Silicone vs. gummy bear implants: I am currently a 34C with no upper pole.

There
is not a right or wrong answer here; the answer is based upon a multitude of
considerations that I, and the patient, can sort out easily in a few seconds after I have
examined the patient and discussed the pros and cons of each type of implant.
Women
who have traditional silicone implants report that they feel like a soft,
natural breast at a higher rate than women who have gummy bear implants.
A gummy bear implant will feel firmer and be less squeezable.  The more cohesive nature of the gummy bear
implants makes them a bit harder and necessitates a larger incision for
placement.  Some women are better suited for a gummy
bear round implant if the breasts lack superior pole
fullness. 
My
patients try on implant sizers in a sports bra of various shapes and volumes while
wearing a tight t-shirt, bathing suit, or other favorite garment from
their wardrobe.  Feeling the implant, and viewing various
profiles in the mirror allows them to determine the type and size that is
most pleasing and comfortable for them.  Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

I appreciate your question.

The size of implant is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.

Silicone will give you a fullness at the top (upper pole fullness).

Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.

Anatomic gummy bear implants might be a good choice to give you volume.

These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.

During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Dear ctomrun,that is a great question I get in the office all of the time.  Gummy bear implants are actually silicone implants but are a more cohesive type of silicone, kinda like a gummy bear.
Imagine cutting a gummy bear in half, nothing runs out of it, that is basically the same concept.  There are shaped and round gummy bear implants, both of which have their advantages and disadvantages. The important step is to find a plastic surgeon that can discuss with you which implant is right for you.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery