Should I overfill the Ideal implants closer to 100% capacity to prevent rippling? I'm 5.4 ft, 108 lbs, rather thin breast tissue

There are a lot of things that can factor into rippling, implant fill volume is just one of them. Overall IDEAL does have less rippling but the thickness of the tissue covering the implant has a lot to do with it also. Without examining you it is difficult to know what you can expect so it’s probably best if you discuss this with your own surgeon. Best of luck with your procedure!

The Ideal Implants most closely resemble high pofile implants. They are structured saline implant whcih have a range of fill volumes. In general the lower fill volumes keep the implant a little softer but with a slightly higher chance of feeling (not seeing) ripples (mostly in the lower breast). This also depends on how much breast tissue "cover" you have. The less tissue the more you might feel the ripples.

Thank you of your question. Ideal implants have specific fill volumes which determine the projection of the implant. Many surgeons fill these to the mid-range without any issues of wrinkling. In most patients, I recommend the maximal fill volume to avoid rippling, so I have not seen this be a concern. . Many surgeons will post negative comments on these without having any experience with this type of implant. The Ideal implant is an excellent option for you and you should discuss your concerns with a surgeon who is experienced with this implant. Good luck !

Hello,
They are still saline implants, and the multiple internal baffles don't make it much better than a single lumen device. Overfilling the implant will make it hard and ball shaped. Moderate to highly cohesive silicone gel implants are safe and effective, and combine ripple reduction without excessive firmness or change to their shape. Go visit a few ABPS certified/ASAPS member surgeons who specialize in breast surgery. Best of luck!

Good day! Thank you for providing a photo with your query. For your guidance, here is a list of generalized breast implant sizing for most patients:
32A to 32C needs about 250-275cc
34A to 34C needs about 300-350cc
36A to 36C needs about 350-400cc 
It is best to find a size in proportion with your whole body as one of the reasons for rupture or deflation of the implant is under-filling or overfilling of saline
solution. For example, if the implant shell is not filled with the correct amount of saline, there may be a crease or fold in the shell which often leads to a rupture. However, this is not always the case for all patients. Contact your surgeon and discuss realistic goals and expectations when deciding which implants are the best for you. Best of luck! #RealSelf100

 I would agree with your sentiments. I think that filling  the implant up to its maximum volume certainly takes up the laxity in the silicone shell and leads to less palpability of ripples.  Most importantly it gives the most upper pole fill to your breast which most women are looking for.  When it is filled to its lower volume the ideal implant ripples less than a typical saline I have found.

Ideal implants are designed for filling in their designated range. Filling to the maximum may have slightly less rippling, but overfilling will not decrease that chance as the implant will expand. Rippling is higher in saline than cohesive gel, but Ideal is much less than regular saline. The more tissue you have over the implant the less likelihood of rippling you will have.

The Ideal implant has internal shells and two chambers, a posterior chamber and an anterior chamber.  The posterior chamber is always filled precisely to one volume which varies depending on the overall size of the implants.  The outer or anterior chamber has a range of either "high" or "100%"  For example, with the Ideal 370 implant it can be filled to 370 which is called "high" and corresponds to a moderate profile plus implants or to 415 which is called "100%" and corresponds to a high profile implant.  The design of the implant with the internal baffles and shells limits rippling and wrinkling. In my experience, the decision to go with " high" or "100%" depends on whether a patient is better served with a moderate plus profile or a high profile look.  A high profile might be more appropriate in a woman who has had children and wants to restore some volume to the deflated upper breast but may look less natural in a woman who has never had children and has a "tighter" breast and does not want to have an implant look.  The implant can feel slightly firmer at "100%" but I have not seen any change in the structure of the side wall which is supported by the posterior chamber and baffles.  
The Ideal implant is not designed to be overfilled beyond the recommended capacity.  All implants, silicone gel included, have some ripples along the size, and whether you feel these or not has more to do with the relative thinness or thickness of your existing breast tissue. So I would go with the experience of your board certified plastic surgeon but the Ideal implant because of its structure has less rippling then a traditional saline implant.  The decision on final fill, staying within the companies recommendations and design has more to do, in my opinion with the profile that is desired in your case and does not affect the ripples.  
In multiple cases and more than a year with the Ideal implant I have not noticed any more ripples in patients filled to the "High" or lesser volume vs the "100%" or greater of the two recommended volumes.  
A somewhat long discussion but I hope this helps.

and I'm not suggesting overfilling because that could void your warranty (and who would want that??).  So find the size that will allow you to fill it to the max (not overfill) but realize it may limit you on how wide your breasts will be as the fuller the implant, the more narrow the base.

Thank you for your question. The Ideal Implants are "structural" in the sense that they are designed to have minimal rippling at the edges. This implant is made of several shells that help the edges of the implant to remain smooth even at low fill volumes. I have not experienced what that reviewer said in any of my patients who have been at less than 100% fill volume. If it was present at all, it certainly would not be called, "severe." I hope that offers another experienced opinion for you. Best wishes.