IDEAL implants: Will overfilling reduces chances of rippling?

Thank you for the question. For saline implants, it is helpful to fill them to the upper amount recommended by the manufacturer, in order to reduce rippling. I do not "over fill" beyond this and have very, very few patients with concerns about rippling. Out of over 1000  Saline implants I have placed, I have only replaced 3-4 patients for complaints of rippling. For Ideal implants, there is a fill volume range for the outer lumen, which can be safely used with minimal chance of rippling. At the lower volume, the implant might feel a bit softer and less projecting, and at the upper end of the range, a little firmer and more projecting. All implants, including silicone gel implants, ripple a bit, but for most patients, this is not noticeable. I have used many Ideal implants and have been very happy with the results, regardless of the fill volume. You should look for a surgeon in the Ideal Implant Network for the best result. Good luck.

The Ideal Implant and traditional saline implants, like the Natrelle 68 series, should be filled within their recommended fill range. This can be confusing because a 300 cc implant may have a recommended fill range of 300-330 cc--so using 330 cc in this case is not overfilling, it's using the maximum recommended fill volume. Going below the recommended fill range can increase rippling and leak rates. Going above the recommended fill range may actually do the same, and overfilled saline implants will feel too hard and look too high in profile. Most commonly, the best esthetic result--with the most natural look and feel and least rippling--is achieved by using the top of the recommended fill volume for traditional saline, but the middle end of the fill range is better for the Ideal Implant. Make sure your surgeon has extensive experience with all implant types, so s/he can explain the differences to you and help you choose the best option for you. Good luck.

The idea of overfilling a saline implant whether it is an Ideal implant or a regular saline implant may result in less rippling of the implant. Overfilling also limits  folding of the implant shell which can reduce the chance of implant rupture. Overfilling of either implant is safe as long as the ultimate fill is within the   range recommended by the manufacturer. I general, Ideal implants tend to ripple less than standard saline implants because of the way that they are structured. I recommend that you consult with a board certified plastic surgeon who has experience with the Ideal implant to see if is right for you.

Good day! The rupture or deflation of an implant usually occurs when there was an under-filling or overfilling of solution into the implant. If the implant shell was filled with incorrect amount of solution, there may be a crease or fold in the shell which often leads to a rupture. This is not an urgent issue as it is not dangerous to your health from our current knowledge base. Do not hesitate to contact a board-certified plastic surgeon and discuss detailed information on the procedure you want to get. Best of luck! #RealSelf100

Traditional saline implants are notorious for rippling especially if not filled adequately. Ideal implants filled within the factory guidelines ripple much less. In a thin to moderately thin patient they area an excellent option.

Ideal implants are designed to be filled with certain volumes.  The posterior chamber is always filled to the same volume and the anterior chamber is tilled to either "high" or "100%" For example, a 335 cc Ideal implant is "high" at 335 and "100%" at 375.  The added volume increases the profile/projection of the implant to be more like a high profile implant but does not seem to affect the side of the implant and ripples.  So in my mind, the decision to fill to high or 100% is based on the desired profile and not to decrease/increase ripples.  I have had the experience now of replacing a few patients older deflated saline implants with the Ideal implant and they do find the Ideal to be much softer and more natural and with less ripples than the traditional saline.  
The geometry of the Ideal implants is designed to work with specific volumes so overfilling is not recommended by the manufacturer.  

Like traditional saline implants, I typically overfill Ideal Implants to reduce rippling.  This is especially important in people with thinner tissues and smaller breasts.

Thanks for your question! Yes, filling the implant (or any implant for that matter) to the upper limits will help minimize rippling. However, the Ideal Implants are "structural" in that they can maintain a smooth outer rim even at lower fill volumes. It's a great option! Best wishes

but when done on table, they certainly appear to do the opposite.  If you're that worried about rippling, why not consider the gel implants such at the Xtra style by Mentor or textured anatomic implants as both are known to have the least amount of intrinsic rippling.  Overfilling can also void warranties so make sure you're not throwing your warranty down the toilet by overfilling.

Yes, overfilling slightly or really taking the implant to its maximum volume will reduce the risk of rippling. This is also true with ideal implant. But keep in mind rippling is very  uncommon overall. I would talk to your board-certified plastic surgeon who can evaluate the amount of tissue you have and then advise you as to the type of implant and how much it should be filled. Best of luck! Dr. Boschert