Gummy Bear Breast Implants in Des Moines, IA
Highly Cohesive Silicone Breast Implants With Dr. David Robbins
Breast implants are available in many different sizes, profiles, shapes, and materials, and one of the options you may encounter while researching breast augmentation is the “gummy bear” implant. The name refers to a type of silicone breast implant made with a highly cohesive gel designed to maintain its shape while providing the softness and flexibility expected from a modern silicone implant.
At Des Moines Plastic Surgery, in West Des Moines and Ankeny, Dr. David Robbins helps patients understand how different implant characteristics may affect their results rather than recommending the same implant for everyone. As Iowa’s only quadruple board-certified plastic surgeon, Dr. Robbins considers your existing breast tissue, chest dimensions, skin quality, desired fullness, and overall proportions when determining whether a highly cohesive silicone implant is appropriate for your breast augmentation.
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Before scheduling your consultation, please take a moment to determine if you’re a candidate for surgery

What Are Gummy Bear Breast Implants?
“Gummy bear” is an informal term commonly used to describe breast implants filled with highly cohesive silicone gel. The gel has a thicker consistency than less cohesive silicone gel and is designed to hold together and maintain its form within the implant shell.
You may also see gummy bear implants described as highly cohesive or form-stable breast implants. These terms refer to characteristics of the silicone gel rather than one particular implant brand, size, or shape. Highly cohesive silicone implants are available in different dimensions, profiles, and shapes, allowing the implant to be selected according to your anatomy and aesthetic goals.
How Are Gummy Bear Implants Different From Traditional Silicone Implants?
Both traditional silicone and gummy bear implants have a silicone outer shell filled with silicone gel. The primary difference is the degree of gel cohesivity. The gel inside a gummy bear implant is more cohesive, meaning it tends to hold together and maintain its shape more readily than a softer, less cohesive silicone gel. Depending on the specific implant and the patient’s anatomy, this can influence characteristics such as breast shape, firmness, implant movement, and the visibility of folds or rippling.
There is not one degree of cohesivity that is ideal for every patient. A softer gel may provide characteristics one patient prefers, while a more cohesive implant may be more suited based on another patient’s tissue, anatomy, and desired breast shape.
This is one reason implant selection at Des Moines Plastic Surgery is individualized rather than based on the popularity of a particular implant type.
Benefits of Gummy Bear Breast Implants
Highly cohesive silicone implants offer several characteristics that may make them appealing for breast augmentation. Depending on the specific implant selected, potential benefits may include:
- Shape stability: Highly cohesive gel is designed to maintain its form within the implant shell.
- Reduced visible rippling in some patients: Greater gel cohesivity may help limit folding or rippling, although your natural tissue coverage and implant placement also influence implant visibility.
- Multiple aesthetic options: Gummy bear implants are available in different sizes, dimensions, profiles, and shapes.
- Predictable contour: The cohesive gel can provide stable volume and breast shape.
- Customized results: Different degrees of gel cohesivity give Dr. Robbins another variable to consider when matching an implant to your anatomy and desired outcome.
Gummy bear implants can feel somewhat firmer than implants containing a less cohesive gel. Whether that is an advantage depends on the look and feel you prefer.
Who May Be a Good Candidate for Gummy Bear Implants?
You may be interested in highly cohesive silicone breast implants if you want to increase breast volume, restore fullness that has changed following pregnancy or weight loss, improve breast asymmetry, or create greater balance between your breasts and overall figure.
Gummy bear implants may be an option for patients who:
- Want breast augmentation with silicone implants
- Prefer the characteristics of a more cohesive silicone gel
- Want to increase or restore breast volume
- Want greater upper breast fullness or projection
- Are concerned about implant rippling or visibility
- Want to improve breast symmetry or proportions
- Have realistic expectations about breast augmentation
- Are in good overall health and appropriate candidates for elective surgery
The amount of natural breast tissue you have, your chest width, skin elasticity, nipple position, and the degree of existing breast sagging can all affect which implant and surgical approach are most appropriate. If significant breast sagging is present, Dr. Robbins may recommend combining augmentation with a breast lift rather than relying on a larger implant to create lift.
Why Choose Dr. David Robbins for Gummy Bear Breast Implants?
Breast augmentation is not simply about choosing an implant. The surgeon must understand how implant characteristics interact with your existing anatomy to create a result that is balanced, proportionate, and appropriate for your body. Dr. David Robbins is Iowa’s only quadruple board-certified plastic surgeon and has more than two decades of experience exclusively practicing cosmetic surgery.
Patients choosing Des Moines Plastic Surgery also benefit from:
- Extensive breast surgery experience: More than 6,000 cosmetic breast procedures have been performed by the practice as of 2025.
- Personalized implant selection: Dr. Robbins considers breast and chest dimensions, existing tissue, skin quality, desired projection, and overall proportions rather than selecting implants based on cup size or volume alone.
- Advanced breast implant options: The practice offers modern implant choices, including Natrelle breast implants and Motiva breast implants, allowing Dr. Robbins to compare different implant characteristics based on each patient’s needs and goals.
- Vectra 3D imaging: Vectra 3D Imaging helps patients visualize how different implant options may affect their breast size, shape, and proportions before surgery.
- A private, accredited surgical facility: Breast augmentation is performed in Des Moines Plastic Surgery’s private surgical suite, which holds QUAD A accreditation and is designed specifically for outpatient surgical care.
Together, Dr. Robbins’ experience, advanced planning technology, range of implant options, and individualized approach allow breast augmentation to be planned around your anatomy and desired result rather than a one-size-fits-all implant choice.
How Does Dr. Robbins Choose the Right Breast Implant?
“Gummy bear” describes one characteristic of an implant, but cohesivity is only one part of breast implant selection. During your consultation, Dr. Robbins evaluates how several factors work together:
- Breast and chest width: The implant base should be appropriate for your natural dimensions.
- Existing breast tissue: The amount and distribution of natural tissue can affect implant coverage and visibility.
- Skin quality: Skin elasticity and the existing breast envelope influence how an implant is supported.
- Implant volume: Implant size is measured in cubic centimeters (cc), but the same volume can look very different from one patient to another.
- Implant profile: Profile determines how far an implant projects forward in relation to its width.
- Gel cohesivity: Different silicone gels provide different degrees of softness and shape stability.
- Implant shape: Implant shape can influence breast contour and fullness.
- Implant placement: The implant may be positioned above or beneath the pectoral muscle depending on your anatomy and surgical plan.
- Your aesthetic goals: Some patients prefer subtle enhancement, while others want greater projection or upper breast fullness.
Rather than beginning with a predetermined implant, Dr. Robbins uses these variables together to determine which options are most likely to create the breast shape and proportions you want.
Can Gummy Bear Implants Look and Feel Natural?
Yes, gummy bear implants can create natural-looking breast augmentation results when the implant is appropriately selected for the patient’s anatomy. However, gel cohesivity alone does not determine whether breast implants look natural. Implant width, volume, profile, placement, existing breast tissue, skin quality, and surgical technique all contribute to the final result.
The desired result also differs from patient to patient. One woman may want subtle restoration of breast volume after pregnancy, while another may prefer greater projection and upper breast fullness. The goal is therefore not to select the implant considered most “natural,” but to choose an implant and surgical plan capable of creating the specific proportions and breast shape that complement your body and preferences.
Are All Gummy Bear Implants Teardrop-Shaped?
No. Although gummy bear implants are sometimes associated with anatomical or teardrop-shaped implants, “gummy bear” describes the cohesivity of the silicone gel, not necessarily the implant’s shape. Highly cohesive silicone gel can be used in implants with different shapes and profiles. Round implants are symmetrical and can provide different degrees of projection and upper breast fullness depending on their dimensions and profile.
Anatomical implants have a contoured shape with greater fullness toward the lower portion of the breast. Neither shape automatically produces a more natural-looking result. Your existing anatomy, implant dimensions, profile, placement, tissue coverage, and surgical technique all influence how the augmented breast ultimately looks.
Visualizing Your Breast Implant Options With Vectra 3D Imaging
It can be difficult to imagine how different implant sizes and profiles will look on your own body based on photographs or implant samples alone. Des Moines Plastic Surgery uses Vectra 3D Imaging as part of breast augmentation planning. The system creates a three-dimensional image of your body that can be used to simulate how different implant options may affect your breast size, shape, and proportions.
Vectra does not guarantee an exact surgical result, but it can make discussions about implant dimensions and aesthetic goals more visual and interactive, helping you and Dr. Robbins communicate more clearly about the outcome you are trying to achieve.
What Happens During Gummy Bear Breast Augmentation?
Gummy bear implants are placed as part of breast augmentation surgery. Dr. Robbins creates a carefully planned incision and implant pocket based on your anatomy, implant selection, and surgical plan.
The implant is then positioned in relation to the breast tissue and chest muscle according to the placement selected for you. Dr. Robbins evaluates breast shape, symmetry, implant position, and overall proportions before completing the procedure.
Breast augmentation is generally performed as an outpatient procedure, allowing you to return home with a responsible adult following surgery. Patients interested in the complete surgical process can learn more on our Breast Augmentation page.
What Is Recovery Like After Gummy Bear Breast Implants?
Recovery following gummy bear breast implant surgery is generally similar to recovery after other types of breast augmentation. Swelling, tightness, soreness, and temporary changes in breast shape or position are common during the early stages of healing. Your implants may initially appear higher or firmer before gradually settling as swelling subsides and the surrounding tissues adapt.
Most patients can begin light daily activities relatively soon after surgery, but exercise, lifting, and more strenuous activities must be restricted while the breasts heal. Dr. Robbins provides individualized postoperative instructions and monitors your progress during follow-up visits.
Your breasts will continue to soften and settle over the following weeks and months as your final result develops.
How Long Do Gummy Bear Breast Implants Last?
Gummy bear breast implants are designed for long-term use, but breast implants are not considered lifetime devices. There is no universal expiration date at which breast implants must automatically be replaced. Some patients may have their implants for many years without needing revision, while others may eventually undergo breast implant exchange because of implant rupture, capsular contracture, changes in the breast over time, or a desire to change implant size or style.
Pregnancy, weight changes, aging, and changes in breast tissue can also alter the appearance of augmented breasts even when the implants themselves remain intact. Long-term follow-up and recommended imaging are particularly important for patients with silicone breast implants because rupture may not always cause an obvious change in breast appearance.
Before scheduling your consultation, please take a moment to review if you’re a candidate for surgery
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Gummy Bear Breast Implants FAQ
Schedule Your Gummy Bear Breast Implant Consultation in West Des Moines or Ankeny
If you’re ready to explore your breast implant options with gummy bear implants, request an appointment at Des Moines Plastic Surgery™. Call us at 515.221.9999 or you can book a consultation online for either our clinic in West Des Moines, or our plastic surgery office at the Coachlight Clinic in Ankeny. Dr. Robbins and his team will listen to your goals, evaluate your concerns, and help you compare implant size, profile, and cohesivity tailored to you. Before scheduling your consultation, please take a moment to determine if you’re a candidate for surgery
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