What is breast implant rippling?

Breast implant rippling occurs when the skin of the breast displays visible folds as a result of potential issues with the implant, the capsule, or implant coverage. Patients often feel their breast implants, but the feeling is different with visible rippling. 

The most common cause of rippling, however, is the fact that patients do not have adequate coverage over their breast implants, and this is most common in thin patients with low percentage body fat. This more likely happens in the outer half of the breast, beneath the lower part, because often the coverage, if the implant is placed beneath the muscle, is better at the top of the breast.

The appearance of true breast implant rippling is most noticeable in very thin patients or when leaning forward. It can also occur when the pocket of the breast implant is too large, causing the implant to sag and its edge to fold. Rippling may also occur due to capsular contraction or a ruptured implant.

What causes breast implant rippling?

There are several factors that can cause breast implant rippling, including

1. Implant placement: The placement of the implant can also impact the likelihood of rippling. Implants placed above the muscle are more likely to ripple than those placed under the muscle. Choose an experienced and board certified surgeon like Dr Rory. 
2. Thin skin: Women with thin skin and accompanying low levels of subcutaneous fat and little natural breast tissue are more likely to experience rippling.
3. Implant size: Large implants have more surface area, making them more prone to rippling.
4. Implant type: Saline implants are more likely to ripple than silicone implants.
5. Age: As the implant ages, the chances of rippling increase.

Signs of breast implant rippling

The most obvious sign of breast implant rippling is the appearance of wrinkles or ridges on the surface of the breast. Other signs include

1. Changes in breast shape: As the implant shifts due to rippling, the shape of the breast may also change.
2. Visible and palpable folds or ripples: The folds or ripples can be seen through the skin and felt upon touching.
3. Reduced breast fullness: As the implant ripples, the breast may also lose its fullness.
4. Pain and discomfort: Some women may experience pain or discomfort in the breast due to rippling. It is often associated with capsular contraction.

How common is breast implant rippling in silicone implants?

Breast implant rippling is a common complication with silicone implants. According to studies, it is estimated that implant rippling or rupture may occur in up to 10% of cases. The risk is higher in women who have thin skin accompanied by low levels of subcutaneous fat, those who have large implants, or those who have their implants placed above the muscle.

Treatment for breast implant rippling

Replacement of rippled breast implants

The approach to breast implant rippling surgery is similar to that for treating ruptured breast implants and capsular contracture. The procedure typically involves removing the capsule surgically and replacing the existing implants with those that have a lower risk of developing capsule contraction or rupture. Dr Rory employs the use of Motiva implants, which have a 100% fill, thus reducing the risk of rippling.

Also, placing the implants in a new pocket underneath the muscle may be necessary. Fat is not available. Increased coverage over the implant can be achieved with various biological sheets or material called ADM which is Acellular Dermal Matrix but only certain individuals are suitable for that. Transfer to the breast from another part of the body using liposuction may be another option. This helps to increase the soft tissue coverage of the implant.

In cases where the patient chooses to remove the implants without replacement, they must accept a smaller breast size and may require a breast lift with or without the addition of fat transfer.

If you are experiencing breast implant rippling, there are several treatment options available. One of the most effective methods is replacing the rippled implant with a new one. Breast augmentation with Motiva implants is a great option for replacing rippled breast implants. Here’s why:

1. Reduced risk of rippling: Motiva implants are designed to reduce the risk of rippling. They are made with a high-strength silicone shell and an advanced gel matrix that minimises the possibility of wrinkling or folding.
2. Natural look and feel: Motiva Implants are designed to provide a natural look and feel. They are available in a range of sizes and shapes, allowing you to achieve the desired look for your body type.
3. Lower risk of complications: Motiva implants have a lower risk of complications compared to other types of implants. They are designed to reduce the risk of capsular contracture, implant rupture, and implant displacement.
4. Safe and effective: Motiva Implants are approved by the FDA and are backed by extensive clinical research. They have been used in millions of breast augmentation surgeries worldwide, making them a safe and effective option for replacing rippled breast implants.

Breast implant rippling can significantly impact a woman’s self-confidence and self-esteem. It is a common complication with silicone implants, but it can be treated effectively with breast augmentation with Motiva Implants. If you are experiencing breast implant rippling, it is essential to speak to a revered plastic surgeon like Dr Rory, to determine the best treatment option for you.

Dr Rory McGoldrick is one of the top plastic surgeons in Dubai, with over 25 years of experience and expertise in doing breast surgeries. Dr Rory uses the best quality Motiva implants in breast augmentation and implant replacement that are ergonomic, natural, and 100% fill, reducing the risk of implant rupture or rippling.

Book an appointment with Dr Rory to discuss your implant or breast-related issues.