I often get asked ‘what are the best breast implants?’. Like most things, there is no one answer to this question otherwise we would all use those implants. Most plastic surgeons will only use the best quality breast implants from the top manufacturers like Allergan, Nagor, Polytech and Mentor, which is why very few of us ever used PIP implants.
Most of these carry a lifetime guarantee and have a proven track record in terms of capsular contracture and implant failure rate.
Nagor implants are manufactured in the UK and their premium round implants are the Impleo range. They also have the CoGel range, which is their anatomical (or teardrop) implants. They have dense texturing with a double shell and come with a lifetime warranty. The warranty covers capsular contracture as well as shell failure, however it is important to be clear about exactly what the warranty covers:
- they will provide a replacement implant as well as an implant for the other side
- they will allow a size change above and below the replacement implant
- they will not cover any of the other costs associated with surgery
Polytech is a German company who manufacture polyurethane foam coated implants. They also have a range of silicone implants, however, it is their range of polyurethane foam coated implants that I use mostly. Polyurethane foam implants have always been known to have a significantly lower rate of capsular contracture when compared with silicone implants and this makes them particularly appealing. However, there was a study done that suggested that some products of the foam could cause cancer in rats in an experimental setting and this led to their use being greatly reduced in this country.
They have continued to use them in Brazil and there is a large experience of their use in Australia and there is no evidence to suggest that they cause cancer in humans. Nevertheless, this is something that you should discuss with your surgeon and do your own research on, because you must weigh up the pros and cons of having them. I think that they are good implants but have an open and honest discussion with patients and give them the information to allow them to make an informed decision. You can read more about them here.
Polytech polyurethane implants also come with a lifetime warranty which includes:
- exchange of implant in case of shell rupture for lifetime of the patient
- free of charge exchange of the implant in case of capsular contracture Baker grade III or IV up to 10 years after implantation
- free of charge exchange of implant in case of implant rotation or dislocation for up to 10 years after implantation
- the original implant can be exchanged for an implant of the same type and the size may be chosen freely
- the hospital costs associated with exchange of implants will not be covered, however there is an additional insurance policy provided with Polytech implants which provides up to £1500 per implant to go towards the cost of revision surgery required within 2 years of implantation.
These are the manufacturers that I use most often and I am happy to recommend them to my patients. There are other manufacturers out there, such as Allergan and Mentor, who are major, reputable companies and produce good quality implants. They all have slight differences and I have samples of all of the implants that I use in the clinic to allow patients to see and feel them. Ever since the PIP scandal, patients are becoming more aware of the implant manufacturers and this can only be a good thing. Most reputable surgeons should be happy to talk about the companies that produce the implants they are using and you should feel free to ask questions, after all, you will be paying for them.
For more information head over to our Breast Enlargement page.