silicone implantDescription: Also known as “Gummy Bear” implants, these implants are made out of cohesive silicone and offer a natural look with little chance of rupture or leakage.

How it’s done: Cohesive silicone implants are more solid than regular silicone implants, which means they are less likely to ripple, change shape over time, or cause capsular contracture (meaning they won’t go hard due to an immune response to foreign objects in the body). The latest ones also come in a round shape rather than teardrop, and have a smooth surface for natural movement and mobility. Because they are firmer and not deformable, a much larger incision needs to be made, usually under the breast, in order for them to be inserted. 

Complications: Rotation can be a fairly serious complication. Since the shape of these implants is much more defined, and if they rotate it will cause distortion. The only way to fix it is to have them taken out and reinserted. It’s also possible for the implant to crack (though it won’t rupture), but this is extremely rare. Otherwise the standard surgical complications apply: infection, scarring, skin discoloration and the wound not healing correctly.

Recovery: Most people resume normal activity after two days, but strenuous activity should be avoided for at least a month.

Cost: $7,000 to $9,000.

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