Would Gummy Bear Silicone Gel Be Firmer and Harder Than Cohesive Silicone Gel?

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?

Doctor Answers 5

Silicone implants

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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?

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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.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

Gummy bear implants vs cohesive gels

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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: 

  1. How much breast, fat and muscle is between the implant and the feeler.
  2. Whether or not the patient develops a capsular contracture.
  3. 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.


Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 77 reviews

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Would Gummy Bear Silicone Gel Be Firmer and Harder Than Cohesive Silicone Gel?

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Thank you for the question. All currently FDA approved silicone gel breast implants are “cohesive”.  This “cohesiveness” makes it so that the silicone material is less likely to leak, if/when there is a failure of the surrounding shell.

The “gummy bear” silicone material is a  more dense material chemically.  The term “gummy bear”  has been  used, almost as a slang term,  to encompass all silicone gel breast implants; thus the confusion. None  of the types of breast implants you mention are necessarily “better”; there are pros/cons associated with each type of implant.

 Every patient who presents for breast augmentation surgery has a different body type, different goals/concerns, and potentially a different “mindset” when it comes to the best breast implant for her. It is, therefore very important to individualize each patient's care.

Breat augmentation, breast implants

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The implants that are currently available have a cohesive gel but are not the imp,ants that are commonly referred to as cohesive gel implants. Those are the gummy bear implants which are mentor cog and allergen 410

David L. Abramson, MD
New York Plastic Surgeon

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.