Which countries' brands are worth taking a closer look at?
I would like to choose the safest, high-quality option with good survival rates and without overpayment. The desire is sound and logical. And this is the case when it is better to pay more and choose a trusted manufacturer, but insure against risks and maintain your health.
The best implant manufacturers are traditionally divided by country.
- Premium brands from Switzerland, USA, Germany, Sweden. They are distinguished by quality, patented materials, optimal level of engraftment, but at the same time high price. The product line includes implants that allow you to restore teeth in difficult clinical cases, for example, with a lack of bone tissue or complete edentia.
- Middle – South Korea, Israel. They guarantee reliable engraftment, while the cost is much lower, which makes the products accessible to a wide audience. Quality indicators remain high.
- Economy - South Korea, Russia, Belarus. Relatively new manufacturers who have not yet established themselves in the market. They demonstrate stable results and no complications in most cases.
However, the country of manufacture is a rather arbitrary indicator, so ranking by brand has long been accepted among specialists.
Features of Motiva implants
Motiva guarantees aesthetics
The brand offers a wide selection of implants from different lines. The patient can always choose the right size and shape, which allows him to achieve the desired result.
The aesthetic and natural appearance of the breast is achieved through the use of unique gel fillers in implants. Round chemical implants use Progressie Gel Plus, and ergonomic ones use Progressie GelUltima.
Gels imitate the behavior of natural female breasts, both at rest and in motion. Implants completely imitate the behavior of the natural mammary gland, repeat its movement, and physiologically shift under the influence of gravity.
The properties of both gel fillers make breasts with an implant visually and tactilely indistinguishable from natural breasts. At the same time, the gel in round implants is more rigid and has a push-up effect.
TrueTissue Technology™& Ergonomix™
MOTIVA Ergonomix™ implants were developed taking into account the needs of plastic surgeons and the desires of patients. For example, plastic surgeons are often faced with the rotation of anatomical implants in the early postoperative periods; patients and their partners complain about the unnatural appearance and tactile sensations.
When creating MOTIVA implants, technologists departed from the usual standards and developed a new type of implant that takes into account the principles of ergonomics. The new implants are called MOTIVAErgonomix™.
MOTIVA Ergonomix are 100% filled implants. They follow the natural movement of the breast, no matter what position the patient is in. How it works? Under the influence of gravity, when the patient is in a vertical position, the point of maximum projection is transferred to the lower pole, repeating the behavior of “anatomical” implants. In a horizontal position, the implants will repeat the movements of the natural breast, shifting the point of maximum projection closer to the midpoint of the breast.
The best manufacturers of luxury implants
Nobel Biocare is an American manufacturer, the undoubted market leader, the first to use titanium as a material for an implant. The company can be considered the founder of modern dental implantology, since it was its specialists who were the first to implant an artificial root instead of a lost tooth.
The brand is developed in its own laboratory. A wide selection of designs for dental implantation in any clinical cases is on sale. Installation of branded implants is carried out using our own software using a unique protocol. The percentage of engraftment is within 99.9%, all implants are provided with a lifetime guarantee.
Astra Tech, a manufacturer from Sweden, offers a decent selection of products with a lifetime warranty. Feature of the systems: the use of a chemically modified titanium surface with nanotopography, which stimulates early bone healing and significantly accelerates the process of osseointegration. The percentage of engraftment is 99.6%.
Straumann is a Swiss brand that produces implants made of pure titanium with an SLA and SLActive surface, which promotes accelerated healing and the formation of natural bone tissue around the artificial pin. The porous structure of the prosthesis speeds up the healing rate and guarantees the absence of complications after implantation. All implant models also come with a lifetime warranty. Engraftment rate 99.6%.
Hydrogel anatomical implants ARION
Deltaclinic performs breast plastic surgery using anatomically shaped ARION implants (France).
(France) has specialized in the development and production of breast implants for over 40 years.
Scientific research was carried out under the direction of Dr. HG Arion, a plastic surgeon who created the first infillable breast implant in 1965, which led to the creation of the registered Monobloc® breast implants.
Arion MONOBLOC® System Breast Implants
MONOBLOC® System Breast Implants represent a new technological solution, providing the surgeon and patient with the highest guarantee of safety and the best results after surgery.
MONOBLOC® system:
The implant shell consists of an ultra-thin multilayer silicone elastomer, which completely eliminates the penetration of the gel.
The production uses an adhesive-free connection between the valve and the implant shell (autogenous welding), which, unlike other breast implants, allows it to withstand stretching of more than 950%.
The surface of the implant is textured (reduces the risk of developing capsular contracture) or microtextured (a more delicate capsule is formed).
The filler can be a biocompatible hydrogel or a cohesive silicone gel.
Description of Monobloc®CMC bioimplants
The history of the creation of a new generation implant filled with a biocompatible gel began in 1984, when the ARION company came to the conclusion that it was necessary to study an alternative filler to silicone that had cosmetic characteristics similar to silicone. The implant filler had to be biodegradable and thus easily excreted from the body.
The filler chosen was carboxymethylcellulose (CMC), a natural polymer derived from cellulose (a polysaccharide). CMC has a number of properties that make it an ideal filler for implants. It is soluble in water or saline and forms a clear gel that remains stable with changes in temperature, and the viscosity of the gel is maintained over time. The viscoelasticity of the gel gives the breast implant a similar appearance to natural breasts.
Carboxymethylcellulose is a safe and completely non-toxic substance for humans. First of all, it is a natural product of photosynthesis that occurs in all plants. Moreover, cellulose makes up about 80% of the pollutants we inhale throughout our lives. Secondly, cellulose is the basis of cotton products, such as clothing and medical dressings (bandages, napkins), and both of them have contact with human tissue without causing irritation or other negative reaction (this is especially important when in contact with a damaged surface) . CMC has been used in the food industry for more than 50 years (thickener, food additive E466), and also as the basis for many medicines and materials used in medicine (included in the US Pharmacopoeia (USP) and Europe (EP) and the State Register of Medicines of Russia under number 68 /333/16), for example: eye drops, plasma expanders, anti-adhesive agents (Seprafilm, Oxiplex). Due to its unique properties, carboxymethylcellulose gel is used as a medicine for adhesive disease: thus, on the basis of CMC, a new domestic anti-adhesive gel Mesogel was created, which is approved for use in the Russian Federation and is successfully used in operations in surgery and gynecology.
Dow-Corning in 1992-1994 compared the toxicity of silicone gel with carboxymethylcellulose and came to the conclusion that the latter is an absolutely harmless non-toxic material compared to silicone. So naturally, Arion's carboxymethyl cellulose may be one of the safest implant materials available.
When the gel enters the body, in addition to the absence of negative effects, it is absorbed. Unlike non-absorbable or poorly absorbable hydrogels, CMC easily decomposes into simple components such as glucose, carbon dioxide and water.
Numerous studies and clinical experience of Russian and foreign surgeons have shown the absolute safety of implants for the patient while maintaining the biocompatibility and elasticity of the gel, which allows achieving the stunning effect of natural breasts. Since 1994, implants have become available to patients all over the world. Now Monobloc®CMC implants are considered luxury products and are used for breast augmentation and reconstruction in the best clinics in Europe.
The implants are certified in Europe, Russia and have the CE mark, the quality is confirmed by the European TÜF certificate. Monobloc®CMC breast implants are approved for use in the Russian Federation.
Monobloc®Silicone implant with cohesive silicone gel
Monobloc® breast implants represent a new technological solution, providing the surgeon and patient with the highest guarantees of safety and the best post-operative results.
The implant shell consists of an ultra-thin multilayer silicone elastomer, marketed under the trade name MONOBLOC. The filler is highly cohesive or soft Silicone SoftOne®. The viscoelasticity of the silicone gel filler gives breast implants the properties of a natural breast and maintains their shape even if the shell of the prosthesis is damaged.
There are implants of different sizes and shapes: from 140 to 500 different anatomical variations. The volume of the implant varies: from 85 to 695 cm3.
Implant shape
- Anatomical implants with cohesive silicone gel (AN)
- High-profile anatomical implants with gel of different densities (AX).
- Round implants with textured or microtextured surface
Physical properties of the Monobloc® system implant shell:
- High quality silicone elastomer is used which can withstand stretching of more than 550%
- six protective layers that prevent gel leakage
- welded seam in the valve area (glueless connection), which makes the implant shell a single whole
- shell surface textured (100-600 microns), microtextured (15-100 microns)
- implant filler cohesive soft medical silicone gel. Various gel softness options, from the denser, highly cohesive (in anatomically shaped, high profile implants) to the softer SoftOne® gel
- sterilization - sterilized with gas (ethylene oxide, according to EN 550 standard)
Profile options
- XP - High profile - HP - Medium profile - LP - Low profile - AN - Anatomical profile - AX - High-profile anatomical implants with dual density gel
The implants are certified in Europe, Russia and have the CE mark. Monobloc®Silicone breast implants are approved for use in the Russian Federation.
There are implants of different sizes and shapes: from 140 to 500 different anatomical variations. The volume of the implant varies: from 85 to 400 cm3.
Arion breast implants are presented in 22 countries; in Russia, Arion products have been used since 2002.
Arion implants are certified in Europe, Russia, the quality is confirmed by the European CE certificate. All Arion implants are approved for use in the Russian Federation. All implants come with a lifetime warranty.
Mid-price segment products
Middle-class implants provide reliable results at relatively low costs:
- Impro is a subsidiary brand of Astra Tech, a product made in Germany with a high level of load-bearing capacity and a universal installation protocol. They provide high primary stability, no complications and can be installed with any number of missing teeth. Engraftment rate 98%.
- Ankylos (Xive Ankylos) is a product of a German manufacturer; a distinctive feature of the implants is a unique porous surface and a special thread, which speed up the recovery process by one and a half to two times. An additional advantage is minimal trauma during implantation. Engraftment rate is 99%.
- Biohorizons are American implantation systems of the company’s own design. The brand’s assets include its own research center, laboratory and unique developments. Technology with microchannels on the neck of the implant, coupled with a special surface, accelerates the healing process and shortens the period of osseointegration. Engraftment rate 97.3%.
- Osstem - implants from South Korea, developed based on Straumann products. Famous Swiss quality and scrupulousness in South Korean execution. They are distinguished by accelerated osseointegration within two months, an engraftment rate of 98.8% and a large selection of models for various clinical cases.
- Alpha Bio is an Israeli product that has proven itself in the dental market. The manufacturer offers suitable models for various clinical cases with self-tapping threads and micro-rough surfaces for improved healing. Engraftment rate 97%.
Middle-class models are distinguished by decent quality and level of engraftment with significantly lower installation costs and the cost of the implants themselves.
Budget implants for high-quality prosthetics
Among economy-class implantation systems, the most successful and popular models are considered to be the following brands:
- Dentium is a brand from South Korea with root-shaped implants. The products are characterized by simple and easy installation with minimized injuries. Developed based on Swedish Astra Tech designs. They are characterized by rapid engraftment at the level of 97%.
- MIS – products made in Israel. The pins are made of pure titanium in the form of a screw design with spiral channels and a non-standard thread pitch. Treatment of the implant surface with acid and sandblasting creates a roughness that increases the density of fixation and accelerates the integration of the artificial root into the bone tissue structure.
It remains to add that the choice of implant depends on the specific clinical situation, the condition of the bone tissue, the individual characteristics of the patient and other factors. Therefore, only a specialist in the clinic can choose it correctly.
Implant shape: teardrop-shaped and spherical
When choosing the type of surface, everything is more or less clear - a smooth surface is worse than a textured one, since there is a higher risk of developing long-term aesthetic complications. There is also certainty with the filler - cohesive silicone or Soft Touch is much better than saline solutions. They are also superior to carboxymethylcellulose, which is the basis of hydrogel implants.
Choosing the shape of an endoprosthesis is a very responsible and complex task. Breast implants can be spherical (round) or teardrop-shaped (anatomical). In the first case, the prosthesis has the shape of a hemisphere, the highest point is located in the center, the filling of the upper and lower poles is almost the same. In the second case, the point of maximum projection (height) is located in the lower hemisphere, which is more voluminous than the upper, which is why the implant takes on a teardrop shape.
Anatomical implants more accurately replicate the natural shape of the mammary glands, and this is their advantage. However, the plastic surgeon does not always recommend choosing a teardrop-shaped prosthesis. Firstly, it is much more difficult to install than a spherical one. Secondly, even a slight rotation of the implant leads to breast deformation, requiring repeated correction.
Drop-shaped implants are preferable to use in the following cases: breast asymmetry, the presence of post-lactation or age-related breast sagging, the need to recreate the natural shape of the bust during reconstructive surgery (after radical removal of the mammary glands). Also, anatomical breast implants can be recommended for women with a naturally wide interbreast space.
Spherical endoprostheses are preferable when it is necessary to achieve a significant increase in size, visually raise the upper segment of the breast or increase the fullness of the décolleté area. The advantage of such prostheses is that when they are rotated, the aesthetics of the breasts do not suffer - the shape of the mammary glands remains ideal. In addition, round implants are cheaper, and this also has to be taken into account.
Regarding the naturalness of the result, it is difficult to give preference to one or another option. It is believed that after the installation of round implants, the breasts do not look so natural, but there are some nuances here. Breasts enlarged with teardrop-shaped implants look less natural in the lying position, since they retain the same shape as in the standing position. In addition, spherical implants are also not completely round, due to which a natural increase in the filling of the lower hemisphere is observed in the standing position.
Ultimately, when choosing between round and teardrop-shaped implants, the following individual patient characteristics play a decisive role:
- woman’s height, body features;
- the shape of the chest, its height and width;
- initial breast shape and size;
- the presence of asymmetry, signs of post-lactation or involutional ptosis;
- thickness of the skin and subcutaneous tissue.
