If you’ve been considering having breast augmentation with Dr. Malamet, you know there are many decisions to make beyond just deciding to go forward — everything from size to incision location, shape to implant placement. And, of course, you’ll decide the type of implants.
Up until the last few years, that decision was between saline and silicone implants. But in 2012 a new type of implant entered your realm of options — the gummy bear implant. Since Dr. Malamet likes his patients to have as much information as possible, here’s the lowdown on gummy bear implants.
What is a gummy bear implant?
Gummy bear implants are filled with gel that is thicker, more cohesive, than traditional silicone used for implants. Because of its thickness, gummy bear implants maintain their shape. In addition to “gummy bear implants” they are also known as cohesive, form-stable, or highly cohesive. These terms denote the attributes of these implants made by three companies: Sientra, Allergan, and Mentor. Sientra has stopped production for the time being, as it is being investigated by the FDA for overseas manufacturing practices.
Cohesive silicone gel
In reality, all silicone implants sold today use a more “cohesive” silicone gel than implants from the 80s and early 90s. But to be gummy bear implants, only the most cohesive gel is used. To get an idea of the density, if a cohesive implant is cut in half, there is no gross movement of gel, and the implant maintains its shape.
Teardrop shape like the natural breast shape
The natural breast projects more at the bottom than at the top. Cohesive breast implants are shaped to match the natural breast. The teardrop shape is thinner at the top, filling out more at the bottom.
All gummy bear implants are textured. This texturing increases friction and helps keep the implants from rotating. This is very important because these implants are different at the bottom and the top, so maintaining their position is a necessity.
Although their production has been halted, Sientra (which was the first manufacturer of these implants) cites five years of study with its gummy bear implants. Here are some statistics.
- Over 98% rupture-free through five years
- Low rate (3.9%) of capsular contracture
- Zero reported incidences of implant rotation
You have to remember, though, that this style of implant is really still new, so there are no long-term studies about their durability. Like traditional implants, gummy bear implants can rupture, although the gel tends to stay close to the implant. Rippling is far less prevalent with cohesive implants than with traditional silicone implants, although this is usually related to how much tissue is atop the implant.
While you’re doing your research about augmentation, be sure to include cohesive gel/gummy bear implants. Call Dr. Malamet at 818-380-3130 if you have any questions, or if you’d like to schedule a consultation for breast augmentation.