ConfidencePlus®
Warranty program

Choose Natrelle®
choose ConfidencePlus®

Now with a FREE 10-year warranty covering capsular contracture (Baker Grade III/IV) coverage for all Natrelle® Gel implants.*

You’re covered—whether it’s your first surgery or any subsequent one. When you choose Natrelle® Gel breast implants, you are automatically enrolled—at no extra charge—in the exclusive ConfidencePlus® Premier warranty program.

ConfidencePlus® Premier comes with FREE breast implant replacement for up to 10 years in the event of capsular contracture (Baker Grade III/IV) for all Natrelle® Gel implants.

Plus, if you need an implant replacement, you may choose any Natrelle® implant within a comparable size range.

*Valid for surgeries on or after November 1, 2014.

ConfidencePlus® promise

  • FREE gel breast implant replacement for 10 years in the event of capsular contracture (Baker Grade III/IV) for Natrelle® Gel implants (valid for both primary and revision surgeries)*
  • FREE lifetime product replacement for all implants in the event of implant rupture or deflation
  • FREE financial assistance up to $3500 for 10 years in the event of implant rupture for Natrelle® Gel breast implants
  • FREE financial assistance up to $7500 for rare event of breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) diagnosis
  • When you upgrade to ConfidencePlus® Premier, financial assistance up to $2400 for 10 years in the event of implant deflation of Natrelle® Saline-Filled Breast Implants

*Valid for surgeries on or after November 1, 2014.

Valid for cases diagnosed on or after January 1, 2018.


Lifetime product warranty

  • Automatically applies to all recipients of certain Natrelle® style saline- and silicone-filled breast implant products
  • Regardless of the age of the implant, Allergan provides product replacement in the event of a deflation or rupture due to loss of shell integrity
  • At the request of your surgeon, any Natrelle® style* breast implant may be selected to replace your current Natrelle® style breast implant (replacement implant must be of a comparable size)
When you choose Natrelle® silicone-filled implants
What warranty are you automatically enrolled in for free?
ConfidencePlus® Premier
Capsular contracture coverage?
Yes, up to 10 years of capsular contracture (Baker Grade III/IV) coverage
Financial assistance to cover out-of-pocket expenses for surgical fees?
Yes, up to $3500 in the event of implant rupture for up to 10 years
Can the surgeon request for Allergan to provide a replacement implant for the other breast?
Yes
Lifetime product replacement?
Yes, only in the event of implant rupture
Can the terms be canceled?
No
When you choose Natrelle® saline-filled implants
What warranty are you automatically enrolled in for free?
ConfidencePlus® Standard
Capsular contracture coverage?
No
Financial assistance to cover out-of-pocket expenses for surgical fees?
No
However, if you upgrade to ConfidencePlus® Premier (see below), you can receive up to $2400 in the event of implant deflation for up to 10 years
Can the surgeon request for Allergan to provide a replacement implant for the other breast?
Yes
Lifetime product replacement?
Yes, only in the event of implant deflation
Can the terms be canceled?
No
Can the warranty be upgraded?
Yes, for $200 you can enroll in the ConfidencePlus® Premier warranty within 45 days of your surgery

Additional rare event coverage for both gel and saline patients:

If you have breast implants, you have a very small but increased risk of developing breast implant–associated anaplastic large cell lymphoma (BIA-ALCL). In the unlikely event of a BIA-ALCL diagnosis, Allergan implant patients are eligible for up to $7500 of out-of-pocket surgical cost assistance toward the removal of the breast implant(s) and the associated scar tissue (complete capsulectomy). Allergan will also provide replacement implant(s) at no charge. For coverage eligibility, surgeons are directed to contact Allergan and provide appropriate documentation.

To learn more about rare events associated with breast surgery, please refer to the following resources:
www.surgery.org/professionals
www.plasticsurgery.org/patient-safety/information-on-bia-alcl

Products covered

Natrelle® Saline- and Silicone-Filled Breast Implants listed below and implanted in the United States on or after November 1, 2014 are eligible for coverage under the Allergan ConfidencePlus® warranty provided that the implants were used:

  • As intended by appropriately qualified and licensed surgeons in accordance with current and accepted plastic surgery techniques
  • In accordance with the current Natrelle® style implant Directions for Use

View the Directions for Use.

For product implanted prior to November 1, 2014, contact Allergan at 1-800-624-4261.

Qualified Natrelle® style breast implants

  • Natrelle INSPIRA® Round Gel Breast Implants
  • Natrelle® 410 Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implants
  • Natrelle® Classic Round Gel Breast Implants
  • Natrelle® Saline-Filled Breast Implants

Events covered

ConfidencePlus® warranties apply only to cases of loss of shell integrity resulting in implant rupture (silicone), implant deflation (saline), capsular contracture that requires surgical intervention (silicone), or a rare event of BIA-ALCL diagnosis that requires surgical intervention.

Valid for cases diagnosed on or after January 1, 2018.

Download the complete program details and terms.

Events not covered

The ConfidencePlus® warranties do not apply to:

  • Dissatisfaction with implant size or aesthetics
  • Adverse reactions other than implant deflation, rupture, or rare event of BIA-ALCL diagnosis
  • Capsular contracture in Natrelle® Saline-Filled Breast Implants
  • Loss of product integrity caused by open or closed capsulotomy
  • Loss of product integrity caused by cosmetic revision surgery
  • Other manufacturers’ products
  • Financial reimbursement for another manufacturer’s style replacement product in lieu of a Natrelle® style

Filing a claim

To submit a ConfidencePlus® warranty claim for product replacement and financial assistance, contact the Allergan Product Surveillance Team prior to implant replacement surgery.

Allergan Product Surveillance Team
1-800-624-4261

Financial assistance and product replacement will be issued upon receipt and verification of the explanted product, the return goods authorization (RGA), and the patient’s warranty general release.

This is a summary of Allergan’s ConfidencePlus® warranty. It is an overview only and not a complete statement of the program. You may obtain a copy of the complete Allergan ConfidencePlus® Standard and ConfidencePlus® Premier warranties and terms for saline-filled and silicone-filled breast implants by:

Allergan Warranty Processing
301 West Howard Lane
Suite 100
Austin, TX 78753
1-888-647-4029

Allergan reserves the right to cancel, change, or modify the terms of the Allergan ConfidencePlus® Standard and ConfidencePlus® Premier coverages. Any such cancellation, change, or modification will not affect the currently stated terms of the Allergan ConfidencePlus® Standard and ConfidencePlus® Premier coverages for those already enrolled. Allergan ConfidencePlus® Standard and ConfidencePlus® Premier warranties are nontransferable and nonrefundable.

Upgrade to ConfidencePlus® Premier today!

If you chose Natrelle® Saline-Filled Breast Implants, you can upgrade to the ConfidencePlus® Premier warranty within 45 days of the qualifying surgery. The enrollment fee is $200.

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Thank you for choosing Allergan and for your purchase of a ConfidencePlus® Premier warranty. You will be notified by MAIL. Please allow 8-10 weeks for processing.

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Natrelle® Breast Implants Important Information

Who may get breast implants (INDICATIONS)?
Natrelle® Breast Implants are approved for women for the following:
  • Breast augmentation for women at least 22 years old for silicone-filled implants.
  • Breast augmentation for women at least 18 years old for saline-filled implants.
    Breast augmentation includes primary breast augmentation to increase breast size, as well as revision surgery to correct or improve the result of a primary breast augmentation surgery.

Natrelle® Breast Implants Important Information

Who may get breast implants?
Natrelle® Breast Implants are approved for women for the following:
  • Breast augmentation for women at least 22 years old for silicone-filled implants.
  • Breast augmentation for women at least 18 years old for saline-filled implants.
    Breast augmentation includes primary breast augmentation to increase breast size, as well as revision surgery to correct or improve the result of a primary breast augmentation surgery.
  • Breast reconstruction. Breast reconstruction includes primary reconstruction to replace breast tissue that has been removed due to cancer or trauma or that has failed to develop properly due to a severe breast abnormality. Breast reconstruction also includes revision surgery to correct or improve the result of a primary breast reconstruction surgery.
IMPORTANT SAFETY INFORMATION
Who should NOT get breast implants?
  • Women with active infection anywhere in their body.
  • Women with existing cancer or precancer of their breast who have not received adequate treatment for those conditions.
  • Women who are currently pregnant or nursing.
What should I know before getting breast implants?
  • Breast implants are not lifetime devices, and not necessarily a one-time surgery.
  • Many of the changes to your breasts following implantation cannot be undone. If you later choose to have your implant(s) removed and not replaced, you may experience unacceptable dimpling, puckering, wrinkling, or other cosmetic changes of the breast, which may be permanent.
  • Breast implants may affect your ability to breast-feed, either by reducing or eliminating milk production.
  • Rupture of a silicone-filled breast implant is most often silent and may not be detected by you or your doctor. You should have an MRI 3 years after your surgery and then every 2 years after that for as long as you have your breast implants to determine if rupture is present. If implant rupture is noted on an MRI, you should have the implant removed, with or without replacement.
  • With breast implants, a routine screening mammography and self-examinations for breast cancer will be more difficult. Ask your doctor to help you distinguish the implant from your breast tissue. Symptoms of a ruptured implant may be hard knots or lumps surrounding the implant or in the armpit, change or loss of size or shape of the breast or implant, pain, tingling, swelling, numbness, burning or hardening. Tell your doctor of these symptoms and remove ruptured implants.
  • Inform any other doctor who treats you of the presence of your implants to minimize the risk of damage to the implants.
What should I tell my doctor?
Tell your doctor if you have any of the following conditions, as the risks of breast implant surgery may be higher:
  • Autoimmune diseases (for example, lupus and scleroderma).
  • A weakened immune system (for example, currently taking drugs that weaken the body’s natural resistance to disease).
  • Planned chemotherapy following breast implant placement.
  • Planned radiation therapy to the breast following breast implant placement.
  • Conditions or medications that interfere with wound healing and blood clotting.
  • Reduced blood supply to breast tissue.
  • Clinical diagnosis of depression or other mental health disorders, including body dysmorphic disorder and eating disorders. Please discuss any history of mental health disorders with your surgeon prior to surgery. Patients with a diagnosis of depression or other mental health disorders should wait for resolution or stabilization of these conditions prior to undergoing breast implantation surgery.

What are some complications with breast implants?
Key complications are reoperation, implant removal with or without replacement, implant rupture with silicone-filled implants, implant deflation with saline-filled implants, and severe capsular contracture (severe scar tissue around the implant). Other complications include asymmetry, nipple/breast/skin sensation changes, scarring or wrinkling/rippling. Talk to your doctor about other complications.

Talk to your doctor. For more information see the Patient Brochures at www.allergan.com/labeling/usa.htm To report a problem with Natrelle® Breast Implants, please call Allergan at 1-800-433-8871.

Natrelle® Breast Implants are available by prescription only.


Natrelle® 133 Tissue Expanders Important Information

Approved Uses
Natrelle® 133 Tissue Expanders are approved for breast reconstruction following mastectomy, treatment of underdeveloped breasts and treatment of soft tissue deformities.

IMPORTANT SAFETY INFORMATION
Who should NOT get tissue expanders?
Do not use if you:
  • Already have implanted devices that would be affected by a magnetic field.
  • Have tissue unsuitable for expansion.
  • Have an active infection or a residual gross tumor at the expansion site.
  • Are undergoing adjuvant radiation therapy.
  • Have a physiological condition (e.g., obesity, smoking, diabetes, autoimmune disease, hypertension, chronic lung or severe cardiovascular disease, or osteogenesis imperfecta) or use certain drugs (including those that interfere with blood clotting or affect tissue viability) that may result in a high risk of surgical and/or postoperative complications.
What else should I consider?
  • Natrelle® 133 Tissue Expanders should NOT be used in patients who already have implanted devices that would be affected by a magnetic field.
  • Active infection anywhere may increase risk of infection around the tissue expander. Certain infections may require premature removal of the device.
  • Natrelle® 133 Tissue Expanders are temporary devices, and are not to be used for permanent implantation or beyond 6 months. Tissue expansion in breast reconstruction typically requires 4 to 6 months.

What are possible complications?
Deflation, tissue damage and/or appearance of the implant through the skin, infection, unwanted shape, unintended blood or fluid collection, capsular contracture (tightening of scar tissue that causes the breast to harden), premature device removal, bone/pain/sensation changes, and inflammation.

To report a problem with Natrelle®, please call Allergan Product Surveillance at 1-800-433-8871.

For more information, please visit www.allergan.com/labeling/usa.htm or call the Allergan Product Support line at 1-800-678-1605.

Natrelle® 133 Tissue Expanders are available by prescription only.


BOTOX® Cosmetic (onabotulinumtoxinA) Important Information

Approved Uses
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults.

IMPORTANT SAFETY INFORMATION
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.
  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.

Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® Cosmetic include: discomfort or pain at the injection site, headache; and eye problems: double vision, blurred vision, drooping eyelids and eyebrows, and swelling of your eyelids.

For more information refer to the Medication Guide or talk with your doctor.

To report a side effect, please call Allergan at 1-800-433-8871.

Please see BOTOX® Cosmetic full Product Information including Boxed Warning and Medication Guide.


SkinMedica® is a physician-dispensed, cosmetic, and nonprescription skin care product line.

Sunburn alert: AHA/BHA Exfoliating Cleanser contains an alpha-hydroxy acid (AHA) that may increase the skin’s sensitivity to the sun and particularly the possibility of sunburn. Patients should use a sunscreen, wear protective clothing, and limit sun exposure while using this product and for a week following discontinuation.

Most SkinMedica® products are intended to meet the FDA's definition of a cosmetic product, an article applied to the human body to cleanse, beautify, promote attractiveness, and alter appearances. These SkinMedica® products are not intended to be drug products that diagnose, treat, cure, or prevent any disease or condition. These products have not been approved by the FDA and the statements have not been evaluated by the FDA.

SkinMedica® TOTAL DEFENSE + REPAIR Broad Spectrum SPF 34 Sunscreen is an over-the-counter drug product that is formulated and marketed pursuant to FDA’s governing regulations set forth at 21 CFR Part 352.

The CoolSculpting® procedure is FDA-cleared for the treatment of visible fat bulges in the submental area, thigh, abdomen and flank, along with bra fat, back fat, underneath the buttocks (also known as banana roll), and upper arm. It is also FDA-cleared to affect the appearance of lax tissue with submental area treatments.