It's one of the few areas where American medicine has lagged behind the rest of the world.  The FDA approved a new silicone breast implant on March 9th, which some doctors say is long overdue.

Board Certified Plastic Surgeon Dr. Richard Sadove said, "The traditional round liquid filled implant, the implant that was just approved by the FDA...form shaped, thinner above, thicker below...the form shaped implant that we're waiting on- the gummy bear."

Whether for enhancement or reconstruction, breast implants are one of the most common forms of plastic surgery performed on women.  But until now, the options for what type of implant have been limited.

Sadove said, "And a round device just doesn't satisfy all of the needs of every patient in every situation."

Sadove, who has 25 years of plastic surgery experience, says he used the formed implant while teaching overseas in 1993. Which puts him in the minority of American doctors.

He said, "You see this implant here in Gainesville Florida and I'm sure it's the only one in the state of Florida and the only reason I have it is because I brought it with me when I came into the United States."

The device is made by Sientra and won't be available for a few months... even the price is still unknown.  But doctors do know that the shaped implant will have less rippling and can look more natural.

Molly Wing said, "The thing that appeals to me most is that it provides a more natural look for the implants, as opposed to you know, being able to tell that they're fake."

Dr. Sadove says the shaped implants require more precise placement to make sure they don't move.  He adds, safety concerns that used to surround silicone have been largely disproved, but even still the cohesive gel in the new generation of implants are even safer.

Sadove said, "If you cut this implant in half, it stays in exactly the same shape that it's in."

But some hope this is just a stepping stone toward a fully cohesive shaped implant.  Making options for cosmetic or reconstructive surgeries even less of one size fits all approach.