Cohesive Gel Breast Implants
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Cohesive Gel Breast Implants

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What are cohesive gel breast implants?

The cohesive gel breast implant is one of the new “modern implants”.  The cohesive gel breast implant, also known as the “gummy bear implant”, is a device whose fill is comprised of highly-crosslinked, 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. Cohesive gel is not liquid, is not “runny” or “gooey” and it does not leak.

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 crosslinked silastic.  Toronto Breast Augmentation patients see Dr. Mulholland for his experience in selecting the right procedure for them, whether that is an endoscopic trans-axillary (through armpit) sub-pectoral procedure or an infra-mammary approach, Dr. Mulholland has almost 20 years of excellent breast augmentation surgery outcomes. These cohesive gel implants come in a whole range of sizes and shapes, both teardrop and round and by using Dr. Mulholland’s 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.

Figure 1.  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 (visible creases) leak and feel more natural than saline or the older more liquid silicone gel breast implants.

Cohesive silicone gel implants generally placed through and under the breast, or infra-mammary fold incision, 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 a stealth endoscopic trans-axillary (armpit) approach is then 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 implantsA.

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.


Figure 2.  A.    Breast Implants can be placed through several different incision options and the breast implant pocket can be either B.  under the chest muscle  (pectoralis major) or under the breast gland and over the muscle.

How do I select the Size and Shape of my Cohesive Gel Breast Augmentation?

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 implant rather than a salt-water saline implant.

In your SpaMedica breast augmentation experience, 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.

vectra 3d breast imaging system

Figure 3.  Toronto Cohesive Gel Breast Augmentation patients who visit Dr. Mulholland can use the Vectra 3D imaging system to select preoperative the best breast implant size and shape for them.

How can I show Dr. Mulholland my concerns and see if I am a candidate?

Toronto cohesive gel breast augmentation patients should simply fill out the appointment request form or “ask a question” form and upload up to 3 photos for Dr. Mulholland to review.

How do I book a breast augmentation consultation?

Schedule a breast augmentation consult 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.


Cosmetic Surgery and Laser Skin Care Spa:
66 Avenue Road Suite 4
Toronto, Ontario M5R 3N8
Tel: 1-877-695-2835