I was wondering if I should go with Round gummy bear silicone or round cohesive liquid ones. And also, should I go with Textured or smooth? What are the pros and cons for this?
Would Gummy Bear Silicone Gel Be Firmer and Harder Than Cohesive Silicone Gel?
Doctor Answers (4)
The only silicone implants that are available are the cohesive gel implants. The true gummy bear implants are not available and yes if they were they would definitely be firmer. The cohesive gel implants are soft and very natural feeling with less chance of palpability and wrinkling.
Gummy bear vs. round breast implants: which is better?
All silicone gel-filled breast implants on the market today have a cohesive gel fill, meaning that it is a semisolid mass like gelatin so it doesn't flow out if the shell has an opening. Gummy bear implants (Mentor CPG, Allergan style 410) are shaped, in various versions of a teardrop profile and an oval base, and are heavily textured on the surface so the body may adhere to them and prevent rotation (this occurs sometimes anyway.) Round implants can be either smooth or textured, and the gel is softer than in the gummy bear implants. The gummy bear implants are not FDA-cleared and not available in the U.S. outside of a clinical trial. It is important to note that round implants naturally settle into a teardrop profile in the upright position, identical to shaped implants except that they also round out like natural breasts when lying down.
Gummy bear implants vs cohesive gels
All the gel implants in the US are considered cohesive gel implants. That means the gel is thicker and holds together better if an implant ruptures. The Gummy bears are not yet available in the US. How soft an implant feels depends on:
- How much breast, fat and muscle is between the implant and the feeler.
- Whether or not the patient develops a capsular contracture.
- How squishy the implant is.
If 1 and 2 are the same, a less squishy implant (gummy bear) will be more firm than a more squishy (cohesive gel) implant.
Lisa Lynn Sowder, M.D.