Is There a Way to Camouflage Rippling from Breast Implants? What (If Any) Are my Non-surgical Options?

A surgical revision that includes exchange to silicone implants with placement of acellular dermal matrix such as Alloderm or Strattice would be ideal. Less invasive options would include injection of fa around the edge of the implant. This may help to camoflauge the visible rippling but does involve liposuction to harvest the fat. A totally non-surgical option does exist and i have written about in in The Breast Journal a few years ago. It is the use of injectable Sculptra. I have injected it around visible breats implants with very nice results. It requires several treatments (4-6) done monthly and the results can last several years. This is probably your only completely "non-surgical" option and is obviously not as good as the first surgical option I described.

Breast Implant Rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. Implants placed beneath the muscle help to minimize this phenomena but the lower and outside breast (as pectoralis muscle is no longer present), towards the cleavage where the muscle thins out or on top of the breast where breast tissue is often lacking are the most common places to see rippling. It is often accentuated with certain positions (e.g. bending over,or leaning). Most of the time, rippling is felt along the outer side of the breast and the inner side of the breast next to the cleavage. Breast implant waviness (rippling) that is felt but not noticeable to the eye is very common and should not be a concern. However, when rippling is visible, patients are often self-conscious about their appearance.Factors that are associated with increased rippling include:Traditional Saline implants (IDEAL® Saline implants less likely)Textured implantsLarge implantsThin patients with low BMIImplants placed above the musclePrior history of ripplingFactors which are less likely to have rippling include:Heavier and larger breasted womenUsing a highly cohesive form-stabile silicone implants (gummy bear)Smooth implantsSmaller implantsSubmuscular placementOnce rippling occurs it is very difficult to correct. Rippling can be minimized by placing a biologic fabrics (e.g. AlloDerm®, Strattice™, SERI®), submuscular conversion if implants are above the muscle, fat transfer, use of adjacent tissue (muscle or fascia) if available, and in persistent cases implant removal and fat transfer. Seek the care of the best board certified plastic surgeon possible with experience in breast revision surgery.#rippling#breastaugmentation

I agree with the previous posts.  Sculptra can help, but you would need alot of sculptra, and it can add up very quickly, even close to an amount for a surgical revision. You dont say where the rippling is, whether it is near the cleavage or on the sides. Saline implants have a higher incidence of rippling than silicone, but even silicone can get rippling when there is thin soft tissue coverage and/or the implants are large and extend beyond the boundaries of your natural breasts.  Behind the muscle placement helps, but the outer third of the implant is not covered by muscle, and this is where most rippling occurs.  Without seeing you, it is difficult to comment, but often changing to silicone and doing a capsulorraphy (tightening the capsule around the implant) can alleviate the rippling.  If the rippling is severe, and the soft tissue coverage is very thin, then adding strattice or alloderm may be necessary.  Sculptra is another option, or fat transfer, but the fat would be dependant on whether you have sufficient amount for harvesting and transfer.  I realize these are all options for surgical revision, but that is really the only thing that is going to make a difference. Estimated cost is difficult to say because it will depend on what you end up having done.  Good luck!