However, when rippling is visible, patients are often self-conscious about their appearance.Factors that are associated with increased rippling include:Traditional Saline implants (IDEAL® Saline implants less likely)Textured implantsLarge implantsThin patients with low BMIImplants placed above the musclePrior history of ripplingFactors which , Rippling is not the same as laxity and the other doctors who have answered this question so far (they are not plastic surgeons) may have mistaken what you are describing. Unfortunately, most Smart liposuction in the US seems to be performed not be real plastic surgeons but by doctors who want an entry into the cosmetic surgery arena but have no , When soft tissue is lacking (thin, muscular build), a submuscular silicone implant is advisable. While implant visibility is most common with subglandular implant placement and the use of saline implants, implant rippling can also be seen in submuscular placement and silicone implants. This is deemed a "soft tissue failure.", I have decided on mentor saline style 1600 with ~340-350 cc under the muscle. I am 5'5.5, 121 pounds, currently wear a 34 A/B, and have a BWD of 13 ., Thanks for your inquiry, even silicone breast implants can ripple. The more cohesive the gel the less, but none the less they can ripple. If you loose weight or the pockets loosen, then the rippling can be more pronounced. The rippling is not dangerous, a true fold in the implant however is something to go see your surgeon about, best of luck., Rippling of #saline implant is unlikely a serious issue. If you are very thin or lean, any type of #implant can display some #wrinkling. However, #positioning under the muscle may help. Silicone implants do better than saline in this case. Also, adding a mesh (i.e. #ADM or similar) can help..