The titanised mesh TiLOOP® Bra extends the musculus pectoralis major and facilitates the sub-pectoral breast reconstruction after a skin-sparing or nipple-sparing mastectomy.


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

Extra light and soft  The TiLOOP® Bra extralight (16 g/m2) introduces the least amount of foreign material into the breast. This light weight material facilitates optimal tissue adaptation, which is of particular importance for the application in the sensitive breast area.

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.

Excellent trial-history: proved quality

TiLOOP® Bra has been used in breast surgery since 2008. It has been subjected to numerous trials.

A selection: 

Reconstructions: 48 

  • Description: TiLOOP® Bra vs. ADM in immediate implant-based breast reconstruction, prospective, randomised
  • Results: good cosmetic outcomes, high level of patient satisfaction and less implant loss with the TiLOOP® Bra
  • Authors: Gschwantler-Kaulich et al., 2016 

Reconstructions: 272 

  • Description: TiLOOP® Bra vs. corial flaps, in immediate implant-based breast reconstruction, prospective
  • Results: better cosmetic results and less implant loss with the TiLOOP® Bra
  • Authors: Rezai et al., 2015 

Reconstructions: 231

  • Description: TiLOOP® Bra in implant-based breast reconstruction, retrospective
  • Results: TiLOOP® Bra is safe, and suitable for implant-based breast reconstruction
  • Authors: Dieterich et al., 2013

Versatile  TiLOOP® Bra can be used for both primary and secondary breast reconstruction. Further, the use of an expander is also an optional.

Surface weight comparison of synthetic meshes that are approved for breast-surgery in Europe. *Brochure SERAGYN® BR, Item No 801026 March 2015 **Brochure TiO2Mesh™ BRA, MDD104.02/2015-05


  • Titanised Type 1a polypropylene mesh
  • Weight: 16 or 35 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 is intended for extension of the pectoralis major, in case of sub-pectoral, implant-based (permanent implant or expander) breast reconstruction. TiLOOP® Bra covers and fixes the caudal pole of the breast implant. The pectoralis major is protected from cranial movement.


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 fibroblasts through polypropylene surface titanisation

Application Range

TiLOOP® Bra serves to support, strengthen and bridge the body’s own tissue structures, as part of reconstructive and plastic-aesthetic breast surgery.

  • Primary breast reconstruction, e.g., after a skin-sparing or nipple-sparing mastectomy
  • Secondary breast reconstruction
  • Replacement of breast implant


pfm medical titanium gmbh

Südwestpark 42

90449 Nürnberg, Germany

Ordering Information

600063616 g/m²Small1
600063716 g/m²Medium1
600063816 g/m²Large1
600063935 g/m²Small1
600064035 g/m²Medium1
600064135 g/m²Large1


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