Highly cohesive implants — nicknamed "gummy bear" implants because the gel resembles the firmness of the sweet — use a very cross-linked, form-stable silicone gel. Cut one in half and the gel keeps its shape rather than spreading.
Advantages
- Shape control: excellent for maintaining a defined shape, often used in anatomical (teardrop) designs.
- Stability: resist wrinkling and folding, which can reduce certain types of rippling.
- Gel containment: the firm gel stays together if the shell is damaged.
Trade-offs
Form-stable implants feel firmer than softer cohesive gels, and anatomical versions must be correctly oriented to avoid the appearance of rotation. They suit patients prioritising shape and projection control; your surgeon will advise whether they fit your goals and tissue.