I am 8 weeks post op , I have 300 cc smooth round moderate profile silicone implants under the muscle . I am very pleased with the size and the shape . However I noticed rippling on one of my breasts in a cleavage area and on outside when I bend parallel to the floor. I am very thin, I was 34 a bra size before surgery. I am very upset now . What are my options? Would I had better results with moderate plus implants instead of moderate? Will rippling get worse ? Can it be fixed??
October 30, 2013
Answer: Rippling with silicone gel implants Unfortunately all implants ripple, and if you are very thin some rippling may be unavoidable. From best to worst in terms of rippling are:Generation 5 (gummy bear) textured shaped implants - these are also the firmest implantsGeneration 4 cohesive gel implants smooth round implants followed closely by textured generation four implants.Saline implants.In general higher profile round implants ripple less than lower profile implants.So overall there are two ways to decrease rippling as much as possible; first is to use implants that ripple the least such as the gummy bear if you are otherwise an appropriate candidate, or keep the silicone implants you have which are probably generation 4 as mentioned above. The only other way to decrease rippling is to somehow thicken the tissues over the implant. There are two ways presently to do this, the first is to use sheets of some type of dermal matrix placed inside the pocket over the implant; this is expensive and does have some risk of complications such as infection. The last option is to use far grafting to thicken the tissues; this is done with liposuction and reinjection over the implat into the thin tissues. This is my preferred method.
Helpful
October 30, 2013
Answer: Rippling with silicone gel implants Unfortunately all implants ripple, and if you are very thin some rippling may be unavoidable. From best to worst in terms of rippling are:Generation 5 (gummy bear) textured shaped implants - these are also the firmest implantsGeneration 4 cohesive gel implants smooth round implants followed closely by textured generation four implants.Saline implants.In general higher profile round implants ripple less than lower profile implants.So overall there are two ways to decrease rippling as much as possible; first is to use implants that ripple the least such as the gummy bear if you are otherwise an appropriate candidate, or keep the silicone implants you have which are probably generation 4 as mentioned above. The only other way to decrease rippling is to somehow thicken the tissues over the implant. There are two ways presently to do this, the first is to use sheets of some type of dermal matrix placed inside the pocket over the implant; this is expensive and does have some risk of complications such as infection. The last option is to use far grafting to thicken the tissues; this is done with liposuction and reinjection over the implat into the thin tissues. This is my preferred method.
Helpful
October 29, 2013
Answer: Rippling Rippling is always a concern with very thin patients with poor coverage over their implants. Fat injections may help as may a protein matrix but both would require further surgery. There is also less rippling with the newer gummy bear implants as they are firmer and maintain their shape better
Helpful
October 29, 2013
Answer: Rippling Rippling is always a concern with very thin patients with poor coverage over their implants. Fat injections may help as may a protein matrix but both would require further surgery. There is also less rippling with the newer gummy bear implants as they are firmer and maintain their shape better
Helpful