Rippling is a where the implant’s folds and wrinkles become visible under on skin, especially in women who are very thin, or when they lean forward. It is most common when saline filled implants are chosen, and they are over or under filled. Rippling is also more common with certain implant shapes, and when the implants are placed above the muscle. Rippling can be prevented by choosing to place the implants below the muscle, and to assure there is adequate breast tissue, and to use silicone implants, which are more form stable. It is important to note that you are likely able to feel the implant in the lower outside quadrant of the breast. This is normal. If you have concerns about rippling, talk to Dr. Gupta. He can do fat grafting to make ripples and irregularities less noticeable.