Any way to get rid of dimples on the breast implants? (Photo)

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!

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. 

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.

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. 

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.

The problems are that you need a lift and the implants need to be placed under the muscle. The other option is to switch to silicone but you still need a lift.

Dear WenXia,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit a board certified plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Yes, it is possible to resolve the dimpling problem.  It is not unusual to note dimpling or wrinkling of an older saline implant.  The Implants can loose a small amount of fluid over time, even if there is not an obvious leak.  The best option is to replace the saline implants with a more form stable silicone implant.  Some people refer to this type of implant as "gummy bear".  This implant tends to retain it's shape much better than a saline implant.  There are other options, such as a breast lift, The use of acellular dermal matrix grafts, etc., that can help, as well.  But, don't despair, there are good options out there.  Seek out a board certified plastic surgeon with extensive breast augmentation experience.  Best wishes, Dr. Lepore.

The best fix is to go to gel and switch to under the muscle if you are over. Good luck. This alone should get rid of most wrinkles.