Cohesive Gel Breast Implants


The Cohesive Gel Breast Implants is one of the new “modern implants”.  The implants, also known as the “gummy bear implant”, is a device whose fill is comprised of highly cross-linked, viscous silicone gel.  Unlike silicone gel from the early 1990s, the cohesive gel implant is not a liquid and is much more like a “gummy bear” or Jell-O®, in that if it is cut in half it simply stays there.

Procedure Details

What are the incision and pocket options for Cohesive Gel Breast Augmentation?

The cohesive gel breast implants have a shell around the cohesive gel that is made of highly-vulcanized and cross-linked silastic. The cohesive gel implants come in a whole range of sizes and shapes, both teardrop and round and by using the VECTRA 3-D breast imaging station, you will be able to select the best possible cohesive gel breast implant for your breast volume and shape goals.

Cohesive Silicone gel Breast Implants (gummy bear breast implants) come in a variety of sizes and shapes, from round to tear dropped.

Cohesive Silicone Gel Breast Implants (gummy bear breast implants) come in a variety of sizes and shapes, from round to tear dropped.  The cohesive (“jello-like”) cross-linked nature of these breast implants makes them very popular as these don’t tend to ripple nor (visible creases) leak and feel more natural than saline or the older more liquid silicone gel breast implants.

The implants are generally placed through and under the breast, as they are moderate-to-large in size and will not fit through a tiny armpit, areolar or belly button incision. However, if you are selecting a cohesive gel implant that is under 290g, these are small enough for a stealth endoscopic trans-axillary (armpit) approach to be possible.

The various breast implant insertion incisions. The Trans-axilary, Peri-areolar and Trans-umbilical are all more commonly used for the saline breast implant procedure, while the infra-mammary incision is most commonly used for the “Gummy Bear”, cohesive silicone gel breast implants.


Breast Implant pockets. A. Sub-glandular: the breast implant is under the breast gland but on top of the muscle. B. The Sub-pectoral pocket has the breast implant completely under the pectoralis muscle and C. The Dual Plane, which has the breast implant placed under the gland in the lower breast pole and under the pectoralis muscle in the upper pole.

Cohesive Gel Breast Implant Size and Shapes

The advent of the cohesive gel implant over the past ten years has greatly increased the satisfaction of patients undergoing breast augmentation, as they are not prone to leaking, excessive or visible rippling, or spontaneous deflation, as their saline counterparts were.  The cohesive silicone gel breast implant is the most popular implant used today and well over 95% of patients, given the option, will choose a cohesive gel breast implant rather than a salt-water saline implant.

Dr. Mulholland will review with you the breast implants that will likely give you the most natural balance in figure, shape and form.  However, at SpaMedica, you will also be able to select the specific implant that appeals to you the most with the VECTRA 3-D breast imaging station.

Patients who visit Dr. Mulholland can use the Vectra 3D imaging system to select preoperative the best breast implant size and shape for them.

Next Steps

Patients should fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.

Schedule a breast augmentation consult for cohesive gel breast implants with Dr. Mulholland today to start the process in achieving the ideal balance in figure. If you have any questions regarding your face and body treatment options, don’t hesitate to call us to schedule an appointment. Our SpaMedica Toronto office can be reached at 877-695-2835. Alternatively, you can book a consultation online.