Considering Breast Augmentation?

There are several options and several types of implants and even options for how the implant will be located in the body.

Gummy Bear Implants

The gummy bear implant is a relatively new arrival in the breast implant manufacturing industry. It is a departure from the traditional shell-and-filler design in that it a more solid piece. The silicone used is at a higher concentration, resulting in a firmer feel. This silicone also has a lower likelihood of leaking if there is a rupture in the implant.

Types of Implants

Patients can choose silicone or saline as the fluid inside the implant, and each has its own advantages and disadvantages to be weighed by the patient in consultation with their surgeon:



  • Peace of mind for those who are unsure of silicone gel
  • Leaks are easily detectable
  • Increased projection when desired
  • For purely cosmetic breast augmentation can be used at age 18
  • Slightly lower capsular contracture rate


  • Higher risk of rippling
  • More easily palpable (feels less natural in most cases)
  • Increased projection when not desired
  • Stiffer result
  • Slightly higher leakage rate



  • Softer more natural feel
  • Lower risk of rippling
  • Decreased projection when desired
  • Moves more like a natural breast
  • More profiles (shapes) available


  • Leaks are harder to detect
  • Decreased projection when desired
  • Slightly higher capsular contracture rates
  • Body makes scar in response to a leak
  • For purely cosmetic breast augmentation can be used at age 22 or older

Implant Location

You can have your implants placed above the muscle (subglandular) or below the muscle (subpectoral).

Your plastic surgeon will decide which placement location is best for you based on your goals, breast type and other factors.

The location choice will be part of your surgical plan.


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Dr. Gregory S. DeLange at Estetica Institute of the Palm Beaches

Dr. Gregory S. DeLange is a Board Certified Plastic and Reconstructive Surgeon. Dr. DeLange graduated from the University of Miami School of Medicine and then completed his Surgery Residency at the University of Texas. After completing a year as Chief Resident, he followed his General Surgical training with an additional two years of Plastic Surgery Fellowship at the prestigious University of Florida Shands Hospital. Dr. DeLange is certified by the prestigious American Board of Plastic Surgery.