I had saline breast implants in 1997. The dimples have gotten worse the recent years. I am very lean. Is there any fix for this problem?
Answer: Severe Rippling Good afternoon!Older generation saline implants do tend to do this with time- so it's time for a new set, or a cohesive gel!
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Answer: Severe Rippling Good afternoon!Older generation saline implants do tend to do this with time- so it's time for a new set, or a cohesive gel!
Helpful
April 3, 2020
Answer: Implant coverage options Your picture shows what are called traction ripples, and they are a common issue with saline implants especially from the 90's. Two things to consider: Switch to implants that are more resistant to rippling, such as on of the newer silicone types, and add coverage. That means going under muscle if they aren't, or an internal bra with Strattice or Galaflex. I don't hink you will get much out of fat grafting or injectables.
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April 3, 2020
Answer: Implant coverage options Your picture shows what are called traction ripples, and they are a common issue with saline implants especially from the 90's. Two things to consider: Switch to implants that are more resistant to rippling, such as on of the newer silicone types, and add coverage. That means going under muscle if they aren't, or an internal bra with Strattice or Galaflex. I don't hink you will get much out of fat grafting or injectables.
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April 3, 2020
Answer: Exchange will be most cost effective I occasionally use Sculpta to fill in dimples (referred to as ripples in the industry) but it is expensive and not permanent. The most cost-effective and long-term solution is going to be exchanging those older saline implants for gummy bear implants. As your tissue and skin continues to age, the ripples will only become more pronounced. Gummy bear implants have less rippling (Sientra Luxe or Luxe Plus are going to be my recommended choices) and they have better warranties to prevent you from paying high out-of-pocket expenses if they do ripple in the next decade or more.
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April 3, 2020
Answer: Exchange will be most cost effective I occasionally use Sculpta to fill in dimples (referred to as ripples in the industry) but it is expensive and not permanent. The most cost-effective and long-term solution is going to be exchanging those older saline implants for gummy bear implants. As your tissue and skin continues to age, the ripples will only become more pronounced. Gummy bear implants have less rippling (Sientra Luxe or Luxe Plus are going to be my recommended choices) and they have better warranties to prevent you from paying high out-of-pocket expenses if they do ripple in the next decade or more.
Helpful
April 2, 2020
Answer: Revision Augmentation It appears that your 23 year old saline implants are over the muscle. You should consider a revision surgery, placing more cohesive silicone gel implants into a subpectoral pocket. The alternative is fat grafting, but this would require liposuction, which puts you at risk of donor site deformities, as well as added expense and recovery time. Further, that area of your breast is very thin, making the risk for fat necrosis high.
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April 2, 2020
Answer: Revision Augmentation It appears that your 23 year old saline implants are over the muscle. You should consider a revision surgery, placing more cohesive silicone gel implants into a subpectoral pocket. The alternative is fat grafting, but this would require liposuction, which puts you at risk of donor site deformities, as well as added expense and recovery time. Further, that area of your breast is very thin, making the risk for fat necrosis high.
Helpful
April 2, 2020
Answer: Explant and Bellesoma Lift The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
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April 2, 2020
Answer: Explant and Bellesoma Lift The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
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