McGhan Product Catalogue - Cosmetic Breast Surgeon

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?,? Rev. J Cover ?19/7/049:49 AMPage 2andMcGhan Product CatalogueSeptember 2004

?,? Rev. J Cover ?19/7/04INAMED AestheticsKilbride Industrial EstateArklow, County N 120,007 Rev. 11September 20049:49 AMPage 3

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 1The McGhan range of breast implantsand tissue expanders. Superior quality,wider choice, higher satisfaction.The McGhan brand name has been built byproviding an innovative, premium quality surgicalsolution with an unrivalled selection of products tomeet our customer needs.We are proud to be the world’s leading breastimplant and tissue expander manufacturer and weaim to remain at the forefront of our industry. Werecognise that a reputation for excellence is difficultto earn and can be easily lost. Adding to ourpremium McGhan line we have recently introducedto the market the unique McGhan Style 510 DualGel and also the McGhan Style 110/120 SoftTouchTM breast implants.The McGhan Style 510 Dual Gel is an innovativeproduct with a unique dual gel combination. Theposterior of the implant is made from our standardcohesive gel, as found in the McGhan Style 410,with the anterior of the implant made from a uniquehigh cohesive gel. This feature provides superiorprojection and support, emphasising thenipple/areola area of the implant and can be used forboth augmentation and reconstructive procedures.The McGhan Style 110/120 Soft TouchTM range areround, silicone filled Soft TouchTM cohesive gelimplants with both moderate and high projections.The McGhan Style 110 Soft TouchTM range has 17sizes available and the McGhan Style 120 SoftTouchTM has 9 sizes available.This is an exciting time to be involved in breastaesthetics. INAMED Aesthetics are delighted to beat the forefront of technology and we will continueto invest to support your efforts.We wish you every success and thank you for yourcontinued support.1

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 2McGhan Breast Implants and Tissue Expandersare Latex Free.to order* MadeSome products have been indicated as “Made toOrder”. This means the product is not stocked andwill only be manufactured on receipt of aconfirmed order. The leadtime on such ordersshould be considered as ten working days.The silicone gel devices in this catalogue are not sold incountries where restrictions currently exist.Please refer to the package insert supplied with each devicefor indications, contraindications, warnings, instructions foruse, limited warranty, and patient, physician and manufacturerinformation.Nominal Dimensions: Device dimensions are measured withthe device placed on a flat surface. Not every device willconform to the dimensions given, slight variations may occur.BIOCELL, BioDIMENSIONAL, BIOSPAN, INTRASHIEL,MAGNA-FINDER, MAGNA-SITE, CUI, MicroCell and DRIE, aretrademarks of INAMED.These devices are covered by one or more of the followingpatents: 4,178,643; 4,455,691; 4,472,226; 4,671,255;4,738,657; 4,798,584; 4,840,615; 4,859,712; 4,889,744;5,007,929; 5,092,348; 1,199,451; 1,199,452; 537723, 0029292;0030838; 8,008,981.

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 3Contents04 Breast Implant Product Features and MaterialsBioDIMENSIONAL Planning System05 BioDIMENSIONALTM System Explanation07 McGhan Style 410 & McGhan Style 410 Soft Touch Gel-Filled Anatomical Matrix11 McGhan Style 410 XP12 McGhan Style 510 Dual Gel14 McGhan Style 468 Saline-Filled AnatomicalBIOCELL RTV Saline-Filled Breast Implants14 McGhan Style 168 Saline-Filled/Round, Moderate Profile15151616BIOCELL Textured Silicone Gel-Filled Breast ImplantsMcGhan Style 110 Round, Moderate ProfileMcGhan Style 120 Round, High ProfileMcGhan Style 110 Soft Touch Round, Moderate ProfileMcGhan Style 120 Soft Touch Round, High ProfileSmooth Surface Silicone Gel-Filled Breast Implants17 McGhan Style 40 Standard Profile17 McGhan Style 45 High ProfileBioDIMENSIONAL 1-Stage Breast Reconstruction18 Expandable Breast Implant for Immediate or DelayedReconstruction19 McGhan Style 150 Expandable Breast Implant19 McGhan Style 150 Sizer Templates19 McGhan Style 150 Fill Tube Plug Kit202021222223BioDIMENSIONAL 2-Stage Breast Reconstruction2-Stage System ExplanationBIOSPAN Textured Tissue ExpandersMcGhan Style 133 Anatomical FV, MV & LV Tissue ExpandersMcGhan Style 133, Anatomical Tissue Expander Sizer TemplatesMcGhan Magna-Finder McGhan Style 363 Saline-Filled, AnatomicalBreast Implant Sizers24 Sizer Explanation24 Round Gel-Filled Breast Implant Sizer24 BioDIMENSIONALTM Gel-Filled Breast Implant Sizer,Anatomical3

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 4Breast ImplantsProduct Features and MaterialsSurface TechnologyBIOCELLTM Textured Breast ImplantsThe BIOCELL textured surface is an integral part of thesilicone elastomer shell that allows mild tissue adherencewhich has been associated with a reduced risk of capsularcontracture. Non-linear collagen formation results fromthis unique tissue-implant interface, ensuring a moresecure implantation.MaterialsINTRASHIEL for Silicone Gel-Filled BreastImplantsThe patented INTRASHIEL barrier technologyincorporated into the McGhan high performance siliconeelastomer shell reduces shell permeability characteristicsand minimises gel diffusion.McGhan breast implants are designed to approximate thesoftness and specific gravity of natural breast tissue for usein augmentation and reconstruction mammaplasty.High PerformanceElastomer LayerMcGhan PatentedBarrier-CoatSilicone FillUnique protective barrier for a significant reduction in siliconediffusion.4

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 5BioDIMENSIONAL PlanningSystemAdvanced Breast Implant DesignOnly the McGhan Style 410 matrix of breast implantsoffers such a range of shapes and choice to meet virtuallyany patient requirement regardless of age or body type.Each shape within this innovative matrix has a unique setof height and projection ratios that extend across a range ofbase widths. This matrix offers surgeons a state-of-the-artmeans to achieve more predictable results, and greaterpatient satisfaction. Anatomical shape closely simulatesdimensions and volume distribution of the natural breast.A broad range of base widths offers the greatest controlover cleavage and lateral breast width, while maintainingthe natural aesthetics of the upper pole.McGhan Style 410 Soft TouchIn 2002 we extended the McGhan Style 410 family toinclude the McGhan Style 410 Soft Touch implants.Utilising the BioDIMENSIONAL Planning System formaximum aesthetic results, our “Soft Touch” gel allowspatients to enjoy a softer feeling implant, whilemaintaining the characteristics that have made theMcGhan Style 410 famous in this industry.McGhan Style 410 XP.Extra Projection, for reconstruction& augmentationIn complex reconstruction cases, surgeons are presentedwith a variety of difficult issues; thin tissue coverage aftermastectomy; asymmetric chest wall projection; and theneed to match a high projection contralateral breast withunilateral reconstruction. Surgeons asked us for breastimplants which would help address these issues and wedeveloped the McGhan Style 410XP range.The McGhan Style 410XP range introduces three new cellsof Extra-Full projection implants to the McGhanBioDIMENSIONAL Matrix. These implants follow theMatrix convention for height and width, and offerincreased projection beyond those of our current Fullprojection range.The McGhan Style 410XP range may also be usedeffectively for patients who require augmentation anddesire extra projection.5

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 6BioDIMENSIONAL PlanningSystemBioDIMENSIONALTM PlanningThe BioDIMENSIONAL Planning System was inspiredby John B. Tebbetts, M.D., Dallas, Texas as a result of hiscareer-long quest to add the ability to plan and achievepredictable results to aesthetic breast augmentation. TheBioDIMENSIONAL Planning System begins with acomplete evaluation of the patient’s anatomy andbreast/thoracic frame geometry in order to take intoaccount the many factors that may influence the aestheticoutcome. Next, the patient’s objectives are discussed,evaluated, and compared to her anatomy. Finally, thedoctor develops a course of action that will lead to thefulfillment of the patient’s objectives. Patients areencouraged to think in terms of natural breast shape anddimensions rather than volume alone.For further information on the BioDIMENSIONAL Planning System please ask your local representative or visitour website www.INAMED.com.Cohesive Gel and Advanced MaterialsMcGhan Style 410 and McGhan Style 410 Soft Touch breast implants incorporate advanced cohesive gel, theMcGhan patented INTRASHIEL barrier technology,and the McGhan patented BIOCELL texture, makingthese devices the ultimate choice for anatomicalaugmentation and reconstruction. BIOCELL texturing promotes tissue adherence tohelp maintain proper implant positioning and toreduce the risk of capsular contracture. The INTRASHIEL shell features a patented designto minimise silicone diffusion. Orientation marks are conveniently located on theanterior and posterior surfaces of the implant and assistin visual and tactile postioning within the surgicalpockets. Cohesive gel for shape control and product confidence- even if shell integrity is compromised. McGhan Style 410 and McGhan Style 410 SoftTouch breast implants afford the surgeon unrivaledability to achieve predictable results in breastaugmentation and reconstruction.6

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 7BioDIMENSIONAL PlanningSystemThe McGhan Style 410,McGhan Style 410 Soft Touch & McGhan Style 410 XP rangeOnly the McGhan Style 410 matrix of breastimplants offers such a range of shape andchoice to meet virtually any patientrequirement. McGhan Style 410 BreastImplants are available in an innovativecombination of height, width and projectionoptions. Surgeons can select from twelvedifferent shapes in low, moderate, full andextra full projections with a variety of basewidths. It is this range of selection thataffords more planning options to meet abroader range of patient needs, and facilitatedesired outcome.ModerateFullExtra rojectionLow7

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 8BioDIMENSIONAL PlanningSystemFL McGhan Style 410 & McGhan Style 410 Soft Touch Full height/Low projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive 027-FL130-320Style 410 Soft Touch SizeSoft Touch Gel .513.52.93.13.23.43.8* Made to orderML McGhan Style 410 & McGhan Style 410 Soft Touch Moderate height/Low projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive 027-ML130-285Style 410 Soft Touch SizeSoft Touch Gel 112.12.93.13.23.43.8* Made to orderLL McGhan Style 410 & McGhan Style 410 Soft Touch Low height/Low projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive 027-LL135-300* Made to order8Style 410 Soft Touch SizeSoft Touch Gel 11.43.03.23.43.64.0

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 9BioDIMENSIONAL PlanningSystemFM McGhan Style 410 & McGhan Style 410 Soft Touch Full height/Moderate projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive GelStyle 410 Soft Touch SizeSoft Touch 3.63.84.04.24.44.64.85.05.25.45.55.6MM McGhan Style 410 & McGhan Style 410 Soft Touch Moderate height/Moderate projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive GelStyle 410 Soft Touch SizeSoft Touch .512.93.63.84.04.24.44.64.85.05.2LM McGhan Style 410 & McGhan Style 410 Soft Touch Low height/Moderate projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive 027-LM130-320Style 410 Soft Touch SizeSoft Touch Gel 0.93.64.04.24.44.8* Made to order9

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 10BioDIMENSIONAL PlanningSystemFF McGhan Style 410 & McGhan Style 410 Soft Touch Full height/Full projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive GelStyle 410 Soft Touch SizeSoft Touch 4.64.85.15.25.35.65.86.16.2MF McGhan Style 410 & McGhan Style 410 Soft Touch Moderate height/Full projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive GelStyle 410 Soft Touch SizeSoft Touch 4.24.44.64.85.15.25.35.65.86.16.2LF McGhan Style 410 & McGhan Style 410 Soft Touch Low height/Full projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410Cohesive GelStyle 410 Soft Touch SizeSoft Touch 2.613.03.74.04.24.44.64.85.15.35.65.86.16.210

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 11BioDIMENSIONAL PlanningSystemFX McGhan Style 410Full height/Extra Full projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410 FXCohesive 95.15.35.55.76.06.16.26.56.77.07.1MX McGhan Style 410Moderate height/Extra Full projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410 MXCohesive 15.35.55.76.06.16.26.56.77.07.1LX McGhan Style 410Low height/Extra Full projectionBioDIMENSIONAL Cohesive Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 410 LXCohesive .35.55.76.06.16.26.56.77.07.111

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 12BioDIMENSIONAL PlanningSystemMcGhan Style 510 Dual GelThe McGhan Style 510 Dual Gel is an innovativeproduct with a unique dual gel combination. Theposterior of the implant is made from our standardcohesive gel, as found in the McGhan Style 410, withthe anterior of the implant made from a unique highcohesive gel. This feature provides superiorprojection and support, emphasising thenipple/areola area of the implant.As well as the unique gel combination the posteriorof the 510 implant is concave to better fit the chestwall. It also features a tapered superior pole, whichalong with the concave base, reduces the edge/thoracic wall clearance minimising edge palpability.Other features of the McGhan Style 510 Dual Gel rangeinclude:BIOCELLTM TextureThe BIOCELLTM textured surface gives superior tissueadherence which helps maintain proper implant positionwithin the surgical pocket, and reduces the risk of capsularcontracture.INTRASHIELTM BarrierThe INTRASHIELTM shell features a patented design tominimise silicone gel diffusion.Orientation MarksOrientation marks are conveniently located on the anteriorand posterior surfaces of the implant and assist in visualand tactile positioning within the surgical pocket.With three cells, (Style 510LX, Style 510MX and Style510FX), the McGhan Style 510 Dual Gel range is based onthe McGhan Style 410XP range with identical basedimensions (height and width). Due to the unique gelcombination of a soft posterior gel and a firm anterior gel,the 510 is designed to maintain projection. Surgeonsfamiliar with the McGhan Style 410XP will need to takethis into consideration and may need to make minoradjustments to surgical techniques.The McGhan Style 510 Dual Gel range may also be usedeffectively with augmentation patients. We believe thisproduct will have particular benefits for complexaugmentations such as asymmetrical breasts, tubular breastsand Poland’s syndrome.12

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 13BioDIMENSIONAL PlanningSystemLX McGhan Style 510Low Height/Extra Full projectionBioDIMENSIONAL Dual Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 510 LXCohesive 04.44.74.95.15.35.55.75.96.06.36.46.87.0MX McGhan Style 510Moderate Height/Extra Full projectionBioDIMENSIONAL Dual Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 510 MXCohesive 3.94.44.74.95.15.35.55.65.95.96.36.46.87.0FX McGhan Style 510Full Height/Extra Full projectionBioDIMENSIONAL Dual Gel-Filled Breast ImplantBIOCELL Textured INTRASHIEL Barrier Shell Anatomical ShapeStyle 510 FXCohesive .516.04.44.74.95.15.35.55.65.96.06.36.46.87.013

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 14BioDIMENSIONAL PlanningSystemSaline Breast Implant Designed forMore Natural ResultsThe McGhan Style 468 breast implant is the first salinefilled silicone shell breast implant engineered and developedto achieve more natural augmentation results.McGhan Style 468*BioDIMENSIONAL Saline-Filled BreastImplant Anterior Diaphragm ValveBIOCELL Textured RTV Shell AnatomicalShapeCatalogue endedSaline Fill (cm3)Width A(cm)Height B(cm)Projection .75.9* Made to orderBIOCELL RTV Saline-FilledBreast ImplantsMcGhan Style 168BIOCELL Textured Saline-Filled BreastImplant Anterior Diaphragm Valve, RTV ShellRound, Moderate ProfileACatalogue 27-16845127-16848127-16851114BSaline Fill(cm3)Diameter A(cm)Projection 4.114.43.03.33.43.73.83.94.14.24.24.54.54.64.64.6

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 15BIOCELL Textured Silicone Gel-FilledBreast ImplantsMcGhan Style 110BIOCELL Textured Silicone Gel-FilledBreast Implant INTRASHIEL Barrier ShellRound, Moderate ProfileACatalogue ameter A(cm)Projection 4McGhan Style 120BIOCELL Textured, Silicone Gel-FilledBreast Implant INTRASHIEL Barrier ShellRound, High ProfileACatalogue BSize(grams)Diameter A(cm)Projection 04.74.84.95.015

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 16BIOCELL Textured Silicone Gel-FilledBreast ImplantsMcGhanStyle 110SoftTouch BIOCELL Textured Silicone Soft Touch Gel-Filled Breast Implant INTRASHIEL Barrier Shell Round, Moderate ProfileACatalogue 0800BSaline Fill(cm3)Diameter A(cm)Projection .44.54.54.74.85.05.1McGhanStyle 120SoftTouch BIOCELL Textured Silicone Soft Touch Gel-Filled Breast Implant INTRASHIEL Barrier Shell Round, High ProfileACatalogue 20365ST-120410ST-120460ST-12052516BSaline Fill(cm3)Diameter A(cm)Projection 1.411.812.312.73.84.24.65.05.25.45.75.86.2

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 17Smooth Surface Silicone Gel-FilledBreast ImplantsMcGhan Style 40Smooth Silicone Gel-Filled Breast ImplantINTRASHIEL Barrier Shell Round,Standard Profile*ABCatalogue #Size(grams)Diameter A(cm)Projection 73.83.83.93.94.04.1Catalogue #Size(grams)ADiameter A(cm)Projection .09.610.010.410.811.23.63.84.14.34.64.85.15.1* Made to orderMcGhan Style 45Smooth Silicone Gel-Filled Breast ImplantINTRASHIEL Barrier Shell, Round,High Profile*B* Made to order17

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 18BioDIMENSIONAL 1-StageBreast ReconstructionExpandable Breast Implant forImmediate or Delayed ReconstructionWith an adjustable saline-fill inner lumen surrounded by asilicone gel outer lumen, the expandable McGhan Style 150Breast Implant offers opportunities to create more naturallooking breasts. In most cases, McGhan Style 150 breastimplants eliminate the need for patients to undergoadditional expander exchange surgery. Uniquely controlledexpansion to the lower pole area provides complimentaryresults with natural contour.Defined Expansion - Two HeightOptionsTwo choices in dimensional height and upperpole configurations – McGhan Style 150 FullHeight and McGhan Style 150 Short Heightbreast implants are available to match thewidest range of your patients’ requirements.Style 150 Full HeightProven BIOCELLTM Textured SurfaceStyle 150 Short HeightThe BIOCELL textured surface allowsaggressive expansion and promotes tissueadherence with opportunity for rapid fixation,and reduces the risk of capsular contractureresulting in a softer breast. BIOCELL texturing also helps maintain breast implantpositioning and improve inframammary folddefinition.Reliable Long-Term AdjustabilityThe McGhan Style 150 breast implant incorporates aproprietary saline fill system that eliminates the valve issuespreviously associated with one-stage devices and “pull-out” fillsystems. The unique design of the McGhan Style 150 breastimplant features a remote injection site that reliably allows forlong-term device adjustability.McGhan Style 150 - Mini-Remote PortDesigned with a self-sealing port and titanium needleguard to prevent puncture through injection site base.Sealing SeptumReinforced SiliconeBase FlangeTitanium Needle Guard CupSilicone Injection DomeRTV Silicone Adhesive18Puncture Proof TitaniumNeedle Guard Plate

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 19BioDIMENSIONAL 1-StageBreast ReconstructionMcGhan Style 150 Full HeightBioDIMENSIONAL Silicone Gel with AdjustableSaline-Fill Inner Lumen Expandable Breast Implant,Mini Remote Port BIOCELL TexturedINTRASHIEL Barrier Shell Anatomical ShapeCatalogue 5062127-150721Size(cm3)Width A Height 0720-76010.511.512.013.014.015.016.0BACProjection C Gel Fill Saline Fill(cm) (grams) Range 00McGhan Style 150 Short HeightBioDIMENSIONAL Silicone Gel with AdjustableSaline-Fill Inner Lumen Expandable Breast Implant,Mini Remote Port BIOCELL TexturedINTRASHIEL Barrier Shell Anatomical ShapeCatalogue 5049627-150626Size(cm3)Width A Height .512.514.0BACProjection C Gel Fill Saline Fill(cm) (grams) Range 60-280325-350410-440Anatomical Expandable Breast Implant TemplatesCatalogue #30-00015UnitMcGhan Style 150 Sizer TemplatesSetFill Tube Plug KitCatalogue #30-00019UnitPackaged Fill Tube Plug KitOneFill Tube Plug KitThe Fill Tube Plug Kit is used to seal the fill tube of theMcGhan Style 150 breast implant following satisfactoryexpansion and removal of the injection port.Each Kit is double thermoform packaged and comprises of:! an Introducer (Push Rod & Carrier Tube)! 3 silicone Plugs19

04.2815 McGhan catalogue 7/045/8/044:31 PMPage 20BioDIMENSIONAL 2-StageBreast ReconstructionThe Most Advanced Devices andMethods AvailableThe BioDIMENSIONAL System for breastreconstruction is a comprehensive approach based onanatomical shape and dimensional techniques. Pioneeredby G. Patrick Maxwell, M.D., of Nashville, Tennessee, 2stage breast reconstruction using the anatomicalBIOSPAN Tissue Expander and BIOCELL texturedanatomical breast implants combine logical planning andadvanced product design. This results in naturallycontoured breasts in unilateral and bilateral reconstruction.BIOSPANTM TexturingPromotes mild tissue in-growth

Contents 3 04 Breast Implant Product Features and Materials BioDIMENSIONAL Planning System 05 BioDIMENSIONALTM System Explanation 07 McGhan Style 410 & McGhan Style 410 Soft Touch Gel-Filled Anatomical Matrix 11 McGhan Style 410 XP 12 McGhan Style 510 Dual Gel 14 McGhan Style 468 Saline-Filled Anatomical BIOCELL RTV Saline-Filled Brea