PFM Medical TiLOOP Bra Notice D'utilisation page 14

English
Application
Step 1:
The musculus pectoralis major is dissected and divided from the thoracic wall from its caudal end to-
wards the sternal edge. The breast implant pocket or expander pocket that is to be formed for the first
time is formed cranial from medial to lateral, using the separated muscle as a covering surface for the
breast implant.
Step 2:
The TiLOOP® Bra mesh implant is positioned in front of the breast implant or expander. It is attached
at the free caudal and lateral end of the Musculus pectoralis major using a continuous or interrupted
suture and the lower end of the mesh implant is loosely positioned behind the breast implant or ex-
pander so that it is flapped or fixed in place with a suture. It is important to cover the lower edge of
the breast implant or expander with the mesh implant. When anchoring TiLOOP® Bra cranially to the
muscular edge it has to be paid attention to a flexible and elastic arrangement of the mesh material.
Step 3:
The chosen breast implant or expander is inlaid below the musculus pectoralis major and placed ac-
cording to the desired position.
Step 4:
The unattached part of the mesh implant that remains after cranial fixation of the suture to the edge
of the Musculus pectoralis major is positioned underneath and behind the breast implant or expander
in the area of the lower breast crease, where it is positioned without any creases if possible or it can be
fixed in place using monofilament suturing material by means of interrupted sutures in such a way
that a dislocation of the mesh implant is prevented.
Postoperative Recommendations
• The wearing of a supporting bra and a so-called Stuttgart belt is urgently recommended.
• The lifting of heavy objects, manual work and sporting activities should be avoided for 4–6 weeks.
Possible Complications
• Seroma
• Temporary reactive process
• Capsular fibrose
• Post-operative bleeding
• Haematoma
• Wound dehiscence
• Necrose
14
• Dysaestesia
• Infection
• Wound healing disturbance
• Pain
• Unfavorable aesthetic outcome
• Palpable mesh structure
(if the skin is very thin)
MK-E000689_10 / 2022-01-28