Does highly cohesive implants look fake?

Question

I chose Natrelle cohessive now im worried they will look to fake. Dose the cohessive level make a diffrince in fake or naturel look? I do want upper pull fullfess but i dont want fake balls coming out of my neck.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Highly cohesive implants have nothing to do with how "fake they look" highly cohesive is a description of the silicone molecules inside the implant. The type of profile you use determines the look you desire. So highly cohesive moderate profile vs high profile can give you two different looks. I would suggest bringing in wish photos of women with a similar physique as you.

Gerald Minniti, MD, FACS · Answer

In and of itself, highly cohesive implants don't necessarily look fake. When combined with increase shell fill (like Natrelle Inspira implants), a higher implant profile, a larger implant volume, and a thinner soft tissue envelope, the result will likely look unnatural. It's not a simple formula and unfortunately only the surgeon can help guide you.

Daniel Barrett, MD · Answer

Dear amj1104,
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

Finny George, MD · Answer

Hi, thank you for sharing your question. The cohesivity of the gel does not impact the projection. It describes the cross linking between the silicone.

Connie Hiers, MD, FACS · Answer

What makes implants look fake is going too large for your frame and tissue and/or placing the implants just behind the breasts in women with little breast tissue.  The cohesiveness is related to how soft the implants will feel.

Does highly cohesive implants look fake?

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Does highly cohesive implants look fake?

Answers (10)

Answer: Breast implants

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Everything you need to know about Breast Augmentation

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