing the subglandular pocket and put smooth gel filled implants UNDER the muscle.
Lessening the chance of breast implant rippling
In my experience (30 years), rippling is more common with textured implants because the capsule around the implant attaches to the implant making the rippling worse.
I would use a high profile silicone gel implant because the edge contour of the implant makes it less likely to ripple.
Factors that are associated with increased rippling include:
- Traditional Saline implants (IDEAL® Saline implants less likely)
- Textured implants
- Large implants
- Thin patients with low BMI
- Implants placed above the muscle
- Prior history of rippling
- Heavier and larger breasted women
- Using a highly cohesive form-stabile silicone implants (gummy bear)
- Smooth implants
- Smaller implants
- Submuscular placement
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.