Implant rippling after only three weeks post-op. What can be done to correct?

Probably the best implant in terms of minimizing rippling is the Allergan Inspira Truform 2 smooth silicone cohesive gel implant.  They are much better than the Mentors in a super thin patient.  The only problem is, I'm not sure if they are available in the US (I'm in Canada). 

Yours is a common situation. While you don't feel you have much fat sometimes enough fat can be found to help by fat grafting. Other alternatives can include using Strattice or Alloderm to provide a by more cover of the implants. Finally you didn't specify about whether your implants are textured. If so smooth implants might have less rippling. Best of luck

It is not uncommon to experience rippling with thin patients. You may want to consider discussing an alternate filler with your surgeon. It is difficult to assess without a photo. A HA filler may be an option. Best of Luck.

There are different surgical techniques that can be utilized to sometimes improve this complication. These techniques vary from changing the type of implant, changing the position the implant is placed (which could include placing the implant under the muscle if it was originally placed above the muscle), or sometimes even using grafts which can camouflage the edge of the implant. 

If there is inadequate soft tissue coverage any implant maybe visible and palpable.  Textured implants can produce traction rippling.  Smooth shelled implant may decrease rippling (however in a thin patient there can still be rippling).  Rippling may be do to a pocket that is too tight that squeezes the implant or too large that does not compress the implant.  A smooth shelled implant can be massaged too stretch the tight pocket.  Alloderm is often used in breast reconstruction to camouflage the implant.  This is probably the best option in a thin patient.  Fat grafting (large volumes usually not necessary) can be harvested from multiple sites in a thin patient and placed to soften the implant edge.   Other reconstructive procedures such as abdominal muscle flaps likely were discussed in the consultation.  3 weeks is early to judge the final appearance.  If a secondary procedure is considered the decision should wait until at least 6 months post op.

It would be nice to know if Alloderm was used.  Usually with alloderm there is no significant rippling. At this point, I would wait several months for the breasts to heal before considering a revision.

Please contact your board certified plastic surgeon to determine which options will best address your concerns with rippling. There are some options available and your surgeon will be able to recommend a treatment plan. Best wishes!

a picture would be great,but  you already have a cohesive gel implant so I think fat grafting would be your best bet. even verv thin patients have places that fat can be harvested.Ask your plastic surgeon for his opinion and good luck.