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Rippling & Wrinkling

And Feeling the Implants Through Your Skin

Rippling and wrinkling can be a cause of dissatisfaction after breast augmentation and Dr. Loftus explains how these can be reduced and minimized.

It is important to know beforehand that you may experience rippling and wrinkling problems after breast augmentation surgery and what you may do to reduce the risk.

In a saline breast implant, the liquid moves freely within the shell and can cause small waves like those seen on the surface of a pond. These waves can be transmitted to the skin, causing the breast to ripple on its inner and upper sides. Rippling gives the breast an unnatural appearance. Thin women are particularly prone to rippling because they have less tissue covering their implants after breast augmentation surgery.

Wrinkling and Rippling of Implants

Wrinkling and rippling are the terms plastic surgeons tend to use to describe an unnatural scalloping appearance that can occur on the breast after breast augmentation surgery.

Reducing Your Risk of Rippling and Wrinkling

Be aware that these terms can be confusing, as some plastic surgeons use them interchangeably. Implant type, implant fill, implant texture, and implant position can all affect the likelihood of the rippling of a breast implant. Saline breast implants are more likely to cause rippling and wrinkling than silicone breast implants, especially in thin women and women with a modest amount of breast tissue. Silicone implants are much less likely to ripple and wrinkle, even in thin women. They are also much less likely to be felt through the skin, whereas saline implants can typically be felt through the skin in thin women. Overfilled implants are less likely to ripple or wrinkle than nominally filled or underfilled implants. Some plastic surgeons advocate over-over filling to avoid this, but the implant manufacturers are not in support of that practice, as doing so may increase the risk of deflation. Textured breast implants are more likely to ripple and wrinkle than smooth breast implants. Implants placed under the muscle seldom ripple or wrinkle along the upper and inner side of the breast, but may do so on the lower and outer sides of the breast, as these sides are not covered by the pectoralis muscle. Implants placed over the muscle may ripple or wrinkle along any side of the implant. Women who start out with a more generous amount of breast tissue are much less likely to experience rippling and wrinkling, regardless of their decisions, than women who start out with a modest amount of breast tissue. If you have wrinkling or rippling, you may improve upon this by changing to silicone (if you currently have saline) or by changing to under the muscle (if they are currently over).

Dr. Loftus

About Dr. Loftus

Dr. Loftus is a female plastic surgeon who is considered a national authority on plastic surgery, having appeared on numerous talk shows as an expert. Her book has become a best-selling book on plastic surgery and has earned her the reputation as a vocal advocate of patient safety, satisfaction, and education in plastic surgery. No wonder her patients have such great things to say about her…
Dr. Loftus standing by staff
My results are amazing - Dr. Loftus is amazing!
My friends can't believe how natural I look!
I had no pain after surgery and recovery was so easy.
The entire experience was fabulous!
I am a nurse who has worked with many doctors, Dr. Loftus is the best!
The care was exceptional and results are incredible!
My results are better than I ever imagined!
Dr. Loftus is a rare surgeon: highly skilled, personable and compassionate!
My experience from start to finish was completely extraordinary!
Awesome results from a skilled and caring doctor.
I love love love Dr. Loftus and everyone in the office!
I've never felt so comfortable and understood in a doctor's office.
I felt so comfortable and barely had any pain at all.
I never knew I could look this good! Thank you Dr. Loftus!!!
Never met such a warm and caring staff anywhere else.
If only every doctor could be like Dr. Loftus, how very fortunate we would be.

Dr. Loftus
on The View

Dr. Loftus
on The Today Show

Dr. Loftus

Dr. Loftus
on Later Today

Dr. Loftus
on Later Today

Dr. Loftus
on CNN

Cincinnati: The Christ Hospital 2139 Auburn Avenue, Suite 201
Cincinnati, OH 45219
(513) 793-4000
5 minutes from downtown Cincinnati,
At the Christ Medical Office Building

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Northern Kentucky 1881 Dixie Highway, Suite 300
Fort Wright, KY 41011
3 minutes from downtown Cincinnati &
visible from I-71/75

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