Can Rippling of a Silcone Implant Correct Itself Without Surgery?
Doctor Answers 14
Rippling with breast implants at 3 months
If you notice the rippling at 3 months after surgery, I often recommend waiting until around the six month mark as your breasts may continue to change during that recovery period.
Should rippling persist, here are some options:
1) Some implant styles are more prone such as an overfilled saline implant. Others are less prone such as a shaped silicone implant. So one approach is to change an implant to one that is less prone to rippling.
2) Another approach would be to add some thickness to the breast tissue. This can be done by fat grafting where fat is carefully layered between the skin and the implant.
3) Another is to add a dermal matrix sheet between the breast and the implant where the rippling is visible to blunt the impression of the implant on the overlying skin.
I would continue to follow up with your plastic surgeon and discuss options should your concern persist.
Rippling with a breast implant
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Can Rippling of a Silcone Implant Correct Itself Without Surgery
Rippling after surgery
Rippling in Silicone Implants: What to Do
Several factors are associated with the development of rippling following breast augmentation surgery. These include sub-glandular implant placement, saline implants and inadequate soft tissue coverage.
In the majority of cases rippling doesn’t improve with conservative management or the passage of time. Even with surgery this problem can be difficult to correct.
In many cases, the only option is surgical intervention. Surgical management varies from patient to patient and depends on the cause of the rippling.
When patients have sub-glandular implant placement, rippling can be improved by moving the implant to a sub-muscular position. When saline implants have been used, rippling can be improved by switching to silicone implants. Finally, when the problem is related to inadequate soft tissue coverage, added support can be provided by using supplemental materials like alloderm and strattice.
Without pictures or a physical examination it’s virtually impossible to make a specific recommendation in this situation. Your history suggests that moving your implant to a sub-muscular position would be an appropriate first step.
Consultation with your surgeon is appropriate as well. Your surgeon should be able to make an appropriate recommendation to address this problem.
Rippling of Breast Implants?
Unfortunately, it is not possible to give you good advice without direct examination.
Generally speaking, 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 the implants will also increase the rippling/palpability of the implants.
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. Patient weight gain (if possible) may also be helpful.
Silicone ripples in breast augmentation
I would be less concerned with the palpability of an implant rather than the visibility of the wrinkles or ripples. Discuss your concerns with your plastic surgeon. From your description, it is difficult to make any recommendations. Massage generally helps rather than makes it worse.