Cohesive Gel Breast Implants

What are Cohesive Gel Breast Implants?

Cohesive gel implants were designed in the early 1990s to provide a longer lasting breast implant with an attractive and natural shape. They have been available to patients in the UK for nearly 20 years. Many surgeons favour the way that these implants allow for greater control when changing the breast size, due largely to the material from which they are made.

Cohesive gel implants are made of silicone, but have a much thicker consistency, a factor which is said to create far fewer procedural and post procedural problems than other types of silicone implants. The thick consistency of the cohesive gel has been compared to jelly. Renowned American plastic surgeon, Dr Grant Stevens recognised this comparison and began to refer to them as Gummy Bears. This term is now widely used in the cosmetic industry and beyond.

What Are The Advantages Of Cohesive Gel Breast Implants?

Cohesive gel breast implants have the advantage of being able to retain their shape and definition, giving the breast a natural and long lasting look. Other silicone implants are more vulnerable to the forces of nature, so may droop over time. The gel in the cohesive implants is thicker than standard silicone implants, so the shape stays the same, and will not move from side to side, or collapse, causing folding or rippling to develop. The thickness of the gel in cohesive gel breast implants means that they are less likely to rupture or break, compared to standard silicone implants. Even if this were to happen, the implant would retain its shape and, due to its thickness, there would be no danger of the gel leaking into the body before the implant is replaced. Some studies have also shown that there is less occurrence of scarring, which is believed to be due to the firmness of the implants preventing the body tissue from contracting around them. Cohesive gel implants offer a wide range of sizes - variations in height, width, etc - so there will be a shape to suit many different patients. The surgeon will give a detailed consultation and measurement service which will provide the patient with the best advice on which size of implant would be the most suitable.

What are the Disadvantages?

The advantage of the natural shape of a cohesive gel implant could also be a disadvantage to a patient who is disappointed with their look. For, once the implants are inserted, they cannot be manipulated like standard silicone implants, therefore it is important that the patient has a proper consultation and chooses the correct size of implant for the look that they are expecting. Cohesive gel implants feel a little bit firmer than standard silicone implants, but the firmness will depend on how much breast tissue the patient has, and also on the size of the implant. Due to the thickness of the implants, a larger incision may need to be made, but this is usually hidden well in the fold underneath the breast. The cost of the implants also may be higher than standard silicone implants, but many clinics can offer finance options to patients who are interested in this type of procedure.

Who are these Implants Suitable For?

Cohesive gel implants are designed to focus on the breast dimensions and proportions, rather than volume, to create a natural looking breast shape. They are not recommended for women who would like a large breast enhancement, or those who desire fullness on the upper part of the breast. Many patients who have opted for cohesive breast implants have said that they feel and look much more like a natural breast.

cohesive gel breast implants

How Much do these Implants Cost?

Cost is usually a major factor in deciding which procedure to go with, but some clinics' consultation process will include a discussion of the various finance options available to you based on your requirements, and (more importantly) what's right for you. If you cannot pay the entire cost upfront, finance can sometimes be arranged for you, and this is often a welcome option for those who cannot afford a large lump sum payment all at once. With this in mind, you can expect to be facing a cost of somewhere in the region of £3295 - £4495. Whilst this may seem like a pretty broadly estimated figure, you need to take into account the fact that there are upwards of 400 different sizes of implant to choose from - and probably as many different prices to match.

Before and After the Procedure

Preparation for undergoing a breast augmentation using cohesive gel implants is the same as for any method of enhancement surgery. Following in depth consultation with the cosmetic surgeon to determine the size and shape of the implants to be used, the patient will be given certain guidelines to follow prior to the day of surgery. Those who smoke will be told to refrain for a minimum of six weeks before the procedure as smoking severely impacts on the body's ability to tolerate a general anaesthetic and to heal itself post surgery. They will also be advised that certain types of painkiller can have a negative effect on how the body will react to blood clotting and bruising during and after the procedure. The incision made to locate the implant will be larger in the instance of cohesive gel models as they have a greater density and therefore less flexibility than standard silicone implants. This should have minimal impact on the patient as the surgeon will locate the incision in the crease under the breast to ensure that any scarring will be virtually invisible. Recovery times following the procedure are largely dependent on the patient's general levels of fitness, but should be, on average, between 10-14 days. A return to normal physical activity should be possible within a month of surgery.

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