I had my implants fix from a capillary contraction. During this time they put the implant under the muscle and also did a lift. I'm 5'7 and 135 pounds at the moment usually am 130. It's two weeks after surgery and I already have a ripple on my clevage with an invention. I'm freaking out. M y doctor says hopefully my implant will settle and fix this problem. Also my right implant is still but by my collar bone. I'm very frustrated. Is what he says true? It could fix itself?
Can Rippling Go Away?
Doctor Answers 14
Rippling after breast augmentation
If it is only two weeks after your breast augmentation revision, I doubt that it is true rippling. It may just be that there is a tight band of tissue that will stretch out with time and with the aide of appropriate breast massage techniques. Ask your PS to show you these massage exercises. If after a few months you do indeed have rippling, then the two treatments that could help would be replacing the saline implants for gel implants and/or fat grafting. Rippling after a submuscular augmentation is usually seen in thin, small breasted patients and is usually on the outside of the breast and not along the "cleavage."
Rippling of Breast Implants
As a general rule, rippling is not a phenomenon that improves with time. In some patients it may actually get worse. If after three to six months it is still bothersome there are the options of switching to silicone implants (if you have saline) and/or the placement of either dermal grafts or fat injections. The highly positioned implant, however, may improve with time and massage. It is only two weeks from surgery so there is ample time for the implant to move further downward.
Can Rippling Go Away?
Without the benefit of seeing your pictures, it is hard to give too specific of an answer. However, there is a possibility of improvement in your breasts as the implants settle. This can take several weeks or longer to complete, and will be quicker if your surgeon has shown you how to actively massage the implants downward. Best Wishes!
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Rippling with breast implants
Fix Rippling After Breast Augmentation
Unfortunately, rippling does not usually resolve with time. Placing the implant underneath the muscle is a good way to prevent rippling, but since you have already had this done, the next best option would be fat grafting to the breast. Talk to your board certified plastic surgeon about this and other options for fixing this complication.
Jaime Perez, MD
Breast Implant Specialist
Plastic Surgery Center of Tampa
Rippling early post-op
Usually rippling gets worse with time, but without an evaluation it is hard to comment about your given situation. Follow closely with your doctor. Sometimes alloderm/strattice can camouflage the rippling.
Rippling may settle but is treatable with lipofilling
I understand you are very upset with this rippling. Secondary surgery after a capsular contracture is always difficult and not always predictable. Textured implants do give slightly more rippling as they are designed to adhere to the surrounding tissues.
Having said that, if after a healing period of let's say 6 weeks there is no visible improvement, I would cover the rippled area with fat grafts (lipofilling) which in experienced hands can smooth out the contour of your breast and make the rippling invisible or at least less noticeable.
I am confident that there are plastic surgeons in your area who are familiar with this technique.
A photo of the rippling would be very helpful to advise you. By your description, the indentation may be a fold in the implant shell or rippling. If you have textured implants, rippling is slightly more common than in smooth shell implants. Both could develop a fold that may be noticable if the muscle was released too much towards the middle. Ultimately, time will tell...you are too early to worry about these issues as often these will resolve as your body heals more. Wait several more months.
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.