I'm 2 weeks post op of downsizing from 1300cc to 800 UHP and I'm having some ripples on my left cleavage area

hello lollypollylolly In most cases correction of this problem will not be completely possible, however, improvement can be achieved depending upon the original cause of the problem. Subglandular implants may require conversion to submuscular position with creation of a new pocket allowing the muscle to minimize their problem. Patients with extremely thin tissues may require Acellular Dermal Matrix or other biologic fabric. Patients with textured implants may require changing to silicone implants. #post-op #rippling

Good morning!I do over 200 XL augmentations a year, so I am well acquainted with the issues of upsizing and downsizing. In your situation, which is actually quite common, the two best options are:1) switch to overfilled saline implants- yes conventional wisdom says silicone ripples less than saline, but not in the upper pole and cleavage areas- overfilled saline increases the internal pressure of the implant, smoothing out the edges. If you place the palm of your hand against your nipples and press inward the rippling probably goes away- because what you have done is increase the internal pressure of the silicone implants, simulating what saline would look like.2) inserting Strattice mesh to line the pocket, thickening and strengthening the tissues between the implants and the skin.Some patients choose #1 or #2, and some patients do both!I have attached a link to my Breast Augmentation Revision photo gallery for your review- hope it helps!

thank you for your question and photos. The rippling you are experiencing is not uncommon after downsizing significantly in implant size, because the skin and scar tissue around the implant are stretched by the larger sized implant.  Fat grafting is a reasonable option, and you often do not need a significant amount of fat to make a nice difference. Biologic mesh is also another option, typically more costly and is a much bigger operation. Best advice is to discuss these options with a Board certified plastic surgeon who can help select an appropriate treatment plan that is right for you.

Hello,
Your nipples are in a suboptimal position; as time goes on your Benelli scars will be very noticeable and thickened, and your areolar diameter will expand. A breast lift would give you a pleasing breast shape, much improved nipple areolar complex position, and tighter skin. As for your implants, they need to be repositiond up and under the pectoralis major muscle. A more cohesive implant would also help, but not if it remains over the muscle. This should rectify a lot of the antero-medial rippling. Best of luck!

In general subglandular implants, especially over time will tend to ripple as you are seeing.  For now I would sit tight and wait until about 6 months time to see how things look.The treatment for rippling is to place the implants under the muscle to get better coverage of the implant.  Also using more cohesive silicone implants can help decrease the rippling as well.Hope that helps.

Dear Lollypollylolly,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process.
Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.
At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

and the only way to minimize it would be using the most cohesive gel implants (smooth round or textured anatomic) with tightening of your envelope and considerable pocket work if the textured implants are used.  You are dealing with the issues that face those that go with excessive sizes that stretch out your tissues and a Benelli alone isn't going to tighten you up enough. Going smaller with a more traditional implant would be best if you wanted to minimize your rippling.

I would politely disagree with the statement that you don't have enough fat for fat transfer.  It looks like you have some in your abdomen and I'm sure you have some hiding in your flanks and your inner/posterior thighs.  It also doesn't take much fat to disguise rippling.  Good luck! DSR

Sorry for your problem and you might benefit from a more cohesive gel implant then what was used.  So go on some complimentary consultations with experts and compare recommendationsDr Corbin