Saline Implants and Soreness After 10 Years?

There are many possible causes for pain in the area of the breasts. When there is a capsular contracture (this doesn't sound like one) that can be the likely cause. Otherwise this problem requires more history info and an actual exam. 

Since 11 years have past since your surgery, the toll of time and gravity continued. Other than considerations of the pain issue, the solution for the ripples may be a switch to silicone, and either larger implants or a lift (I can't tell which without a photo) for the looseness.

Start with a visit to your surgeon. You may well be referred elsewhere to evaluate the pain if no findings.   All the best. 

Symptoms can ten years after surgery but you'll need to be assessed by a plastic surgeon to figure out what's happening and what, if anything, can or should be done.  It may be an early capsule forming, it may be after some trauma or, of course, it could be something related to the breast tissue itself.  Assuming that is ruled out, you may benefit from replacing the implants you have with silicone gel implants.  Again, though, this is something you should discuss with your PS.

I hope that this helps and good luck,

Dr. E

Since it has been 10 years since your Breast Augmentation, most likely the soreness is unrelated.  Regardless, I would visit my Plastic Surgeon as soon as possible.  He may want to remove the implants to see if you get better.  Be sure to get a mammagram and have the report sent to your surgeon.