What is a cohesive gel implant?
A cohesive gel implant is a silicone breast implant with a thicker, more densely cross-linked gel interior that holds its shape independent of implant shell integrity, often called a "gummy bear" implant.
Cohesive gel implants are silicone breast implants engineered with a thicker, more densely cross-linked silicone gel that maintains structural integrity even if the outer shell is damaged. Unlike traditional saline implants that deflate instantly when compromised, or older liquid silicone gel implants that can leak and shift, cohesive gel stays relatively stable in form.
The key difference lies in gel viscosity. Cohesive gel is formulated to be more cohesive, meaning the molecules bond more tightly together. This creates a "gummy bear" consistency that mimics natural breast tissue more closely than saline while resisting migration or rippling. The implant holds its intended shape throughout its lifespan, whether positioned for a gentle slope or projection.
Ontario surgeons who work with cohesive gel implants rely on this form-stability for predictable aesthetic outcomes. The thicker gel also reduces implant movement and noise that some patients report with older formulations. If shell rupture does occur (rare in modern implants), the cohesive gel does not flow into surrounding tissue immediately, reducing the risk of systemic complications compared to earlier silicone gel devices.
For more information on surgeons offering cohesive gel implant options, see breast augmentation providers.