The aim of this current project is to revise the categories “External breast prosthesis, breast implant, tissue expander”.
In 2009, external non-solid silicone breast prostheses and external fluid-filled prostheses are reimbursed by the French national health insurance, with no indication specified. Just one type of adhesive silicone prosthesis is reimbursed following mastectomy (Amoena Contact, made by Amoena France).
Breast implants that are reimbursed are textured implants of any shape. Implants are reimbursed if the indication is breast reconstruction, with the exception of exclusively cosmetic procedures.
The types of tissue expanders that are reimbursed by the French national health insurance are either smooth, textured with integrated valve or textured with a self-closing valve.Indications are stated for each class of tissue expander: in breast reconstruction for textured and smooth expanders, in plastic and reconstructive surgery under defined conditions for smooth expanders [significant loss of tissue (burns, trauma or following extensive excision of naevi or tumours) as an alternative to skin graft; congenital facial malformation, particularly in children].
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