Will Rippling Be Fixed with Larger Implants?

Silicone implants tend to ripple less than saline implants.  Textured implants tend to ripple more than smooth implants.  Implants above the muscle tend to ripple more than implants under the muscle.  Therefore, I would definitely go below the muscle with smooth silicone implants, and if the rippling is at the bottom of your breasts, then placement of an acellular dermal matrix (ADM) should eliminate the rippling. 

A larger implant unfortunately can lead to traction rippling, and therefore I think placement of a larger implant would not be a good idea. 

Dealing with rippling can be a difficult issue.  Silicone gel implants (especially form stable if available) are a great first step in decreasing visible rippling.  Another option is placing the implant in a different pocket.  Often placing in a submuscular position will help due to muscle coverage.  If the rippling still occurs despite muscle coverage or occurs in an area where muscle coverage is not possible, acelluar dermal matrices (ADMs) are a very good option.  Several options of ADMs exist and some are very thick.  The downside is the expense of these materials.  Sometimes increasing the size of the implant can help with rippling.  But there is a significant drawback with going to larger implants.  The larger implant will stretch your tissues further and eventually thin them more.  This will lead to possible visible rippling again in the future as well as other problems such as ptosis (drooping) of the breasts.