Can anything be done to sort out this rippling?

Your implants are too large and heavy for your tissue and have stretched and thinned your tissue and now you see ripples. Going larger will just make this worse. I would suggest going down to a size that fits your frame and tissue better and having dermal grafts, like Alloderm, placed superiorly internally to give better coverage. A fat transfer could also be helpful if actual breast tissue is still present and not too thin in that area.

Ripples in the upper breast are called traction ripples, and there are three things that cause it: Inadequate support from below, inadequate coverage over the top, and implants with too soft gel. All three need to be addressed; add support with an internal bra (Strattice or Gala), add coverage by going under muscle, and consider switching to a more cohesive implant. You may also need a lift or smaller implants.

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery. I often see breast implant wrinkling. The most effective method is to change from saline to silicone. In very thin patients like yourself, there still remains some implant wrinkling. The other effective method is performing a site change from on top of the muscle to below the muscle. I actually wrote a paper on this technique. If you are in a subglandular position, this would help you greatly. I have tried fat injections and and implanting meshes or biologic tissues and have been disappointed with the results. You can direct message me regarding your implant details. Best wishes to you.