Does AlloDerm attach itself to inside of breast and implant. Can I rotate my implant by manipulation to get rid of rippling?

Typically Alloderm will incorporate into the tissue of the body.  If the sling was done to hold the inframammary fold the internal suture line can hurt for 6-8 weeks.
Hope this helps,
Dr. T

Alloderm incorporates into the breast tissue and your cells grow into it. It’s unlikely that you can manipulate an implant to get rid of rippling, at least not permanently. I’d suggest booking an appointment with your surgeon to be examined for a more specific answer. Best of luck! 

Unfortunately the rippling is a permanent change in the capsule that surrounds your implant. Moving the implant will do nothing. As surgeons we can smooth out visible rippling by fat grafting the rippled area or padding it with Acellular Dermal Matrix (ADM). Alternatively the rippled capsule can be changed surgically by capsulectomy and a high or ultra high profile implant used which tend to be more infrequently associated with eventual rippling. 

ADMs do not attach to the breast implant.  They incorporate themselves into the tissue which they are attached or "stuck" to.  They seem to resist scarring  and are therefore benficial in cases of capsular contracture.  ADMs are also useful for aiding in the repair of poorly positioned implants particularly in very thin patients.  

Acellular dermal matrix becomes apparent to patients' tissues, not breast implants. Therefore, the breast implants can still move or shift in their "pockets".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. Also, breast implant displacement problems (such as bottoming out or lateral displacement) may play a role when it comes to increase breast implant rippling.
Generally, weight loss will extension weight any rippling/palpability of the implants. Deflation of saline 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), capsulorraphy (adjustment of the surrounding breast implant capsules to prevent displacement) and/or the use of allograft (acellular dermal matrix) to provide an additional layer of tissue between the implant and the patient's skin.  
  I hope this helps.

Alloderm has one surface that will incorporate into your own tissues as cells and blood vessels infiltrate. It will not attach to a breast implant. Rippling is typically caused by a mismatch between the size of the implant and the space it occupies or thin soft tissue cover. Rotating should not improve rippling long term. Alloderm can be used to control the size of the implant space or to add thickness to the soft tissue between the skin and the implant. A board certified plastic surgeon should be able to help with your issue.

Thanks for your question. As others have said, Alloderm is meant to adhere to the breast tissue (or skin flaps after mastectomy). Round smooth implants should rotate with manipulation, but that is unlikely to help solve rippling. Visible rippling can be caused by a number of factors, including insufficient soft tissue coverage, an implant pocket that is too big, and/or an implant with not enough fill. The newer more cohesive gel implants can help, as can modification of the implant pocket. Fat grafting can also help in some cases.

textured surface implants are more resistant to motion and may have a bit more associated visible "traction" rippling but any implant will have some.  this shows thru thin skin.  the newer generation gel implants tend to ripple less but they are pretty firm.  you should consider fat grafting to help soften the upper portion of your breasts.  the options are numerous so best to get with your surgeon.  best to you.

Rippling of implants is a problem especially for patients with thin tissue.  Alloderm binds to the breast tissue, but not the implant.  So, yes the implant can rotate.  however, if you are still having rippling, you should consider the newer more cohesive implants which have very little rippling.  Since using these implants, rippling has been significantly reduced.

Thanks for your question.  In general, Alloderm will incorporate and grow into your your breast tissue.  It does not attach itself to the breast implant.  Rotating your breast implant will not fix any rippling.  Usually, rippling is a result of either the implant pocket being too big or the breast implant being too small.  This can be fixed through a few options:  changing the implant, revising the implant capsule/pocket, or fat grafting to help mask the rippling.  It is best to consult with your plastic surgeon to see what exactly the issue is and what would be the best option to help remedy it.