I'm 3 months post op after a breast lift revision (Capsulectomy) that affected my right breast. I have subglandular placement of smooth round silicone implants 375cc L, 397cc R. I am happy with the revision but may have been a little overzealous with aggressive messages right after the surgery. Now I have rippling on the interior (cleavage area) of the right breast, and I can also feel the side of the implant over my skin. Can this rippling correct itself or does it warrant further surgery?
Answer: Breast implant rippling after surgery? Rippling after breast implant surgery is due to insufficient soft tissue coverage over the implant and also different properties of the breast implant itself.
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Answer: Breast implant rippling after surgery? Rippling after breast implant surgery is due to insufficient soft tissue coverage over the implant and also different properties of the breast implant itself.
Helpful 1 person found this helpful
March 12, 2017
Answer: Rippling Breast Implant Rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. Implants placed beneath the muscle help to minimize this phenomena but the lower and outside breast (as pectoralis muscle is no longer present), towards the cleavage where the muscle thins out or on top of the breast where breast tissue is often lacking are the most common places to see rippling. It is often accentuated with certain positions (e.g. bending over,or leaning). Most of the time, rippling is felt along the outer side of the breast and the inner side of the breast next to the cleavage. Breast implant waviness (rippling) that is felt but not noticeable to the eye is very common and should not be a concern. However, when rippling is visible, patients are often self-conscious about their appearance.Factors that are associated with increased rippling include:Traditional Saline implants (IDEAL® Saline implants less likely)Textured implantsLarge implantsThin patients with low BMIImplants placed above the musclePrior history of ripplingFactors which are less likely to have rippling include:Heavier and larger breasted womenUsing a highly cohesive form-stabile silicone implants (gummy bear)Smooth implantsSmaller implantsSubmuscular placementOnce rippling occurs it is very difficult to correct. Rippling can be minimized by placing a biologic fabrics (e.g. AlloDerm®, Strattice™, SERI®), submuscular conversion if implants are above the muscle, fat transfer, use of adjacent tissue (muscle or fascia) if available, and in persistent cases implant removal and fat transfer. Seek the care of the best board certified plastic surgeon possible with experience in breast revision surgery.#rippling#breastaugmentation
Helpful 1 person found this helpful
March 12, 2017
Answer: Rippling Breast Implant Rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. Implants placed beneath the muscle help to minimize this phenomena but the lower and outside breast (as pectoralis muscle is no longer present), towards the cleavage where the muscle thins out or on top of the breast where breast tissue is often lacking are the most common places to see rippling. It is often accentuated with certain positions (e.g. bending over,or leaning). Most of the time, rippling is felt along the outer side of the breast and the inner side of the breast next to the cleavage. Breast implant waviness (rippling) that is felt but not noticeable to the eye is very common and should not be a concern. However, when rippling is visible, patients are often self-conscious about their appearance.Factors that are associated with increased rippling include:Traditional Saline implants (IDEAL® Saline implants less likely)Textured implantsLarge implantsThin patients with low BMIImplants placed above the musclePrior history of ripplingFactors which are less likely to have rippling include:Heavier and larger breasted womenUsing a highly cohesive form-stabile silicone implants (gummy bear)Smooth implantsSmaller implantsSubmuscular placementOnce rippling occurs it is very difficult to correct. Rippling can be minimized by placing a biologic fabrics (e.g. AlloDerm®, Strattice™, SERI®), submuscular conversion if implants are above the muscle, fat transfer, use of adjacent tissue (muscle or fascia) if available, and in persistent cases implant removal and fat transfer. Seek the care of the best board certified plastic surgeon possible with experience in breast revision surgery.#rippling#breastaugmentation
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January 2, 2016
Answer: Rippling Rippling may improve over time, but I suspect you may not have enough tissue over your implant in this area. Several options exist for improvement, depending on the area involved. The options may be replacement into a sub muscular plane, fat grafting, and placement of tissue grafts (acellular dermal matrix, or ADM). This situation should be discussed with an experienced plastic surgeon.
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January 2, 2016
Answer: Rippling Rippling may improve over time, but I suspect you may not have enough tissue over your implant in this area. Several options exist for improvement, depending on the area involved. The options may be replacement into a sub muscular plane, fat grafting, and placement of tissue grafts (acellular dermal matrix, or ADM). This situation should be discussed with an experienced plastic surgeon.
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December 17, 2015
Answer: Rippling with breast implants at 3 months Thank you for your question. Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin. It can happen in one or both breasts. 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.
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December 17, 2015
Answer: Rippling with breast implants at 3 months Thank you for your question. Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin. It can happen in one or both breasts. 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.
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May 10, 2015
Answer: Rippling with a breast implant First off I would wait another 3 months to see if this improves. I doubt it will and you will most likely need corrective surgery. I would consider using 5th generation silicone implants placed under the muscle. You may also need further lifting for pocket reduction or an ADM or fat grafting.
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May 10, 2015
Answer: Rippling with a breast implant First off I would wait another 3 months to see if this improves. I doubt it will and you will most likely need corrective surgery. I would consider using 5th generation silicone implants placed under the muscle. You may also need further lifting for pocket reduction or an ADM or fat grafting.
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