Breast Reconstruction | Natrelle® Gummy Implants

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EVERY
WOMAN HAS THE

TO CHOOSE HER PATH FORWARD

Actual breast reconstruction patient with Natrelle INSPIRA^® Breast Implants.

Individual results may vary.

Supporting

women and their breast

cancer journeys

If you’ve decided to have reconstruction with breast implants, Natrelle® has a wide range of innovative offerings designed to meet your expectations.

LISA

“Reconstruction after breast cancer is a journey. It helped me discover my new normal. It was my choice and

IT’S EXACTLY WHAT I WANTED.”

Actual breast cancer and breast
reconstruction patient with
Natrelle INSPIRA® Breast Implants.
Individual results may vary.

KAYLA

“After testing positive for BRCA2, I decided to have a double mastectomy and reconstruction with implants. Breast reconstruction helped me

MOVE FORWARD.”

Actual breast reconstruction patient with
Natrelle INSPIRA® Breast Implants.
Individual results may vary.

Your GUIDE to surgery

Breast reconstruction basics

When you have a mastectomy, you lose breast tissue, some skin, and possibly your nipple and areola. Breast reconstruction results have improved over the years. While your plastic surgeon can’t give you the same breast you had prior to your mastectomy, he or she may be able to give you a reasonable likeness of your premastectomy breast.

Immediate or delayed reconstructive surgery

Will you begin your reconstruction surgery immediately—at the time of your mastectomy—or will you delay your reconstruction surgery until after you have healed?

Advantages

Disadvantages

Advantages

Immediate reconstruction

Eliminates an operation since it’s performed at the same time as the mastectomy.

Delayed reconstruction

Provides time to treat and evaluate the cancer. Some women may need radiation after mastectomy, which can cause problems like delayed healing and scarring.

Provides time to quit smoking and/or lose or gain weight. Smoking, being overweight or too thin can cause problems with your reconstruction.

Disadvantages

Immediate reconstruction

Eliminates an operation since it’s performed at the same time as the mastectomy.

Requires a longer surgery.

Delayed reconstruction

Disadvantages

Immediate reconstruction

Requires a longer surgery.

Delayed reconstruction

Requires an additional operation.

Creates a time where you will have the appearance of no breast(s).

Your surgeon will determine if you are an appropriate candidate for immediate reconstruction or if it would be better for you to have a delayed procedure.

I’M

TRUSTING MY

journey

Actual breast cancer and breast reconstruction patient with Natrelle INSPIRA^® Breast Implants.

Individual results may vary.

I’M

TRUSTING MY

journey

Implant-based breast reconstruction

This type of reconstruction shapes the breast with implants and is usually performed in 2 stages: Using a tissue expander in the first stage and then inserting a breast implant under the muscle in the second stage.

An innovative advancement allows for placement of a tissue expander or silicone breast implant over the chest muscle (prepectorally). Learn more about prepectoral reconstruction below, and talk to your surgeon to determine whether this approach is an option for you.

Advantages of Implant-based Reconstruction

The procedure is performed in areas where you are already having surgery; no new incisions are usually required.

Disadvantages of Implant-based Reconstruction

Implants are not lifetime devices and you may require additional surgery in the future.

The procedure is performed in areas where you are already having surgery; no new incisions are usually required.

Implants are not lifetime devices and you may require additional surgery in the future.

i am

what i choose

Actual breast cancer and breast reconstruction patient with Natrelle INSPIRA^® Breast Implants.

Individual results may vary.

Over the muscle (pre-pec) technique

This technique allows for placement of a tissue expander or silicone-filled breast implant over the chest muscle (prepectorally).

Advantages of Pre-pec Technique

Because the chest muscle isn’t cut:

Potentially shorter recovery time
Potentially less pain or side effects caused by cutting the chest muscle

Because the implant is placed over the muscle:

Surgeon has greater control of shape and form of the breast
Flexing your chest muscle may/should not make the breast implants move in unpleasant, unnatural ways

Disadvantages of Pre-pec Technique

Not all patients are candidates for pre-pec placement because it requires enough tissue in good condition after a mastectomy
Risk of visible rippling of the implant
Not all surgeons have experience with this newer technique

Because the chest muscle isn’t cut:

Potentially shorter recovery time
Potentially less pain or side effects caused by cutting the chest muscle

Because the implant is placed over the muscle:

Surgeon has greater control of shape and form of the breast
Flexing your chest muscle may/should not make the breast implants move in unpleasant, unnatural ways

Not all patients are candidates for pre-pec placement because it requires enough tissue in good condition after a mastectomy
Risk of visible rippling of the implant
Not all surgeons have experience with this newer technique

Subpectoral (under the muscle) technique

This technique involves placing a breast implant under the chest muscle. In some cases, this can be done immediately after the mastectomy.

If you have minimal breast tissue, your surgeon may recommend placing a tissue expander under your skin and chest muscle before placing the implant. A tissue expander is like a balloon, which can be inflated to stretch the skin and muscle over several months, making room for your implant.

Advantages of Sub-pec Technique

Many surgeons have experience with this well-known technique
May minimize risk of visible rippling of the implant

Disadvantages of Sub-pec Technique

Because the chest muscle is cut:

Potentially longer recovery time
Potentially more pain or side effects caused by cutting the chest muscle

Because the implant is placed under the muscle:

Flexing your chest muscle may make the breast implants move in unpleasant, unnatural ways

Many surgeons have experience with this
well-known technique
May minimize risk of visible rippling of the implant

Because the chest muscle is cut:

Potentially longer recovery time
Potentially more pain or side effects caused by cutting the chest muscle

Because the implant is placed under the muscle:

Flexing your chest muscle may make the breast implants move in unpleasant, unnatural ways

Two-stage vs one-stage breast reconstruction

Two-stage breast reconstruction is the most common type of breast reconstruction performed. The first stage involves placing a tissue expander to recreate a breast pocket after the breast tissue has been removed. In the second stage, the implant is placed into the breast pocket.

One-stage, or direct-to-implant (DTI), breast reconstruction involves placing the implant immediately after breast tissue has been removed.

Advantages of
DTI Reconstruction

The breast implant can be placed immediately instead of requiring an additional tissue expander step.

Disadvantages of
DTI Reconstruction

Not every patient is a candidate.

The breast implant can be placed immediately instead of requiring an additional tissue expander step.

Not every patient is a candidate.

First stage

This procedure first uses a tissue expander, which is surgically inserted and slowly expanded over time to create a space for the implant. Typically, you will meet with your plastic surgeon every other week to fill the expander with sterile saline in order to gradually stretch the skin.

The tissue expander with over 30 years of clinical experience

Natrelle® 133S Smooth Tissue Expanders are made to match Natrelle INSPIRA® Round Gel Breast Implants. This means that the tissue expander creates a space customized for the breast implant.

Second stage

Once the space reaches the correct size and the tissue has healed, a second surgery will remove the tissue expander and replace it with the breast implant. If a mastectomy was only performed on one breast, some patients choose to have the other breast augmented to maintain symmetry.

The #1 surgeon-selected gummy breast implant collection in the US*

Natrelle INSPIRA® Round Gel Breast Implants are designed to give you the look and feel that’s important to you.

*Based on surgeon survey data, July 2019 (N = 80).

Your choice. Your look.

before

After

before

After

Primary reconstruction with
Natrelle INSPIRA® Cohesive Style SCF-560

Photos provided by Dr Mark L. Venturi. Individual results may vary.

See more results

ALLERGAN,

the maker of Natrelle®, has been at the forefront of breast reconstruction advancements.

learn more

Natrelle® Breast Implants Important Information

SEE MORE +

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 breastfeed, 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/products. 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® 133S Smooth Tissue Expanders Important Information

Approved Uses
Natrelle® 133S Smooth 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 (eg, 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® 133S Smooth 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® 133S Smooth 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 months 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.

For more information, please visit www.allergan.com/products. To report a problem with Natrelle®, please call Allergan at 1-800-433-8871.

Natrelle® 133S Smooth Tissue Expanders are available by prescription only.

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, and 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: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows, swelling of your eyelids and dry eyes.

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

To report a side effect, please call Allergan at 1-800-678-1605.

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

Natrelle® Breast Implants Important Information

SEE MORE +

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 breastfeed, 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.

Talk to your doctor. For more information see the patient brochures at www.allergan.com/products. 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® 133S Smooth Tissue Expanders Important Information

Approved Uses
Natrelle® 133S Smooth 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 (eg, 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® 133S Smooth 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® 133S Smooth 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 months to 6 months.

For more information, please visit www.allergan.com/products. To report a problem with Natrelle®, please call Allergan at 1-800-433-8871.

Natrelle® 133S Smooth Tissue Expanders are available by prescription only.

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, and 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.

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

To report a side effect, please call Allergan at 1-800-678-1605.

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