Which kind of implants have the least sagging over time? Saline, silicone or cohesive (gummy bear)?

Doctor Answers 5

Other factors should be considered instead

Sagging is not caused by the actual type of implants - it’s caused by other factors including:

implant placement inside the body
skin quality
implant size
breast shape before surgery

Therefore, you should consider these factors instead rather than whether they’re saline or silicone.

Implants and sagging

All implants can sag. It is more of a weight issue and the quality of the tissues as opposed to the type of implant.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Sagging after breast augmenation

All things equal, a textured implant adherent under muscle will sag less,  If the implant attaches to the under-surface of the pectoral muscle, it will be held up by the muscle and thus not sag over time.  That said, textured implants introduce several potential problems that make smooth round implants a more attractive option for most patients.

Michael Kreidstein, MD
Toronto Plastic Surgeon
4.7 out of 5 stars 29 reviews

Which kind of implants have the least sagging over time? Saline, silicone or cohesive (gummy bear)?

 Thank you for the question. There are many factors involved when it comes to if/when a patient will experience breast "sagging".  Factors such as genetics, pregnancies, weight gain/loss…may come into play.  The type of breast implant utilized during breast augmentation surgery however will NOT necessarily play a role.


 My best suggestion to patients seeking breast augmentation surgery: select your plastic surgeon carefully. Communicate your goals carefully as well. Working together you will come up with a good plan to achieve your desired outcome. Best wishes.

Which kind of implants have the least sagging over time? Saline, silicone or cohesive (gummy bear)?

The most important factors to avoid sagging of breast implants are:

  1. The skill of your plastic surgeon
  2. Placing the breast implant underneath the chest muscle
  3. Proper postoperative care.

Plastic Surgeons Feel That Textured Breast Implants Are Less Likely to Drop However Even Textured Implants Placed Incorrectly Can Bottom out.

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.