What looks more natural and what is the difference between gel, gummy bear or silicone?

im a size 32 A, 115 LB, 30 years old. looking to get breast augmentation.

Doctor Answers (8)

The answer depends on your surgeon, your goals and your anatomy.

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Typically, “gel” and “silicone” refer to the same type of implant: the standard silicone gel implant. Silicone gel looks and feels more like breast tissue than saline does, and it has the consistency of jelly. Gummy bear implants, technically called form-stable implants or highly cohesive silicone gel implants, are also filled with silicone. However, as the name implies, the texture is firmer than standard silicone gel. Gummy bear implants only come in an anatomical shape. I think the gummy bear implants look and feel very natural, especially for reconstruction, but silicone gel can look and feel terrific too, depending on your existing breast tissue and your cosmetic goals.


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 4 reviews

Gummy bear implants

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Silicone, gummy bear, and gel implants all refer to the same type of implant, your basic silicone gel filled implant.  Now there are different types of silicone gel implants, but the term gummy bear does not refer to any specific implant.  It's a general term which applies to all silicone gel. Some surgeons have just started calling them "gummy bear" for marketing purposes.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 9 reviews

Different gel implants

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Silicone - a particular form of soft silicone - is the material used in all gel implants.
The gummy bear implant (not its real name which is Cohesive Gel) is what is called a form-stable implant. The gel feels natural, holds its shape, needs less surgical dissection to place and if cut - self-seals so gel does not get into your tissues. It is made by Sientra. And is a very good implant. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.5 out of 5 stars 21 reviews

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Silicone Gel Gummy Bear Info

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They are all silicone. The gummy bear is made by Sientra and is the newest breast implant in the U.S. Market. It's a really nice soft but stable implant. The company is also very responsible, reliable, and only sells to board certified plastic surgeons. I prefer the Sientra implant. 

Justin Yovino, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 32 reviews

Silicone implants

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Silicone gel implants can be form-stable( gummy bear) or cohesive gel implants. They are both gel.  Both are good implants and patients choose different ones based upon personal preference.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast implants

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Good question.  First, it's easiest to separate implants into two categories: silicone gel or saline.  All three terms you've described above refer to the silicone gel variety.  The type of silicone gel used is highly cohesive, which means it acts more like a solid than a liquid, and for this reason many people call it a gummy bear implant.  Like a gummy bear, if you cut it in half, you can't squeeze out the inner gel.  This is the way the new silicone gel implants work.  Between a silicone gel and saline implant, the gel will always look, feel, and act more like natural breast tissue.  For the most natural look, Sientra makes a fantastic anatomically-shaped silicone gel breast implant.  Hope this helps!

Kyle Song, MD
Irvine Plastic Surgeon
5.0 out of 5 stars 12 reviews

What looks more natural and what is the difference between gel, gummy bear or silicone?

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I would say that there are differences in rippling and feel among these implants as well as many other considerations.  This really should be discussed in depth during a consultation.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 203 reviews

Which looks more natural, memory gel or "gummy bear" implants?

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This question is being asked more and more.  There are many factors that go into what has the most natural look and there no one implant that is superior than another.  The size of your breasts, shape, weight, skin tightness of the breasts are some of the factors which must be considered when trying to decide which one is best for you. The memory gel implant is the most commonly used silicone implant and is softer and a more natural feel than saline.  The "gummy bear" implant is called a form stable implant and is anatomically shaped and more firm and in my opinion does not seem to give as good as result in very thin women.  It does require a larger incision and needs to be placed with more care to get a good result.  Talk with your plastic surgeon to determine what is best for you and listen carefully to what advice you are given.

John D. Smoot, MD
La Jolla Plastic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.