The basis of silicone is silicon linked to oxygen in a polymerized chain that has elastic properties. Silicon is the second most prevalent element on earth. The surface of the earth consists up to 28% of silicon, it can be found in stones, clay and sand.
Thus, silicone is a natural material. Silicone is a synthesized product utilized in many different industries. POLYTECH Health & Aesthetics only utilizes medical-grade silicones specifically formulated for our products. Silicone does not contain any additives, especially no softeners. It has been used for medical devices for more than 40 years, for example in probes, catheters, coatings of puncture needles and pacemakers, gloves and wound dressings.
In the field of soft-tissue surgery, silicone implants may be used to correct the body contour. Years of clinical experience and a large number of tests carried out on implants, coatings, etc. demonstrate the safety of silicone in medical applications.
We encounter silicone every day: as anti-foaming agents for cooking, as water-repellent for clothing, as electrical insulation, as anti-acids for the stomach, as carrier spray in antiperspirants, as the shine in cosmetics, etc. Intensive studies have not provided evidence of allergic reactions to silicone.
Silicone is available in the form of silicone elastomer, silicone gel, and silicone oil. For the manufacture of our implants we exclusively use high-quality medical-grade silicones certified for long-term implantation. (>> Characteristics of our implants)
Chemically speaking ...
... polyurethanes are polymers. There are natural polymers such as cellulose (a component of wood, which is used for paper production), proteins, and DNA (deoxyribonucleic acid, the molecule that stores the genetic information). In the chemical industry artificially produced polymers are summarized under the term "plastics". Known representatives are, for example, polyethylenes, polyesters, polystyrenes, and polyurethanes, common brands are Nylon, Teflon, etc.
The fundamental feature of polymers is that many small molecules are connected in chains and in this manner, very long chains can be created. (The syllables "poly" and "mer" are derived from the Greek, meaning "many parts".) Polyurethanes are chain molecules in which the individual molecules are linked via a urethane bond. The polyurethane bond is chemically relatively inert, which means: If the bond is once established, it can be broken only with relatively high effort. Thus it is correspondingly stable, even in an organic environment.
Micropolyurethane foam = Microthane®
All soft tissue implants currently used have a silicone shell, but are offered with different surfaces. One of these surfaces is a coating of polyurethane. Our polyurethane coating is called Microthane®.
Microthane® coated implants retain their position in the body and will not rotate or dislocate. They also reduce the risk for capsular contracture and contribute to overall reduced complication rates.*
What is so special about the Microthane® coating?
Microthane® is a medical-grade micro-foam (polyurethane), which is covalently attached to the surface of the implant. The sponge-like structure increases the surface area of the tissue capsule that forms during the healing around the implant. This causes a capsular contracture to become a rare event. Simultaneously, the implant is thus fixed in its position.
POLYTECH Health & Aesthetics is Europe's only manufacturer of breast implants with a coating of Microthane®.
*See studies on Microthane Implants:
- The Modern Polyurethane-Coated Implant in Breast Augmentation: Long-Term Clinical Experience. Prof. Dr. Stefano Pompei et al., Aesthetic Surgery Journal 36, Oktober 2016: https://academic.oup.com/asj/article/36/10/1124/2664528/The-Modern-Polyurethane-Coated-Implant-in-Breast?searchresult=1;
- Polyurethane Implants in 2-Stage Breast Reconstruction: 9-Year Clinical Experience. Prof. Dr. Stefano Pompei et al., Aesthetic Surgery Journal 37, Dezember 2016: https://academic.oup.com/asj/article/37/2/171/2640473/Polyurethane-Implants-in-2-Stage-Breast?searchresult=1;
- The Diagon/Gel Implant: A Preliminary Report of 894 Cases. Dr. Constantin Stan, Dr. Thomas Biggs.Plast Reconstr Surg Glob Open. 2017 Jul; 5(7): e1393. Published online 2017 Jul 5. doi: 10.1097/GOX.0000000000001393
Combat capsular contracture
Common complications occurring after a breast reconstruction with implants is the formation of a sometimes dolorous capsular contracture.
What is capsular contracture?
The formation of a capsule around an implant is normal, to a certain degree, because the body's immune system recognizes it as a foreign body and "wraps" it in tissue. The capsule can contract and harden. Depending on the intensity of the capsular contracture it can cause pain and an aesthetically inacceptable result. In most cases, a re-operation for the exchange of the affected implant then becomes necessary.
How do I prevent?
The implant surface plays a crucial role. Implants with a textured surface and implants with Microthane® coating reduce the risk of capsular contracture. Especially implants enveloped with Microthane® contribute to an overall lower complication rate. In Europe, POLYTECH Health & Aesthetics is the only manufacturer of Microthane® enveloped implants.
A reconstructive intervention is a surgical procedure and should be considered seriously and extensively. If you opt for surgery, it is important that you know exactly what the risks are and ponder them properly. (-> General information)
Reconstructive surgery can make you feel at ease with your body and thus provide for a higher quality of life. This will allow you to feel generally more comfortable – however, a surgery is no guarantee for it.
You should not decide in favour of an intervention on a whim, on no account have somebody force your decision and not accept to be influenced by other people. Nor should you have the intervention performed without having conducted an intensive consultation with an experienced physician. Find out more in our breast reconstruction information brochure "Feeling Whole Again".
A reconstructive surgery should be performed in any case by a doctor who will assume your aftercare. In many countries, the cost of reconstruction will be covered by a patient's health insurance, but check with your doctor or breast center what is appropriate for your situation.
A good source for additional information on the different procedures, addresses of competent surgeons and general issues are the professional associations. Also ask your friends and acquaintances, perhaps someone has gained positive experience and can recommend a surgeon.
For your decision for or against a reconstructive intervention, you should take sufficient time. Look intensively into the subject, check the options and possible complications. Read all about it – because a surgery comes with all the risks involved and will be performed under anesthesia.
Even the best doctor cannot give you 100% guarantee for the success of the intervention. The better informed you are, the more satisfied you will be with the outcome. A good source for addresses of competent surgeons are their professional associations. Also ask your friends and acquaintances, perhaps someone has gained positive experience and can recommend a surgeon.
Trust your surgeon
If you have opted for a reconstructive surgery, the most important prerequisite for a successful and sustainable intervention is a relationship of trust with an experienced physician. In an initial consultation, you and the specialist should clarify your personal motives and expectations regarding the intervention. Also discuss in detail the exact procedure, possible side effects and risks. In this way, you develop realistic expectations and will be satisfied with the result. (-> Link Check list reconstructive surgeon)
Right at the beginning, talk about any costs involved and the permanency of the intervention's outcome, as far as experience can tell. Aftercare and cancer screening should also be topics of the first consultation. Collect information about the products and materials your doctor utilizes and why. (Characteristics of our implants) Find out more in our breast reconstruction information brochure "Feeling Whole Again".
Get yourself involved actively in the preparation and decision-making process – because it is about your body and your health.
The aftercare should be a subject at the very first appointment with your doctor. Intensive supervision and regular monitoring after surgery is needed and a sign of quality – no matter what type of reconstruction you choose.
After surgery, it is important to protect the treated area well, for example with high quality compression garments, and to schedule regular follow-ups.
Closely follow the instructions, which you get from your doctor – doing so you facilitate an easy healing process.
Prevention and aftercare
In large studies, researchers found out that women with implants do not get breast cancer more often than women without implants. A breast implant does not affect the development of breast cancer. Also after implantation, the detection of tumors by means of mammography and a special technique, the Eklund technique, is possible. Modern imaging techniques - high-resolution ultrasonography, magnetic resonance imaging or computed tomography - support the timely discovery of a tumor.
For your own safety, inform your doctors and the person who performs your mammogram that you have implants.
A decision for or against a reconstructive intervention like breast reconstruction should be considered carefully.
Take sufficient time to make it.
Prior to your decision seek extensive advice from a well-trained doctor with many years experience and possibly get a second opinion. Important for a surgeon are many years of expertise and a high number of successful operations performed every year by her/him. (Check list reconstructive surgeon)
Only if you are really sure about your decision, have collected comprehensive information in preparation and feel comfortable with your doctor, you should decide in favor of an intervention. The more informed you are and the more realistic your expectations, the more satisfied you will be with the outcome. Find out more in our breast reconstruction information brochure "Feeling Whole Again".
In case of an implant breast reconstruction, you should ask your surgeon which materials or implants she/he uses – for implants are not equal and quality is unfortunately not a given.
As the only German manufacturer of breast implants, POLYTECH Health & Aesthetics has provided the highest quality for over 25 years and ensures the certified safety of our implants. (Products / About Us / Warranty)
It is important that you find a surgeon you trust and who will provide competent advice. This is essential because you have to feel that you go into good hands, and because the result of the surgery depends heavily on his experience and knowledge.
Good sources for addresses of competent surgeons are their professional associations. Also ask your friends and acquaintances, perhaps someone has gained positive experience and can recommend a surgeon.
To find out if your surgeon is the right choice for your desired procedure, you should ask her/him a lot of questions. Following a list of questions you may ask during the first consultation:
A good doctor will conduct a detailed consultation with you, study your medical history, and examine you thoroughly. He will surely and gladly show pictures of his previous patients to you, not make unrealistic promises about the result to be expected, and not push you to a quick decision. (Preparation)
Download Check-list Reconstructive Surgeon (PDF)
One of the priorities in reconstructive plastic surgery is reconstructing the female breast. There are several ways to reconstruct the breast after breast cancer. Whether, how and at what point a breast reconstruction can be performed depends on several factors: the preferences of the patient as well as her physical disposition and the medical requirements.
Prior to your decision, collect comprehensive information about the possibilities and methods as well as the risks of the procedure. Also find a surgeon who has the necessary experience and is ready to conduct a thorough consultation with you (>> Check list surgeon).
Basically, there are two possibilities to reconstruct the breast:
Consulting thoroughly with your surgeon will help to define the surgical technique appropriate for you.
Breast reconstruction with silicone implants
In general, silicone-gel filled implants are used for this type of reconstruction. Depending on the patient’s physical condition and subsequent treatment, the breast implant may be inserted directly after the surgical removal of the tumor. Your doctor will discuss with you if that's possible in your case.
If the reconstruction is to take place at a later time, several preparatory steps are required: First, a tissue expander is inserted, which allows the skin to gradually expand. Once the tissue is sufficiently stretched, the expander can be replaced with a silicone implant in the required size.
Opting for a reconstruction with implants has several advantages:
Breast reconstruction with autologous tissue
In this type of reconstruction, the breast is reconstructed with the patient's own tissue harvested from other parts of her body. Autologous reconstruction is often improved by implants, for example if the desired volume of the reconstructed breast cannot be achieved due to lack of sufficient autologous tissue.
Possible complications that can arise after autologous reconstruction are due to lack of blood supply to the transplanted tissue, or impaired wound healing and possible loss of function in the areas from which the tissue was removed.
With the help of reconstructive plastic surgery, form and function of the body and the aesthetic appearance can be restored – for example, after an accident, cancer surgery or congenital malformations.
In this field, the post-cancer reconstruction of the breast is one of the most commonly performed procedures.
Other indications for reconstructive plastic surgery are scar treatment or correction after burns or restoring other parts of the body such as a calf, nose or gluteal defects with silicone implants.
There are physical defects that cannot be corrected by prefabricated implants. In these cases, implants made to measure are often the optimum solution. With our custom-made products manufactured in Germany we meet many patients wishes. (Custom-made implants)
The female breast
For former breast cancer patients, a positive frame of mind is psychologically very important and provides important support in coping with the disease. To establish a better quality of life reconstructive plastic surgery can prove helpful. In many countries, women have the possibility to have their breast reconstructed following breast cancer surgery.
Breast reconstruction should, for example within the context of a breast cancer therapy, be part of the treatment concept. In many countries, the costs are covered by the patient's health insurance.
In the case of implant breast reconstruction, the selection of an experienced physician and the information and education about the choices and risks are particularly important. In addition, the quality of implants plays a crucial role.
With the innovative and certified silicone implants "Made in Germany" by POLYTECH Health & Aesthetics you have years of demonstrable safety using these implants and can feel safe – and under warranty (Quality assurance). Find out more about our products and our extended warranty program for implants at Products / Implants of Excellence.