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Thank you for your question Consult with another plastic surgeon for a second opinion. Rippling can be seen when the surface of an implant shadows through the tissue, often found where the breast tissue coverage is thin as can happen after breast reconstruction using implants after a mastectomy is performed
One approach would be to add some thickness to the breast tissue Visible rippling can be improved by placing the implant under the muscle, switching to silicone, fat grafting to the breast, or the addition of a dermal matrix This can be done by fat grafting where fat is carefully layered between the.
Unfortunately, rippling worsens with time as the implant puts pressure on the breast tissue and thins the overlying tissue.
Rippling occurs when the overlying breast tissue is thin There are several ways to diminish the rippling 1) placing the implants subgladular pocket to submuscular pocket, 2) overfilling of the saline implants although this will make your breasts fill firmer, 3) switching the saline implants to silicone implants, 4)fat grafting into breast tissue. It looks that too large implants are the reason for current condition
Breast are together, there is no normal separation between them, condition known as symmastia Visible implant rippling both on lateral and medial side, small amount of breast tissue covering implants, displaced nipples, etc Correction should include smaller implants, possibly placement underneath the muscle, correction of. Get all of your questions answered on realself.
Browse breast implant revision before & after photos shared by doctors on realself.
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. Palpability and rippling of breast implants may be related to several factors These include the amount of soft tissue and breast tissue coverage over the breast implants, the position of the breast implants (submuscular versus sub glandular), the type of implants (saline versus silicone), and the degree of overfilling of saline filled implants.
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