Question: I am considering getting breast implants, but I am very thin and afraid of rippling. What is this caused by and is there anything Dr. Corbin recommends to prevent ripples?
Answer: Rippling can occur in very thin patients, patients with little breast tissue or patients with thin skin. Generally what causes the ripple is the edge or outer shell of the breast implant. Another reason for rippling is as the breast ages and becomes ptotic and ripples may occur or become more noticeable as the skin looses its elasticity and firmness over the breast implants. Rippling generally occurs more with saline breast implants than in silicone breast implants. With the new firmer silicone breast implants ripples are almost non existent. Some basic ways I correct rippling is to use alloderm to reinforce the areas where the skin is thin and ripples many be, injecting free fat into the breast (difficult in the presence of implants) or switching the patients breast implants from saline to silicone. Some things that may help prevent rippling are: smaller breast implants, putting the breast implants behind the pectoral major muscular, as well as filling saline breas
t implants slightly more than the minimum specified by the implant manufacture. If you look at a saline breast implant like a water balloon, you want to fill it just enough to get the wrinkles out yet keep it soft and not too firm.
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