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New: TiLOOP® Bra Pocket – the first synthetic mesh for prepectoral implant-based breast reconstruction


pfm medical expands its product range of titanium-coated mesh implants 

With the new TiLOOP® Bra Pocket pfm medical becomes the world's only manufacturer to offer a pocket of titanium-coated, synthetic mesh material for prepectoral breast reconstruction, for instance after mastectomy with preservation of skin and nipple. In plastic-esthetic breast surgery, too, it represents a new option for primary or corrective augmentation. Studies on prepectoral breast reconstruction show a very good capsular contraction rate with simultaneous high capsule quality. Through fixation of the implant pocket directly to the intact breast muscle, both implant and muscle remain in physiological position, and the patients profit from the resulting esthetic and functional advantages. 

About thirty per cent of all patients with breast cancer require a mastectomy. After skin- and nipple-sparing mastectomy, implant-based breast reconstruction is the most frequent method of breast restoration. There are two basic options: subpectoral or prepectoral positioning of the implant. The advantage of prepectoral reconstruction is that the muscle need not be separated from the ribcage. That means less postoperative pain, fast convalescence, and retention of muscle function. 

TiLOOP® Bra Pocket: innovative solution for prepectoral reconstruction

The TiLOOP® Bra Pocket, which is available in three sizes, is packaged ready to use, and the implant can be placed directly into the mesh pocket. This eliminates any need for tedious intraoperative adaptation of the mesh, for instance through sutures, or any need for hydration. This not only shortens the period of anesthesia for the patient; in the end, it also reduces costs. 

Thanks to the prepectoral placement, the breast implant occupies the physiological position of the subcutaneous breast tissue, leading to good esthetic outcomes. In addition, the good stretching elasticity of the mesh meets the physiological demands of shoulder movements and ptosis. Together with preservation of muscle, the mobility of the arms is maintained, and the patients experience hardly any restrictions in everyday life.

In some countries, prepectoral breast reconstruction is already an established procedure in plastic and esthetic surgery, for example in Italy. "My experience so far shows that the risks of intraoperative and postoperative complications can be decreased through the use of the TiLOOP® Bra Pocket. In addition, patients profit from shorter surgery times and recover faster afterwards. Since the muscle remains intact, rapid and pain-free mobilization is possible, and the patients can quickly resume their daily activities", explains Dr. Donato Casella, Italy. The specialist in breast reconstruction was involved decisively in the development of the mesh pocket.

pfm medical: market-leading provider of synthetic meshes in the area of breast reconstruction

TiLOOP® Bra mesh implants are type 1a polypropylene meshes with a titanium-coated, hydrophilic surface. They are extremely light and thin and are therefore very well suited for the sensitive breast area. Since 2003 these meshes, which are developed and manufactured in Germany, have been used successfully in hernia, descensus, and incontinence surgery; and they have been used in breast surgery since 2008. In comparison to non-titanium-coated polypropylene meshes, the titanium coating leads to a lower risk of inflammation and thus to less scar formation and less mesh shrinkage. As a reliable partner of many years, with great expertise in the area, pfm medical now offers another innovative solution in the area of breast reconstruction – the TiLOOP® Bra Pocket. Whether prepectoral (TiLOOP® Bra Pocket), subpectoral reconstruction/augmentation (TiLOOP® Bra), or mastopexia/reduction/symmetry surgery (TiLOOP® Bra MPX) – the TiLOOP® Bra product family has the right solution for every indication in breast surgery.

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Short profile of pfm medical ag

pfm medical is one of the leading German providers of special solutions in the healthcare sector. The Cologne-based family company was founded in 1971, and has more than 500 employees at twelve locations around the world. In 2016, pfm medical realized an EBIT (earnings before interest and taxes) of 1.5 million euros from 100.9 million euros in revenue. The medical products supplier has registered more than 80 patents, utility models and trademarks. 

As a specialist supplier of over 3,000 products, the company offers an extensive portfolio which is distributed in more than 100 markets. Its products extend to the following four key medical areas: Infusion (e.g. infusion pumps and implantable port catheters), surgery (e.g. drainage systems and mesh implants), histotechnology (e.g. blades and laboratory equipment) and cardiovascular technology (e.g. implantable occluders and special catheters).

pfm medical integrates products and services into a comprehensive solution package. This is how the company trains and advises users, such as physicians, nursing staff, patients, and relatives, and supports the optimal course of therapy in the clinic and outpatient care. In the development of innovative solutions in close cooperation with leading medical practitioners and specialist partners, pfm medical invariably focuses on improvements in the quality of work and the quality of life of both users and patients.

Press contact

pfm medical ag 
Ute Ebers 
Head of Corporate Communications 
Wankelstraße 60 
50996 Köln 
T +49 (0)2236 9641-370 
F +49 (0)2236 9641-99370 
   pfm medical ag 
Nicole Tholfus 
Corporate Communications Manager 
Wankelstraße 60 
50996 Köln 
T +49 (0)2236 9641-373 
F +49 (0)2236 9641-99373 

TiLOOP® Bra Pocket without implant

TiLOOP® Bra Pocket with implant – side view

TiLOOP® Bra Pocket with implant – top view

TiLOOP® Bra Pocket – pre-pectoral implantation (without description)

TiLOOP® Bra Pocket – pre-pectoral implantation (with description)

TiLOOP® Bra Pocket – pre-pectoral implantation (with description)