Left breast rippling - more visible on the left than the right side. (photos)

All implants experience rippling, but to various degrees. It is just a
matter of whether one can see them or feel them. It is common when one bends over.
Saline implants are indeed more prone to ripple compared to silicone
implants because it is not cohesive like silicone. Let us understand rippling a
bit better.
Rippling is the appearance of ridges, wrinkling, or scalloping on the
implant that may be visible through the skin. It often develops on the outer
perimeter of augmented breasts: on the side, bottom, or in between the breasts.
Rippling can be caused by the under-filling of the implant, or because of pull
on the tissue capsule that is attached to thin overlying soft tissue (i.e.,
skin and subcutaneous fat tissue, and breast tissue). Unfortunately, rippling worsens with time as the implant
puts pressure on the breast tissue and thins the overlying tissue. Rippling is
common in patients who are very skinny, have very little fat to hide the
implant, and have small breasts compared to the implant itself. Weight loss may
worsen the situation. Since you are experiencing rippling on the left side more, this means there is less soft-tissue coverage there.
To correct
rippling there are solutions depending on their applicability:
If someone has under-filled saline implants, have them over-filled
moderately. This is more of a preventative measure. Over-filling prevents the
shell from folding onto itself although, it can result in unnatural firmness.If someone has textured implants, have it changed for a smooth
surfaceIf someone has large implants, have it changed for moderate sized
implants so that breasts can better conceal the implantIf someone has saline implants,
have it changed for a silicone implantIf someone has the implant placed above the muscle (subglandularly),
then have it placed behind the muscle (submuscularly)Saline implants ripple more over the muscle (subglandularly), but
the rippling can be hidden behind the pectoralis major muscle due to a thicker
layer of soft tissue that conceals 2/3rd of the top of the implant.
Rippling may still appear on the outer side of the breast, just above the
breast fold and this is especially true if you lean forward or bend to pick up
something off the floor.Fat transfer to the breast to add soft tissue for additional support and
volume to area where the implant is visible may help. This is the only surgical option, but there is unpredictability in
the outcome due to less than 60% fat graft take. Also note that rippling is
often a problem for thin patients, and such patients have very minimal fat for
fat transfer.Please refer back to your surgeon to share your concerns and have them addressed.

Hello,Thank you for your question and photos. Unfortunately, for patients who have thin skin and minimal breast tissue or fat, the likelihood of seeing rippling is greater. The outer sides and under the breast are common areas where one might feel or see rippling. The appearance of rippling is typically greater for saline implants as well. You could ask your Plastic Surgeon about fat grafting to help camouflage the implants or switching to silicone cohesive gel implants.All the best

You didn't mention what type of breast implants you choose (saline or silicone), or whether they were placed under the muscle or above. In general terms, saline implants do tend to create ripples more often than silicone breast implants, and it is usually more noticeable when you lean forward. Thin women, or those with very thin skin, tend to show rippling more. Saline implants tend to ripple more when they are underfilled. Because you have the problem only on one side, you may benefit from a saline fill. Rippling can worsen with time, especially if you experience any type of capsular contracture. I would encourage you to express your concerns with your surgeon and have him/her give recommendations on what the best alternative is based on the type of implants you have, implant placement, size of implants, amount of fill in the implants, amount of tissue you have, and other factors that play a role in determining why your implant is rippling.