How do you treat rippling of a breast implant?

Answer:

Rippling of an implant happens more commonly in thinner patients that do not have a lot of soft tissue coverage over the breast implant. For patients that have subglandular breast implants this can happen along any surface of the implant. With implants under the muscle, the upper pole has more soft tissue coverage because it not only is covered by the skin and breast gland, but in addition it is covered by the pectoralis muscle.  Patients with submuscular implants tend to have rippling along the lower pole where the muscle does not cover the implant. Treating rippling depends upon the breast implant pocket position. If the implant is subglandular, then perhaps placing them submuscular can help. In addition the lower pole will still need more coverage. This can be achieved with an acellular dermal matrix (ADM), most commonly Strattice. This matrix adds another layer of coverage over the implant and incorporates into the surrounding soft tissue. Some surgeons may offer fat injection as another alternative to thicken the soft tissue surrounding the implants to decrease the rippling. Back to Questions

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