I’m concerned about rippling and lateral displacement (Photo)

Question

I’ve included some pictures, and one of them is when I am lying flat on my back and my implants seem to moved to the sides more than usual. The implants are a little larger than I had wanted, but the doctor seem to think they would fit my frame better. My stats : 5”8 / 140lbs 355cc & 385cc Sientra Silicone Moderate Plus Over the muscle

Gianfranco Frojo, MD · Answer

There are many reasons this may happen; usually these include poor dissection with excessively large pocket, placement of too large of implants, not performing a breast lift when indicated, and gravity (exacerbated when placed with too large of implants).

Georges J. Samaha, MD · Answer

The surgical technique chosen by your plastic surgeon will impact significantly the amount of rippling and amount of lateral displacement. 
Two ways to reduce the risk of rippling. - Location of the implant: Putting the implant under the muscle will significantly reduce the chance of rippling as the pectoralis major muscle will cover the top portion of you implants which is where the rippling mostly happens. - Nature of the implant: Saline implants are much more prone to rippling then Silicone implants. The new generation silicone implants are very cohesive which limits how much they ripple. 
Two ways to reduce the risk of lateral displacement: - The dissection of the implant pocket should be very minimal laterally and generous medially so that a patient can achieve a perfect cleavage. - Wear the surgical bra religiously the first 2 weeks, and then a sports bra for 6 more weeks so that the implant pocket scars perfectly. The normal force of gravity will pull the implants down and lateral, you don't want that to happen before your pocket scars in completely. 
Hope that helps, goodluck.

Brian K. Reedy, MD · Answer

Thanks for your question! Unfortunately, rippling is far more common with a subglandular augmentation. Lateral displacement can also happen. I might suggest a capsulorrhaphy to help with that and to enhance your cleavage. Perhaps you could find a doctor to add fat to the medial breast. That may help with cleavage and rippling as well. Good luck!

Salvador Garcia, MD · Answer

Hello Im Dr Salvador Garcia, your case is difficult, but it can be corrected by changing the implantes below the muscle and rebuilding your mammary gland with an inverted T mastopexy or anchor

Daniel Barrett, MD · Answer

Dear betterthanbefore,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Right now, you are fine. You don't have a lot of tissue to cover the implants, so the edges show when laying down. This is expected. You might wear underwire bras to minimize the implants moving more to the sides until well healed.

Darryl J. Blinski, MD · Answer

Nicely posted photos. I recommend exchange to new Mentor BOOST silicone in the 370 cc HP model with change to "dual plan position from under breasts only and lateral pocket repair or capsulorraphy.  I stopped using the Sientra implants too many rippling issues. Fee $10,000. Best to virtual consult with...

I’m concerned about rippling and lateral displacement (Photo)

Answers (7)

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