DR ANOOP RASTOGI B. MED FACCS
Australia is currently part of a world breakthrough in Breast Augmentation due to the availability of P-URE polyurethane coated silicone implants which wont sag or go hard.
'P-URE' polyurethane coated implants are also known as ‘Furry Brazilian Implants’, but Sydney cosmetic surgeon Dr Anoop Rastogi calls them the "Why Would You Use Anything Else Implant”. He says, while over the past several years he has enjoyed very high patient satisfaction rates and very low complication rates, these polyurethane implants have dramatically reduced the risk of post-operative complications even further.
P-URE Polyurethane coated silicone implants are new generation breast implants manufactured in Germany. With origins in Brazil – a popular country for cosmetic surgery - the 'Furry Brazilian' alternative name was born. Polyurethane implants have been in the market for many years and exhibit strong safety credentials.
Dr Rastogi explains the massive fall in complication rates are due to the unique properties of the P-ure coating, which under the microscope looks like layer upon layer of netting traversing the surface of the implant. This coat gives the implant two important qualities which Dr Rastogi calls “The Velcro Effect” (which stops the implants from sagging) and “The Lattice Effect” (which stops them going hard).
The Velcro Effect is very straight forward. The body's healing tissues grow into the netting on the implant surface and hold it firmly in place. The implant then acts like an internal bra that not only supports its own weight but keeps the breast tissue up as well. The result is that unlike other implants the polyurethane coated implants actually prevent the breasts from sagging.
The Velcro Effect also helps prevent other common complications such as implant migration, active breasts (excessive movement under the muscle) and rotation of teardrop implants.
The Lattice Effect is a little more complicated but put simplistically; when ordinary smooth and textured implants are placed in the body, the body forms what looks like a plastic bag around them called the ‘capsule’. This bag is made of collagen or scar tissue. If the capsule is irritated the collagen fibres contract and the bag tightens around the implant making the breasts feel hard and distorting its shape. This is called a ‘capsular contracture’ and is the number one complication affecting breast implants.
When a P-ure coated implant is placed in the body the collagen fibres spiral around the surface netting like vines on a lattice. If it is irritated it will only tighten microscopically around the individual strands of netting rather than around the implant as a whole, hence preventing a capsular contracture and leaving the breast soft.
The Vazquez Study from Argentina and the core study data submitted to the FDA confirm a 19 times lower complication rate with 'Furry Brazilian' aka P-ure polyurethane implants, compared to the conventional smooth and textured implants.
Why doesn’t everybody use these next generation German manufactured P-ure Implants you might ask? The answer is that many surgeons find them difficult to use. These implants require greater surgical precision, more careful planning and more acute clinical judgement. Once positioned, they will 'stick in place' so you have to get it right from the outset.
The physical nature of their exterior Poly surface means that implant placement within the breast pocket requires extensive training and skill.
Dr Rastogi was one of the Australian pioneers of the new natural style of the Furry Brazilian implants having implanted over 2,000 of them in Breast Augmentation surgery. He developed a technique called the ‘Rastogi Method’ which improves the accuracy of surgical placement. This technique is employed by many other surgeons who are now using these implants.
Some patients notice that Polyurethane Coated breast implants take a little longer to soften within the breast. Again, it is the nature of their physical exterior properties and how the body responds to them which causes this. The benefit though is that P-URE implants do not droop, sag or rotate - they stick in place and will soften a few months following a breast enlargement procedure.
Dr Rastogi explains; “With polyurethane breast implants I am able to produce the same beautiful natural looking breast shape I have become known for, the difference is I can now have even greater confidence that over time my patients' breasts will remain the way that I have designed and sculpted them. The cleavage won't draw apart with muscle movement, the implants won't sag and the breasts will remain soft. I am now also able to treat many women who previously would have required a Breast Lift because the implants can fill their breast emptiness and lift the nipple without fear of the implants weighing the breast down’.
The message is, find a surgeon who is really good at using these implants rather than choosing a surgeon and then convincing him or her to use them.
"My final word" says Dr Rastogi "don’t settle for anything less. These implants will dramatically reduce your risks as long as you select the right surgeon to perform your procedure".