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Breast Implant Catalogues

Breast Screening information

Cosmetic Surgery Interface Committee Consultation Document

Expert report on PIP implants

independent review group

Liposuction FDA

MHRA inormation on breast implants

Nuffield Bioethics

Often when one considers breast augmentation revision the most important information required as a surgeon are the implant details used during the previous surgery. Mr Ross consults with many patients for second opinions and revisionary surgery. The Information that should be provided by the previous surgeon and/or the provider are usually in the form of a catalogue number, a lot number, and a volume with a code. The volume in cc’s is also usually visible and through this information one can use the various implant catalogues to work out the dimensions of the implant. For round implants one needs to consider the width and the profile / projection and for anatomical implants the width, height and profile/projection. This information can help to empower both the patient and clinician to be able to select the most appropriate option whether that be removal only vs removal and replacement +/- breast lift +/- autologous fat transfer.

There are many different manufacturers of breast implants and when implant catalogues are updated some of the older implant details become difficult to find. In the list below Mr Ross has included many of the up to date catalogues and a selection of older implant catalogues in order to help clinicians and patients find their own implants within the various catalogues.


Allergan

Allergan’s Natrelle Silicone-Filled Breast Implants have a silicone outer shell that is filled with silicone gel. They have FDA approval and come in wide range of different sizes and have either smooth or textured shells. Saline implants are also available within an extensive range. Allergan acquired INAMED Aesthetics, formerly known as McGhan Medical over ten years ago.

Allergan Catalogue


B-Lite

B-Lite implants have a silicone outer shell. The B-Lite gel is a microsphere-enhanced, cohesive, silicone gel which makes implants up to 30% lighter than the standard silicone equivalent. B Lite Implants have CE mark certification and are available in both round and anatomical shapes with textured and smooth shells.

B-Lite Catalogue


Eurosilicone

Eurosilicone implants have a silicone outer shell that is filled with cohesive silicone gel. They are available in a large range of heights, profiles and projections (round and anatomical) and with a smooth or textured surface and have CE mark certification. The umbrella company Global Consolidated Aesthetics (GC Aesthetics) also own Nagor.

Eurosilicone Catalogue


Ideal

Ideal implants have a silicone shell and have a saline fill. It is a double lumen saline implant engineered to feel like a silicone implant. They have FDA approval.

Ideal Catalogue


Inamed / McGhan

These implants were acquired by Allergan over 10 years ago.

Inamed / McGhan Catalogue


Mentor

Johnson and Johnson acquired Mentor implants almost 10 years ago. Johnson and Johnson are the largest medical company globally. Implants have a silicone outer shell that is filled with silicone gel. They have FDA approval and come in wide range of different sizes and have either smooth or textured shells. Saline implants are also available within an extensive range.

Mentor Catalogue


Motiva

Motiva breast implants are available in a micro-textured or textured shell. They are filed with silicone gel. They have either a round, oval or contoured shape and come in several different sizes and projections. They have CE mark certification.

Motiva Catalogue


Nagor

Nagor is the only British manufacturer of silicone and saline breast implants and related medical devices. Implants are available in round and anatomical shapes with smooth or textured surfaces in a range of heights, projections or profiles and a number of styles and sizes. They have CE mark certification and fall under the umbrella company GC Aesthetics.

Nagor Catalogue


Polytech

Polytech is a German Company. Breast implants They are available in micropolyurethane and silicone shells, in round and anatomical shapes and in smooth and textured verisions. The implants have CE mark certification.

Polytech Catalogue


Sebbin

Sebbin is a French Company. Breast implants may be round or anatomical, pre-filled with silicone gel, which is always cohesive but of variable firmness according to taste or inflatable with physiological saline solution, with different projections and coming in many different sizes. The implants have CE mark certification.

Sebbin Catalogue


Sientra

Sientra’s breast implants come in round and shaped, and smooth and textured varieties. The implants come with FDA approval. Sientra are a brand of breast implants marketed in the US by the same manufacturer of Silimed breast implants.

Sientra Catalogue


Silimed

Silimed is a Brazilian company and the implants are distributed in the UK by Eurosurigical Ltd. They are available in polyurethane and silicone shells and in both round and anatomical shapes. The silicone shelled round and shaped silicone gel breast implants have FDA approval. The polyurethane shelled implants have CE approval but the use of the implants were suspended by the MHRA in 2015.

Silimed Catalogue

Tough New Standards For Doctors Carrying Out Cosmetic Procedures

Doctors who carry out cosmetic procedures anywhere in the UK are being issued with new guidance by the General Medical Council (GMC) and the Royal College of Surgeons (RCS) to ensure the best possible care for patients.

Following the review of the cosmetic industry in England by Professor Sir Bruce Keogh which showed the need for greater protection of patients the guidance makes clear the ethical obligations doctors have towards patients and the standards of care they need to provide.

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The key points of the GMC guidance focus on the protection of vulnerable patients

  1. Advertise and market services responsibly
  2. Give patients time for reflection
  3. The doctor must consult and consent patient’s themselves
  4. Provide continuity of care including documented aftercare arrangements.
  5. Support patient safety

Professor Terence Stephenson, Chair of the GMC, said:

‘Cosmetic interventions should not be entered into lightly or without serious considerations. Above all, patients considering whether to have such a procedure need honest and straightforward advice which allows them to understand the risks as well as the possible benefits.

‘It is a challenging area of medicine which deals with patients who can be extremely vulnerable. Most doctors who practise in this area do so to a high standard but we do sometimes come across poor practice, and it is important that patients are protected from this and that doctors understand what is expected from them.

‘Our new guidance is designed to help drive up standards in the cosmetic industry and make sure all patients, and especially those who are most vulnerable, are given the care, treatment and support they need.’

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The Royal College of Surgeons (RCS) has also published its own set of professional standards, specifically for cosmetic surgery, which will supplement the GMC’s guidance. The key points of this guidance are:-

  1. Surgeons performing cosmetic surgery should be certified in the area in which they practise.
  2. The operating surgeon should lead the consultation with the patient to outline the risks of the procedure, likely outcome and to provide the information that will help them decide whether or not to undergo surgery. The operating surgeon must also obtain written consent from a patient themselves – and not delegate it to a colleague.
  3. Patients should be offered a cooling off period of at least two weeks before they consent to an operation to give them time to reflect on a decision.
  4. Surgeons must make sure they have appropriate indemnity insurance to cover the procedures they are undertaking.
  5. Surgeons should refrain from using financial inducements such as time-limited offers and discounts.

Stephen Cannon, Vice President of the RCS and Chair of the Cosmetic Surgery Interspecialty Committee, said:

‘Our professional standards for cosmetic surgery, coupled with the GMC’s new guidance, will raise the bar and make absolutely clear what we expect of all surgeons working in the private sector.

‘The message to surgeons and doctors working in the cosmetic surgery industry is simple: if you are not working to the surgical standards we have set out today, you should not be treating patients at all. We, and regulators including the GMC, will do everything in our powers to protect patients and to stop unscrupulous individuals from practising.’

The RCS will launch a new certification scheme later this year, allowing patients to more easily search for a surgeon who has the necessary skills and experience to perform the procedure they are considering.

Details of all UK doctors, including any specialisms they have, are published on the GMC’s online List of Registered Medical Practitioners.

In addition, the GMC and RCS are currently developing a guide for patients considering cosmetic procedures, which will give advice and information on things to consider and the questions they should ask their doctor.

Full details of the GMC’s new guidance for doctors carrying out cosmetic procedures is available at www.gmc-uk.org/cosmetic and the RCS guidance on https://www.rcseng.ac.uk/news/rcs-calls-for-new-law-to-protect-patients-undergoing-cosmetic-surgery-as-it-publishes-professional-standards#.Vwyt_WPfCkg

Information to help patients prepare for an anaesthetic

 

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Update Results On Mentor Anatomical Breast Implants

 

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The DOH’s review of the regulation of cosmetic interventions

 

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The Cosmetic Surgical Practice Working Party Professional Standards for Cosmetic Practice

 

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Nice Guidance on the use of Autologous Fat Transfer for Breast Remodelling

 

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MHRA information on breast implants

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The FDA report on Liposuction

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Independent review report on silicone breast implants

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