Are Gummy implants suppose to move?

Question

I had a breast implant revision ans switched out my for 575 gummy implants. I notive that my implants move alot is this normal Im 7 months post op and feel like they move so much not my saline implants.

Robert M. Lowen, MD · Answer

Dear Giving,
  If I understand correctly,  you had saline implants and switched out to 575 gummy implants and you feel that your new implants move a lot.  Not sure if this is bothering you, but it is different enough that you are curious.  
   There are different kinds of saline implants, the commonest being a smooth shell single lumen implant.  There are also Ideal/Serene structured saline implants, also smooth, with a front and back lumen. Gummy implants are silicone and most likely smooth shell also, these days, in the United States.
   I really have no idea why you feel more movement, but perhaps it relates to the fact that current gel implants are malleable, meaning they change shape according to position and from external pressure applied to them.  On the other hand, single lumen saline implants are filled, usually, with 10% or more saline than their lowest  volume, sometimes more.  This makes them stiffer, more ball-like, and not very malleable,  so they resist being moved around in the pocket.  This is my supposition based on knowing how they feel, compared to gel implants.  Current silicone implants are all considered "gummy"  since the term is loosely applied to all cohesive gel implants.  The cohesiveness varies between manufacturers and styles, but is particularly applied to implants that when cut in  half the gel does not flow, but stays in place.  Textured anatomic implants are meant to adhere to the pocket so they do not turn or flip out of a vertical position.  Breasts with these types of implants "move", but the implants don't.

Daniel Barrett, MD · Answer

Dear Giving209215,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Generally speaking, the implants should be able to move around a bit in your breasts. However, please see your surgeon to make sure that the movement is within a normal range.

Athanasios Christopoulos, MD · Answer

Dear Madam,
Thank you for your interesting question. Since seven months have passed, the result of your breast augmentation is now complete. What you are experiencing is likely due to the pocket being larger than the implant. This may be related to the fact that you underwent a revision augmentation, and the pre-existing pocket is too wide for the implant that was placed.
Of course, one cannot say anything for certain without a physical examination. Your operating surgeon is the most qualified person to provide a definitive answer on this matter. In any case, there is the possibility of correction. However, I do not believe this can be resolved without some form of invasive procedure.

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. It is hard to determine whether the movement is excessive without an examination. You should discuss this with your surgeon. Your pocket might need tightening. 
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Donovan Rosas, MD · Answer

Cohesive gel?…Form stable?...Gummy Bear?…what do these terms have in common? With the recent introduction and FDA approval of the next generation of devices, the attention of patients, physicians and the media has been focused on these terms. While these devices have certainly captured the public’s attention, an in-depth understanding continues to evade most.

Following the FDA moratorium on the use of silicone gel filled breast in 1992, “cohesive gel implants” were introduced to the market. How do these devices differ from their predecessors? The silicone gel of a cohesive gel implant is firmer (via the addition of proprietary cross-linker). The greater the cross-linking the firmer the device will feel. The result is a filling that doesn’t leak when the shell is compromised in the way that a traditional liquid does. This quality is best illustrated when cutting a device in half…it doesn’t yield a gooey mess but instead two stable halves.

Generally speaking today’s silicone implants are all “cohesive gel implants.” This broad term has been inappropriately applied to the next generation of “highly cohesive gel implants.” However, the recent media attention on “cohesive gel implants” is not warranted and is in fact misplaced.

These newest devices to reach the market are form stable implants.  These higher strength silicone gel implants were approved by the FDA in March 2012. They contain a more “highly cohesive gel.” This increase confers upon these devices the ability to maintain shape irrespective of position. This quality has earned them the informal nickname of “Gummy Bear” implants. Imagine cutting into a gummy bear candy and the effect is the same.

In general, traditional silicone implants are preferred over saline implants by many patients and surgeons for their more natural feel. As when making decisions about any form of surgery, patients should have an in-depth consultation with their board certified plastic surgeon before selecting the type of implant to use. While form stable anatomic implants are newer, they may not be suitable for all patients.

Are Gummy implants suppose to move?

Answers (6)

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