Every patient must be keen to know about the risks and complications that a surgical procedure entails. Breast augmentation, of course, like any other surgery, has its own set of complications. Among them is the breast implant rippling.
As the name suggests, breast implant rippling is literally what it sounds. It can be felt by the patient most of the time along the outer side of the breast as well as in the inner side of the breast next to the cleavage. Patients with small breasts are more likely to have visible breast implant rippling because when there is more breast tissue, there would be more coverage of the breast implant and it will take quite long to detect the condition.
Rippling is an aesthetic complication that can occur after a breast augmentation surgery. Every type of breast implant has the tendency to ripple except highly cohesive silicone breast implants. So what is rippling? When an implant is vertical, gravity and the cohesiveness of the implant filling material tend to deform the breast implant.
The implant must be replaced with a newer implant placed under the muscle. In this diagram, you can see what I am planning to do. The implant will be located in the muscle. The muscle is shown with the red arrow and the implant with the white arrow.
The muscle will provide an extra layer of soft tissue coverage to minimize the risk of rippling. Most rippling occurs close to the cleavage line or the top of the breast. In addition, she wanted to be slightly larger, so I switched the implant from a 400 cc silicone smooth implant to a 500 cc silicone gel implant.
These are pictures of the patient after surgery; you can see that there are no ripples when she is leaning forward. The patient is happy with her results.