I had Sientra 350cc mod profile placed 12 months ago. They were placed over the muscle (subfascial). I am thin and I was an A cup prior. My surgeon prefers subfascial. When I asked them about a revision for the rippling, they are recommending that I stay subfascial and choose a more cohesive implant. With my rippling, would this be enough or should I request an under the muscle approach? Any brand recommendations to reduce rippling? Thank you!!
April 16, 2025
Answer: Rippling I would recommend switching the implant into a submuscular dual plane pocket. This will provide better soft tissue coverage of the implant. I would also recommend switching to a more cohesive silicone gel implant. Higher cohesivity more filled silicone gel implants ripple way less. Another option would be to fat graft the areas but this is not necessarily addressing the problem which is implant rippling that is visible through a very thin soft tissue covering. The fat grafting is also more unpredictable given 40-60% of fat graft survival.
Helpful 1 person found this helpful
April 16, 2025
Answer: Rippling I would recommend switching the implant into a submuscular dual plane pocket. This will provide better soft tissue coverage of the implant. I would also recommend switching to a more cohesive silicone gel implant. Higher cohesivity more filled silicone gel implants ripple way less. Another option would be to fat graft the areas but this is not necessarily addressing the problem which is implant rippling that is visible through a very thin soft tissue covering. The fat grafting is also more unpredictable given 40-60% of fat graft survival.
Helpful 1 person found this helpful
April 16, 2025
Answer: Submuscular Placing the implant submuscular will widen your cleavage but will conceal the rippling much better. Right now, the only thing between your skin and the implant is a very thin layer of fat. You may also want to consider fat transfers to this area to thicken this area without damaging the implant at the same time. I recommend a highly cohesive gel implant to minimize the rippling effect.
Helpful 1 person found this helpful
April 16, 2025
Answer: Submuscular Placing the implant submuscular will widen your cleavage but will conceal the rippling much better. Right now, the only thing between your skin and the implant is a very thin layer of fat. You may also want to consider fat transfers to this area to thicken this area without damaging the implant at the same time. I recommend a highly cohesive gel implant to minimize the rippling effect.
Helpful 1 person found this helpful
