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Causes of Rippling of Breast Implants
One of the risks of breast augmentation is the possibility of rippling or wrinkling, although this risk can be rare if the surgery is done properly, for those patients that have rippling, it can be very bothersome.
Rippling of breast implants that can be seen through the skin is usually at the sides or bottom of the breast but can also be in the middle, near the cleavage.
Dr. Delgado informs his patients that the risk of rippling may be caused by several different factors:
1. Under filling of the breast implant
2. Overfilling of the breast implant
3. Poor tissue coverage
4. Placement of the implant over the muscle
Silicone implants cannot be overfilled as they come “pre-filled.” Saline implants that are overfilled beyond the manufacturer’s
recommendation may cause the edge of the implant to pull which will result in ripples, even if they are not visible, they might be able to be felt.
Over and Under Filled Breast Implants
If the implant is under filled (again only an issue with saline implants) it will leave the shell emptier that it should be which may result in folds and wrinkles of the implant.
Patients that have poor tissue coverage may get wrinkling with saline or silicone implants, however, the form-stable breast implants (also known as the gummy bear implants) offer the least risk of rippling.
Women with little breast tissue that have their implants placed over the muscle are at the highest risk for rippling. Textured implants are designed to adhere to the tissues that can cause pulling on the breast tissues and result in what is referred to as “traction rippling.” The more breast tissue the patient has, the less likely of getting traction rippling.
Correction of Rippling Breast Implants
In order the correct rippling problems, it is possible to add or subtract the amount of saline in breast implants. However, the manufacturer warns against re-opening the port once it has been sealed, and if adjustments are made, the warranty will most likely be voided.
If the rippling is caused by implants being over the muscle, consideration may be given to having the implants placed under the muscle.
Whatever the cause for rippling may be, be sure to seek out a Board Certified Plastic Surgeon to evaluate your situation and inform you of your options.
Contact the Breast Revision Expert
Dr. Delgado has been doing breast revision surgery since 1988 and invites you to call (415 898-4161) or email (firstname.lastname@example.org)for a consultation for any breast revision concerns.