Two factors contribute to the breast appearance after breast implant surgery:
- Skin Quality
- Type of Implant Used (Silicone Gel or Saline Implants)
The thinner the skin, the more likely you are to feel the implant through the breast skin. Additionally, folds from the implant can also be transmitted through thin skin and result in visible wrinkles and ripples of the skin. Some women see the wrinkles when they lean forward and the implants put tension on the stretched skin.
Secondly, some implants will tend to fold more than others. Generally, saline implants can show wrinkles more than silicone gel implants and the amount of saline in the implants may contribute to the folds (i.e. lower fill volumes may result in more folding of the implant shell). Please keep in mind that even with gel implants, there can be visible wrinkles of the skin if the skin is very thin.
Treatment options may include the following:
- Replacing the implants from saline to silicone gel.
- If the implants are subglandular (under the breast gland) they may be changed to a subpectoral (under the muscle) position.
- Use of Strattice™ Reconstructive Tissue Matrix. This material is placed as an internal graft to add thickness to the tissues and improve the coverage of the implants.