The right breast is protruding inward toward sternum and rippling. I can feel the rippling edge all around the R breast and it kind of ‘pops’ in and out of place. Sometimes it feels like the implant or muscle is floating or ‘lifting’ when I flex the pectoral muscle at all. Is this normal healing?! It doesn’t seem to be ‘dropping’ down into the bottom of the breast area either. Is this a normal part of healing process??
Answer: Breast Augmentation Recovery bluejeanian. I appreciate your concerns but too early to worry. Your body needs time to heal and adapt to the implants. The skin and muscle over the implants must stretch a bit to allow the implants to settle into their final position. It is not uncommon to feel the edges of the implants, especially in thin patients, but this will resolve as your tissues stretch and the implants settle in. While your appearance will improve fairly quickly, don't expect to see your final result for at least 6 months after surgery. Good Luck!
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Answer: Breast Augmentation Recovery bluejeanian. I appreciate your concerns but too early to worry. Your body needs time to heal and adapt to the implants. The skin and muscle over the implants must stretch a bit to allow the implants to settle into their final position. It is not uncommon to feel the edges of the implants, especially in thin patients, but this will resolve as your tissues stretch and the implants settle in. While your appearance will improve fairly quickly, don't expect to see your final result for at least 6 months after surgery. Good Luck!
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Answer: Rippling after augmentation Your photo demonstrates rippling on the inner part of the right breast, and it appears that the left implant is higher than the right. The implants have not settled at six weeks, so the left may drop to the level of the right. Shaped implants are also textured to prevent them from moving, so it may not correct. Placing the implants under the muscle reduces the risk of rippling, but does not eliminate it. In thin patients , textured implants are more likely to have this problem. Changing to smooth implants may reduce the wrinkling. Use of tissue substitutes can be of benefit, but can be very expensive. Consult your surgeon to discuss your options.
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Answer: Rippling after augmentation Your photo demonstrates rippling on the inner part of the right breast, and it appears that the left implant is higher than the right. The implants have not settled at six weeks, so the left may drop to the level of the right. Shaped implants are also textured to prevent them from moving, so it may not correct. Placing the implants under the muscle reduces the risk of rippling, but does not eliminate it. In thin patients , textured implants are more likely to have this problem. Changing to smooth implants may reduce the wrinkling. Use of tissue substitutes can be of benefit, but can be very expensive. Consult your surgeon to discuss your options.
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March 20, 2018
Answer: Rippling silicone With the implant moving toward the mid-line, with rippling present, suggests the implant is not covered by muscle in that area. I would wait for 3 months, but if it continues, after 3 months you may want to ask your surgeon about repairing the muscle in that area. Good luck, Greg Sexton, M.D. Columbia, S.C.
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March 20, 2018
Answer: Rippling silicone With the implant moving toward the mid-line, with rippling present, suggests the implant is not covered by muscle in that area. I would wait for 3 months, but if it continues, after 3 months you may want to ask your surgeon about repairing the muscle in that area. Good luck, Greg Sexton, M.D. Columbia, S.C.
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March 19, 2018
Answer: Yes and no. Thanks for your question. It is indeed still a bit early and lots of healing needs to continue. That said, "animation deformity" is a recognized potential problem with implants under the muscle. Overall it appears that your result thus far is very pretty and proportionate. However, the subtle asymmetry and the palpable or visible rippling are certainly not desirable, but certainly a risk in a thin person such as yourself. In general, the softer the implant (less cohesive gel), the greater the risk of palpable or visible rippling. In our thin patients we are using almost exclusively the higher cohesivity or "extra fill" implants, but the trade off might be a slightly firmer feeling breast. The one photo you provided cannot help us determine exactly what is going on since holding the phone and shooting a selfie automatically activates your muscles a bit. If at rest, one implant is higher than desirable, there may be a role for an upper elastic bandeau, which can be very helpful early after surgery. Targeted massaging can also be helpful. You should discuss your concerns and any specific post-operative instructions with your plastic surgeon but take some reassurance that hopefully things will improve with time. If you remain concerned 9-12 months after your original surgery, you may have to consider revision surgery to address those concerns. Based on your result, it is safe to assume that your plastic surgeon is more than qualified to address your concerns and that is your best first address. Good luck in your ongoing healing.
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March 19, 2018
Answer: Yes and no. Thanks for your question. It is indeed still a bit early and lots of healing needs to continue. That said, "animation deformity" is a recognized potential problem with implants under the muscle. Overall it appears that your result thus far is very pretty and proportionate. However, the subtle asymmetry and the palpable or visible rippling are certainly not desirable, but certainly a risk in a thin person such as yourself. In general, the softer the implant (less cohesive gel), the greater the risk of palpable or visible rippling. In our thin patients we are using almost exclusively the higher cohesivity or "extra fill" implants, but the trade off might be a slightly firmer feeling breast. The one photo you provided cannot help us determine exactly what is going on since holding the phone and shooting a selfie automatically activates your muscles a bit. If at rest, one implant is higher than desirable, there may be a role for an upper elastic bandeau, which can be very helpful early after surgery. Targeted massaging can also be helpful. You should discuss your concerns and any specific post-operative instructions with your plastic surgeon but take some reassurance that hopefully things will improve with time. If you remain concerned 9-12 months after your original surgery, you may have to consider revision surgery to address those concerns. Based on your result, it is safe to assume that your plastic surgeon is more than qualified to address your concerns and that is your best first address. Good luck in your ongoing healing.
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March 20, 2018
Answer: Implant edge/rippling along inside: 6 weeks post BA, 350cc shaped silicone under muscle. I'm sorry to hear about your issues this soon after augmentation. It is still a bit early to judge final results, but if you are already seeing rippling then its not likely to improve as the swelling decreases. It may be amenable to fat grafting for coverage, or you may need a revision with alloderm to thicken the tissues. I'd suggest booking an appointment with your surgeon to be examined or get a second opinion from a local breast implant revision expert. Hope that helps!
Helpful 1 person found this helpful
March 20, 2018
Answer: Implant edge/rippling along inside: 6 weeks post BA, 350cc shaped silicone under muscle. I'm sorry to hear about your issues this soon after augmentation. It is still a bit early to judge final results, but if you are already seeing rippling then its not likely to improve as the swelling decreases. It may be amenable to fat grafting for coverage, or you may need a revision with alloderm to thicken the tissues. I'd suggest booking an appointment with your surgeon to be examined or get a second opinion from a local breast implant revision expert. Hope that helps!
Helpful 1 person found this helpful