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

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