Anatomic Breast Implants

Since their approval in 2013, anatomic or “tear-drop” or “gummy bear” breast implants have been one of the most sought after implants in breast augmentation surgery.  These implants are made of a highly cohesive silicone (HSC) more “form-stable” than the traditional silicone gel implants. They hold their position much better than the older implant style serving to help improve breast shape and more resistant to the body’s natural tendencies.

gummy bear cut implant

These are made in both a round and shaped appearance with the latter being more like the natural contour of a woman’s breast. These implants have a textured surface and a required orientation within the body. This implant, however, serves to improve the natural shape of the breast, limits the rippling or wrinkling seen with traditional implants and reduces the incidence of capsular contracture.

All three major manufacturers of breast implants make a shaped implant option. Allergan makes the style 410, Mentor the Memoryshape and Sientra the HSC+ shaped implants.  All three have pros and con, and all have a slightly different textured surface.

sientra breast implants natrelle 410 anatomical breast implants mentor memory shape breast implants


Due to the textured surface, these implants do not need to be massaged or displaced in the healing process. They will tend to hold their anatomic position due to the velcro-like effect on the tissues.  Since “dropping” of the implants is not needed, often the final shape is achieved sooner in the recovery process.





1 hour


Pain, bleeding, infection, asymmetry, implant failure, capsular contracture


6-8 weeks for implants to completely descend into the final position


General or local with sedation


Back to work: 3 days Strenuous activities: 2-3 weeks


Breast implants are warrantied for life. Replacement only entails a minor procedure.




Temporary swelling, bruising, mild pain


Here’s a video of the sientra implant cut in half.

Here’s a video of Dr. Marin’s interview at Fox where he discussed about the gummy bear implants.

​There are several instances where patients will really benefit from a shaped implant:

  1. A constricted or tuberour breast. These breasts can be tight on the lower aspect of the breast and need additional implant where the breast is most deficient
  2. A breast in need of a slight lift. Since the anatomic implant has its most projecting point lower than the traditional round implant, it is particularly suited to a breast that needs a slight lift.
  3. Patients who desire a “natural” result and are limited in the amount of breast tissue they have. This allows for a more anatomic result despite not having the tissue to achieve this look.
  4. In virtually all implant based breast reconstructions. Since there is no breast tissue by definition, the “tear-drop” shape becomes essential in producing an attractive and natural result.

If you are interested in know more about your options with shaped breast implants, please contact our San Diego office at 858-638-9800 or for an online consultation, please click here.

About the Author:

Dr. Vince Marin is a San Diego board-certified plastic surgeon specializes in cosmetic surgery of the face, nose, breast and body. If you wish to contact Dr. Marin, write to [email protected] or you can follow him on Twitter!