Breast augmentation remains one of the most popular cosmetic surgeries – over 304,000 procedures were performed in the U.S. in 2023 – and gummy bear implants are a modern implant option growing in popularity. Also called cohesive gel implants or form-stable implants, gummy bear implants are made of a highly cohesive silicone gel that holds its shape. These implants are anatomically teardrop-shaped to mimic a natural breast contour. The nickname “gummy bear” comes from the firm, gel-like consistency; even if sliced or torn, the gel stays together much like a gummy candy, so the implant retains its shape without leaking.

Gummy bear implants are typically used in breast augmentation and reconstructive surgery. They offer a more natural slope in the upper pole of the breast and fullness at the bottom, avoiding the “round” look of traditional implants. Unlike older silicone implants or saline bags, gummy bear implants have a cross-linked gel that resists wrinkling and rippling – many women find they look and feel more realistic. In summary, gummy bear breast implants are a teardrop-shaped, form-stable silicone device designed for a natural-looking breast shape, but they also have specific drawbacks (see below).

Pros of Gummy Bear Implants:

• Natural look and feel: The cohesive silicone gel closely mimics breast tissue. Most patients report that gummy bear implants look and feel very natural. As one expert notes, their cross-linked gel filling “allows them to hold their soft, teardrop shape,” and few people notice anything artificial. Because they hold shape, they maintain a smooth surface and avoid visible ripples or folds under the skin.
• Shape stability: These implants retain their shape even if the outer shell is damaged. In laboratory tests and clinical reports, a ruptured gummy bear implant’s gel remains intact (it “does not leak or drip out”), unlike older silicone implants. This cohesion improves safety and makes any implant failure easier to detect on imaging, since the silicone doesn’t disperse.
• Lower wrinkle/ripple risk: The thick, form-stable gel is less prone to wrinkling. Many patients and surgeons find that gummy bear implants smooth out creases better than softer implants. They also appear to have a lower rate of capsular contracture (hardening of scar tissue around the implant), in part because gummy bear implants are usually textured on the surface. (Texturing helps tissue adhere to the implant, reducing rotation and contracture.)
• Durability: These implants are long-lasting. Clinical data indicate gummy bear implants often last 15–20 years or more. In contrast, saline implants are typically rated for 10–15 years. The FDA and surgeons recommend periodic check-ups (e.g. MRI after 3 years, then every 2 years) because while gummy bear implants are FDA-approved as durable, all implants eventually need replacement. On average, women replace or remove breast implants about 10 years after surgery, but gummy bears may extend that interval.
• Reduced leak risk: Because the gel is cohesive, gummy bear implants are less likely to leak. Health authorities note that gummy bear implants are “stronger and pose less of a leak risk” than older silicone or saline implants. If a rupture does occur, the thick silicone remains in place. (The trade-off is that leaks are harder to detect symptomatically, so imaging follow-up is important.)

Figure: A surgeon’s gloved hands holding a gummy bear silicone breast implant. These implants are highly cohesive (gummy-like) and maintain a teardrop shape for natural results.

Cons of Gummy Bear Implants:

• Larger incision required: Gummy bear implants must be inserted through a longer or wider surgical opening. Because the gel is thick and not easily compressed, surgeons cannot squeeze them through a tiny incision. As a result, the incision (usually under the breast) is typically a bit longer than for saline or soft silicone implants. This can lead to a more visible scar, though surgeons often place the incision strategically (in the inframammary crease) to hide it.
• More expensive: These are premium implants. Both the implants themselves and the overall surgery cost more than with standard implants. Nationwide, the average breast augmentation (all implant types) was about $3,700 (in 2017), but gummy bear augmentations often run $6,000–$12,000 or more due to implant price, surgeon fees, and facility costs. The implants alone may cost around $2,000 per pair or higher (depending on manufacturer and size). As always, total cost includes anesthesia, hospital fees, and any follow-up care.
• Possible firmness: Some women feel gummy bear implants are slightly firmer than traditional silicone. While most patients appreciate the fullness, a few note that the cross-linked gel can feel a bit stiffer, especially in thinner patients. Surgeons typically address this by selecting the right gel profile (firmer vs softer gel) and implant size for the patient’s goals. Many manufacturers (Natrelle, Sientra, Mentor, etc.) offer different gel cohesivities and profiles to balance firmness with softness.
• Risk if rotated: Because gummy bear implants are not round, implant rotation can distort breast shape. If a teardrop implant twists, the breast may look irregular until the implant is repositioned or replaced. Round implants do not have this issue. Texture on the shell reduces rotation (the tissue grows into it), but any textured implant carries rare risks (see below). Patients considering gummy bear implants should know that if rotation happens, it typically requires a revision surgery.
• Longer recovery: Many surgeons find recovery from gummy bear augmentation slightly longer. The firmer gel means the implant may sit stiffer for a few weeks as tissues adapt, compared to softer implants. Swelling and discomfort can be similar to other augmentations, but nurses often emphasize slower massage/stretching to help the pocket adjust.
• Not for sagging breasts: Like any implant, gummy bear implants can’t lift very droopy or sagging breasts. If significant ptosis (“droopiness”) is present, a breast lift (mastopexy) is usually recommended either alone or with implants. This is not unique to gummy bear implants, but is a general rule: choosing implants when lift is needed may yield unsatisfactory shape.
• Potential complications: All breast implants carry certain risks (infection, bleeding, anesthesia reactions, changes in nipple sensation, etc). Gummy bear implants share these risks. In addition, because many gummy bear implants have textured surfaces (to prevent rotation), they have been under scrutiny for a rare implant-associated cancer (breast implant–associated anaplastic large cell lymphoma, BIA-ALCL). This is very uncommon, but FDA data show a link between textured implants and ALCL. (Smooth gummy bear implants exist but are less common due to potential rotation.) No implant is lifetime: most women will eventually replace or remove implants, on average after about 10 years. The thick cohesive gel makes ruptures less catastrophic, but it also means a silent rupture might go unnoticed without imaging. Regular follow-up (ultrasound or MRI) is recommended to monitor implant integrity.

Gummy Bear vs. Saline and Regular Silicone Implants

Many patients ask how gummy bear implants compare to traditional saline or silicone implants. Importantly, gummy bear implants are a kind of silicone implant – they have a silicone shell and silicone gel fill – but with a very thick, cohesive gel. In contrast, traditional silicone gel implants use a softer, non–form-stable silicone, and saline implants use a silicone shell filled with sterile salt water. The differences are:

• Shape and feel: Round silicone and saline implants (unless anatomical shaped) produce a uniformly round profile. They are compressible and often feel softer to the touch. Gummy bear implants have a defined teardrop shape: fuller at the bottom and tapered at the top. This creates a gentle upper slope and natural droop in the lower pole. Because of this shape, a gummy bear implant that rotates will change the breast’s appearance, whereas a round implant will not notice rotation. In terms of feel, gummy bear implants are generally firmer than saline but still softer than older solid implants; they tend to feel more like natural breast tissue than a saline balloon.
• Insertion and incisions: Saline implants can be inserted empty and then filled once in place. This allows a smaller incision and adjustable volume. Gummy bear implants must be inserted pre-filled with thick gel, requiring a larger incision and careful placement. Compared to traditional silicone (pre-filled) implants, gummy bears may need a slightly larger incision due to their firmness. Because saline implants can be inserted via shorter cuts, they may have less visible scarring, but gummy bears offer other benefits that often outweigh the downside of a larger scar.
• Leak and rupture: If a saline implant leaks, it deflates quickly and is immediately noticeable; replacement is simple. If a regular silicone gel implant leaks, the softer gel can bleed into surrounding tissue (“silent rupture”), requiring imaging to detect. Gummy bear implants are less likely to rupture due to their strong shell and thick gel. If a gummy implant does rupture, the gel holds shape and remains localized, which is safer than fluid leakage. The trade-off is that detecting a leak still requires imaging, since symptoms may be minimal.
• Aesthetics: Silicone gel implants (including gummy bears) generally look and feel more natural than saline implants. Among silicone options, gummy bears provide the most natural slope because of their teardrop form. One expert notes that gummy bear implants “stand out for their ability to maintain shape over time and reduce the risk of rippling or wrinkling”. For a patient who wants fullness without an exaggerated upper pole, gummy bear implants are often preferred.
• Capsular contracture: Textured silicone implants (including many gummy bears) have shown a lower rate of capsular contracture than smooth implants. Saline implants have an intermediate contracture rate. Thus, many surgeons choose gummy bear implants for patients with previous contracture issues or a desire to minimize that risk.

In summary, gummy bear implants can be thought of as an advanced silicone implant: you trade the flexibility and smaller incision of saline for a more durable, natural-feeling result. They tend to be more expensive and technically demanding (hence a qualified surgeon is essential), but for many patients the aesthetic advantages justify this choice.

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Cost of Gummy Bear Implants

Breast augmentation is usually an out-of-pocket expense. In the U.S., the 2017 average cost for breast augmentation (all types) was about $3,718. Gummy bear implants add to this cost. One report estimates the total procedure cost for gummy bear augmentation at $6,000–$12,000 or more. Factors include the surgeon’s fees, operating room, anesthesia, and implant brand (Natrelle, Sientra, Mentor, etc.). The implants alone can run around $2,000 per pair or higher, depending on fill volume and profile. Patients should also budget for pre-op imaging or testing, post-op supplies (compression bras), and any future MRIs to monitor implant integrity. Geographically, prices vary: metropolitan areas tend to be higher. Always get a detailed quote from your plastic surgeon’s office.

It’s important to verify all costs upfront. Some practices offer financing plans or bundled fees. Remember that gummy bear implants may cost more than saline or traditional silicone, but many patients feel the improved shape and safety profile are worth the premium. Insurance will not cover cosmetic augmentation, so plan accordingly.

Precautions and Aftercare

Any breast augmentation (including gummy bear implants) carries surgical risks. It’s essential to follow precautions before, during, and after surgery to ensure safety and good outcomes. Key points include:

• Choose a qualified surgeon: Go to a board-certified plastic surgeon with experience in gummy bear implants. They can advise whether a gummy bear implant is right for your body and goals. Discuss all your health history, current medications, and concerns (e.g. future pregnancy, breastfeeding). A thorough consultation is the first step.
• Eligibility: Gummy bear implants are FDA-approved for women age 22 and older (similar to other silicone implants). They are not approved for use during pregnancy or nursing. If you plan to breastfeed soon, discuss this with your surgeon, as implant placement (above vs below muscle) can affect lactation risk.
• Health conditions: You should be in good general health. Manage any chronic conditions (diabetes, hypertension) before surgery. Stop smoking well in advance, as smoking impairs healing. Be at a stable weight; significant weight fluctuations can alter breast size and shape post-augmentation.
• Realistic expectations: Understand that implants enhance fullness and shape but do not lift sagging breasts. If your breasts droop, a lift (mastopexy) may be needed in addition to or instead of implants. Review before-and-after photos (such as the gummy bear implant gallery on many surgeons’ sites) to set realistic goals.
• Surgery day: Arrange for someone to drive you home. Follow all pre-op instructions (fasting, avoiding certain medications). Wear comfortable clothing to your appointment.
• Post-op care: Expect to take 1–2 weeks off work (more if your job is physically demanding). You’ll likely wear a surgical bra or compression garment for support. Follow your surgeon’s guidelines on wound care, bathing, and activity. You may have drains or specific instructions on massage to help the implants settle. Avoid strenuous exercise for at least 4–6 weeks.
• Medication: Take all prescribed antibiotics and pain meds as directed. Common side effects include nausea from anesthesia or pain medication. Report any signs of infection (fever, redness, swelling) or complications to your doctor immediately.
• Monitoring: You will need periodic follow-up appointments. Because gummy bear (silicone) implants can rupture silently, the FDA recommends MRI screening 3 years after placement and then every 2 years. Keep track of your implant model and serial numbers.
• Long-term: Implants aren’t lifetime devices. On average, women replace or remove implants after about 10 years. Over time, breast implants may harden, shift, or show signs of wear. If you notice any change in breast shape, lumps, or discomfort, see your surgeon. Also, maintain a stable weight; significant gain or loss can distort breast shape post-augmentation.

Potential complications: Aside from the usual surgical risks (bleeding, infection, etc.), know that textured gummy bear implants have an FDA-identified risk for a rare lymphoma (BIA-ALCL). In 2019, certain textured implant models were recalled due to this link. No gummy bear implant is “immune” to this risk, so it’s important to watch for unusual symptoms (persistent swelling or pain) and maintain regular check-ups. Report any implant-related health concerns to your surgeon promptly.

By following your doctor’s instructions and reporting any problems, you can minimize risks. Always communicate openly with your healthcare team: for example, before any mammogram or breast imaging, inform technicians that you have gummy bear implants so they can take special views.

Figure: A board-certified plastic surgeon consulting with a patient about breast implant options. It’s crucial to discuss goals, review implant types (saline, silicone, gummy bear), and understand potential outcomes before deciding.

Frequently Asked Questions

Q: Are gummy bear implants safe?
A: Yes, gummy bear implants are FDA-approved and considered safe when placed by a qualified surgeon. They have been used since the mid-2000s with a strong safety record. Their cohesive gel makes them less likely to leak if ruptured, and they have a lower risk of wrinkling or ripple. However, like all implants, there are potential risks: infection, bleeding, changes in sensation, capsular contracture, and the rare chance of implant-associated ALCL (a lymphoma linked to textured implants). To maximize safety, patients should have regular check-ups and imaging (MRI/ultrasound) to monitor implant integrity, and follow pre- and post-operative care instructions closely.

Q: How long do gummy bear implants last?
A: Gummy bear implants are very durable and can last a decade or longer. Many studies and clinicians report that gummy bear implants often remain intact and satisfactory for 15–20 years or more. This is somewhat longer than the typical 10–15 year expectancy for other silicone implants. However, they are not permanent devices: the U.S. FDA and the American Society of Plastic Surgeons note that virtually all breast implants will eventually need replacement or removal. Over time, age, gravity, and body changes can alter appearance. On average, women plan on another surgery about 10 years after the first. Regular monitoring (e.g. MRI every 2 years after the initial 3-year check) helps catch any wear or rupture early. Most surgeons counsel patients that future surgery is likely down the road.

Q: How do gummy bear implants compare to regular silicone or saline implants?
A: Gummy bear implants are a form of silicone implant, but with a much thicker, cohesive gel. Compared to traditional round silicone implants, gummy bears maintain a teardrop shape and firmer gel, which many women find more natural-looking. Saline implants (filled with salt water) feel the squishiest but can sometimes ripple under the skin; gummy bear implants avoid this. In terms of insertion, saline implants can be inserted empty and then filled, allowing a smaller scar, while gummy bears require a larger incision to insert the filled implant. If a saline implant leaks, the breast deflates visibly; if a gummy bear implant ruptures, the gel holds its shape (reducing risk of tissue spread). In summary, gummy bear implants tend to be more expensive and require more careful surgery, but they offer long-lasting shape, reduced ripple, and a very natural feel compared to regular implants.

Q: How much do gummy bear implants cost?
A: The total cost of gummy bear implant surgery typically ranges from about $6,000 to $12,000 (U.S.). This includes surgeon’s fees, anesthesia, and facility costs. The implants themselves often run $2,000 or more per pair. Your exact price depends on your region, your surgeon’s experience, the implant size and profile, and any additional procedures (like a lift). Because breast augmentation is usually cosmetic, insurance generally does not cover it. Many clinics offer financing or payment plans. It’s wise to get a written cost breakdown before scheduling surgery.

Q: What are common problems or complications with gummy bear implants?
A: Complications can include any of the usual risks of breast augmentation: infection, bleeding, scar formation, pain, and changes in nipple sensation. Gummy bear–specific issues include the risk of visible scarring (from the larger incision) and the possibility of implant rotation (teardrop-shaped implants can cause asymmetric breasts if they twist). There’s also the rare risk of capsular contracture (scar tissue hardening) and implant rupture. If a gummy bear implant ruptures, the cohesive gel generally stays put, but surgery is required to replace the implant. Long-term problems can include implant malposition or bottoming-out, which might require a revision. As mentioned, textured gummy bear implants have been linked (in very rare cases) to BIA-ALCL, a lymphoma. Any unexplained swelling, lumps, or late changes in the breast should prompt evaluation. Overall, choosing an experienced surgeon and following all post-op instructions minimizes complications.

Q: Have gummy bear implants ever been recalled?
A: As of 2025, there has been no specific recall of gummy bear implants themselves. Gummy bear implants remain FDA-approved and widely used. That said, certain textured breast implants (not limited to gummy bears) have been recalled in the past due to safety concerns. In 2019 the FDA recalled some textured silicone implants from Allergan after confirming a link to a rare lymphoma (BIA-ALCL). Most gummy bear implants on the market today are also textured to prevent rotation, so patients and doctors monitor them closely. The key precaution is regular follow-up: inform your surgeon of any issues, and keep up with recommended screening. The lack of a specific “gummy bear implant recall” means that current models are generally considered safe, but vigilance is always advised.

Conclusion

Gummy bear breast implants (cohesive silicone implants) offer a distinct option for women seeking a very natural breast shape with long-lasting results. They provide many benefits – natural feel, shape retention, and lower wrinkle risk – but also come with trade-offs like higher cost and a slightly more involved surgery. If you’re considering breast augmentation, learn all the facts: consult an experienced plastic surgeon, view real before-and-after results, and weigh the pros and cons carefully. Ultimately, the decision depends on your body, goals, and priorities. Gummy bear implants can deliver beautiful, natural-looking results for the right patient, but they require the same diligence and precaution as any major surgery.

If you found this guide helpful or have experiences with gummy bear implants, feel free to share your thoughts or questions below. Also, consider sharing this article with others researching breast augmentation – staying informed helps everyone make safer, more satisfying choices.