The "gummy bear" implants are silicone gel implants which are manufactured so that they are "form stable". The implication is that the gel cannot migrate if the external envelope is damaged by external trauma. I have implanted three women with "gummy bear" gels and they offered the following observations: 1) a larger incision is required for access; 2) the external surface is "textured" in order to prevent rotation; 3) the implants are "anatomical" or egg shaped; 4) the feel is slightly stiffer than gel implants; 5) the "high profile" variant fills the uppper pole of the breast, creating a more youthful appearance. Some experts who have greater series advocate the subfascial plane for these implants, as they may be used to nonsurgically correct lower pole droopiness.
Two of the three patients were post-mastectomy reconstructive patients. They are satisfied with the appearance and content with the "assurance" that their implants will not leak. The remaining "cosmetic" patient is dissatisfied with the firmness of her breasts, which she feels is more coomparable to her first set of saline implants.
The "gummy bear" gel implants were restricted, after the moratorium against silicone gel implants was lifted in 11/06. I am not sure when they will be available for general use, but remember, just because they are "new" doesn't necessarily mean they are "better". Good luck.
