I am 5 foot 3 and 92 lbs. I currently have moderate plus smooth round gel implants but am now considering switching to high profile. Since I was flat prior to my Breast augmentation without breast tissues, I am concerned that High Profile implants will overstretch or thin out my breasts and cause damage to the chest wall in the long run. What do you think? I have heard different views in terms of rippling and am now very confused. Which Silicone implant profile ripples less? I hope to hear agreeing opinions at leas.
Answer: The enemy of good is better... The biggest factor that reduces rippling is tissue coverage ---it is not the implant! Putting high profile implants in someone who was "flat" is a recipe for tissue thinning and implant visibility, be that rippling or even the edges of a non-rippling implant. High profile implants have their role for reconstruction after mastectomy, but in a 90 pound woman it is a prescription for a round, fake look, and tissue thinning over time which will be unable to conceal the presence of underlying implants. I don't know what size you are now...but if you were sized appropriately for your tissues, then you should not change your implants simply for size.
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CONTACT NOW Answer: The enemy of good is better... The biggest factor that reduces rippling is tissue coverage ---it is not the implant! Putting high profile implants in someone who was "flat" is a recipe for tissue thinning and implant visibility, be that rippling or even the edges of a non-rippling implant. High profile implants have their role for reconstruction after mastectomy, but in a 90 pound woman it is a prescription for a round, fake look, and tissue thinning over time which will be unable to conceal the presence of underlying implants. I don't know what size you are now...but if you were sized appropriately for your tissues, then you should not change your implants simply for size.
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CONTACT NOW Answer: Changing implants Thank you for your question. If you are changing styles of implants but not the volume, then impact on skin stretching above and beyond what has already happened with the first breast augmentation should be minimal. If you go larger, then you will continue to stretch your tissues. Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin. Some implant styles are more prone such as an overfilled saline implant. Others are less prone such as a shaped silicone implant. So one approach is to change an implant to one that is less prone to rippling such as the shaped silicone implants. Another approach would be to add some thickness to the breast tissue. This can be done by fat grafting where fat is carefully layered between the skin and the implant. Another is to add a dermal matrix sheet between the breast and the implant where the rippling is visible to blunt the impression of the implant on the overlying skin. If you notice the rippling soon after surgery, I often recommend waiting until around the six month mark as your breasts may continue to change during that recovery period. I would visit with a board certified plastic surgeon to discuss your options in more detail.
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CONTACT NOW Answer: Changing implants Thank you for your question. If you are changing styles of implants but not the volume, then impact on skin stretching above and beyond what has already happened with the first breast augmentation should be minimal. If you go larger, then you will continue to stretch your tissues. Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin. Some implant styles are more prone such as an overfilled saline implant. Others are less prone such as a shaped silicone implant. So one approach is to change an implant to one that is less prone to rippling such as the shaped silicone implants. Another approach would be to add some thickness to the breast tissue. This can be done by fat grafting where fat is carefully layered between the skin and the implant. Another is to add a dermal matrix sheet between the breast and the implant where the rippling is visible to blunt the impression of the implant on the overlying skin. If you notice the rippling soon after surgery, I often recommend waiting until around the six month mark as your breasts may continue to change during that recovery period. I would visit with a board certified plastic surgeon to discuss your options in more detail.
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November 8, 2015
Answer: #BreastImplantRippling with Breast Implants The larger the implant, the more likely you will stretch and thin your soft tissue covering it an more likely to have additional waviness. I would follow the advice of your board certified plastic surgeon. It is very difficult to determine the exact size, profile type, and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the following link.
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CONTACT NOW November 8, 2015
Answer: #BreastImplantRippling with Breast Implants The larger the implant, the more likely you will stretch and thin your soft tissue covering it an more likely to have additional waviness. I would follow the advice of your board certified plastic surgeon. It is very difficult to determine the exact size, profile type, and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the following link.
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June 28, 2009
Answer: Breast Implant and Rippling Dear Imnyc You ask a very good question in regards to all breast implants- whether saline or silicone and shape of the implants. The bottom line is that if you have very thin breast tissue then the visible or palable rippling of the breast implant is likely no matter what type of implant in used. If you change to a high profile implant you will most likely end up with a very prominen and round shaped breast- more visibly augmented than a 'natural' shape of breast and no change in the rippling. With Warm Regards, Trevor M Born MD
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CONTACT NOW June 28, 2009
Answer: Breast Implant and Rippling Dear Imnyc You ask a very good question in regards to all breast implants- whether saline or silicone and shape of the implants. The bottom line is that if you have very thin breast tissue then the visible or palable rippling of the breast implant is likely no matter what type of implant in used. If you change to a high profile implant you will most likely end up with a very prominen and round shaped breast- more visibly augmented than a 'natural' shape of breast and no change in the rippling. With Warm Regards, Trevor M Born MD
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June 27, 2009
Answer: Silicone implants and rippling Unfortunately, rippling is something that all implants my do regardless of what kind you get. If the skin is stretched out too much with either HP implants or very large ones then yes, you may feel the rippling more. Nonetheless, as your swelling goes away and the implants settle you may feel rippling. This is true even if you get the implants underneath the muscle. When rippling does happen it's usually painless. However, if the rippling is caused by severe scar tissue, you may need the scar tissue removed. Good luck!
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CONTACT NOW June 27, 2009
Answer: Silicone implants and rippling Unfortunately, rippling is something that all implants my do regardless of what kind you get. If the skin is stretched out too much with either HP implants or very large ones then yes, you may feel the rippling more. Nonetheless, as your swelling goes away and the implants settle you may feel rippling. This is true even if you get the implants underneath the muscle. When rippling does happen it's usually painless. However, if the rippling is caused by severe scar tissue, you may need the scar tissue removed. Good luck!
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June 26, 2009
Answer: Visible rippling is caused by inadequate tissue coverage. As you describe that you were "flat" prior to augmentation and you are 92lbs tells me that you do not have a lot of fat and only minimal breast tissue at best. Rippling is seen most commonly with saline implants, but it can be seen with gel implants as well. Rippling is a result of thin or inadequate tissue coverage and also a traction pull phenomenon that the weight of the implants can cause especially in someone with a thin skin envelope. Going to a larger implant will solve this for you in the short run, but you will end up with rippling. A possible solution would be to place a sheet of Alloderm inside the capsule to thicken up the tissue coverage over the implants and mask the rippling. You might want to discuss this option with your surgeon. Best of luck.
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CONTACT NOW June 26, 2009
Answer: Visible rippling is caused by inadequate tissue coverage. As you describe that you were "flat" prior to augmentation and you are 92lbs tells me that you do not have a lot of fat and only minimal breast tissue at best. Rippling is seen most commonly with saline implants, but it can be seen with gel implants as well. Rippling is a result of thin or inadequate tissue coverage and also a traction pull phenomenon that the weight of the implants can cause especially in someone with a thin skin envelope. Going to a larger implant will solve this for you in the short run, but you will end up with rippling. A possible solution would be to place a sheet of Alloderm inside the capsule to thicken up the tissue coverage over the implants and mask the rippling. You might want to discuss this option with your surgeon. Best of luck.
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