One breast rippling - numbness 10 weeks post BA. 425 and 450 moderate plus over the muscle. Will this go away when it settles?

Thank you for your question.  Given how thin you are, rippling is to be expected with implants over the muscle, and is unlikely to improve with time.  Your right implant pocket looks like it is a bit over-dissected, allowing the implant to move closer to the midline, where the tissue is even thinner, hence the rippling.  Fat grafting can sometimes improve this, but has it's own challenges.  As for sensation, it can take 18 months for full recovery, but you may be left with areas of residual numbness.  Hope this helps.

The rippling is in the area that would be covered by the muscle, but there are other things to consider:Is the diameter appropriate for the width of your breasts? Sometimes implants that are too wide will place pressure on the skin causing thinning and more visibility of the implants. A high cohesivity implant such as Allergan Soft Touch may ripple less.Implant size: Larger implants are more likely to show rippling especially in thin women.When the implants settle, the rippling in the upper inner part may improve a little but you will probably see more on the bottom and side.

Sorry to see you are having problems after your BA. A thin person with small breasts is almost sure to have rippling with implants placed over the muscle. As you are only ten weeks after the surgery, this issue is only likely to worsen over time. Adding fat to this space that has such thin skin and with implants so close together does not seem like a good option. The form stable cohesive implants are pretty firm, and placing these over the muscle and having thin tissues to cover, also not the best idea in my humble opinion. The implant pockets, from the photo, also are a bit too close together which would be corrected by submuscular replacement. Seems to me the best option is to place the implants where they should have been placed to begin with.... under the muscle. In placing the implants under the muscle, I would recommend reducing the size if you wish a natural appearing result. Are far as for sensation, it's too early to tell. It may or may not change over time, and only time will tell. Best wishes. Dr Sam Gershenbaum.

There are several factors which can increase the risk of rippling after breast augmentation including:-over the muscle is higher than under-saline has more rippling than silicone-thinner skin/ less Breast tissue shows ripples more than thicker tissuesIf rippling persists, revision surgery is always possible and can make very nice improvement! Please discuss options with your surgeon or another board certified plastic surgeon in your area. 

Tough problem. At 10 weeks postop, the rippling will not likely go away and will need to be dealt with. Follow up with your surgeon and let them know your concerns. They should discuss options for treatment with you assuming the rippling persists.

The rippling will not go away. You will need another surgery to change planes and put the implant under the muscle or change out to a gel implant the does not have the tendency to ripple.

Thank you for sharing your question and photographs.  Unfortunately due to the thin breast tissues that you started with I do not think the rippling you see will improve with time and will likely only worsen as the tissues stretch and the implants settle.  What you are seeing are folds along the edges of the implant.  The best option at correction would be to replace the implants underneath your chest muscles so as to thicken the amount of soft tissue covering.  Hope this helps.

The rippling is likely to be permanent.  The good news is: If the implants are switched to the sub muscular position you may find that they are more apt to go towards the middle given the expansion in the skin created by your current implants.  Make sure you follow up with your Plastic Surgeon.

Thanks for your question. At about 3 months out, I would not anticipate a lot of changes in terms of "settling." Visibility of the implants is one trade off of going above the pectoralis muscle. I would continue with implant massage and then have your surgeon take another look to decide if anything else might help. Best wishes.

Sorry to hear about your rippling.  Though fat grafts may be an option, your tissues appear so thin that there is a high chance of puncturing your implant.  Another option would be to switch to the new Allergan Cohesive Level 3 implants.  They are the most cohesive round implants on the market with the least likelihood of rippling.  Since you stated you have "moderate plus" implants, I'm guessing you have Mentor implants.  Mentor's implant designed to compete with Allergan's Cohesive 3 is not as good (in case your PS suggests it).  If your PS doesn't deal in Allergan implants, you may want to find a doc who has experience with them and can show you the difference.