Gummy Bear

The gummy bear implants are silicone implants made by a company called Sientra. The Sientra silicone implants are made of a highly cohesive silicone gel, as a result even if she were to cut the Sientra implant in half, the implant wouldn’t retain it shape. As a result the leak rate of the face Sientra implants are essentially zero.

Our plastic and cosmetic surgeons highly recommend the Sientra implants, however, they are much more expensive than conventional silicone implants.

Silicone Implants vs Saline Implants

Silicone (gel) and saline (water) implants look identical in pictures, video and real life. Visually, there is no difference between these two implants. In case 1 shown above, there is no way to know if those implants are saline or silicone, however saline and silicone feel different.

Silicone implants have a feel that’s indistinguishable from normal breast tissue, whereas saline implants feel like water baloons. However, silicone implants are $2,000 more expensive and require a slightly bigger incision. Although saline implants feel less natural than silicone, this difference is not very obvious in most cases because the breast covers the implants anyway. Thus in the real world, the implants are covered by breast tissue anyway, which reduces the differences in feel.

Pre-operative Size 32 A. Patient is lying down.
One Month post-operative photograph after 340 cc silicone implant. Patient is now size 36 full C/D. Notice that there are scars under each breast.

Case 1: This patient has 340 cc above muscle Gportalummy Bear silicone implants. Although both saline and silicone implants cause lift, saline implants give more lift. Some women like more lift, and a perkier look (see case 3) others prefer a tear-drop look, as seen here.

Larger pre-operative breast sizes, allow for more coverage of the implant. A pre-operative A-cup covers 40-75% of the implant, a B-cup covers 90% of the implant, a C-cup covers 95% of the implant. Silicone implants are especially an advantage in A-cup women, because they won’t be covered by a lot of breast tissue. Once a patient is B-cup or larger, the advantages of silicone are less and less.

Case 2: The patient here has 330 cc silicone Gummy Bear implants placed above the muscle, using an inframammary incision.

Breast Augmentation-Silicone

Before surgery, the patient is 34 B. After surgery, the patient is 36 C with 330 cc silicone implants.

Case 3: This lady here has 380 cc above muscle silicone implants. Compare this look to the Gummy Bear implants of cases 1-2.