Is this rippling? (Photo)

Question

I am 4 days post op i had UHP siltex gel coheisive breast impants and already noticing rippiling espessially if i tense. Will this go? Is it because i am only early stadges?

Martin Jugenburg, MD · Answer

Rippling often develops on the outer perimeter of augmented breasts: on the side, bottom, or in between the breasts. It becomes more apparent when you bend over, so if you feel rippling while bending over, then that is common and expected. Rippling can be caused by the under-filling of the implant, or because of pull on the tissue capsule that is attached to thin overlying soft tissue (i.e., skin and subcutaneous fat tissue, and breast tissue). Rippling, or implant wrinkling which is visible through the skin is common in patients who are very skinny and have very little fat or soft-tissue (breast tissue, fat tissue, skin) to hide the implant. Or it can happen when you get a large implant with a high profile which seems to be the issue in your case. Unfortunately, rippling worsens with time as the implant puts pressure on the breast tissue and thins the overlying tissue to create deformities in the ribs causing them to hold a different position in the chest.Let me discuss the steps that could be taken to minimize rippling.·         If someone has textured implants, have it changed for a smooth surface·         If someone has saline implants, have it changed for a silicone implant·         If someone has large implants, have it changed for moderate sized implants so that breasts can better conceal the implant·         If someone has the implant placed above the muscle (subglandularly), then have it placed behind the muscle (submuscularly)o   Saline implants ripple more over the muscle (subglandularly), but the rippling can be hidden behind the pectoralis major muscle due to a thicker layer of soft tissue that conceals 2/3rd of the top of the implant. Rippling may still appear on the outer side of the breast, just above the breast fold and this is especially true if you lean forward or bend to pick up something off the floor.Final 2 solutions can be applied in any case:·         Weight gain – weight gain will allow greater soft-tissue coverage – i.e., padding – the better the implants and rippling is concealed.·         Fat transfer to the breast soft tissue for additional support and volume to area where the implant is visible o   Fat transfer is the only surgical option, but there is unpredictability in the outcome due to less than 60% fat graft take. Also note that rippling is often a problem for thin patients, and such patients have very minimal fat for fat transfer.Please continue to have regular follow-ups with your surgeon to make sure your breasts are healing beautifully. Their recovery instructions should take precedence over all else you read here as they are better informed about your surgical details.Hope this helps.

Charles Nduka, MD · Answer

You are still early in the healing process and your body is still healing. It is recommended to wait for 4-6 months before seeing your final result. It is less probable that you developed rippling based on your photo.

Kim Taylor, FRACS · Answer

In the early days after surgery I really recommend to my patients not to look too closely or to overanalyse anything that they see in the mirror or going on with their breasts.ALOT is going to change over the next few weeks/months, so no I don't believe this is rippling.What you are most likely seeing is activation of your muscle which is normal.  I would not recommend repeatedly tensing these muscles.Allow things to heal & settle in good time & then reassess.All the best with your recovery

M. Dean Vistnes, MD - Account Suspended · Answer

You are still early in the healing process after breast augmentation. As the implants soften, settle and drop the breast shape will change. It can take 4-6 months before the implants look and feel like they belong to you. Be sure to keep any scheduled follow up appointments you have for his or her evaluation and advice. Good luck! 
Dean Vistnes,M.D. 
Vistnes Plastic Surgery 
San Francsico Bay Area
#realself #breastaugmentation #drdeanvistnes
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Brooke R. Seckel, MD, FACS (retired) · Answer

I would expect this to improve as implants drop into position. The fact that it improves with tensing the muscle (? I assume the second photo is with tension) is also a good sign. Of course see your surgeon for an exam and opinion.

Is this rippling? (Photo)

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Answer: Normal healing process

Answer: Normal healing process

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Answer: Is this rippling?

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Is this rippling? (Photo)

Answers (5)

Answer: Normal healing process

Answer: Normal healing process

Answer: Is this rippling?

Answer: Is this rippling?

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.