I currently have Natrelle Inspira (SRM) implants along with some fat grafting. I am thin and consequently have very little breast tissue. As a result, I have a lot of visible rippling. I would like to switch out my implants to ones that are less likely to show rippling. There are SO many styles - it's a little overwhelming. In a case like mine, what style of implant should give the best result? Thanks :)
July 8, 2017
Answer: What are the best implants for someone who is thin and consequently has very little breast tissue? Thank you for your great question. As the coverage of the implant gets thinner, the more the implant is visible. For very thin patients who are trying to avoid rippling, placing the implant under the muscle is the most important thing to do. After that, implant selection can help. The more cohesive the gel, the less rippling you will have but the more firm the implant will be. If you have SRM implants now, ask your plastic surgeon to show you the SCM implant from Allergan. This implant will have the same volume and measurements as your current implant but the gel will be more cohesive. If you do not like the current shape you have, you could consider switching to a cohesive shaped implant as well. Discuss all these options with your plastic surgeon.Hope this helps!
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July 8, 2017
Answer: What are the best implants for someone who is thin and consequently has very little breast tissue? Thank you for your great question. As the coverage of the implant gets thinner, the more the implant is visible. For very thin patients who are trying to avoid rippling, placing the implant under the muscle is the most important thing to do. After that, implant selection can help. The more cohesive the gel, the less rippling you will have but the more firm the implant will be. If you have SRM implants now, ask your plastic surgeon to show you the SCM implant from Allergan. This implant will have the same volume and measurements as your current implant but the gel will be more cohesive. If you do not like the current shape you have, you could consider switching to a cohesive shaped implant as well. Discuss all these options with your plastic surgeon.Hope this helps!
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Answer: Best Implants for Very Thin Women with Little Breast Tissue Very thin women with very little breast tissue are more likely to show visible rippling regardless of type of implant. There are a number of options which can reduce that risk and fortunately in most cases camouflage 'visible' rippling. (With very thin women there may always be rippling that you can feel, especially at the lower outer portion of the breast.)First stay away from saline implants. They are notorious for rippling which is why in the majority of cases they are placed under the pectoralis muscle. Placing the implant under the muscle gives some more padding over the implant to camouflage rippling and also the natural muscle tone puts a little pressure on the implant to help 'fill' out the ripples. Placing the implant under the muscle is also an option when using silicone implants especially in small breasted women for the same reasons.Implants also come in different fill volumes and different amount of cohesiveness. The Allergan SRM implants that you have are the softest that Allergan makes. There are two other options the SSM and SCM which are progressively firmer and thus less likely to ripple. The trade off is that these implants are firmer and thus less natural in softness. Implant size is also a factor. The larger the implant the more likely that ripples will be visible. Larger implants have bigger ripples than smaller ones and are thus more likely to be visible. Also a smaller implant with less projection will ripple less.Another option to increase the coverage over the implants is to add a layer of ADM (acellular dermal matrix) to the inside of the breast pocket in the areas where the rippling is most prominent. This is somewhat more expensive and carries a few additional risks and potential for complications.Finally, fat grafting which you've already had done is another (albeit more complex) way to add soft tissue coverage over the implant.Talk to your plastic surgeon (and possibly others as well) in detail about your options. That way you can get an idea of what the best options are for particular situation.Best wishes!DrNein.com
Helpful 1 person found this helpful
Answer: Best Implants for Very Thin Women with Little Breast Tissue Very thin women with very little breast tissue are more likely to show visible rippling regardless of type of implant. There are a number of options which can reduce that risk and fortunately in most cases camouflage 'visible' rippling. (With very thin women there may always be rippling that you can feel, especially at the lower outer portion of the breast.)First stay away from saline implants. They are notorious for rippling which is why in the majority of cases they are placed under the pectoralis muscle. Placing the implant under the muscle gives some more padding over the implant to camouflage rippling and also the natural muscle tone puts a little pressure on the implant to help 'fill' out the ripples. Placing the implant under the muscle is also an option when using silicone implants especially in small breasted women for the same reasons.Implants also come in different fill volumes and different amount of cohesiveness. The Allergan SRM implants that you have are the softest that Allergan makes. There are two other options the SSM and SCM which are progressively firmer and thus less likely to ripple. The trade off is that these implants are firmer and thus less natural in softness. Implant size is also a factor. The larger the implant the more likely that ripples will be visible. Larger implants have bigger ripples than smaller ones and are thus more likely to be visible. Also a smaller implant with less projection will ripple less.Another option to increase the coverage over the implants is to add a layer of ADM (acellular dermal matrix) to the inside of the breast pocket in the areas where the rippling is most prominent. This is somewhat more expensive and carries a few additional risks and potential for complications.Finally, fat grafting which you've already had done is another (albeit more complex) way to add soft tissue coverage over the implant.Talk to your plastic surgeon (and possibly others as well) in detail about your options. That way you can get an idea of what the best options are for particular situation.Best wishes!DrNein.com
Helpful 1 person found this helpful
