Form stable silicone implants are referred to as Gummy Bear implants. These shaped implants have a highly cohesive silicone gel fill with a textured implant shell. They impart a substantial amount of shaping to the lower pole breast and are useful for patients with mild breast sagging and tight lower pole tissues. Dr. Sattler places form stable implants in the sub muscular position to enhance breast shaping and to create a natural post operative appearance. Shaped implants are useful in patients with very tight breast tissues. Shaped implants can also be used in patients with marginally sagging breasts to place more volume in the lower pole of the breast, thus creating the illusion of a lifted nipple position. Breast implant sizing is critical for good cosmetic results using shaped implants. Form stable implants from Allergan and Sientra are available at Sound Plastic Surgery.