Cohesive breast implants are different From saline and silicone implants.
Cohesive breast plants are commonly referred to as gummy bear implants because the gel that is used in the implant is more cohesive, less liquid-like and far more solid than silicone gel implants. The cohesive breast implant was invented in the early 1990s. However, the FDA has yet to approve its use in the United States.
Background
The cohesive breast implants were designed with the purpose of making an implant that was a more predictable and attractive shape, which would be maintained, as well as longer-lasting than previous implants.
History
Since 1992, the standard breast implant in the United States has been the saline-filled implant. Prior to that, silicone gel implants were popular. Cohesive implants are different from silicone gel because they are soft and solid but firmer. The cohesive implant, even if cut in half, maintains its shape and does not move greatly.
What Cohesive Means
The name "cohesive" is used because these implants reportedly maintain their shape regardless of what position a woman and her breasts are in. The shell of the implant will not fold.
Advantages
According to Cohesiveimplants.com, the advantage of this type of implant includes the fill not shifting from one area of the shell to another. The shell will not fold or collapse and these implants maintain their shape and are not subject to forces of gravity as are non-form stable fillers such as standard silicone or saline. The cohesive implant is less likely to leak than other implants. It appears that scar tissue occurs less frequently when using cohesive implants although a lot more research needs to be done on this topic.
Disadvantages
The disadvantages of the cohesive breast implant include the expense. They are more expensive than saline or silicone implants. Some women may not like the teardrop shape of the cohesive breast implant, which does not look like the grapefruit type of breast that we see so many Hollywood starlets sporting, and which are extremely unnatural looking but are nevertheless very popular. The cohesive implant feels firmer than old style silicone gel implants and the incision size will be larger because these implants are not deformable and can't be squeezed through a tiny incision. The incision will be approximately 2 inches. The incision can be made either underneath the breasts, around the areola or in the armpit.
Other Risks
Because these implants are designed to be anatomically correct, they project more on the bottom side than they do on the top. If the implant should rotate, it could end up in a distorted look. If this should occur, the implant needs to be removed and replaced with a round implant.
Because the gel is nearly solid, it can crack. If there is excessive manipulation of the breast implant outside of the body, cracking can occur.
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