Why Surgical Planning Matters in Preventing Implant Rippling

Implant rippling can occur in some patients, but the risk is influenced by a combination of patient-related factors and surgical planning. A helpful way to think about it is what you can influence versus what your surgeon is responsible for:

Factors the patient can influence (limited but important):

• How much natural breast tissue you have (this is anatomical and not fully changeable).

• Your skin thickness and elasticity (also biological, but can be supported indirectly through overall skin health, hydration, and avoiding smoking).

• Your choice of implant size relative to your body (this is usually decided together with your surgeon, but your preferences play a role in the final selection).

Factors the surgeon is responsible for:

• Choosing the correct implant size and projection to match your tissue and frame.

• Deciding implant placement (above vs below the muscle) based on your anatomy and goals.

• Selecting the right implant type and surface characteristics for your tissue coverage.

• Surgical technique, including pocket creation and positioning, which directly affects implant support and long-term contour.

• Overall planning to balance aesthetics with reducing risks such as rippling.

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In short, patient anatomy sets the baseline, but surgical planning and technique play a major role in minimising the risk of rippling and achieving a smooth, natural result.

Ultimately, the outcome is heavily influenced by the surgeon’s judgement. An experienced surgeon with strong surgical planning, extensive experience, and a refined aesthetic eye is essential in selecting the right approach for each individual and achieving the most natural and balanced result.