Gummy Bear Breast Implants vs Saline or Silicone?

You can read other answers for the fine details about all the differences between these three implants. Here, I’ve tried to help you by showing the decision making process, and how it takes you to one of these three implant choices. It works like a flowchart.
(FYI: “Teardrop,” “anatomic,” and “gummy bear implants” are all synonymous, they mean the same thing. Traditional silicone and saline implants are round.)
The most important thing is your personal beauty goals. All choices can give you a natural, beautiful look. Are you looking for a moderate or significant increase to your breast size? How much importance do you place on a proportionate over a “fuller” look?
A woman who wants a fuller look will probably go with round over teardrop shaped. A woman who wants a modest increase, and, stresses “natural and proportionate”, will probably like the anatomic implant better because it is more shaped like a woman’s breast.
If you choose anatomic, you are done. If you like the round implant more, then you get the question of saline or silicone. If money is not an issue, you will probably go with silicone because it has lower chances of a complication known as rippling.
If you are concerned about money, saline comes into consideration. Then the question becomes, do you have significant risk factors for rippling?
The less soft tissue that you have covering the implant, the more likely it is that it will be visible through your skin. Therefore, risk factors for rippling related to coverage of the implant are: low body mass index BMI (how thin you are), less breast tissue, and placing the implant over the muscle. (Many doctors now only place implants below the muscle for many reasons, eliminating this factor.) So if a patient is very thin and has little breast tissue, I would encourage silicone implants. If she has sufficient tissue to cover the implant, saline remains a viable option for her.
I hope that answers your question on gummy bear implants. It’s great that you’re doing this research. I always say that the best patients are informed patients.
You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?
A term that I use with my patients for the perfect implant is the “Pony Implant”.
So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.
Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.
And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"
That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.
This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.
Thank you for reading and best of luck on your journey!

Gummy Bear breast implants are a 5th generation highly-cohesive silicone gel implant.  What this means is that the silicone in the implants are no longer liquid, but a highly cross linked silicone which is like a gel.  Therefore, when one of these implants are cut in half, they do not leak and they maintain their form and shape.  If a rupture occurs, the silicone does not leak into the surrounding tissues or migrate to lymph nodes like older implants. Also, there is less chance of rippling with these types of implants because they keep their shape better.  They are a little more firm and that can be a drawback for some and an advantage for others.  There are round and shaped anatomic (tear drop shaped) gummy bear implants.  Saline implants do not look or feel as natural as silicone implants in the majority of cases. Seek a consultation with a board-certified plastic surgeon, by the American Board of Plastic Surgery, in order to discuss which implant is best for you. 

"Gummy Bear" breast implants are silicone gel implants.  The silicone gel in the "gummy bear" implants is more cohesive than traditional silicone gel implants, meaning there are a greater number of cross-linkages among the silicone molecules.  The greater cohesiveness of the "gummy bear" or cohesive implants allows them to maintain their shape better, thus giving breast implant manufacturers the option of more aggressively shaping the implants, so that, for instance, the lower pole of the implant can have more projection than the upper pole, thus avoiding the appearance of a "shelf" that can sometimes be seen in patients who have undergone breast augmentation.  The increased cohesiveness also means that silicone gel is less likely to leak from the breast implant should a tear occur in the shell surrounding the gel inside the implant.  However, because these "anatomic" breast implants are shaped and not round, they must be placed precisely in a tight breast pocket that prevents them from rotating off the midline, as this may make the breast look cockeyed or misshapen.  It is for this reason that most of the anatomic cohesive gel breast implants that we place in our patients have a textured shell that attaches to the scar tissue, or capsule, that forms around the breast implant, thus fixing the implant in place, and preventing its rotation