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Breast Augmentation (Implants)

Breast Augmentation (Implants) | Breast Implant Types, Materials, and Cohesive Gels

Verified by Dr. Vishal Purohit, MBBS, MS, MCh (Plastic Surgery) • RMC Reg. 28041/14185 • Oct 2026

Patient Questions & Answers
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What are the differences between silicone cohesive gel and saline breast implants used in breast augmentation?

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Silicone cohesive gel ('gummy bear') implants contain a cross-linked medical silicone elastomer that holds its shape and provides superior natural softness, whereas saline implants are silicone shells filled with sterile salt water.

What this means for you

Silicone gel implants are the global gold standard for aesthetic breast augmentation because they have significantly lower rates of visible rippling, wrinkling, and scalloping, especially in slender women with thin breast tissue. In the rare event of a rupture, the cohesive gel remains contained within the implant shell without leaking. Saline implants feel firmer and deflate immediately if punctured.

Care and next steps

Over 95% of aesthetic breast augmentations worldwide utilize modern FDA-approved silicone cohesive gel implants.

Medically Authored & Reviewed:Dr. Vishal Purohit, MBBS, MS, MCh (Plastic Surgery)•RMC Reg. 28041/14185•Last Reviewed: October 2026

What is the difference between round and anatomical (teardrop) breast implants used in breast augmentation?

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Round implants provide uniform fullness with generous upper-pole cleavage, whereas anatomical (teardrop) implants feature a tapered slope that mimics natural breast drop.

What this means for you

Round implants are the most versatile and widely chosen option because they naturally assume an anatomical teardrop contour when the patient stands upright due to gravity, while also providing youthful upper breast fullness. Furthermore, round implants have a very low risk of contour deformity if rotation occurs within the pocket. Teardrop implants are selectively used in patients with severe breast constriction (tuberous breasts) or post-mastectomy reconstruction.

Care and next steps

Surgeon assessment helps determine which geometry best balances your chest wall dimensions and aesthetic goals.

Medically Authored & Reviewed:Dr. Vishal Purohit, MBBS, MS, MCh (Plastic Surgery)•RMC Reg. 28041/14185•Last Reviewed: October 2026
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