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Cohesive Silicone Implants
Cohesive silicone implants offer a safe and
natural looking
approach to
breast augmentation,
which appeals to many women seeking fuller
breasts
without risking their health or body image in the process. Cohesive gel
breast implants
are gaining popularity around the world as more women are exposed to the potential benefits of using these newer product designs. Finding a
cosmetic surgeon
who specializes in cohesive implants is often an important part of achieving a desirable post-operative result.

What Makes a Cohesive Silicone Implant Different?
Cohesive gel breast implants are made of silicone, but not in the same manner as traditional
silicone implants.
The silicone in the cohesive implant is not a liquid or runny gel, but is instead a gummy jelly solid which can be cut or pierced without leaking. The implant shell is sometimes
shaped
to resemble a natural anatomical breast mound and is
textured
to prevent rotation in the body once implanted. The implant shell will not fold or
wrinkle
like traditional
saline
or silicone gel implants, creating a smoother and more aesthetically pleasing appearance.
Implantation on Cohesive Silicone Implants
Most doctors prefer to use an
inframammary
incision to place the cohesive gel implant. This means that the incision is placed in the natural fold where the breast mound meets the body. A good
plastic surgeon
will be able to perform this incision leaving only a thin
scar
which should be concealed by the actual breast. Another approach to cohesive gel breast implantation is through the
areola,
also called a
periareolar
incision. This is not always possible to accomplish, especially if the woman has especially
small breasts
or tiny areolas. The final method of implanting a cohesive gel prosthesis is through the underarm, also called a
transaxillary
implantation. This highly specialized operation can be very difficult and is only performed by a limited number of well qualified surgeons. Once again, this operation can only be performed if the patient’s anatomy allows passage of the implant into its proper position in the breast. Not all patients will qualify for this type of implantation procedure.
Breast enlargement through the belly button
(Transumbilical)
is not possible using a cohesive gel implant.
Recommendation on Cohesive Silicone Implants
These prosthetic devices represent the future of surgical breast augmentation. Future generations of cohesive implants will no doubt become even more surgeon friendly and versatile. Current models offer an excellent combination of aesthetics and
safety
for women seeking a natural look and feel. Cohesive gel breast implants are still a relatively new technology, so look forward to further innovation in the coming years. If you are looking for a good all around choice in breast implant design, talk to your cosmetic surgeon about using cohesive gel implants during your
breast enlargement surgery.
Share your own breast improvement story at our Breast Plastic Surgery Interactive Forum
Cohesive Silicone Implants to Breast Augmentation & Breast Reduction
12/11/07 Revised 2/29/08

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