Rippling, possibly bottom out? Why does this happen and how can it be fixed? (Photos)

Based on your post photos, the option that should be suggested is micro fact, grafting under ultrasound or the new ALLOCLAE injections to stimulate fat growth and thickness in those areas. Expect these to range from $5000-$20,000. Best of virtual consult with.

Thanks for sharing your experience and photo. It looks like you're experiencing upper pole rippling, which can become more visible over time, especially in lean individuals, post-pregnancy, or with high physical activity like distance running.

Your implants (Natrelle Inspira Soft Touch, submuscular) are a good choice, but even cohesive gel implants can ripple when there’s reduced tissue coverage, particularly after breastfeeding or body composition changes.

Common options to improve this include:

-Fat grafting to the upper pole for better coverage.

-Implant exchange to a firmer (more cohesive) implant.

-ADM (acellular dermal matrix) if the tissue is very thin.

Running isn’t harmful to implants, but a low body fat percentage can make rippling more noticeable.

You're doing the right thing by using supportive bras and following up with your original surgeon. If you’d like another perspective, I’d be happy to see you for a consultation.