Cohesive Gel (aka Gummy Bear) Implants Gainesville FL

Making the decision to undergo breast augmentation surgery isn't the only major decision you'll make — you'll also need to choose the type of breast implant. Saline and silicone breast implants are the most-known types of breast implants, but there are other options.

Cohesive gel breast implants are comprised of a thicker silicone that allows the implant to keep its shape even when it’s cut in half. The “gummy bear breast implant” term was coined by Dr. Grant Stevens of Marina Del Rey, Calif., who says the implants are a better alternative to saline-filled or other kinds of silicone implants.

Cohesive gel implants, also called form stable implants, were introduced in 2012 by Sientra and approved that same year by the U.S. Food & Drug Administration.

Advantages of “Gummy Bear” Implants

Cohesive gel implants retain their soft, almost-natural shape and texture so they are more resilient and, if a rupture occurs, there is less of a chance for misshapen or sagging breasts to form. These highly cohesive implants are very strong so that they can keep their shape, but they are also incredibly soft, so they feel more like natural breasts. Many women prefer these types of implants over saline-filled implants due to the way the feel under the skin and to the touch. Saline-filled implants can sometimes feel harder than silicone implants.

Cohesive gel implants also come in both of the shapes used in the industry — round and teardrop shaped. Generally, breast implants are round for a perky breast look or teardrop shaped for a more natural look. Round silicone gel implants also provide a fuller look at the top of the breast, which provides for fuller cleavage. Form stable implants are perfect for a teardrop shape because of how sturdy the implants can be. They can create natural looking breasts without women dealing with the feeling of water under their skin or worrying about sagging if a rupture occurs. Both types of “gummy bear” implants are available in a variety of shapes and sizes so that they can better fit each woman’s desired look.

We often recommend “gummy bear” implants to women because there is no saline involved. This means that should a rupture occur, the implant will not deflate like a saline-filled implant. Another important distinction is that cohesive gel implants do not allow the silicone to be absorbed into the surrounding muscle and fat which happens when other silicone implants rupture. And there is no threat of folding or rippling of the implant due to its form stable nature.

Are There Disadvantages to Cohesive Gel Breast Implants?

All breast reconstruction and augmentation procedures involve even minimal risks. Form stable breast implants carry some of the same risks as other implants including infection, soreness, and scarring. However, there is only one risk that is unique to cohesive gel breast implants — implant rotation. If the implant rotates under the skin, especially a teardrop shaped implant, then the breast can become misshapen. Some tenderness or pain could develop depending on how much the implant has moved. This is different than other implants which let gravity help smooth out the shape. The “gummy bear” implants hold their designed shape, so if they are turned upside-down, the gel does not get redistributed.

Due to the gel’s thicker consistency, it is often necessary for surgeons to create a longer incision for insertion. While this is unique to cohesive gel implants, there is no additional risk to a longer incision. Some pain or discomfort due to the long incisions is common and usually temporary.

As you can see, the breast augmentation and reconstruction industry continues to make strides to keep up with the demand for implants that mimic natural breasts. “Gummy bear” breast implants are a big step forward toward reaching that goal. As with any breast plastic surgery, you’ll want to discuss your needs and expectations with Dr. Poser to ensure you’ll be happy with your new implants.