DR ANOOP RASTOGI B. MED FACCS
Australia is currently part of a world breakthrough in breast augmentation due to the availability of P-ure coated implants which wont sag or go hard.
P-ure or polyurethane coated implants are also known as ‘The Furry Brazilians’, but Sydney’s Double Bay 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 the new implant have dramatically reduced the risk of complications even further.
Dr Rastogi Explains, the massive fall in complication rates are due to the unique properties of the P-ure coat, which he says 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 P-ure coated implants as compared to conventional smooth and textured, implants hence the name ‘The Why Would You Use Anything Else Implant”
So why doesn’t everybody use the new P-ure Implants? The answer is because many surgeons find them difficult to use. The 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 start.
Dr Rastogi is one of the Australian Pioneers of the new natural style of the P-ure implants having implanted well over 600 of these implants at last count. He has developed a technique called the ‘Rastogi Method’ which improves the accuracy of surgical placement. This technique is employed by many of the surgeons who are now using these implants.
Dr Rastogi explains; “With the 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 wont 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 choose the right surgeon to perform your procedure’.