What are Cohesive Gel Breast Implants?

The standard implant in the United States since 1992 has been saline-filled implants. Before these became the standard, silicone implants were popular. However, due to safety concerns, the U.S. banned the use of silicone implants. Cohesive breast implants are now available in the U.S. as a study which is open to patients who would like to receive these implants and that are willing to undergo follow-up for the next 10 years.

View before and after breast augmentation photos.

A cohesive implant is similar to other silicone implants. The major difference is that the silicone in cohesive implants is much thicker, making it more cohesive. If a cohesive implant is cut in half, the silicone filling will retain its shape and won’t leak. Cohesive implants have been called “gummy bear implants” because of the consistency of the gel. The firmness of the gel also reduces the risk of leakage in the event that one of the implants would rupture. There has only been one reported case of a cohesive implant rupturing. Therefore, it is difficult to say exactly what will happen if these rupture.

Cohesive implants are favored because of their ability to maintain shape. The firmness of the gel allows the implant to keep its shape regardless of movement or the effects of gravity. This also ensures that the shell containing the gel will not fold and cause an abnormal shape. Cohesive implants not only maintain their shape, but they also last much longer than other implants because of their durability.

The term “cohesive” is mistakenly being used to describe regular silicone implants. And, all silicone implants are cohesive to some degree. However, it should be noted that not all silicone implants have the unique characteristics of cohesive implants. So, when a patient decides on cohesive implants, she will want the qualities, such as firmness, shape retention and long-lasting durability that sets cohesive implants apart from other implants.

Cohesive implants are unique not only because of the semi-solid gel inside them, but they are also unique because of their tear-like shape. They are shaped this way because the gel inside makes them firm and able to hold their shape. Therefore, it is natural that they would be anatomically shaped which will give a more natural and beautiful appearance. These implants are also contain a textured surface. This causes friction with the surrounding tissue and reduces the risk that the implant will rotate. Obviously, if it were to rotate, given its ability to maintain shape, it would cause an abnormal shape.