I currently have 550cc mentor saline implants with horrible rippling and thin skin. I have had 3 children and breast fed all of them since I got implants. I want to go up to at least 700cc and go to silicone. I am considering getting the Inspira implants since I want to go gummy and it says they are filled more than traditional silicone implants. Is this the best option to prevent rippling?
Answer: Implant Selection Good morning!I would recommend the MemoryGel HP Xtra- the internal shell fill percentage is the highest, which reduces the rippling the best!
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Answer: Implant Selection Good morning!I would recommend the MemoryGel HP Xtra- the internal shell fill percentage is the highest, which reduces the rippling the best!
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August 23, 2018
Answer: What breast implants are best to prevent rippling? I am sorry to hear about your concerns after breast surgery. Although I cannot provide you with specific advice, some general thoughts may be helpful to you.
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August 23, 2018
Answer: What breast implants are best to prevent rippling? I am sorry to hear about your concerns after breast surgery. Although I cannot provide you with specific advice, some general thoughts may be helpful to you.
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August 23, 2018
Answer: Rippling The issue that you present with is unfortunately far too common. Large implants from an under filled profiled implant, and extremely thin tissues. These three are generally a recipe for rippling and scalloping that you have demonstrated in the pictures. The implants have lost their lower pole integrity and given that there is no muscular coverage at the bottom and side, you are seeing such deformity. This is not an easy situation and solution is also not so simple. And, in my experience a simple change to a smaller implant is simply not going to give you long lasting results. My suggestions are to explant. Re-implant with a smaller lower profiled-higher filled implant (inspira) and dermal matrix reconstruction of the lateral and lower pocket, and an inferior mastopexy (lift) to reduce the excess of inferior skin. This is a large scale operation and is perhaps not what you wanted to hear. But, in two decades, I have yet to see a good result with any other option. Going to 700cc is a guarantee for even more dramatic rippling.Best wishes and make sure you seek the advice of a qualified board certified plastic surgeon who has experience with such revisions.
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August 23, 2018
Answer: Rippling The issue that you present with is unfortunately far too common. Large implants from an under filled profiled implant, and extremely thin tissues. These three are generally a recipe for rippling and scalloping that you have demonstrated in the pictures. The implants have lost their lower pole integrity and given that there is no muscular coverage at the bottom and side, you are seeing such deformity. This is not an easy situation and solution is also not so simple. And, in my experience a simple change to a smaller implant is simply not going to give you long lasting results. My suggestions are to explant. Re-implant with a smaller lower profiled-higher filled implant (inspira) and dermal matrix reconstruction of the lateral and lower pocket, and an inferior mastopexy (lift) to reduce the excess of inferior skin. This is a large scale operation and is perhaps not what you wanted to hear. But, in two decades, I have yet to see a good result with any other option. Going to 700cc is a guarantee for even more dramatic rippling.Best wishes and make sure you seek the advice of a qualified board certified plastic surgeon who has experience with such revisions.
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August 22, 2018
Answer: Soft Touch Inspira implants to minimize rippling You are correct that Inspire silicone implants have a higher fill ratio so that helps with rippling. There are now 3 options for gel firmness: Cohesive (same as what is used in gummy bear implants), Soft Touch (a little less firm) and the traditional gel. Soft Touch is often the best trade-off between too firm and unnatural with the cohesive, and too soft. Do not go with larger implants, they will put more stress on the already thin tissue envelope. You may also need an internal bra with Strattice or GalaFLEX mesh.
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August 22, 2018
Answer: Soft Touch Inspira implants to minimize rippling You are correct that Inspire silicone implants have a higher fill ratio so that helps with rippling. There are now 3 options for gel firmness: Cohesive (same as what is used in gummy bear implants), Soft Touch (a little less firm) and the traditional gel. Soft Touch is often the best trade-off between too firm and unnatural with the cohesive, and too soft. Do not go with larger implants, they will put more stress on the already thin tissue envelope. You may also need an internal bra with Strattice or GalaFLEX mesh.
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August 21, 2018
Answer: What implants are best to prevent rippling? Thank you for your question and photos. Silicone gel implants will ripple less. Going to 700+ cc with your thin tissues is a major mistake. You will have the same issues in less than a year. I would even consider ADM (acellular tissue matrix) with submuscular placement of current size implants. I prefer Strattice due to its thickness to cover the implants on the latera/inferior aspects of the breasts to prevent rippling.See a board certified plastic surgeon experienced with complex breast implant surgeries. This is not a simple implant exchange in the hope that a larger implant will fix the rippling. Good luck.
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August 21, 2018
Answer: What implants are best to prevent rippling? Thank you for your question and photos. Silicone gel implants will ripple less. Going to 700+ cc with your thin tissues is a major mistake. You will have the same issues in less than a year. I would even consider ADM (acellular tissue matrix) with submuscular placement of current size implants. I prefer Strattice due to its thickness to cover the implants on the latera/inferior aspects of the breasts to prevent rippling.See a board certified plastic surgeon experienced with complex breast implant surgeries. This is not a simple implant exchange in the hope that a larger implant will fix the rippling. Good luck.
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