Having breast lift with implants & my doctor only does polyurethane silimed, is it safe?

Question

Hello, I'm having breast lift with implants the Dr that I went to only does the polyurethane silimed, is it safe? I'm a little nervous. My surgery will be in 2 months and i already paid for my surgery.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your bra size. I would not recommend polyurethane implants. However, the most important aspect of your surgery is the breast lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

Polyurethane implants were used for several years to reduce the incidence of capsular contracture. As far as I know polyurethane coated implant are not approved for use in the United States. You should call your surgeon. This may be a case of confusion over what you were told. They may have meant silicone textured implants, not polyurethane.

Michael E. Decherd, MD, FACS · Answer

So, to my knowledge polyurethane has been not FDA-approved for some time.  Silimed makes them and they are used outside the US.  In the US, Silimed’s other implant technology was used, or licensed, or something in the sale of Sientra implants, but they were not polyurethane.  Sientra declared bankruptcy but was bought by Tiger Aesthetics.  I was just at the Texas Society meeting and Tiger has a booth.  But unless I missed something, polyurethane is not FDA-approved in the US currently.

Mark Deutsch, MD, FACS · Answer

I doubt your surgeon is using polyurethane implants as I am not aware they are approved here in the U.S. You should contact your doctor's office to find out before your surgery. Today's silicone implants have warranties in case of rupture or capsular contracture, I am not sure if you have any recourse if you develop a problem with polyurethane implants.

Darryl J. Blinski, MD · Answer

Best to get the brochure of the company and call the company and see if their implant is FDA approved to be used in the United States. This would be your first step then contact local plastic surgeons or the New York board of medicine or the New York Society of Plastic surgery .Best to get the brochure of the company and call the company and see if they’re implant is FDA approved to be used in the United States. This would be your first step then contact local plastic surgeons or the New York board of medicine or the New York Society of Plastic surgery and ask that question. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

A plastic surgeon should be able to order implants from any manufacturer.
You may want to ask them why they only offer this implant?
You may also want to consider consulting it with a few plastic surgeons before selecting a provider.
Personally, I don’t use these implants.
Best,
Mats Hagstrom MD.

Having breast lift with implants & my doctor only does polyurethane silimed, is it safe?

Answers (6)

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