Introduction There is no doubt about it, the science of breast plastic surgery has advanced to a certain level that makes it almost an art. However, it still it has some potential risks and complications that need to be addressed. One such issue is the rippling of breast implants. We all know that plastic surgery has its own pros and cons. Every drawback is first discussed with the patients, so as to make everything clear in the initial stages. Plastic surgery can be too expensive for people to opt for it frequently. Still, the aim and desire to look good affects every person, and despite the cons, people do have many personal reasons for giving it a try. As mentioned earlier, there is a big concern regarding the rippling of breast implants that can be easily felt and sometimes seen. At times, the rippling of the breast implants is visible at when you bend over or are in a position that the breasts are hanging down a bit. This rippling is, of course, annoying. If you run your finger along the side of your breast, you can feel it. To be more specific, rippling can be sensed in any position and there are a few causes behind it. Before tackling the prevention, let’s go through what causes the rippling of breast implants. Causes of Rippling: Mishandling by the surgeon Meager tissue coverage Over filling of breast implant Under filling of breast implant Sub-glandular breast implants location Type of breast implant Sometimes, it is impossible to avoid any of the above situations, so the best option may be to have post-operative treatments. Next, we will discuss the preventative measures that may be taken to evade rippling issues that may generate with breast implants. Mishandling By The Surgeon When you decide to have breast implant surgery, be sure to contact a well-experienced and skilled doctor. Sometimes, a poor outcome in due entirely on a surgeon’s negligence. The correct placement and gentle dissection is dependent upon the expertise and the qualifications of the doctor. Be certain that your doctor is a board-certified plastic surgeon, as he needs to be reliable and capable enough to see to all your requirements and treatments. Meager Tissue Coverage Meager tissue coverage is a term to describe people with less tissue coverage. More often than not, slim women or women with smaller breasts face this problem. However, understand that this can happen with saline solution and silicone gel breast implants, although both of them claim to be firm and smooth implants. Having more tissue implies having less rippling, so it is better if you gain a bit of weight before the surgery, if possible. Moreover, exercises won’t help either. Exercises will likely cause the patient to lose weight. Breast Implant Over-Filling Over-filling occurs only in saline solution breast implants, because silicone breast implants come prefilled and cannot be filled afterward. This happens when saline solution breast implants are filled far more than the prescribed amount, resulting in the edges of the implants to pull and ripple. Such ripples might not be perceptible to the eye, but can be felt. There is the additional concern of breast implant rupture. In saline breast implants, ruptures are easy to detect. After a rupture, the implants deflate and the outcome is noticeable. Silicone leakage spreads into the breast, so silicone breast implants are tougher to distinguish and feel. Breast Implant Under-Filling Under-filling also refers to saline solution breast implants, since the plastic surgeon will fill them with liquid after the implants are placed. Under-filling leaves a bigger void, which can cause wrinkling and rippling. As far as this problem goes, it is better to prioritize your wishes. Keep in mind that augmentation of the breasts through surgical means is not a fail-proof method. It can cause imperfections, such as leakage and rippling, etc. Sub-glandular Breast Implant Location If you lack breast tissue, it isn’t the best idea to pick sub-glandular placement of the implants over the sub-muscular placement. Doing so could create or increase the rippling effect. Then, there is the option of textured breast implants that adhere to the breast tissues and cause pulling. The more breast tissue you have, the less chance of rippling. In women of average weight, breast tissue is almost a half inch thick, but more coverage can lessen rippling and wrinkling of breast implants. The Type of Breast Implant The type of breast implant used for breast augmentation surgery may define the overall effect, particularly if the patient does not have substantial covering of breast tissue. Some plastic surgeons think that silicone breast implants have a more natural appearance than saline solution breast implants, because silicone gel holds a texture that is akin to breast tissue. If a patient has sufficient breast tissue to conceal the breast implant, the result will be comparable when matching saline solution implants against silicone gel implants. If a patient has very low body fat or very little breast tissue, silicone gel implants can offer better results. Conclusion After going the these factors that cause rippling of breast implants, the most important elements to bear in mind are choosing silicone gel over saline gel implants, sub-muscular placement rather than sub-glandular implants, and smaller implants over the larger ones. The result of the breast augmentation surgery differs from patient to patient and not all the risks can be avoided. When choosing your plastic surgeon, keep this in mind, as his qualifications can make the difference in between a good outcome and a not very satisfactory one. The rippling of the breast implants it is sometimes unavoidable, but asking your doctor’s opinion is crucial to the success of the surgery.