Breast Implants

Breast Implants: Saline vs. Silicone vs. Gummy Bear

Selecting the right breast implant is a critical step in breast augmentation. Saline, silicone, and gummy bear implants each have unique characteristics, advantages, and considerations. Understanding these differences helps you make a confident choice that aligns with your goals and body type.

Saline Breast Implants

Saline implants feature a silicone shell filled with sterile saltwater. They are FDA-approved for women 18 years and older for augmentation and all ages for reconstruction.

• Pros:
  • Smaller incision possible because they can be filled after placement.
  • Even firmness and predictable shape.
  • If ruptured, the saline is safely absorbed by the body.
• Cons:
  • May feel firmer and less natural than silicone.
  • Rippling may be more noticeable, especially with minimal breast tissue.

Silicone Breast Implants

Silicone implants contain a cohesive silicone gel that closely mimics natural breast tissue. FDA-approved for women 22 and older for augmentation.

• Pros:
  • Soft, natural feel.
  • Less visible rippling than saline implants.
• Cons:
  • Requires a slightly larger incision for placement.
  • Higher cost than saline.
  • Ruptures may be "silent," detectable only through imaging.

Gummy Bear (Form-Stable) Implants

Gummy bear implants are filled with a highly cohesive silicone gel, making them firmer and form-stable. They maintain shape even if the outer shell is compromised.

• Pros:
  • Preserve teardrop shape for a natural contour.
  • Reduced risk of gel leakage.
  • Stable shape over time.
• Cons:
  • Larger incision needed due to firmer consistency.
  • Higher cost than both saline and traditional silicone implants.
  • Placement requires specialized surgical expertise.

Comparison Table

Feature	Saline	Silicone	Gummy Bear
Feel	Firm	Soft, natural	Firm, stable
Incision Size	Smaller	Larger	Larger
Rupture Risk	Low	Low, silent possible	Very low
Cost	Moderate	Higher	Highest
Natural Look	Moderate	High	High, teardrop shape

Factors to Consider When Choosing Implants

• Desired appearance: Do you prefer a natural look or more fullness?
• Body anatomy: Amount of existing breast tissue can affect implant choice.
• Incision preference: Consider how much scarring is acceptable.
• Budget: Costs vary among implant types and may influence your choice.
• Lifestyle: Active individuals may prefer implants that maintain shape during movement.

Discussing these factors with a board-certified plastic surgeon ensures that your choice aligns with your goals and body type.

Final Thoughts

Choosing between saline, silicone, and gummy bear implants is a personal decision. Each option offers benefits and considerations that should be weighed carefully. A consultation with an experienced plastic surgeon helps you understand which implant type will best meet your aesthetic goals while maintaining safety and comfort.

Dr. Michael Cohen, MD, is a leading plastic surgeon based in Newport News, VA, serving the Williamsburg and Hampton Roads areas. Located at 895 City Center Blvd, Suite 300, he offers expert procedures such as breast augmentation, liposuction, and tummy tucks. Known for personalized care and natural-looking results. Call 757-290-8987 for consultations.