Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of breast implant rippling. Symptoms include visible and palpable undulations along the medial/inferior pole of the breast. Onset is [Timeframe], exacerbated by [e.g., forward flexion/muscle contraction]. Patient reports dissatisfaction with aesthetic contour and texture. No signs of acute infection, capsular contracture (Baker grade I/II), or implant rupture reported.
Clinical Examination Findings
Breast examination reveals visible rippling/wrinkling of the implant shell, most prominent in the [Location: medial/inferior/lateral] pole. Rippling is accentuated upon dynamic muscle contraction (Pectoralis major). Implant displacement or malposition: [None/Present]. Capsular contracture: Baker Grade [I-IV]. Skin envelope quality: [Thin/Atrophic/Adequate]. No palpable masses, lymphadenopathy, or signs of inflammatory change noted.
Treatment Protocol
Treatment options discussed: 1. Conservative management (massage/observation). 2. Fat grafting (autologous fat transfer) to improve soft tissue coverage. 3. Implant exchange (e.g., textured to smooth, or smaller/different profile). 4. Capsulectomy/Capsulotomy if indicated. Risks and benefits of revision surgery, including potential for recurrence, scarring, and anesthesia risks, thoroughly reviewed. Patient elects to proceed with [Selected Treatment Plan].