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Safest Breast Implants. Dr. Brad Calobrace discusses the impressive implant offerings from Sientra, one of the 3 major implant manufacturers available to patients in the US. There are three brands of silicone breast implants that women undergoing breast augmentation can choose from in the United States: Mentor, Allergan, and Sientra. Because breast implants are medical devices, their safety and use are closely monitored in the United States by the FDA. Sientra, the most recent addition to the breast implant market in the United States, received FDA approval in 2012. For Sientra, the road to FDA approval began in 2002 when they established the largest silicone gel breast implant study to date, the Sientra Core Study. Over 1,700 patients received Sientra implants as part of the study and were all monitored for a ten year period. In April of 2018, several of the top breast surgeons in the country took a deeper dive into the study’s results and published their findings in Plastic and Reconstructive Surgery, the Journal of the American Society of Plastic Surgeons. Sientra core study. “What was great about the study is that it showed a great safety profile for Sientra silicone breast implants,” shares Dr. Bradley M. Calobrace, one of the authors of the article. He adds that as a result of the study’s findings, “patients should feel more secure that these implants are very, very safe.” SIENTRA KNOWS BREAST IMPLANT SAFETY STARTS WITH SURGEON SELECTION Sientra’s implants are available exclusively through board certified plastic surgeons. This sets Sientra apart from the other two implant companies who sell implants to any surgeons, regardless of training or board certification. The idea behind Sientra’s unique sales philosophy is that by limiting access to their product to highly trained and experienced surgeons, they are contributing to the safety of the patients who receive their implants. “If you’re getting a Sientra implant, you know a qualified surgeon is doing it,” points out Dr. Calobrace. IMPLANT SAFETY SHOULD ALWAYS BE MONITORED LONG-TERM Even if you are not part of a long-term breast implant study, it is important that you continue to follow up with your plastic surgeon annually.“We are looking to make sure they don’t have breast cancer and that they’re not developing capsular contracture,” points out Calobrace. “There’s also a very rare incidence of patients getting a lymphoma that’s somewhat associated with breast implants. Patients need to be evaluated by a plastic surgeon so we can make sure and keep them safe.” Smaller implants.