Cohesive Gel Implants - Shape, Wrinkling, And Leakage

Cohesive Gel Implants - Shape, Wrinkling, And Leakage

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The general interest in cohesive gel implants is on the rise. American women are curious as to the benefits of this new type of implant. Will they maintain their shape for a longer period time when compared to silicone and saline implants? Are they less likely to rupture and or leak? Will they last longer than 10 to 12 years? These are great questions to ask your surgeon if you are considering cohesive gel implants.

There is significant data throughout Europe that helps answer the common questions regarding cohesive gel implants. However, the United States does not recognize this data.

Cohesive gel implants (commonly referred to as "Gummy Bear Implants") have been used without restriction throughout Europe and the rest of the world since the early 1990s. That is over a dozen years of use, research, and patient follow-up. Despite the extensive amount of data already available, the FDA is requiring a study to be performed similar in fashion to the extensive research performed on silicone gel implants which took 14 years to complete.

Considering the long term data available in Europe, what does the current information reveal about cohesive gel implants? The current data reveals information regarding shape, leakage, wrinkling and rippling, and even capsular contracture. Not too mention implant longevity. Please understand that the below information is not based on conclusive data provided by the FDA.

Do cohesive gel implants maintain their shape throughout their lifespan? Or do they lose form just as easily as silicone gel implants and saline implants due to gravity, time, and the body?

It appears that cohesive gel implants do maintain their shape regardless of time and gravity. This allows them to impart their shape upon the breast. What's the difference between cohesive gel and traditional implant materials? Silicone and Saline are liquid fillers that are subject to gravity. Cohesive gel implants are a singular unit and they are preformed to a particular shape and size; gravity doesn't appear to change their form.

Saline and Silicone gel implants are prone to wrinkling and rippling because the fluid travels from one area of the implant to another. This is not the case with cohesive gel implants since they are a preformed structure and there is no liquid movement from one area of the implant to another. Short term and long term patient follow up reveals that folds and rippling do not occur with cohesive gel implants.

Leakage is a very real concern with Silicone and Saline implants. Because they are in liquid form, there will always be the potential for leakage into the body. This isn't a problem with cohesive gel implants because they are not made of liquid; they are an entire unit of gel - an entire unit of cohesive gel. Leakage is not possible, even if the outer shell of the implant is removed. However, natural warmth of the body, time, and nature can still cause the implant to diffuse to some extent.

Scar tissue (capsular contracture) occurs very infrequently with these types of implants. Does this mean it will never occur? It is unknown at this time. There are several theories as to why capsular contracture does not occur with cohesive gel implants. One is that the increased firmness of cohesive gel implants prevents the body from contracting around it. Only more time and more research will reveal the long term rate of capsular contracture with cohesive gel implants.

If you would like to learn more about cohesive gel implants, you will need to schedule an appointment with a board certified surgeon who is approved to use cohesive gel implants.

This article is not intended to proved medical advice or recommendations. If you have questions regarding cosmetic procedures or general health-related questions, you must schedule a consultation with a state licensed doctor in your area.

About the Author:
Please visit: silicone and saline implants, replacing your implants, and how to choose an augmentation surgeon.



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