Rippling and Palpability of Breast Implants
With any type of breast augmentation surgery, there is a potential risk of having rippling and palpability of the breast implants. Breast Implant Rippling may occur with either saline breast implants or silicone gel breast implants - depending on the patient’s specific situation. This does occur more frequently with the use of saline breast implants. Overfilling of the saline breast implant also reduces the potential for rippling.
Rippling and palpability may occur if a breast implant displaces or if a patient loses weight (soft tissue coverage overlying the implant decreases). If the implant rippling is significant and/or bothersome to the patient, revisionary surgery may be indicated. Maneuvers that may be useful during this type of revisionary breast surgery include capsulorraphy and/or additional coverage provided by acellular dermal matrix.
Q: I don’t have much breast tissue or body fat, will I get rippling if I have breast augmentation surgery?
Each patient differs in regards to their starting point as well as goals. Dr. Pousti recommends the use of silicone gel breast implants for patients with minimal body fat/ soft tissue coverage but only after physical examination will precise advice be given.
Q: What do I need to do if I have breast augmentation surgery and can feel the breast implants?
Sometimes switching from saline to silicone gel helps alleviate the rippling. Other times the use of Acellular Dermal Matrix can provide a layer of coverage.
Below case shows the right breast implant has “displaced inferiorly” and has some rippling in the upper pole.
After the breast implant is in the proper position, the rippling is no longer visible.