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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.
Dear Gentle201158,I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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.
Don't go bigger. If you do, your implants may be too heavy and large for your tissue and will thin and stretch your tissue, sag, and ripple. You don't appear to have donor fat for a fat transfer. I would just keep what you have and enjoy it. Your implants could be placed behind the muscle for...
Right now, it is way too soon to be considering doing anything to your breasts. You have swelling that needs to subside. At six months, then consider enlarging the smaller breast if the slight difference bothers you. You were somewhat larger in one breast prior to surgery. The difference is not...
First, en bloc surgery is cancer surgery only and not to describe removal of capsules. Yes, the capsule, as much as possible, needs to be removed and the implant should be replaced. An examination is needed to see if you can have a lift at the same time, or should wait. The nipple can be...
