Types of Implants

/Types of Implants
Types of Implants 2018-05-16T21:17:07+00:00

Saline vs. Cohesive Gel Implants

When it comes to choosing the right type of breast implant, there are many factors to consider, including:

  • Body Frame
  • Amount of Breast Tissue
  • Incision Area
  • Texture of Implant
  • Natural Feel of Implant

Saline implants have been used since the 1960’s but gained their popularity between 1992 and 2006 due to the FDA temporary ban on silicone implants. Saline implants consist of a silicone elastomer outer shell filled with a sterile saline solution pre-filled to meet size or filled during surgery.

  • Saline implants can be used for patients who have sagging breasts or have an adequate amount of breast tissue
  • The Saline solution would be absorbed into the patient’s system without harm if ruptured, but the breast would reduce in size and the shell would have to be removed
  • A smaller incision is possible with saline since the implants are filled with saline solutions after insertion
  • The Saline implant has the ability to be adjusted in the Operating Room and may offer some advantages for asymmetry or reconstructive surgery
  • Data now indicates that the saline implant has considerably more complications that the newer Cohesive Gel implants necessitating surgical replacement
  • Data also indicates that 50% of all saline implants will fail within 10 years.

Cohesive gel implants (frequently referred to as “Gummy Bear Implants” are filled prior to surgery with a silicone gel that is lighter, softer and more natural feeling than the saline.


  • Implant provides a softer and more natural feel and better movement
  • In the very rare instance of damage, the “cohesiveness” prevents leakage or migration of the gel
  • Maintains its shape (less chance of ripples or folding) over a longer period of time
  • The cohesive implant requires a slightly larger incision since the implant is prefilled
  • More versatile implant, especially for women with very low natural body fat
  • Replacement of the Cohesive implant is much less likely than the saline implant.  Many countries consider them “Permanent”