Choosing the right breast implant is one of the most important decisions in the breast augmentation journey. Among modern options, silicone gel implants and cohesive gel implants are the most commonly preferred due to their natural feel and advanced safety profiles. Understanding the differences between these two implant types helps patients make informed, confident choices.
What Are Silicone Gel Implants?
Silicone gel implants are filled with a soft, viscous silicone material that closely mimics the feel of natural breast tissue. They have been widely used for decades and are known for delivering smooth, natural-looking results.
These implants adapt easily to body movement, making them a popular choice for patients seeking a subtle enhancement.
What Are Cohesive Gel (Gummy Bear) Implants?
Cohesive gel implants, often referred to as “gummy bear implants,” are filled with a firmer, highly cohesive silicone gel. This gel holds its shape even if the implant shell is compromised.
Their structured design provides consistent form and shape, making them ideal for patients who prioritize long-term contour stability.
Key Differences in Feel and Appearance
One of the main distinctions between silicone gel and cohesive gel implants lies in texture:
- Silicone gel implants feel softer and more flexible
- Cohesive gel implants feel firmer and maintain shape better
Patients with minimal natural breast tissue may benefit from cohesive gel implants due to their structural support.
Shape Retention and Long-Term Results
Cohesive gel implants are designed to retain their shape over time, even as the body ages. This makes them especially appealing for patients concerned about future sagging or deformation.
Silicone gel implants also age well but may adapt more to gravity and natural breast movement.
Safety Considerations
Both implant types meet international safety standards when used appropriately. Cohesive gel implants offer an added safety advantage, as the gel remains intact even in the rare case of rupture.
Regular follow-ups and imaging help ensure implant integrity regardless of type.
Ideal Candidates for Each Implant Type
Silicone gel implants may be ideal for:
- Patients seeking a softer, more natural feel
- Those with moderate existing breast tissue
- Patients prioritizing flexibility and movement
Cohesive gel implants may be better suited for:
- Patients with minimal breast tissue
- Those seeking enhanced shape definition
- Patients concerned about long-term shape stability
Incision Size and Surgical Technique
Cohesive gel implants are typically firmer and may require slightly larger incisions. However, experienced surgeons use advanced techniques to minimize scarring.
Your surgeon’s expertise plays a crucial role in achieving optimal results with either implant type.
Lifestyle and Personal Preference
Active lifestyles, body type, aesthetic goals, and personal comfort preferences all influence implant choice. Some patients prefer the softness of silicone gel, while others value the structure of cohesive gel implants.
The Importance of Professional Consultation
A thorough consultation with a qualified plastic surgeon is essential. Physical examination, body measurements, and 3D imaging can help visualize outcomes and guide implant selection.
Why Choose Badge Health?
Badge Health collaborates with accredited clinics and expert surgeons who offer a wide range of implant options. Patients receive personalized guidance to ensure implant selection aligns with their anatomy and goals.
Final Thoughts
Choosing between silicone gel and cohesive gel implants is a personal decision based on anatomy, lifestyle, and aesthetic expectations. With professional guidance and careful planning, both options can deliver beautiful, safe, and long-lasting results.