Why Does Breast Implant Rippling Happen? Tips For Prevention

While breast augmentation procedures generally deliver smooth and satisfactory results, there is a less common complication that some patients may experience: breast implant rippling. This occurs when the edges of the breast implants become visible or palpable beneath the skin, creating a rippled or wavy appearance.

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What Causes Breast Implant Rippling?

Several factors contribute to breast implant rippling, but the condition most often occurs in patients who are thinner or have minimal natural breast tissue. In these cases, there is less coverage over the implant, which can make the edges more noticeable. Rippling is usually caused by the following:

1. Type of Implant: The choice of implant plays a significant role in whether rippling will occur. Saline implants, in particular, are more prone to rippling than silicone implants due to the liquid nature of saline. As the saline moves within the implant shell, it can create folds or more visible ripples through the skin. Silicone implants, on the other hand, tend to have a more cohesive gel consistency, reducing the likelihood of rippling.
2. Implant Placement: Implant placement also influences the potential for rippling. Implants placed above the muscle (subglandular placement) may have less tissue coverage than those placed beneath the muscle (submuscular placement), making rippling more apparent. In submuscular placement, the muscle provides additional coverage over the implant, helping to mask the edges and prevent rippling.
3. Skin Elasticity: A patient’s skin type and natural elasticity also play a role. Patients with thinner or less elastic skin may be more susceptible to implant rippling, as the skin may not be able to stretch or conform smoothly over the implant edges. In contrast, patients with thicker or more elastic skin may experience fewer complications in this regard.

Preventing and Addressing Implant Rippling

While breast implant rippling is not entirely avoidable, several measures can help reduce the risk:

• Choosing Silicone Implants: As mentioned, silicone implants are less likely to ripple than saline ones. Many patients opt for silicone due to their more natural feel and cohesive nature, which can help reduce the chance of visible rippling.
• Opting for Submuscular Placement: Placing the implant beneath the pectoral muscle can provide better coverage, especially for patients with minimal breast tissue. This additional muscle layer helps to conceal the implant edges.
• Fat Grafting: In some cases, fat grafting can be performed to add more volume to areas where rippling is more visible. By transferring fat from other areas of the body, such as the abdomen or thighs, to the breasts, the surgeon can provide additional coverage and smooth the appearance of the skin over the implants.
• Selecting the Right Implant Size: Choosing an implant size that matches the patient’s body proportions is crucial. Implants that are too large can stretch the skin too thin, increasing the risk of rippling. A thorough consultation helps determine the ideal implant size based on a patient’s body type, breast tissue, and personal goals.

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What to Do if Rippling Occurs

If breast implant rippling does occur, there are options available to address the issue. Fat grafting, as mentioned, is a common solution that adds volume and smoothness to the breast tissue. In more severe cases, revision surgery may be needed to replace the implant with a more appropriate type or adjust its placement.

The key to preventing breast implant rippling lies in selecting the right implant type, size, and placement during the initial consultation. Every patient’s anatomy is unique, and a personalized approach is essential for achieving optimal results.

For those concerned about rippling or experiencing it post-surgery, reach out to Dr. Nirmal Nathan to explore the best options for a solution.

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