Breast implant rippling is a concern some patients notice after breast augmentation. It can affect appearance, confidence, and comfort, particularly in certain body types or implant choices. Understanding why rippling occurs and how it can be corrected helps patients make informed decisions and explore effective solutions. Board-certified plastic surgeon Dr. David Kim performs breast revision for patients in Beverly Hills, Los Angeles, CA, and surrounding locations.
What Is Breast Implant Rippling
Rippling refers to visible or palpable folds or waves on the surface of the breast caused by the implant beneath the skin. It may be noticeable when standing, bending forward, or raising the arms, and is more common along the sides or lower portion of the breast.
Rippling can occur soon after surgery or develop gradually over time.
Common Causes of Implant Rippling
Several factors can contribute to breast implant rippling.
Thin Breast Tissue Coverage
Patients with minimal natural breast tissue or low body fat may have less padding over the implant. This makes implant edges and folds more visible.
Implant Type
Saline implants are more prone to rippling than silicone implants because they contain fluid rather than cohesive gel. The fluid can shift within the implant, creating visible folds.
Implant Placement
Implants placed over the muscle may be more visible in patients with thin tissue. Under-the-muscle placement provides additional coverage that can reduce rippling.
Large Implant Size
Implants that are too large for the chest width can overstretch tissues, increasing the likelihood of rippling over time.
Aging and Tissue Changes
As skin loses elasticity with age, support over the implant may weaken, making rippling more noticeable even years after surgery.
How Surgeons Diagnose Rippling
Evaluation begins with a physical exam and review of implant type, size, and placement. Your surgeon will assess tissue thickness, implant position, and overall breast structure to determine the underlying cause.
Treatment Options for Breast Implant Rippling
Correction depends on the cause and severity of rippling.
Implant Exchange
Switching from saline to silicone implants or choosing a different implant size or profile can significantly reduce rippling.
Changing Implant Placement
Moving the implant from over the muscle to under the muscle can provide additional tissue coverage.
Fat Grafting
Fat transfer to the breast adds a natural layer of padding over the implant, softening contours and masking rippling.
Pocket Adjustment
Reinforcing or reshaping the implant pocket can improve implant stability and appearance.
Preventing Rippling Long Term
Careful implant selection, appropriate placement, and realistic size choices are key to prevention. A personalized surgical plan helps reduce risk and supports natural-looking results over time.
Schedule a Consultation with Beverly Hills California Plastic Surgeon Dr. Kim
For more information on the surgical and non-surgical procedures and treatments by Cosmetic Plastic Surgeons Dr. David Kim and Dr. Eugene Kim. Click here to contact us today.
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