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Implant Rippling or Something More Serious?

Some early superior fullness is normal as swelling resolves and implants settle into position over the following weeks. A visible or palpable line along the upper chest is often just the edge of the pectoralis muscle where the implant sits beneath it, not rippling. True rippling usually presents as a wavy texture along the side or lower breast, more common with saline implants or in thin-tissue patients, and tends to be a cosmetic issue rather than a medical one. Without an exam or photos I can't tell you which you're seeing, so this is worth a direct check-in with your surgeon rather than guessing from a description. If you're concerned about change over time, weekly photos in consistent lighting and position can help you and your surgeon track whether something is resolving or worsening. Most of what patients worry about at this stage turns out to be normal healing.

Clinical Context

Rippling is more likely when there's less tissue between the implant and skin. Saline implants ripple more than silicone because the fill can shift, while silicone gel holds a cohesive shape. Thinner patients or those with little natural breast tissue have less padding to soften the implant's edge, which is one reason submuscular placement is often preferred for these body types. Higher-profile implants may also show edge folds more than moderate-profile styles.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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