Will Ideal implants prevent rippling?

Question

I am very thin. Approx. 5 "4" 105lbs and am a B cup. I am interested in Ideal implants. My main concern is visibility and rippling. Will the ideal implant prevent that?

David J. Wages, MD · Answer

Thank you for your question.  All implants, whether saline, silicone or the newer structured ideal implants will have ripples.  The only way any implant will not ripple is if it is overfilled beyond manufactures recommended fill (this also voids the warranty).  One's body tissues outside an implant hide these ripples.  The trade-off of ripples is an overfilled implant that is hard.  If an implant is to be soft there will be ripples.  This is normal.  The structure design of the ideal implant minimizes tendency for ripples but can not eliminate all ripples.  Ripples on an implant outside the body on a table and in the body under the muscle are two different issues.  Once an implant is in the body and under the weight of the breast and muscle there is much less chance of ripples.  One needs to understand the tradeoffs of an overfilled implant without ripples is significant firmness and voiding of the warranty of the implants.

Jed H. Horowitz, MD, FACS · Answer

Good day! For your guidance, rippling usually occurs when there is not enough tissue coverage or when the implants are excessively large, relative to the patient’s breast and breast tissues, or with textured implants placed above the breast muscle. Saline implants are generally at greater risk to develop rippling that silicone. Patients with extremely thin tissues may require adjustment of the pocket size and adding support with Acellular Dermis or other tissue substitutes (biological fabrics) can help with this.  
It is best to have an in-person examination to a board-certified plastic surgeon that has extensive experience with this kind of implant and discuss realistic goals and expectations. Best of luck! #RealSelf100

John L. Burns Jr., MD · Answer

The baffold multi chamber design of the Ideal Implant will greatly diminish visible rippling as compared to traditional single chamber saline implants.

Steven L. Ringler, MD, FACS · Answer

Thank you for your question. I have been using Ideal Structured Saline Implants for 16 months and have not seen any rippling in any of my patients. Based on the internal structure of these implants, I believe they are less likely to wrinkle than other implants on the market. Most implants tend to scallop or fold along the shoulder  or edge of the implant, particularly when up against a curved platform like the chest wall. Ideal implants do not do this because of the inherent design. Regardless of the type of implant, there still my be a chance of what is called a traction wrinkle, due to the weight of the implant stretching the adjacent scar tissue capsule that forms around the implant. I hope this is helpful.Good luck.

Jane M. Rowley, MD · Answer

The Ideal implant has almost no rippling so it is an excellent choice for someone who is thin.  The baffled design of the implant prevents rippling and gives the implant a softer, more natural feel. I have been very pleased with the results. Good luck, Jane.

Eric Desman, MD · Answer

Ideal implants are generally a good choice for someone with your body build/tissue characteristics. The internal baffles provide the support for this "structured" implant. This will decrease your risk of rippling. In addition, nearly all of my patients use a bi-planar pocket to decrease capsular contracture rates further (Ideal has lowest rate anyway) and to help decrease rippling. Good luck.

Luis A. Cenedese, MD, FACS · Answer

All implants exhibit some degree of rippling.  Due to the design of the Ideal implant they ripple less than saline filled implants but not gel filled.The look of a breast after augmentation has mostly to do with the size of the breast, size of the implant, the placement of the implant (submuscular vs subglandular) and lastly the shape of the implant.
The smaller the implant, the deeper it is placed and the more breast tissue that the patient has the more natural the appearance and feel of the augmented breast.
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decsions.

David F. Pratt, MD · Answer

Ideal Implants are a good choice for a lean patient such as yourself, since they have a “structured” design, which means the outer shell is more resistant to visible caving and rippling than the shell of a traditional saline implant.  I would most likely recommend that you go submuscular in order to give better coverage of the upper portion of the implant which is the area most likely to have visible irregularities.  Another important point is to not use an excessively large implant, which will tend to stretch out and thin the overlying soft tissues and skin, leading to a higher likelihood of contour problems.
I hope that I have answered your questions satisfactorily.  Good Luck!

Sutton Graham II, MD · Answer

You are right to be concerned about rippling (visible waviness of the implant under the breast and pectoral muscle).  This is more commonly a problem in very thin women with little natural breast tissue.  The IDEAL implant was designed to reduce this issue and seems to be succeeding.  This implant has other advantages over silicone implants.  However we see women of various body types and various implant types, and some of the develop rippling with well done prior augmentation surgery.

Will Ideal implants prevent rippling?

Answers (9)

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