What is going on - rippling and displacement? (Photo)
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Doctor Answers 8
Rippling of implants
Rippling of implants
Rippling and nipple asymmetry
Thanks for your question and for the photo. Sorry you are having issues with your breast augmentation.
It is not uncommon for women with thin skin or saline implants to experience rippling at the medial lower cleavage, inferiorly and at the lateral borders of their breasts. This can be addressed with revision silicone augmentation and/or addition of an ADM to pad the area. Your issues with the nipple position are a combination of:
1. The implants placed close to the midline which gives you better cleavage
2. The probable lateral inclination of your nipples pre op (would be able to confirm this with pre-op photos)
Breast augmentation augments both the good qualitites of your breasts and enhances the bad qualities as well (asymmetries in size and shape).
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Close follow up with your plastic surgeon is recommended to discuss your options and expectations.
Best of luck!
Board-Certified Plastic Surgeon
Newtown Square/Philadelphia, PA
Breast Implant revision to correct position and rippling
I am sorry to hear that you have concerns about your result. From your photo it appears that the issue is related to the thickness of your breast tissue over the implant. More detailed photographs and a detailed exam are important to review what may be the best way to address your concern. In many cases the implant pocket can be modified to control the position of the implant on your chest and improve symmetry. In my practice I have patients that are referred to me for corrective surgery and many times the addition of a mesh for tissue support like Galaflex is helpful for implant position control, in other cases the problem can be addressed with fat grafting to improve the coverage over the implant. I suggest you visit with your board certified surgeon to discuss your concern.
Steven Camp MD
What is going on - rippling and displacement?
Palpability and rippling of breast implants may be related to several factors. These include the amount of soft tissue and breast tissue coverage over the breast implants, the position of the breast implants (submuscular versus sub glandular), the type of implants (saline versus silicone), and the degree of overfilling of saline filled implants. Generally, weight loss will extension weight any rippling/palpability of the implants. Deflation of a saline implant will also increase the rippling/palpability of the implant.
Correction of the rippling may involve further surgery including implant pocket exchange if possible (sub glandular to submuscular), implant exchange if possible (saline to silicone), and/or the use of allograft to provide an additional layer of tissue between the implant and the patient's skin.
In-person follow up with your plastic surgeon will be your next best step. Best wishes.
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.