An elastomeric gel-filled prosthetic implant having a shell made of a
single gel barrier layer. The barrier layer is formed of a homogeneous
silicone elastomer capable of sterically retarding permeation of the
silicone gel through the shell and having a bleed rate that is less than
about 40% of the bleed rate of current shells which use a sandwiched
construction with an internal barrier layer. Further, the barrier layer
shell is made of a material that exhibits a wet strength that is
comparable to or greater than current shells. The silicone elastomer may
be a polydimethyl siloxane, and the substituted chemical group is a
diphenyl group with a minimum mole percent of at least 13%. The implant
may be designed for breast reconstruction or augmentation such that the
shell is accordingly shaped. The shell wall thickness is at least 0.254
mm (0.010 inches), and desirably about 0.456 mm (0.018 inches). The
implant shell may be made by dip-forming, spray-forming, or rotational
molding. The exterior may be smooth or textured.