Gummy bear silicone breast implants
New silicone breast implants
It has now been six years since silicone breast implants have been back on the market in the US after a hiatus of nearly 15 years. The scares about silicone breast implants for breast augmentation causing health problems related to autoimmune diseases have been proven false.
Why silicone breast implants
I have written about breast enlargement with silicone implants in the past. I have also written about gummy bear breasts implants when they were first being experimented on my blog the cosmeticplasticsurgeon.com. Now, finally, they are available for all board certified cosmetic plastic surgeons to use.
In 2012 over 70% of breast enlargements were performed by plastic surgeons with silicone implants and 30% with saline implants.The reasons for use of silicone breast implants instead of saline breast implants depend on many factors including;
◾plastic surgeon preference
◾patient tissue thickness
◾need for MRI of implants
◾size of implantation scar
◾Feel of implants
Old and New silicone implants
The “old-standard” silicone breast implants are made with a silicone gel that has a certain fluidity. These days the silicone breast implants are not like the early day implants that had liquid silicone gel in them. Once ruptured, the silicone gel flowed all over . The current silicone gel used in breast implants has the consistency of silicone used for caulking! It holds its shape but still moves around.
The newest form -stable silicone breast implants made by Allergan and Mentor corporations have the consistency of gelatine or “Gummy bears”. You can cut the implants but they maintain their shape.
Differences of Gummy bear implants
As opposed to regular silicone implants the new form-stable silicone breast implants or “gummy bear “ breast implants have several differences to be considered.
These are critical when using the new silicone implants and size of the chest , thickness of the skin and shape of the breasts will determine if the patient is a candidate for the use of the gummy bear implants. Many patients are not candidates for this implants but are candidates for standard silicone implants.
Shape of breast implant
The new implants have a tapered shape being thinner at the top.
Size of breast incision
For the new gummy bear implants the size of the incision has to be at least 2.5 inches to prevent fracture of the breast implant during insertion into the chest wall.
Size of breast pocket
As opposed to a normal silicone breast implants that moves freely within the created breast pocket, the gummy bear implants are designed to stay in place and not move other than by the natural compression of the implant. The pocket is thus much smaller.
Texture of breast implant
The Gummy bear implants have a textured implant to prevent rotation or movement of shaped implant. After surgery the implant will not move down.
As opposed to regular silicone implants that require massage of the breasts, the gummy bear implants should not be massaged.
The new Gummy bear implants will have a very specific use in a limited number of cosmetic plastic surgery patients interested in breast augmentation but may find more use in reconstructive patients. There are few reasons I see for changing to the new implants other than a possible decrease in rupture rate of the implants. I’ll wait and see what happens for now though I already passed the exam to use them.
Morad Tavallali, M.D., FACSCosmetic Plastic Surgeon
Washington DC, Northern Virginia, Maryland