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Wrinkling and Rippling
The quality of the skin that envelops the breast tissue significantly influences the shape of the breasts. Even though breast skin contains special elastic fibers, there is natural and hereditary variation in the amount of elasticity and thickness of each person’s breast skin, which affects the overall appearance of the breasts. Thin breast tissue may not be adequate to mask wrinkling or rippling of a breast implant.
A rippled appearance also may be apparent when the pocket created to contain the breast implant is larger than the size of the implant. If the implant pocket is too large, a breast implant will not be able to maintain a stable position and volume can shift too much to the bottom of the implant. The breast implant should be able to maintain a stable position within the implant pocket to provide a natural and smooth appearance.
Correcting a Wrinkled or Rippled Appearance
During breast revision surgery, Dr. Rottler may consider reducing the size of the implant pocket and using Strattice Reconstructive Tissue Matrix (TM) to provide additional support to maintain the breast implant in the proper position. Similar to an external bra, Strattice™ TM is placed at the bottom of the breast to be used as an “internal bra,” helping to maintain the breast implant in a position that will give the breasts increased fullness at the top. This may result in reduced wrinkling and rippling of the breast implants.
Patient 1 (Correction of Rippling)
35 y/o
5′5″
105#
Silicone implants replaced from a Subglandular position to a Subpectoral position
Strattice placement
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