<\/span><\/h2>\nWe have already mentioned that s<\/strong>ilicone implants<\/strong> come in various forms. Indeed, there are models with different gel cohesivity, shape, surface and profiles. Below, we go through all the main categories giving key details about them.<\/p>\n<\/span>1.\u00a0\u00a0\u00a0\u00a0 \u201cGummy Bear\u201d Silicone Implants<\/span><\/h3>\n![\"A](\"https:\/\/www.dokuclinic.com\/wp-content\/uploads\/2026\/08\/Gummy-Bear-Silicone-Implants-e1787847266260.webp\" "\\"\\"")
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Cohesive gel implants<\/strong> are the greatest innovation in breast aesthetics in the last 20 years. They are made from a thick, form-stable gel, so that the silicone holds its shape and stays safely in place even if the shell is ruptured. That viscosity is why people call them\u00a0gummy bear implants<\/strong>.<\/p>\n\n- Cohesive gel technology allows for a remarkably natural teardrop shape<\/strong><\/li>\n
- It also allows surgeons to work with greater precision, so that results feel organic long-term<\/strong><\/li>\n<\/ul>\n
<\/span>2.\u00a0\u00a0\u00a0\u00a0 Round vs. Teardrop Shape (Anatomical)<\/span><\/h3>\n![\"An](\"https:\/\/www.dokuclinic.com\/wp-content\/uploads\/2026\/08\/Round-vs-teardrop-implants-e1787726310269.webp\" "\\"\\"")
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Shape decides where the volume sits. A round implant distributes it evenly above and below the nipple; an anatomical implant concentrates it in the lower pole.<\/p>\n
\n- Round implants<\/strong> have<\/strong> more upper-pole projection and don\u2019t give any rotation problems, but they don\u2019t look as natural as teardrop.<\/li>\n
- Anatomical implants<\/strong> have<\/strong>\u00a0more volume in the lower than the upper breast pole, mimicking a natural slope. They require a tighter pocket and a textured surface.<\/li>\n<\/ul>\n
<\/span>3.\u00a0\u00a0\u00a0\u00a0 Smooth vs. Textured Surfaces<\/span><\/h3>\n![\"\"](\"https:\/\/www.dokuclinic.com\/wp-content\/uploads\/2026\/08\/Smooth-vs-Textured-Breast-Implants-e1787726389373.webp\" "\\"\\"")
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The surface determines how the implant interacts with the capsule your body forms around it.<\/p>\n
\n- Smooth<\/strong> Textured Silicone Implants<\/strong>\u00a0move freely within the pocket and are the most widely used today.<\/li>\n
- Micro- and nano-textured:<\/strong>\u00a0designed to reduce rotation and capsule formation.<\/li>\n
- Macro-textured:<\/strong>\u00a0withdrawn from several markets following the link with BIA-ALCL.<\/li>\n<\/ul>\n
<\/span>4.\u00a0\u00a0\u00a0\u00a0 Profile and Projection<\/span><\/h3>\n![\"\"](\"https:\/\/www.dokuclinic.com\/wp-content\/uploads\/2026\/08\/Breast-Implant-Sizes-e1787726357464.webp\" "\\"\\"")
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Two implants of identical volume can produce very different results. A low-profile 300cc implant spreads across a wider base; a high-profile 300cc implant sits on a narrower base and projects forward. Your chest width determines which profile is anatomically possible.<\/p>\n
<\/span>Breast Incision Options for Silicone Implants<\/span><\/h2>\nThe incision determines where the scar ends up. For pre-filled cohesive gel implants, the inframammary approach is the standard. The scar sits inside the natural crease beneath the breast, where it is hidden by the breast itself.<\/p>\n
\n- Inframammary<\/strong>: The most reliable incision for silicone implants. It offers maximum visibility to the surgeon, ensuring the implantis positioned with precision.<\/li>\n
- Periareolar: <\/strong>around the lower edge of the areola. The scar blends into the pigment border, but the incision passes through glandular tissue and carries a higher risk of sensory change and bacterial contamination.<\/li>\n
- Transaxillary: <\/strong>through the armpit. No scar on the breast, but pocket control is indirect and revisions usually require a second incision elsewhere.<\/li>\n
- Transumbilical (TUBA): <\/strong>through the navel. Only possible with saline implants, which are filled after insertion. Not an option for pre-filled silicone.<\/li>\n<\/ul>\n
<\/span>Where Are Silicone Implants Placed (Submuscular vs Subglandular)?<\/span><\/h2>\nPlacement is chosen according to how much natural tissue you have to cover the implant. Thin patients need muscle to disguise the implants\u2019 edges; patients with more breast gland tissue have more freedom.<\/p>\n
In most augmentations, a dual plane approach offers the best balance: the muscle covers the upper pole, while the lower pole is left free so the implant can settle and produce a natural slope.<\/p>\n
\n- Subglandular:<\/strong>\u00a0above the muscle. Shorter recovery, but implant edges and rippling are more visible in thin patients.<\/li>\n
- Submuscular:<\/strong>\u00a0minimizes visible rippling, lowers the risk of capsular contracture, and guarantees a smooth, organic slope.<\/li>\n
- Dual plane:<\/strong>\u00a0muscle over the upper pole, gland over the lower pole. The most common choice in cohesive gel augmentation.<\/li>\n
- Subfascial:<\/strong>\u00a0under the fascia covering the muscle. A middle ground offering slightly more coverage than subglandular without cutting the muscle.<\/li>\n<\/ul>\n
<\/span>Saline vs. Silicone<\/span><\/h2>\nPatients with little natural breasts often find that saline implants can ripple or look artificial. That is the body type where\u00a0silicone breast implants<\/strong> make sense.<\/p>\n\n- Saline implants are filled with sterile saltwater and require a smaller incision, yet they often lack the natural feel of silicone.<\/li>\n
- Modern silicone implants <\/strong>are pre-filled with cohesive gel, offering a softer, lifelike texture. They require a longer incision, however.<\/li>\n<\/ul>\n
\n\n\nFeature<\/strong><\/td>\nSaline Implants<\/span><\/strong><\/td>\nSilicone (Cohesive Gel) Implants<\/span><\/strong><\/td>\n<\/tr>\n<\/thead>\n\n\nTexture & Feel<\/strong><\/td>\n| Firmer, can sometimes feel slightly artificial<\/td>\n | Highly natural, mimics real breast tissue closely<\/td>\n<\/tr>\n | \nIncision Size<\/strong><\/td>\n| Smaller (implants are filled during surgery)<\/td>\n | Slightly larger (implants are pre-filled)<\/td>\n<\/tr>\n | \nRupture Detection<\/strong><\/td>\n| Immediate visual change (breast deflates quickly)<\/td>\n | Requires MRI monitoring (silent ruptures)<\/td>\n<\/tr>\n | \nRippling Risk<\/strong><\/td>\n| Higher, especially in very thin patients<\/td>\n | Significantly lower, smoother finish<\/td>\n<\/tr>\n | \nCost Investment<\/strong><\/td>\n| Generally lower upfront cost<\/td>\n | Higher investment, but superior aesthetic longevity<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/span>How is Breast Implants Surgery Performed?<\/span><\/h2>\nAt Doku Clinic<\/strong>,\u00a0Dr. Serkan Aygin<\/strong>\u00a0and\u00a0Dr.<\/strong> Engin \u00d6cal<\/strong>\u00a0structure medical protocols to analyze your chest wall, skin elasticity, asymmetry and breast volume. Pre-screening is how we can predict the way a\u00a0silicone breast implant<\/strong>\u00a0will behave inside your body.<\/p>\n<\/span>Pre-OP Screening<\/span><\/h3>\nA\u00a0breast augmentation<\/strong> begins with the analysis of your body type, medical history, and the reasons and goals behind your decision. Patients are required to be both<\/em> bodily and mentally healthy to undergo the operation. Thorough blood tests, EKG screenings, and 3D imaging, an operation plan is established by Dr. Engin \u00d6cal.<\/p>\nOur pre-operative checklist includes:<\/p>\n \n- Blood panel and coagulation screening<\/li>\n
- Breast ultrasound<\/li>\n
- Baseline mammogram<\/li>\n
- 3D simulation to visualize different implant profiles<\/strong>\u00a0and projections<\/li>\n
- Discussion about anesthesia and fasting requirements<\/li>\n<\/ul>\n
<\/span>The Operation Step by Step<\/span><\/h3>\nBreast augmentation is performed under general anaesthesia and takes between 60 and 90 minutes for a primary case. Here is the surgical sequence as it is performed by Dr. Engin \u00d6cal<\/strong> at Doku Clinic<\/strong>:<\/p>\n\n- Marking:<\/strong>\u00a0performed with you standing upright, before anaesthesia. The surgeon maps the midline, the existing fold and the planned position of the new fold.<\/li>\n
- Anaesthesia:<\/strong>\u00a0general anaesthesia administered by the attending anaesthesiologist, with continuous monitoring throughout.<\/li>\n
- Incision:<\/strong>\u00a0a 4 to 5cm incision inside the inframammary fold, sized to allow the pre-filled implant to pass without deforming the gel.<\/li>\n
- Pocket creation:<\/strong>\u00a0the surgeon releases the tissue plane selected during planning, controlling the borders precisely so the implant sits centred behind the nipple.<\/li>\n
- Haemostasis:<\/strong>\u00a0every bleeding point is sealed before the implant enters. Blood inside the pocket is a known trigger for capsular contracture.<\/li>\n
- Sizer trial:<\/strong>\u00a0temporary sizers confirm volume and symmetry before the definitive implant is opened.<\/li>\n
- Implant insertion:<\/strong>\u00a0performed under no-touch protocol using a funnel, with a fresh glove change and antibiotic irrigation of the pocket.<\/li>\n
- Symmetry check:<\/strong>\u00a0you are moved to a seated position on the table to verify fold height, projection and nipple position on both sides.<\/li>\n
- Closure:<\/strong>\u00a0the incision is closed in layers with absorbable sutures. Drains are not routinely required in primary augmentation.<\/li>\n
- Dressing:<\/strong>\u00a0taping and a surgical bra are applied before you wake, to support the implants in position from the first hour.<\/li>\n<\/ol>\n
<\/span>How Much Does Breast Implant Surgery Cost?<\/span><\/h2>\nIn the US and UK, the standard cost of breast augmentation<\/strong> ranges from $8,000 to over $15,000. However, certified Mentor & Motiva silicone breast implants in Turkey<\/strong>\u00a0can cost as little $4,500 at elite institutions such as Doku Clinic<\/strong>. These are the exact same breast implants, verified with their badge codes, performed by some of the most experienced surgeons in the world, carrying out routine operations on patients from all around the world.<\/p>\n\n\n\nCountry<\/strong><\/td>\nTypical total cost<\/strong><\/td>\nUsually included<\/strong><\/td>\n<\/tr>\n<\/thead>\n\n\n| United States<\/td>\n | $8,000 \u2013 $15,000+<\/td>\n | Surgeon fee<\/td>\n<\/tr>\n | \n| United Kingdom<\/td>\n | \u00a36,500 \u2013 \u00a39,500<\/td>\n | Surgeon, anaesthesia, one night stay<\/td>\n<\/tr>\n | \n| Canada<\/td>\n | CAD 10,000 \u2013 15,000<\/td>\n | Surgeon, facility<\/td>\n<\/tr>\n | \n| Australia<\/td>\n | AUD 12,000 \u2013 18,000<\/td>\n | Surgeon, hospital, anaesthesia<\/td>\n<\/tr>\n | \n| Turkey (Doku Clinic)<\/td>\n | from $4,500<\/td>\n | Certified Mentor or Motiva implants, surgeon, anaesthesia, hospital stay, garments, transfers, accommodation, follow-up<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/span>Recovery and Results<\/span><\/h2>\nWaking up after surgery, it is normal to experience mood swings or anxiety. Your body is reacting to anesthesia, surgical trauma, and adjusting to the presence of\u00a0silicone breast implants<\/strong>. Acknowledging this allows you to focus on healing.<\/p>\n<\/span>The First 48 Hours<\/span><\/h3>\nExpect significant swelling, moderate discomfort, and a sensation of intense pressure, especially if you chose\u00a0submuscular placement<\/strong>. This is a standard part of healing. You will receive pain management to keep you comfortable.<\/p>\n<\/span>Week 1<\/span><\/h3>\nDiscomfort peaks on day two or three and then declines steadily. Most patients stop taking prescription painkillers by the end of the week and manage with paracetamol alone.<\/p>\n | | | | | | | | | | | | |
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