Sculptra for Breast Implant Rippling

I have used Scultpra specifically for the problem you are describing - visible breast implant edges in a thin woman after implant reconstruction. In fact, I have published this specific technique in the Breast Journal in 2009.  You can view this entire article on my website - drschulmanplasticsurgery.com/Breast-JournalCorrection-of-Chest-Wall-Deformity-After-Implant-Based-Breast-Reconstruction-Using-poly-l-Lactic-Acid-Sculptra.pdf

The other options listed such as fat injections and Alloderm/Strattice are other options. The advantage of Sculptra is that it only involves office injections (you may need 4-6 treatment sessions) and does not require a surgical procedure like the other techniques.  I agree that you should only choose a doctor experienced in Sculptra and specifically this technique so it may involve you traveling for this (to NY perhaps).

Sculptra can be used off the face and is gaining popularity as an alternative to surgery for:1.  Sculptra Butt Lifts2.  Filling in rippling effects around breast implants3.  Correcting liposuction deformities on the arms, legs, abdomen.4.  Treating sun damaged skin in the décolleté area5.  Filling in the thighs to enhance buttock curves6.  Augmenting bicep and trips in the arms7.  Treating cellulite8.  Filling in bra line indentations9.  Treating crepe arm skin10. Male pectoral and calf enhancementAnd much more 

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