#1 surgeon-selected shaped gel implant in the US6,*

*Based on US market share data through March 2015.

Proven safety profile demonstrated
through 10 years10

Now available:
High-projection options for
high-projection
outcomes.

Designed for shape that holds and satisfaction that lasts Natrelle(R) 410 Shaped Gel #1 selected
Features
Shaped fullness
Extra fullness for a full range of figures
Just firm enough
Only Natrelle® offers satisfaction proven
through 10 years10
Designed to maintain shape over time11
BIOCELL® macrotextured surface
More choices for a more customized fit2-4,9
Made to Match

Shaped fullness

  • Designed with an anatomical, gradually
    tapered slope to mirror the curve of a
    woman’s breast
  • Provides options for matching the
    contralateral breast in unilateral breast
    reconstruction

Extra fullness for a full range of figures

  • The highest-projection implant—7.1 cm—in
    3 heights3,4,9
  • Shaped fullness for all patient body types

Just firm enough

Created to be just firm enough to maintain
its structure and shape.

Firmness of Natrelle(R) 410 breast implants

Only Natrelle® offers satisfaction
proven through 10 years10

96% of primary augmentation patients (n = 292)
and 93.3% of primary reconstruction patients
(n = 134) were still satisfied with their Natrelle® 410
breast implants through 10 years in a clinical
study.

Designed to maintain shape
over time11

Highly cohesive gel is designed to prevent downward migration over time and helps the implant maintain its upper pole fill and shape, providing more form stability than
any other shaped breast implant.

Methodology In a randomized study, the net percentage change in dimensions of a total of 36 implants from 3 manufacturers was determined by width, height, lower pole and upper pole depth caliper measurements in both a horizontal- and vertical-supported orientation. Form stability is measured here by the mean percentage change across the 4 dimensions measured. Cohesive silicone gel is a softer gel that is intended to allow the implant to maintain its shape in any position (form stable).

BIOCELL® macrotextured surface

  • Open-pore texturization12
  • Variable distribution of depressions on the
    surface12
  • Pore diameter of 600 µm to 800 µm12

    Pore depth

More choices for a
more customized fit2-4,9

  • Find the right fit from 116 sizes in 12
    different styles with matching tissue
    expanders—the most choices of any shaped
    gel portfolio2-4,9
  • The most high-projection sizes ≥ 5.0 cm2-4,9
  • The highest-projection implant—7.1 cm—in
    3 heights3,4,9

Made to Match

Natrelle® 410 Shaped Gel Breast Implants are
part of a tissue expander and implant system
engineered to give you a precise pocket and a
tight fit.

Explore our made to match system
Safety

Proven safety profile demonstrated
through 10 years10

Natrelle(R) 410 breast implant

Primary augmentation

Capsular contracture

9.2% (n = 492) through 10 years.10

Wrinkling/rippling

Less than 1% (n = 492).10

Malposition/rotation

4.7% (n = 492) through 10 years; evaluated as a subset of malposition.10

Gel migration

No extracapsular gel migration observed in ruptured implants through 10 years (n = 492).10

Primary reconstruction

Wrinkling/rippling

6.2% (n = 225) through 10 years.10

Malposition/rotation

5.7% (n = 225) through 10 years; rotation was evaluated as a subset of malposition.10

Gel migration

No extracapsular gel migration observed in ruptured implants through 10 years (n = 225).10

Methodology In a randomized study, the net percentage change in dimensions of a total of 36 implants from 3 manufacturers was determined by width, height, lower pole and upper pole depth caliper measurements in both a horizontal- and vertical-supported orientation. Form stability is measured here by the mean percentage change across the 4 dimensions measured. Cohesive silicone gel is a softer gel that is intended to allow the implant to maintain its shape in any position (form stable).
Certified
Certified Get Certified for
Natrelle® Breast
Implants
Made to Match
The Most
Consistently Precise
System Available
Natrelle INSPIRA
Designed for
Increased Fullness
Natrelle® Breast Implants Important Information
INDICATIONS

Natrelle® Breast Implants are indicated 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
CONTRAINDICATIONS

Breast implant surgery should not be performed in:

  • 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.
WARNINGS
  • Breast implants are not lifetime devices or necessarily a one-time surgery.
  • Avoid damage during surgery: Care should be taken to avoid the use of excessive force and to minimize handling of the implant. Use care when using surgical instruments in proximity with the breast implant. For more information, please see the full Directions for Use.
PRECAUTIONS

Safety and effectiveness have not been established in patients with the following:

  • Autoimmune diseases (eg, lupus and scleroderma).
  • A compromised immune system (eg, currently receiving immunosuppressive therapy).
  • 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 prior to surgery. Patients with a diagnosis of depression, or other mental health disorders, should wait until resolution or stabilization of these conditions prior to undergoing breast implantation surgery.
ADVERSE EVENTS

Key adverse events are reoperation, implant removal with or without replacement, implant rupture with silicone-filled implants, implant deflation with saline-filled implants, and capsular contracture Baker Grade III/IV.

Other potential adverse events that may occur with breast implant surgery include: asymmetry, breast pain, breast/skin sensation changes, capsular calcification, delayed wound healing, hematoma, hypertrophic scarring/scarring, implant extrusion, implant malposition, implant palpability/visibility, infection, nipple complications, redness, seroma, swelling, tissue/skin necrosis, wrinkling/rippling.

For more information see the full Directions for Use 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® 133Plus and 133 Tissue Expanders With/Without Suture Tabs and With MAGNA-SITE® Injection Sites Important Information
INDICATIONS

Natrelle® 133Plus and 133 Tissue Expanders are indicated for:

  • Breast reconstruction following mastectomy.
  • Treatment of underdeveloped breasts.
  • Treatment of soft tissue deformities.
IMPORTANT SAFETY INFORMATION
CONTRAINDICATIONS

Natrelle® 133Plus and 133 Tissue Expanders SHOULD NOT be used in patients:

  • Who already have implanted devices that would be affected by a magnetic field (eg, pacemakers, drug infusion devices, artificial sensing devices).
  • Whose tissue at the expansion site is determined to be unsuitable.
  • Who have an active infection or a residual gross tumor at the expansion site.
  • Undergoing adjuvant radiation therapy.
  • Whose physiological condition (eg, sensitive over- or underlying anatomy, obesity, smoking, diabetes, autoimmune disease, hypertension, chronic lung or severe cardiovascular disease, or osteogenesis imperfecta) or use of certain drugs (including those that interfere with blood clotting or affect tissue viability) poses an unduly high risk of surgical and/or postoperative complications.
  • Who are psychologically unsuitable.
WARNINGS
  • DO NOT use Natrelle® 133Plus and 133 Tissue Expanders in patients who already have implanted devices that would be affected by a magnetic field (see Contraindications), because the MAGNA-SITE® integrated injection site contains a strong rare-earth, permanent magnet. Diagnostic testing with Magnetic Resonance Imaging (MRI) is contraindicated in patients with Natrelle® 133Plus and 133 Tissue Expanders in place.
  • DO NOT alter the tissue expander or use adulterated fill. Fill only with sterile saline for injection as described in INSTRUCTIONS FOR USE. DO NOT expose to contaminants.
  • DO NOT expand if the pressure will compromise wound healing or vasculature of overlying tissue, or beyond patient or tissue tolerance. Stop filling immediately if tissue damage, wound dehiscence, abnormal skin pallor, erythema, edema, pain, or tenderness are observed.
  • Active infection anywhere may increase risk of periprosthetic infection. Postoperative infections should be treated aggressively. Unresponsive or necrotizing infection may require premature removal.
  • Natrelle® 133Plus and 133 Tissue Expanders are temporary, single-use only 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.
  • When using suturing tabs be careful to avoid piercing the shell. Use a new one if damage occurs.
PRECAUTIONS

Active infections may need to be treated and resolved before surgery. Allergan relies on the surgeon to know and follow proper surgical procedures and carefully evaluate patient suitability using standard practice and individual experience. Avoid damage to the tissue expander and use a sterile backup in case of damage. Pay careful attention to tissue tolerance and hemostasis during surgery. Expansion should proceed moderately and never beyond patient or tissue tolerance. Avoid contamination in any postoperative procedure.

ADVERSE REACTIONS

Deflation, tissue damage, infection, extrusion, hematoma/seroma, capsular contracture, premature explantation, displacement, effects on bone, pain, sensation, distortion, inadequate tissue flap, and inflammatory reaction.

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

Natrelle® 133Plus and 133 Tissue Expanders are available by prescription only.

Intraoperative Breast Implant Sizers Important Information
INDICATIONS

The Natrelle® Silicone Sizer and the Allergan Saline Sizer are indicated for single use only for temporary intra-operative insertion in the surgical pocket to evaluate and assist in determining the final breast implant size/volume. The Natrelle® Re-sterilizable (410 and Round) Silicone Breast Implant Sizer is used during breast augmentation or reconstruction procedures to assist the surgeon in determining the appropriate size of a breast implant to use.

IMPORTANT SAFETY INFORMATION
CONTRAINDICATIONS

All sizers are contraindicated for use as long-term breast implants or tissue expanders. The Natrelle® Silicone Sizer and the Allergan Saline Sizer are contraindicated for multiple patient use or multiple sterilizations.

WARNINGS

Sizers are designed for temporary intra-operative use only and are NOT long-term implants. DO NOT alter, insert or attempt to repair a damaged sizer. DO NOT reuse the Natrelle® Silicone Sizer or the Allergan Saline Sizer, which are for single use only. The Silicone Sizers may rupture and release silicone gel. Infection, necrosis, hematoma/seroma and pain may occur following any type of surgery. Minute quantities of silicone gel may diffuse through the elastomer envelope.

PRECAUTIONS

The surgeon must carefully evaluate patient suitability and be knowledgeable about the use of this device. DO NOT expose the sizer to contaminants. Avoid damaging the sizer with surgical instruments (e.g. sharp, blunt or cautery devices). DO NOT attempt to repair damaged products. DO NOT damage the sizer by overhandling, manipulation, or excessive force. Maintain a sterile back-up sizer during surgery.

ADVERSE EVENTS

Adverse events and/or complications may include sepsis, hemorrhage, thrombosis, bleeding, and/or infection.

For more information, please visit www.allergan.com/labeling/usa.htm. To report a problem, please call Allergan at 1-800-433-8871.

Intraoperative Breast Implant Sizers are available by prescription only.

References:
  •   1. Data on file, Allergan, Inc., April 2015; Natrelle INPSIRA Smooth Implants US SKUs.
  •   2. The Natrelle® Product Catalog. Irvine, CA: Allergan, Inc.; 2014.
  •   3. Our products: breast implants. Mentor Worldwide LLC website. http://www.mentorwwllc.com/global-us/Breast.aspx. Accessed March 18, 2015.
  •   4. Sientra® Breast Implants and Tissue Expanders Product Catalog. Santa Barbara, CA: Sientra, Inc.; 2012. http://www.sientra.com/Content/pdfs/Product_Catalog_Breast
    _Implants_and_Tissue_Expanders.pdf. Accessed March 18, 2015.
  •   5. Sientra® HSC Smooth Round Implants Product Insert. Sientra website. http://sientra.com/Content/pdfs/MDC-0148_R1_HSC_Smooth_
    Round_Product_Insert.pdf. Accessed March 4, 2015.
  •   6. Data on file, Allergan, Inc., April 2015; Plastic Surgery Monthly Tracker: Breast Implants and TEs.
  •   7. Data on file, Allergan, Inc., March 2015; Consumer Evaluation of INSPIRA vs Current Round Gels.
  •   8. Natrelle® Silicone-Filled Breast Implants and Natrelle INSPIRA Breast Implants: Smooth & BIOCELL® Texture Directions for Use, 2015.
  •   9. Data on file, Allergan, Inc., 2009; Natrelle® 410 X & L Wave 2 SKU Matrix.
  • 10. Natrelle® 410 Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implants Directions for Use, 2014.
  • 11. Maxwell GP, Van Natta BW, Murphy DK, Slicton A, Bengtson BP. Natrelle® style 410 form-stable silicone breast implants: core study results at 6 years. Aesthet Surg J. 2012;32(6):709-717.
  • 12. Danino AM, Basmacioglu P, Saito S, et al. Comparison of the capsular response to the BIOCELL® RTV and Mentor 1600 Siltex® breast implant surface texturing: a scanning electron microscopic study. Plast Reconstr Surg. 2001;108(7):2047-2052.
  • 13. Data on file, Allergan, Inc., January 2015.
  • 14. Natrelle® 133 Tissue Expanders with Suture Tabs, with MAGNA-SITE® Injection Sites, MAGNA-FINDER® Xact & 21G Needle Infusion Set Directions for Use, 2009.
  • 15. Maxwell GP, Falcone PA. Eighty-four consecutive breast reconstructions using a textured silicone tissue expander. Plast Reconstr Surg. 1992;89(6):1022-1034.
  • 16. Data on file, Allergan, August 31, 2016; Study Report MD16064-DV.
  • 17. Natrelle® Silicone-Filled Breast Implants and Natrelle INSPIRA® Breast Implants: Smooth & BIOCELL® Texture Directions for Use, 2016.
  • 18. Data on file, Allergan, January 2017; Allergan Plastic Surgery Order Form.
  • 19. Data on file, Allergan, November 2016; Breast Implant + Tissue Expander Share Tracker.
  • 20. Data on file, Allergan, July 14, 1986; FDA Section 510(k) marketing approval letter.
  • 21. Data on file, Allergan, January 4, 2016; Protocol MM-1225-FR.

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