Natrelle Inspira SCF vs Mentor Memory Gel Xtra and rippling? (Photo)

At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and pictures. I see the problem with the rippling and from the look of the picture, it is apparent that your native breast tissue and skin are extremely thin. I would definitely NOT do saline, even over filled will ripple and sometimes even more so. Also, the salines will behave "heavier" and fall faster. An option, that might help your situation, although not 100% I think, would be to use the Mentor BOOST type implants that have the least amount of rippling in the gel implants, but also consider a small implant and then skin reduction and lift if necessary. As a final option, but I wouldn't recommend it necessarily, some surgeons might recommend adding a large piece of ADM, or acellular dermal matrix to cover the implant, but again, this becomes very pricey, again doesn't give 100% guarantee, and can potentially added other risks. Be sure to see a Board Certified PS for your best options.

Nicely posted photo demonstrating rippling of certain brands & types of implants plus limited sub dermal fat and breast tissue to cover the implants. I agree with exchange to larger volume , like 550-650 cc high profile Boost Mentor memory gel implants. In addition micro fat grafting to ad a layer under skin to help camaflogue the implants. Fee $10,000. Best to virtual consult with....

I think you were set up for having issues based on how your first procedure was done.
It looks like you have a thin tissue envelope over the implant and a sub muscular implant with more modest size could’ve led to a more quality long-term outcome.
At this point it looks like your soft tissues are stretched out, your implants are bottoming out slightly. Generally speaking low profile, silicon, implants, ripple the least.
Your situation is complex and without having complete information, including an examination, we can’t really give you quality recommendations.
Having the procedure done, right the first time is a major important variable in long-term patient satisfaction.
Most plastic surgeons, who do a lot of implant surgery tend to prefer sub pectoral placement of implants.
Converting your current outcome to a quality outcome is going to be challenging.
To get significant improvements and minimize the chance of continued future revision attempts you probably need to find somebody who is a true master of breast augmentation surgery.
I don’t know where you live, but there are providers who are better than others. One of those is Tom Pusti MD outside of San Diego.
Consider scheduling a multiple in person consultations with other providers, seem to have a lot of experience with breast augmentation surgery.
When choosing providers a generally recommend patient start the process by interviewing numerous providers. The biggest mistake patient can make is having one consultation and then scheduling surgery.
This eliminates the ability to choose the better provider.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own.
This is true whether you’re having a primary or secondary surgery.
An experience provider should have no difficulty showing you the before, and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of the providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they actually done.
At this point your situation is difficult, complex, and getting a long-term quality outcome is going to be difficult.
Best,
Matt hagstrom, MD