Breast implants

Thank you for your question and doing your homework with ASAPS member surgeons. Without photos, it is very difficult to render an opinion. It is always best to see a board-certified plastic surgeon in your area and develop a treatment plan that is best suited to your individual breast size, aesthetic goals, budget, and timeline. Best wishes on a great result and speedy recovery.

Rippling can be result of several factors. Saline implants are more prone to ripple than silicone gel. Available now are cohesive gel implants with a thicker gel that ripple less. The size of the implant and the thickness of the breast tissue and skin influence rippling. If your breast were sagging prior to your surgery putting in large implants to compensate is generally not the best approach. If you downsize the implants in this scenario you may experience some sagging.

It really depends on what your tissue is like so its impossible to predict without an exam. Downsizing will not resolve your rippling and when going under the muscle, your lower half of the implant is still only covered by breast tissue (no muscle). Changing your implant style to a textured anatomic implant may be the best bet to help with your rippling , but again, no guarantees. Best to discuss your options with surgeon.