Cohesive Silicone Gel Breast Implants

It's no secret that most women prefer silicone breast implants over saline. In fact, according to the American Society of Plastic Surgeons, silicone is the implant of choice over 60% of the time. Women feel that silicone implants are more like natural breasts in terms of look, shape and texture. The main drawbacks of silicone breast implants are "silent ruptures" that could lead to additional cosmetic surgery to repair the breast. But now the FDA has approved a new type of cohesive silicone gel breast implants that are said to be safer because they will hold their shape and not "bleed" in the rare case of a rupture.

Advantages Of Cohesive Gel Breast Implants

These new cohesive silicone gel breast implants are sometimes called gummy bear implants because they are the consistency of the popular candy. The gel is thicker than the silicone that has been used previously and that allows the implant to retain or return to it's teardrop shape, making it look and feel more like a natural breast.

Cohesive gel implants also tend to last longer than other implants, not rotate or fold and stay in place better because of their textured surface. The fact that these implants are resistant to folding or rippling makes them less prone to rupture or causing capsular contracture. There have also been improvements to the shell of the implant, reducing the rupture risk even more. Even in the extremely rare case of a rupture, the silicone in these cohesive gel implants doesn't tend to migrate to other parts of the body.


The main disadvantage of cohesive gel breast implants is that they are pre-filled (as are all silicone implants) and can't be folded for insertion. This means that your cosmetic surgeon will have to make an incision that is a little bit longer than usual for breast augmentation. The longer incision means that it's better to have the incision site be under the breast in the crease or in the armpit.

Another disadvantage is that cohesive gel silicone breast implants cost more than other types of implants.

And while is isn't really a disadvantage, women considering cohesive gel implants need to have an adequate amount of breast tissue to cover the implant because of its more solid consistency. Implant placement under the chest muscle is also recommended.

The two largest manufacturers of breast implants are Mentor and Allergan, although a new company called Sientra recently had their silicone breast implants approved by the FDA for distribution. All of these companies market their own version of cohesive gel implants, so it's important to do some research on your own and talk with your cosmetic surgeon about which type will be the best fit for you.

Cohesive gel silicone breast implants may be the right choice for you if you're considering breast augmentation and want implants that are more naturally shaped, have memory form shape retention qualities and are resistant to ruptures and leakage.