Cosmetic Surgery Interface Committee Consultation Document
MHRA inormation on breast implants
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’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.
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.
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.
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.
Inamed / McGhan
These implants were acquired by Allergan over 10 years ago.
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.
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.
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.
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.
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.
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.
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.