What Can I Do to Fix the Rippling/Wrinkling on my Breasts?

Hi, i had my breasts enlarged the first time to 525cc dual plane silicone and wanted bigger so a year ago i went to 800cc dual plane silicone however i had a 'knuckle' and my doctor tryed to fix it 6 months later... however its been 4months since my 'corrective' surgery and this is what ive ended up like.. my left breast is perfect however my right has really bad rippling down the cleavage. im really upset and ive spent a fortune on my boobs and this is the outcome, what can i do to fix it? xx

Doctor Answers 21

Fat grafting and smaller implants

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Your breast tissue is over stretched and does not cover the implant. Thin layer of skin covering the implant. You need to down size your implant and use fat grafting to ct as spacer. You can check my web site for example of patients that fat grafting has replaced implants.


New Orleans Plastic Surgeon
4.7 out of 5 stars 152 reviews

Rippling

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Rippling can develop when the tissuea re very thin. Sometiems this can be treated with Strattice or alloderm to add a layer of coverage to the implant.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Rippling

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Your problem exhibits what happens when too large an implant is used for your tissue characteristics. It would probably be best to reduce the implant size and add some acellular dermal matrix in the area of the rippling. Adding fat grafts my help to camouflage the rippling. There are no guarantees that either of these approaches will totally resolve the problem. Good luck.

Todd B. Koch, MD
Buffalo Plastic Surgeon
4.6 out of 5 stars 37 reviews

Rippling/Wrinkling after Breast Implant

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You are in a tight spot, literally.  You implants are a bit too wide for your chest wall.  I completely agree with Dr. Baxter, your choices are limited.  If you are not already in a high profile implant, you can consider increasing the profile of the implant (a high profile 800 cc implant is more narrow than a moderate plus profile 800cc implant, and a moderate profle 800cc implant is more narrow than a moderate profile 800 cc implant.  Barring changing the profile or downsizing, Strattice is a viable option.

Nia Banks, MD, PhD
Washington Plastic Surgeon
4.0 out of 5 stars 27 reviews

Rippling and Large Implants

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Unfortunately the problems you are having are not uncommon when very large implants stress the ability of the skin and breast tissue to adapt to them. Your breast are getting increasing close together and further surgery risks the development of synmastia where the implant pockets connect. Use of AlloDerm to thicken the skin over the area of rippling would be my choice to try to improve it.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Fat grafting is another method that may help with your problem

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While I agree with the suggestion to down size your implants and to make sure the dimensions of your implants meet the dimensions  of your breast, there is an additional possibility to minimize the ripples. I would suggest that a great technique is to expand the soft tissue volume of your breast with fat grafting. This is a technique that can restore not only volume but texture to your breast. 

Carl W. "Rick" Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 17 reviews

Strattice for implant rippling

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With very large implants like yours, the tissue gets stretched and thins around the implants so going larger probably contributed to making the ripples worse. The only realistic option at this point would be to build an internal bra with Strattice grafts. Downsizing would also help.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

What Can I Do to Fix the Rippling/Wrinkling on my Breasts?

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Hi lauracoverdale, Breast implant waviness or rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. It is not due to any defect with the implant, it is just a possible phenomenon usually seen in thinner breast augmentation patients with larger implants (often saline implants placed dual plane or over the muscle). This issue can happen with both silicone and saline implants, but is more prevalent with saline. Implants placed beneath the muscle help to minimize it, but some areas the breast may still show some rippling as pectoralis muscle doesn't give total coverage. It is often accentuated with certain positions (bending over,or leaning). Once knuckling or rippling occurs it can be very difficult to correct, but it can be minimized by replacing larger implants with smaller, placing under the muscle and possibly incorporating biologic fabrics.You are essentially just seeing the implant bag because the there is little to nothing between it and your skin. It's one of the risks associated with going very large in size, unfortunately. 

William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

Fixing Rippling/Winkling On the Breasts

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The primary causes of rippling/wrinkling of the breasts following breast augmentation are:

1. The patient is very thin, with little fat to camouflage the implant.

 2. The implant is placed above the muscle.

3. Saline implants are used.

Replacing the saline implant with a silicone gel implant often improves rippling dramatically. In addition, converting the position of the implant to under the muscle as opposed to over the muscle can also improve upper breast rippling. Finally,, in the patient who is excessively thin, gaining some weight can be helpful. Overinflating a saline implant does not typically eliminate rippling of the implant.

Fixing Breast Implant Rippling & Wrinkling

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If you're very thin or lean, any type of #implant can display some #wrinkling.  However, #positioning under the muscle may help.  Silicone implants do better than saline in this case. Also, adding a mesh (i.e. #ADM or similar) can help. Also, replacing with smaller implants, skin #tightening and #capsulectomy may also treat #rippling or #wrinkling.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.