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New Options for Breast Implants on their way · Apr 6, 10:14 PM by DrTechnical
Many women hoping for a more natural-looking alternative to saline breast implants were disappointed by the Food and Drug Administration’s recent decision to maintain the ban on silicone-gel-filled implants. But there may be other options on the market one day, as doctors continue their quest to find better ways to boost a woman’s bosom.
Among the most promising developments, they say, are cohesive silicone gel, leak-resistant implants with the consistency of a gummy bear and a new type of implant shell coating that may be less likely to cause inflammation and scarring in the surrounding breast tissue.
“I think we are getting closer to developing the perfect implant, in terms of durability, biocompatibility and natural shape,” says Dr. Mark Jewell, a plastic surgeon in Eugene, Ore., and vice president of the American Society for Aesthetic Plastic Surgery.
Both saline- and silicone-filled implants have a silicone shell. But if the saline implants leak, deflate or rupture, which they often do, they would release only salt water—not silicone—into the body. The downside of the saline implants, though, is that they don’t look and feel as natural as the others.
Enter cohesive gel implants, which are currently on the market in Europe and Brazil, and now being studied in the United States.
“The ‘gummy bear’ implants have the positive attributes of the silicone gel, but lack the concerns of gel migration,” says Stevens, who is one of 15 U.S. doctors participating in a study of Silimed cohesive gel implants.
Dr. William P. Adams, Jr., agrees. “The gel doesn’t migrate, so there are potential safety benefits because if the shell should fail, the gel will not go anywhere—it would just stay in one place,” says Adams, an associate professor of plastic surgery at the University of Texas Southwestern Medical Center in Dallas.
And unlike saline implants, Stevens notes, “cohesive gel implants feel like breast tissue, not a water balloon.” So far, he adds, the data and patient response are “overwhelmingly positive.”
But not all plastic surgeons are completely sold on these new implants.
“The problem is density,” says Dr. Lawrence Reed, a New York City plastic surgeon. “They may have value in reconstructive procedures because you need density and mass, but for normal women, they are too dense,” he says.
“Cohesive gel is a refinement of the current silicone implant, but it’s harder than usual silicone gel, so it’s not the total answer,” agrees Dr. Rod J. Rohrich, president of the American Society of Plastic Surgeons and the chairman of the department of plastic surgery at the University of Texas Southwestern Medical Center.
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