Cohesive Gel Implants: The Future of Breast Augmentation in the U.S.

May 21


Leland Wygran

Leland Wygran

  • Share this article on Facebook
  • Share this article on Twitter
  • Share this article on Linkedin

Cohesive gel implants, also known as "Gummy Bear Implants," are on the verge of becoming widely available in the United States. These implants have been accessible in Europe and other parts of the world for over two decades, and they are now undergoing rigorous clinical trials by the FDA. This article delves into the specifics of cohesive gel implants, their benefits, and the current state of their approval in the U.S.


Cohesive gel implants,Cohesive Gel Implants: The Future of Breast Augmentation in the U.S. Articles often referred to as "Gummy Bear Implants," are poised to revolutionize breast augmentation in the United States. While these implants have been available in Europe for over 20 years, the FDA is currently conducting clinical trials to ensure their safety and efficacy. This article explores the unique features of cohesive gel implants, their advantages over traditional implants, and the timeline for their potential unrestricted use in the U.S.

The Journey of Cohesive Gel Implants

Global Availability and U.S. Trials

Cohesive gel implants have been a staple in Europe and other parts of the world since the 1990s. These implants are known for their durability and safety, making them a popular choice for breast augmentation. However, in the United States, the FDA has only recently begun clinical trials to evaluate their safety and effectiveness. According to the FDA, these trials are crucial for ensuring that the implants meet stringent safety standards before they can be made available to the general public.

Why Cohesive Gel Implants?

Design and Safety

One of the standout features of cohesive gel implants is their unique gel consistency. Unlike traditional silicone implants, which can leak if ruptured, cohesive gel implants maintain their shape and do not leak. This is because the gel inside is a solid mass, not a liquid. If punctured, the implant retains its form, significantly reducing the risk of complications.

Anatomical Shape

Cohesive gel implants are designed to mimic the natural slope of a breast, providing a more natural look and feel. This anatomical shape is maintained indefinitely, making the implants resistant to the effects of time and gravity.

Capsular Contracture and Scarring

Reduced Risk of Capsular Contracture

Capsular contracture is a condition where scar tissue forms around the implant, causing it to harden. Cohesive gel implants have shown a lower incidence of this condition, possibly due to their solid gel design and textured exterior shell, which may prevent scar tissue formation.

Higher Risk of Surgical Scarring

While cohesive gel implants offer numerous benefits, they do come with a higher risk of surgical scarring. The solid gel requires larger incisions for insertion, which can lead to more noticeable scars compared to saline or traditional silicone implants.

The Gummy Bear Nickname

Cohesive gel implants are often referred to as "Gummy Bear Implants" due to their texture and feel, which resemble that of gummy bear candy. This nickname has become synonymous with the implants, highlighting their unique consistency and durability.

Concerns and Considerations

Implant Rotation

One concern with anatomically shaped implants is the potential for rotation. Although the textured surface of cohesive gel implants makes rotation less likely, it can still occur. If an implant rotates, corrective surgery may be necessary to restore the desired appearance.

The Future of Cohesive Gel Implants in the U.S.

Current Status and Timeline

As of now, cohesive gel implants are available to a select group of women participating in FDA clinical trials. It may take several years before these implants are approved for unrestricted use in the United States. However, their growing popularity and proven safety in other parts of the world suggest that they will eventually become a standard option for breast augmentation.

Interesting Statistics

  • Global Market: The global breast implant market was valued at approximately $1.2 billion in 2020 and is expected to reach $1.9 billion by 2027, growing at a CAGR of 6.7% (Source: Grand View Research).
  • Capsular Contracture Rates: Studies have shown that cohesive gel implants have a capsular contracture rate of less than 5%, compared to up to 20% for traditional silicone implants (Source: American Society of Plastic Surgeons).


Cohesive gel implants represent a significant advancement in breast augmentation technology. With their unique design, reduced risk of complications, and natural appearance, they are set to become a popular choice in the United States once FDA approval is granted. For more information, consult a board-certified plastic surgeon who specializes in breast augmentation.

For further reading on the topic, you can visit the FDA's official page on breast implants and the American Society of Plastic Surgeons.