TiLOOP® Bra Pocket


The titanised mesh TiLOOP® Bra Pocket is a ready-to-use mesh pocket. With the TiLOOP® Bra Pocket a breast implant can be fixed after skin-sparing or nipple-sparing mastectomy or for augmentation.


Benefits

Complete portfolio  The TiLOOP® Bra product family covers all indications for breast surgery with tissue reinforcing material.

TiLOOP® Bra Pocket ▸ Pre-pectoral reconstruction/augmentation

TiLOOP® Bra ▸ Sub-pectoral reconstruction/augmentation

TiLOOP® Bra MPX ▸ Mastopexy/reduction surgery/symmetrical alignment

Optimal capsule quality  Compared to simple polypropylene, the hydrophilic and titanised surface carries a reduced risk of inflammation1 and thus a reduced tendency towards the formation of connective tissue-like scars and shrinkage: combined with minimal weight and ides the ideal conditions for a permanent, stable result as well as both desirable tissue ingrowth and a vascularied, flexible, and therefore optimum capsule quality.

Muscle-sparing, pre-pectoral  The pre-pectoral placement of the implant eliminates the need to detach the muscle from the chest wall and therefore less postoperative pain. The result is a shorter recovery time and the preservation of muscle function. Your patients are less affected in their daily lives.

Excellent aesthetic results  The pre-pectoral placement enables the breast implant to assume the physiological position of the subcutaneous breast tissue, resulting in excellent aesthetics and a natural-looking ptosis.4,5,6 

Excellent quality of life  The pre-pectoral reconstruction and the associated benefits improve the patients’ quality of life.5,6 

Shorter surgery  TiLOOP® Bra Pocket is a ready-to-use implant. No lengthy fitting procedure, e.g., via intraoperative sutures or hydration, is required. The pre-pectoral reconstruction takes less time than the sub-pectoral reconstruction, since there is no need to prepare the pectoralis major. The patient is therefore anaesthetised for a shorter period. 

Protected implant  TiLOOP® Bra Pocket is an implant pocket, which fixes the freely selectable breast implant on the muscle and thus prevents dislocation or twisting. Studies have provided evidence of a low capsule contracture rate, while maintaining an excellent capsule quality.5,6 

Stretch-optimised implant  The stretch properties of TiLOOP® Bra Pocket have been developed to meet the physiological demands of natural shoulder movements and ptosis.

Details

  • Titanised Type 1a polypropylene mesh
  • Weight: 16 g/m2
  • Pore size: 1.0 mm
  • Monofilament fabric
  • Non-resorbable
  • Atraumatic, laser-cut edges
  • EO-sterilised (ethylene oxide), pyrogen free

Tech. Data

TiLOOP® Bra Pocket; Orientation Assistance for the selection of the correct mesh size
SizeWidth of the implantProjection height of the implantVolume of the implant
Small< 11.0 cm< 4.5 cm< 270 ml
Medium< 13.0 cm< 5.5 cm< 420 ml
Large< 15.0 cm< 6.0 cm< 550 ml

Practice

Recommended Implantation Procedure

TiLOOP® Bra Pocket is either fixed on the fascia of the pectoralis major, or directly on the pectoralis major. The implant front, facing the skin, should be completely covered with mesh material. TiLOOP® Bra Pocket undergoes pre-pectoral fixation with cranial, medial and lateral attachment, in order to prevent dislocation of the mesh and implant.

Knowledge

One of the determining factors for successful breast surgery in the long term, is the correct decision for or against the use of tissue reinforcing material (synthetic mesh or ADM).

TiLOOP® Bra mesh implants* are made of Type 1a polypropylene mesh (macroporous, light & monofilament) with a titanised, hydrophilic surface. Compared to simple polypropylene, this offers a number of advantages, which are already known in the use of titanised mesh implants for hernia surgery, such as:

  • better cell growth2
  • lower risk of inflammation1
  • less scarring3
  • less shrinkage of the mesh1

*TiLOOP® Bra mesh implants are not a tissue replacement.

Increased cell vitality of fibroblaststhrough polypropylene surface titanisation

Application Range

TiLOOP® Bra Pocket can be used in any breast surgery, where the pre-pectoral use of tissue-supporting, reinforcing and bridging materials is indicated.

  • Reconstructive breast surgery: implant-based reconstruction (also with expander), e.g., after a skin-sparing or nipple-sparing mastectomy.
  • Plastic-aesthetic breast surgery: primary or corrective augmentations

Manufacturer

pfm medical titanium gmbh

Südwestpark 42

90449 Nürnberg, Germany

Ordering Information

TiLOOP® Bra Pocket ; Orientation assistance for the selection of the correct mesh size.
REFWeightSizePU
600138316 g/m²Small1
600138516 g/m²Medium1
600138716 g/m²Large1

Video

Literature

1 Scheidbach et al. In vivo studies comparing the biocompatibility of various polypropylene meshes and their handling properties during endoscopic total extraperitoneal (TEP) patchplasty. Surg Endosc (2004) 18: 211–220

2 Lehle K., Lohn S. Verbesserung des Langzeitverhaltens von Implantaten und anderen Biomaterialien auf Kunststoffbasis durch plasmaaktivierte Gasphasenabscheidung (PACVD), Abschlussbericht Forschungsverbund “Biomaterialien (FORBIOMAT II)”, 149–173, 2002

3 Scheidbach et al. Influence of Titanium Coating on the Biocompatibility of a Heavyweight Polypropylene Mesh. Eur Surg Res (2004) 36: 313–317

4 Casella et al. TiLoop® Bra mesh used for immediate breast reconstruction: comparison of retropectoral and subcutaneous implant placement in a prospective single-institution series. Eur J Plast Surg (2014) 37 (11): 599-604

5 Bernini et al. Subcutaneous Direct-to-Implant Breast Reconstruction: Surgical, Functional, and Aesthetic Results after Long-Term Follow-Up. Plast Reconstr Surg Glob Open (2016) 3 (12):e574

6 Casella et al. Subcutaneous Tissue Expander Placement with Synthetic Titanium-Coated Mesh in Breast Reconstruction: Long-term Results. Plast Reconstr Surg Glob Open (2016) 3 (12):e577

7 Gschwantler-Kaulich et al. Mesh versus acellular dermal matrix in immediate implant based breast reconstruction - A prospective randomized trial. EJSO (2016) 42(5): 665–671

8 Rezai et al. Risk-reducing, conservative mastectomy - analysis of surgical outcome and quality of life in 272 implant-based reconstructions using TiLoop® Bra versus autologous corial flaps. Gland Surgery (2015) 5(1): 1–8

9 Dieterich et al. Implant-based breast reconstruction using a titanium-coated polypropylene mesh (TiLOOP Bra): a multicenter study of 231 cases. Plast Reconstr Surg (2013) 132(1): 8e-19e