What are Gummy Bear Implants New Jersey
All silicone implants in use in the USA are cohesive gel or gummy bear implants. Silicone implants have evolved over many years. The current implants are filled with a form-stable, high strength silicone gel. They are the safest most advanced implants on the market today.
The newest Gummy Bear implants are silicone implants that are filled with a highly cohesive gel. The name gummy bear was coined by a plastic surgeon to allow the consumer to understand the current silicone gel implants. When a gummy bear candy is cut, its shape does not change. When a gummy bear implant is cut, it maintains its shape as well. The earlier versions of silicone implants that were taken off the market in 1992 contained a viscous, thick silicone gel that would migrate if the integrity of the shell was lost. The current silicone breast implants maintain their shape and consistency if the shell becomes damaged. They are filled with a high-strength, form-stable silicone gel. The newest implants to be FDA approved are the most cohesive ever available. These implants are shaped and are slightly more firm than their predecessors. The newest of these implants, the Inspira implants from Allergan, contain the same highly cohesive gel but they are round implants which provide more fullness for the volume.
What are the advantages of Gummy Bear Implants?
There are 2 types of implants that are FDA approved in the states- silicone and saline. Both types of breast implants that create great results. Between 1992 and 2006, almost all augmentations in the USA were performed using saline implants. There are thousands of very happy women with saline implants. In 2006, the FDA approved a new generation of silicone implants. These implants are “form stable”, meaning that they maintain their shape even if the integrity of the shell is compromised, unlike the previous generation of silicone implants that were taken off the market in 1992 which had a gelatinous consistency. Since their return in 2006, silicone implants have once again become the go to for augmentation. Keeping in mind that all silicone implants used in the USA are gummy bear implants, the newest are slightly more firm than the implants approved in 2006 because they have more cross linking making them even more cohesive. But, as compared to saline, all silicone implants are softer and more natural in feel and appearance. They are less likely to show rippling or wrinkling, particularly in thin patients. They are safe and the FDA continues to monitor their safety long term.
The Evolution of Breast Implants
Gel breast implants were introduced in the 1960’s, followed by saline implants several years later. The gel devices have evolved extensively over the years. They are significantly different from the early devices in the 60’s and the later devices that were taken off the US market in 1992. Currently three manufacturers are FDA approved to market gel implants in the US. All 3 have a “form stable ” implant. The term” form stable” relates to increased “cross linking” of the silicone gel imparting an additional degree of stability to the implant. Unlike the earlier gel implants and the saline implants, these newest implants containing the “most cohesive silicone gels” are more likely to maintain their shape. The “shaped implants” -or the latest implants to be FDA approved- allow the surgeon to “sculpt” and “shape” the breast rather than just “fill” it, a subtle difference between the round version and the shaped version.
What type of shapes are available?
The silicone implants are available in 2 shapes-round and shaped implants. The round implants are most frequently used for augmentation and come in various projections, which is a measure of how much the implant protrudes from the chest wall. The greater the projection, the fuller and the bigger the breast appears for a given volume. Think of a tall glass and a short glass each filled with the same amount of liquid to understand this concept. The silicone in the shaped implants are gently graded providing more fill in the lower half of the implant conferring a very natural appearance for women who have very little breast tissue or who have undergone a breast reconstruction. While a great choice, they are more prone to rotation leading to asymmetry in the cosmetic augmentation patient.
The round implants come in a variety of projections. The most natural results are achieved using the moderate plus or mid range implant. Women wanting more fullness should consider the higher profile implants which have a rounder appearance when placed under the muscle as compared to the moderate plus implants. These implants have a narrower base for a given volume, allowing for a greater height or projection, which in turn will provide greater fullness. The low profile implants create a subtle enhancement which is ideal for someone looking for a slight increase in fullness.
What about the surface texture?
Implants are available in a smooth or textured shell. The smooth implants are most commonly used for augmentation and are slightly softer than the textured variety. All shaped implants are textured which helps to decrease their rotation, maintaining their position in the breast pocket. The textured implants may be associated with a lower capsular contracture rate, but this effect is probably negated by placing the smooth implants behind the muscle.
Does the texture, shape or content effect the incision size?
While the answer to the question is yes, Dr. Friedlander is concerned about scarring and uses a special device to reduce the incision size. The saline implants are filled at the time of surgery. They are literally rolled up like a taco and placed into the pocket empty, requiring a smaller incision. They are unrolled as they are filled. The textured round implants, the shaped implants and the high-profile implants all require larger incisions than the round smooth implants. Dr. Friedlander uses a device called a Keller Funnel to aid in inserting the implants. The Keller Funnel is a delivery sleeve which reduces the need for larger incisions. More importantly it reduces the exposure of the implant leading to reduced capsular contracture rates in some series.
For more details about the types of implants available and to find out if you are a good candidate for breast augmentation surgery please contact us to schedule a consultation or call our office at 973-912-9120. You may also use our online consultation tool provided on this page.