Understanding silicone implant types - Which implants are cohesive?

Question

I’ve been trying to understand more about currently available silicone implants but am having a hard time finding the info. So I know there are 3 choices of silicone implants-very soft, soft, & highly cohesive (the exact names seem to vary from brand to brand). My question is-are ALL available silicone implants cohesive & they are just more or less cohesive? I sometimes only see “cohesive” & “gummy bear” used for the highly cohesive….so are the other two options NOT cohesive?

Daniel Barrett, MD · Answer

Dear Fishchick1972,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Understanding silicone implant types - Which implants are cohesive?

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Understanding silicone implant types - Which implants are cohesive?

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.