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 * BOTOX® COSMETIC (ONABOTULINUMTOXINA)
 * SKINVIVE™ by JUVÉDERM
 * JUVÉDERM® COLLECTION OF FILLERS
 * KYBELLA® (DEOXYCHOLIC ACID) INJECTION 10 mg/mL
 * LATISSE® (BIMATOPROST OPHTHALMIC SOLUTION) 0.03%
 * CoolSculpting®
 * SKINMEDICA® SKIN CARE

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EVERY
WOMAN HAS THE
TO CHOOSE HER PATH FORWARD
Actual breast reconstruction patient with Natrelle INSPIRA® Breast Implants.
Individual results may vary.
Supporting
women and their breast
cancer journeys
If you’ve decided to have reconstruction with breast implants, Natrelle® has a
wide range of innovative offerings designed to meet your expectations.
Follow @natrellebreastreconstruction on social media.
Please accept the cookie consent to view this feature.

LISA
“Reconstruction after breast cancer is a journey. It helped me discover my new
normal. It was my choice and
IT’S EXACTLY WHAT I WANTED.”
Actual breast cancer and breast
reconstruction patient with
Natrelle INSPIRA® Breast Implants.
Individual results may vary.
KAYLA
“After testing positive for BRCA2, I decided to have a double mastectomy and
reconstruction with implants. Breast reconstruction helped me
MOVE FORWARD.”
Actual breast reconstruction patient with
Natrelle INSPIRA® Breast Implants.
Individual results may vary.
Your GUIDE to surgery
Breast reconstruction basics
When you have a mastectomy, you lose breast tissue, some skin, and possibly your
nipple and areola. Breast reconstruction results have improved over the years.
While your plastic surgeon can’t give you the same breast you had prior to your
mastectomy, he or she may be able to give you a reasonable likeness of your
premastectomy breast.
Immediate or delayed reconstructive surgery
Will you begin your reconstruction surgery immediately—at the time of your
mastectomy—or will you delay your reconstruction surgery until after you have
healed?
Advantages
Disadvantages
Advantages
Immediate reconstruction
Eliminates an operation since it’s performed at the same time as the mastectomy.
Delayed reconstruction
Provides time to treat and evaluate the cancer. Some women may need radiation
after mastectomy, which can cause problems like delayed healing and scarring.

Provides time to quit smoking and/or lose or gain weight. Smoking, being
overweight or too thin can cause problems with your reconstruction.
Disadvantages
Immediate reconstruction
Eliminates an operation since it’s performed at the same time as the mastectomy.
Requires a longer surgery.
Delayed reconstruction
Disadvantages
Immediate reconstruction
Requires a longer surgery.
Delayed reconstruction
Requires an additional operation.

Creates a time where you will have the appearance of no breast(s).
Provides time to treat and evaluate the cancer. Some women may need radiation
after mastectomy, which can cause problems like delayed healing and scarring.

Provides time to quit smoking and/or lose or gain weight. Smoking, being
overweight or too thin can cause problems with your reconstruction.
Requires an additional operation.

Creates a time where you will have the appearance of no breast(s).
Your surgeon will determine if you are an appropriate candidate for immediate
reconstruction or if it would be better for you to have a delayed procedure.
I’M
TRUSTING MY
journey
Actual breast cancer and breast reconstruction patient with Natrelle INSPIRA®
Breast Implants.
Individual results may vary.
I’M
TRUSTING MY
journey
Implant-based breast reconstruction
This type of reconstruction shapes the breast with implants and is usually
performed in 2 stages: Using a tissue expander in the first stage and then
inserting a breast implant under the muscle in the second stage.

An innovative advancement allows for placement of a tissue expander or silicone
breast implant over the chest muscle (prepectorally). Learn more about
prepectoral reconstruction below, and talk to your surgeon to determine whether
this approach is an option for you.
Advantages of Implant-based Reconstruction
The procedure is performed in areas where you are already having surgery; no new
incisions are usually required.
Disadvantages of Implant-based Reconstruction
Implants are not lifetime devices and you will likely require additional surgery
in the future.
The procedure is performed in areas where you are already having surgery; no new
incisions are usually required.
Implants are not lifetime devices and you will likely require additional surgery
in the future.
i am
what i choose
Actual breast cancer and breast reconstruction patient with Natrelle INSPIRA®
Breast Implants.
Individual results may vary.
Over the muscle (pre-pec) technique
This technique allows for placement of a tissue expander or silicone-filled
breast implant over the chest muscle (prepectorally).
Advantages of Pre-pec Technique
Because the chest muscle isn’t cut:
 * Potentially shorter recovery time
 * Potentially less pain or side effects caused by cutting the chest muscle

Because the implant is placed over the muscle:
 * Surgeon has greater control of shape and form of the breast
 * Flexing your chest muscle may/should not make the breast implants move in
   unpleasant, unnatural ways

Disadvantages of Pre-pec Technique
 * Not all patients are candidates for pre-pec placement because it requires
   enough tissue in good condition after a mastectomy
 * Risk of visible rippling of the implant
 * Not all surgeons have experience with this newer technique

Because the chest muscle isn’t cut:
 * Potentially shorter recovery time
 * Potentially less pain or side effects caused by cutting the chest muscle

Because the implant is placed over the muscle:
 * Surgeon has greater control of shape and form of the breast
 * Flexing your chest muscle may/should not make the breast implants move in
   unpleasant, unnatural ways

 * Not all patients are candidates for pre-pec placement because it requires
   enough tissue in good condition after a mastectomy
 * Risk of visible rippling of the implant
 * Not all surgeons have experience with this newer technique

Subpectoral (under the muscle) technique
This technique involves placing a breast implant under the chest muscle. In some
cases, this can be done immediately after the mastectomy.

If you have minimal breast tissue, your surgeon may recommend placing a tissue
expander under your skin and chest muscle before placing the implant. A tissue
expander is like a balloon, which can be inflated to stretch the skin and muscle
over several months, making room for your implant.
Before
Primary reconstruction with sub-pec placement and animation deformity when
flexing the chest muscle

After
Revision reconstruction to pre-pec placement to correct animation deformity

Before
Primary reconstruction with sub-pec placement and animation deformity when
flexing the chest muscle

After
Revision reconstruction to pre-pec placement to correct animation deformity

Before
Primary reconstruction with sub-pec placement and animation deformity when
flexing the chest muscle

After
Revision reconstruction to pre-pec placement to correct animation deformity

Before
Primary reconstruction with sub-pec placement and animation deformity when
flexing the chest muscle

After
Revision reconstruction to pre-pec placement to correct animation deformity

 1. 
 2. 
 3. 
 4. 

Previous Next
Advantages of Sub-pec Technique
 * Many surgeons have experience with this well-known technique
 * May minimize risk of visible rippling of the implant

Disadvantages of Sub-pec Technique
Because the chest muscle is cut:
 * Potentially longer recovery time
 * Potentially more pain or side effects caused by cutting the chest muscle

Because the implant is placed under the muscle:
 * Flexing your chest muscle may make the breast implants move in unpleasant,
   unnatural ways

 * Many surgeons have experience with this
   well-known technique
 * May minimize risk of visible rippling of the implant

Because the chest muscle is cut:
 * Potentially longer recovery time
 * Potentially more pain or side effects caused by cutting the chest muscle

Because the implant is placed under the muscle:
 * Flexing your chest muscle may make the breast implants move in unpleasant,
   unnatural ways

Two-stage vs one-stage breast reconstruction
Two-stage breast reconstruction is the most common type of breast reconstruction
performed. The first stage involves placing a tissue expander to recreate a
breast pocket after the breast tissue has been removed. In the second stage, the
implant is placed into the breast pocket.

One-stage, or direct-to-implant (DTI), breast reconstruction involves placing
the implant immediately after breast tissue has been removed.
Advantages of
DTI Reconstruction
The breast implant can be placed immediately instead of requiring an additional
tissue expander step.
Disadvantages of
DTI Reconstruction
Not every patient is a candidate.
The breast implant can be placed immediately instead of requiring an additional
tissue expander step.
Not every patient is a candidate.
First stage
This procedure first uses a tissue expander, which is surgically inserted and
slowly expanded over time to create a space for the implant. Typically, you will
meet with your plastic surgeon every other week to fill the expander with
sterile saline in order to gradually stretch the skin.
The tissue expander with over 30 years of clinical experience
Natrelle® 133S Smooth Tissue Expanders are made to match Natrelle INSPIRA® Round
Gel Breast Implants. This means that the tissue expander creates a space
customized for the breast implant.
Second stage
Once the space reaches the correct size and the tissue has healed, a second
surgery will remove the tissue expander and replace it with the breast implant.
If a mastectomy was only performed on one breast, some patients choose to have
the other breast augmented to maintain symmetry.
The #1 surgeon-selected gummy breast implant collection in the US*
Natrelle INSPIRA® Round Gel Breast Implants are designed to give you the look
and feel that’s important to you.
*Based on surgeon survey data, September 2021 (N = 324).
Your choice. Your look.
before
After
before
After
Primary reconstruction with
Natrelle INSPIRA® Cohesive Style SCF-560
Photos provided by Dr. Mark L. Venturi. Individual results may vary.
See more results
Natrelle® Breast Implants IMPORTANT SAFETY INFORMATION AND APPROVED USES
SEE MORE +
Natrelle® Breast Implants IMPORTANT SAFETY INFORMATION AND APPROVED USES
Breast implants are not considered lifetime devices. The longer people have
them, the greater the chances are that they will develop complications, some of
which will require more surgery.
Breast implants have been associated with the development of a cancer of the
immune system called breast implant–associated anaplastic large cell lymphoma
(BIA-ALCL). This cancer occurs more commonly in patients with textured breast
implants than smooth implants, although rates are not well defined. Some
patients have died from BIA-ALCL.
Patients receiving breast implants have reported a variety of systemic symptoms,
such as joint pain, muscle aches, confusion, chronic fatigue, autoimmune
diseases, and others. Individual patient risk for developing these symptoms has
not been well established. Some patients report complete resolution of symptoms
when the implants are removed without replacement.
Who can get breast implants?
Natrelle® Breast Implants are approved for the following:
 * Breast augmentation for women at least 22 years old for silicone-filled
   implants and for women at least 18 years old for saline-filled implants.
   Breast augmentation includes primary breast augmentation to increase the
   breast size and revision surgery to correct or improve the result of a
   primary breast augmentation
 * Breast reconstruction. This includes primary breast reconstruction to replace
   breast tissue that has been removed due to cancer or trauma or that has
   failed to develop properly due to a severe breast abnormality. This also
   includes revision surgery to correct or improve the result of a primary
   breast reconstruction

Who should NOT get breast implants?
Breast implant surgery should NOT be performed in:
 * Women with active infection anywhere in their body
 * Women with existing cancer or precancer of their breast who have not received
   adequate treatment for those conditions
 * Women who are currently pregnant or nursing

What should I tell my doctor?
Tell your doctor if you have any of the following conditions, as the risks of
breast implant surgery may be higher:
 * Autoimmune diseases (eg, lupus and scleroderma)
 * A weakened immune system (eg, taking medications to decrease the body’s
   immune response)
 * Planned chemotherapy or radiation therapy following breast implant placement
 * Conditions or medications that interfere with wound healing and blood
   clotting
 * Reduced blood supply to breast tissue
 * Clinical diagnosis of depression or other mental health disorders, including
   body dysmorphic disorder and eating disorders
 * Those with a diagnosis of depression or other mental health disorders should
   wait for resolution or stabilization of these conditions prior to undergoing
   breast implantation surgery

What else should I consider?

 * There is a Boxed Warning for breast implants. Please see bold text at
   beginning
 * Many changes to your breasts following implantation are irreversible. If you
   later choose to have your implants removed and not replaced, you may
   experience dimpling, puckering, wrinkling, or other cosmetic changes, which
   may be permanent
 * Breast implantation is likely not a one-time surgery. The longer implants are
   in place, the greater the potential risk for complications. You will likely
   need additional surgeries on your breasts due to complications or
   unacceptable cosmetic results. Thus, you should also consider the
   complication rates for later (revision) surgery since you may experience
   these risks in the future
 * Cancer treatments and surgery will affect the outcome and timing of breast
   reconstruction
 * Breast implants may affect your ability to breastfeed, either by reducing or
   eliminating milk production
 * Rupture of a silicone-filled breast implant is most often silent. Even if you
   have no symptoms, you should have your first ultrasound or MRI at 5 to 6
   years after your initial implant surgery and then every 2 to 3 years
   thereafter regardless of whether your implants are for augmentation or
   reconstruction. If you have symptoms of or uncertain ultrasound results for
   breast implant rupture, an MRI is recommended. Additional imaging may be
   required depending on your medical history and status. The health
   consequences of a ruptured silicone gel-filled breast implant have not been
   fully established
 * Routine screening mammography for breast cancer will be more difficult, and
   implants may rupture during the procedure. Perform self-examination every
   month for cancer screening and ask your surgeon to help you distinguish the
   implant from your breast tissue. Lumps, persistent pain, swelling, hardening,
   or changes in implant shape should be reported to your surgeon and possibly
   evaluated with imaging

What are key complications with breast implants?
Key complications include reoperation, implant removal with or without
replacement, implant rupture with silicone-filled implants, implant deflation
with saline-filled implants, and capsular contracture (severe scar tissue around
the implant). Other complications include breast pain, swelling, asymmetry,
wrinkling/rippling, implant malposition nipple complications, hypertrophic
scarring, and implant palpability/visibility.
Talk to your doctor about other complications.
For more information, see the patient brochures at rxabbvie.com.
To report a problem with Natrelle® Breast Implants, please call Allergan® at
1-800-624-4261.
The sale and distribution of Natrelle® Breast Implants is restricted to licensed
physicians who provide information to patients about the risks and benefits of
breast implant surgery.

Natrelle® 133S Tissue Expanders Important Information

Approved Uses

Natrelle® 133S Tissue Expanders are approved for breast reconstruction following
mastectomy, treatment of underdeveloped breasts, and treatment of soft tissue
deformities.

IMPORTANT SAFETY INFORMATION
Who should NOT get tissue expanders?
Do not use if you:
 * Already have implanted devices that would be affected by a magnetic field
 * Have tissue unsuitable for expansion
 * Have an active infection or a residual gross tumor at the expansion site
 * Are undergoing adjuvant radiation therapy
 * Have a physiological condition (eg, obesity, smoking, diabetes, autoimmune
   disease, hypertension, chronic lung or severe cardiovascular disease, or
   osteogenesis imperfecta) or use certain drugs (including those that interfere
   with blood clotting or affect tissue viability) that may result in a high
   risk of surgical and/or postoperative complications


What else should I consider?

 * Natrelle® 133S Tissue Expanders should NOT be used in patients who already
   have implanted devices that would be affected by a magnetic field
 * Active infection anywhere may increase risk of infection around the tissue
   expander. Certain infections may require premature removal of the device
 * Natrelle® 133S Tissue Expanders are temporary devices and are not to be used
   for permanent implantation or beyond 6 months. Tissue expansion in breast
   reconstruction typically requires 4 months to 6 months


What are possible complications?


Deflation, tissue damage and/or appearance of the implant through the skin,
infection, unwanted shape, unintended blood or fluid collection, capsular
contracture (tightening of scar tissue that causes the breast to harden),
premature device removal, bone/pain/sensation changes, and inflammation.

For more information, please visit rxabbvie.com. To report a problem with
Natrelle®, please call Allergan at 1-800-624-4261.
Natrelle® 133S Tissue Expanders are available by prescription only. The sale and
distribution of Natrelle® 133S Tissue Expanders is restricted to licensed
physicians.
BOTOX® Cosmetic (onabotulinumtoxinA)
Approved Uses
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and
used to temporarily improve the look of moderate to severe forehead lines,
crow’s feet lines, and frown lines between the eyebrows in adults.
IMPORTANT SAFETY INFORMATION
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get
medical help right away if you have any of these problems any time (hours to
weeks) after injection of BOTOX® Cosmetic:
 * Problems swallowing, speaking, or breathing, due to weakening of associated
   muscles, can be severe and result in loss of life. You are at the highest
   risk if these problems are pre-existing before injection. Swallowing problems
   may last for several months.
 * Spread of toxin effects. The effect of botulinum toxin may affect areas away
   from the injection site and cause serious symptoms including: loss of
   strength and all-over muscle weakness, double vision, blurred vision and
   drooping eyelids, hoarseness or change or loss of voice, trouble saying words
   clearly, loss of bladder control, trouble breathing, and trouble swallowing.

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other
botulinum toxin product.
There has not been a confirmed serious case of spread of toxin effect when
BOTOX® Cosmetic has been used at the recommended dose to treat frown lines,
crow’s feet lines, and/or forehead lines.
BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision
problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this
happens, do not drive a car, operate machinery, or do other dangerous
activities.
Serious and/or immediate allergic reactions have been reported. They include:
itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or
feeling faint. Get medical help right away if you are wheezing or have asthma
symptoms, or if you become dizzy or faint.
Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in
BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction
to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB),
Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin
infection at the planned injection site.
Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou
Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at
increased risk of serious side effects including difficulty swallowing and
difficulty breathing from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have
surgery; had surgery on your face; have trouble raising your eyebrows; drooping
eyelids; any other abnormal facial change; are pregnant or plan to become
pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are
breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast
milk).
Tell your doctor about all the medicines you take, including prescription and
over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX®
Cosmetic with certain other medicines may cause serious side effects. Do not
start any new medicines until you have told your doctor that you have received
BOTOX® Cosmetic in the past.
Tell your doctor if you have received any other botulinum toxin product in the
last 4 months; have received injections of botulinum toxin such as Myobloc®,
Dysport®, or Xeomin® in the past (tell your doctor exactly which product you
received); have recently received an antibiotic by injection; take muscle
relaxants; take an allergy or cold medicine; take a sleep medicine; take
aspirin-like products or blood thinners.
Other side effects of BOTOX® Cosmetic include: dry mouth; discomfort or pain at
the injection site; tiredness; headache; neck pain; and eye problems: double
vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows,
swelling of your eyelids and dry eyes.
For more information refer to the Medication Guide or talk with your doctor.
To report a side effect, please call Allergan at 1-800-678-1605.

Please see BOTOX® Cosmetic full Product Information including Boxed Warning and
Medication Guide.
JUVÉDERM® Injectable Gel Fillers Important Information
APPROVED USES
JUVÉDERM® VOLUX® XC injectable gel is for deep injection to improve moderate to
severe loss of jawline definition in adults over the age of 21.
JUVÉDERM® VOLUMA® XC injectable gel is for deep injection in the cheek area to
correct age-related volume loss and for augmentation of the chin region to
improve the chin profile in adults over 21.
JUVÉDERM® VOLLURE® XC, JUVÉDERM® Ultra Plus XC, and JUVÉDERM® Ultra XC
injectable gels are for injection into the facial tissue for the correction of
moderate to severe facial wrinkles and folds, such as nasolabial folds.
JUVÉDERM® VOLLURE® XC injectable gel is for adults over 21.
JUVÉDERM® Ultra XC injectable gel is also for injection into the lips and
perioral area for lip augmentation in adults over 21.
JUVÉDERM® VOLBELLA® XC injectable gel is for injection into the lips for lip
augmentation and correction of perioral lines, and for injection into the
undereye hollows to improve the appearance of undereye hollows in adults over
the age of 21.
IMPORTANT SAFETY INFORMATION
Are there any reasons why I should not receive any JUVÉDERM® formulation?

Do not use these products if you have a history of multiple severe allergies or
severe allergic reactions (anaphylaxis), if you are allergic to lidocaine or the
Gram-positive bacterial proteins used in these products, or if you have had
previous allergic reactions to hyaluronic acid fillers.

What warnings should my doctor advise me about?
 * One of the risks with using dermal fillers is the unintentional injection
   into a blood vessel. The chances of this happening are very small, but if it
   does happen, the complications can be serious and may be permanent. These
   complications, which have been reported for facial injections, can include
   vision abnormalities, blindness, stroke, temporary scabs, or permanent
   scarring of the skin. Most of these events are irreversible.
 * If you have changes in your vision, signs of a stroke (including sudden
   difficulty speaking, numbness or weakness in your face, arms or legs,
   difficulty walking, face drooping, severe headache, dizziness, or confusion),
   white appearance of the skin, or unusual pain during or shortly after
   treatment, you should notify your health care practitioner immediately.
 * The use of dermal fillers where skin sores, pimples, rashes, hives, cysts, or
   infections are present should be postponed, as this may delay healing or make
   skin problems worse.
 * The effectiveness of removal of any dermal filler has not been studied.

What precautions should my doctor advise me about?
 * JUVÉDERM® VOLBELLA® XC should only be injected into undereye hollows by
   doctors who have completed the necessary training for this treatment area. To
   find a doctor, visit Juvederm.com/find-a-specialist. Doctors who complete the
   training will be listed with a symbol
 * The safety of these products for use during pregnancy or while breastfeeding
   has not been studied
 * The safety of JUVÉDERM® VOLUMA® XC has not been studied in patients under 35
   years or over 65 years for cheek augmentation, or under 22 years and over 80
   years for chin augmentation. The safety of JUVÉDERM® VOLUX® XC, JUVÉDERM®
   VOLLURE® XC and JUVÉDERM® VOLBELLA® XC has not been studied in patients under
   22 years, and the safety of JUVÉDERM® Ultra Plus XC and JUVÉDERM® Ultra XC
   has not been studied in patients under 18 years
 * The safety and effectiveness of treatment with JUVÉDERM® products in
   anatomical regions outside of their approved uses have not been established
   in clinical studies
 * If you have a history of excessive scarring (thick, hard scars) or
   pigmentation disorders, treatment in these patients has not been studied and
   may result in additional scars or changes in pigmentation
 * If you are planning other procedures including laser treatments or a chemical
   peel, there is a possible risk of inflammation at the treatment site if these
   procedures are performed closely before or after JUVÉDERM® injectable gel
   treatment
 * Tell your doctor if you are on therapy used to reduce your body’s natural
   defense system (such as steroids, chemotherapy, and medicines to treat
   autoimmune diseases, HIV, and AIDs), as these may increase your risk of
   infection; and medications that can prolong bleeding (such as aspirin,
   ibuprofen, or other blood thinners), as these may result in increased
   bruising or bleeding at the injection site.
 * Avoid applying makeup for 12 hours after treatment and minimize strenuous
   exercise, exposure to extensive sun or heat, and alcoholic beverages within
   the first 24 hours following treatment, as these may cause temporary redness,
   swelling, and/or itching at the injection site
 * JUVÉDERM® VOLUMA® XC was not studied in patients with significant loose skin
   of the chin, neck, or jaw
 * The effect of JUVÉDERM® VOLUMA® XC injection into the chin on facial hair
   growth has not been studied
 * Patients who experience skin injury near the site of JUVÉDERM® VOLUMA® XC
   injection may be at a higher risk for adverse events
 * Tell your doctor if you have already been injected with dermal fillers in the
   same area as the one(s) you are about to be treated for. This information
   helps your doctor decide when and whether you should get treatment

What are possible side effects of treatment?

The most commonly reported side effects with JUVÉDERM® injectable gels were
redness, swelling, pain, tenderness, firmness, lumps/bumps, bruising,
discoloration, and itching. For JUVÉDERM® VOLBELLA® XC, dryness was also
reported.

These side effects are consistent with other facial injection procedures and
most will resolve within 30 days. Your doctor may choose to treat side effects
persisting longer with antibiotics, steroids, or hyaluronidase (an enzyme that
breaks down hyaluronic acid).
As with all skin injection procedures, there is a risk of infection.
To report a side effect with any product in the JUVÉDERM® Collection, please
call the Allergan® Product Support Department at 1-877-345-5372. Please also
visit Juvederm.com or talk to your doctor for more information.
Products in the JUVÉDERM® Collection are available only by a licensed physician
or properly licensed practitioner.
Natrelle Perks℠ Terms and Conditions
 * Allē Members who undergo breast augmentation with Natrelle® gel implants
   (“Member”) may qualify to receive either (a) one (1) complimentary treatment
   of BOTOX® Cosmetic (onabotulinumtoxinA) up to 50 units OR (b) one (1)
   complimentary treatment of JUVÉDERM® Ultra XC up to two .55 mL syringes at
   participating Allē provider offices only. Allergan Aesthetics is not
   responsible for any associated injection costs.
 * Members enrolled in Medicare, Medicaid, or other federal or state healthcare
   programs are not eligible for this offer.
 * Member must claim offer in the Allē app via text message link within 6 months
   of their Natrelle® breast augmentation and select their complimentary
   treatment.
 * Once claimed, the selected complimentary treatment cannot be changed and the
   offer must be redeemed within 6 months of the offer being deposited into
   Member’s Allē Wallet. Offer expires 6 months after issue date into Allē
   Wallet.
 * Limit 1 per Member.
 * A healthcare provider will determine if Member is an appropriate candidate
   for a BOTOX® Cosmetic or JUVÉDERM® Ultra XC treatment.
   * If Member is an appropriate candidate, offer can be redeemed at a
     participating provider’s office.
 * Standard Allē Loyalty Program Terms and Conditions apply.
 * Members will earn Allē points on all qualifying Earnings Eligible Product
   purchases, subject to applicable earnings caps.
 * The value of this offer cannot be redeemed or exchanged for cash.
 * Offer cannot be applied to past transactions.
 * Offer cannot be combined with other Allē offers on BOTOX® Cosmetic or the
   JUVÉDERM® Collection of Fillers but can be combined with Allē and Allē
   brand-specific gift cards, Allē points offers, including Double Points
   offers, and other Allē brand-specific offers.
 * The complete value of this offer must be used in a single transaction.
 * If you have questions, please contact Allē Customer Support at 1-888-912-1572
   Monday - Friday, 8 am – 6 pm CT.
 * Allergan Aesthetics, an AbbVie company, reserves the right to alter or cancel
   this offer at any time.

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Natrelle® Breast Implants IMPORTANT SAFETY INFORMATION AND APPROVED USES
SEE MORE +
Natrelle® Breast Implants IMPORTANT SAFETY INFORMATION AND APPROVED USES
Breast implants are not considered lifetime devices. The longer people have
them, the greater the chances are that they will develop complications, some of
which will require more surgery.
Breast implants have been associated with the development of a cancer of the
immune system called breast implant–associated anaplastic large cell lymphoma
(BIA-ALCL). This cancer occurs more commonly in patients with textured breast
implants than smooth implants, although rates are not well defined. Some
patients have died from BIA-ALCL.
Patients receiving breast implants have reported a variety of systemic symptoms,
such as joint pain, muscle aches, confusion, chronic fatigue, autoimmune
diseases, and others. Individual patient risk for developing these symptoms has
not been well established. Some patients report complete resolution of symptoms
when the implants are removed without replacement.
Who can get breast implants?
Natrelle® Breast Implants are approved for the following:
 * Breast augmentation for women at least 22 years old for silicone-filled
   implants and for women at least 18 years old for saline-filled implants.
   Breast augmentation includes primary breast augmentation to increase the
   breast size and revision surgery to correct or improve the result of a
   primary breast augmentation
 * Breast reconstruction. This includes primary breast reconstruction to replace
   breast tissue that has been removed due to cancer or trauma or that has
   failed to develop properly due to a severe breast abnormality. This also
   includes revision surgery to correct or improve the result of a primary
   breast reconstruction

Who should NOT get breast implants?
Breast implant surgery should NOT be performed in:
 * Women with active infection anywhere in their body
 * Women with existing cancer or precancer of their breast who have not received
   adequate treatment for those conditions
 * Women who are currently pregnant or nursing

What should I tell my doctor?
Tell your doctor if you have any of the following conditions, as the risks of
breast implant surgery may be higher:
 * Autoimmune diseases (eg, lupus and scleroderma)
 * A weakened immune system (eg, taking medications to decrease the body’s
   immune response)
 * Planned chemotherapy or radiation therapy following breast implant placement
 * Conditions or medications that interfere with wound healing and blood
   clotting
 * Reduced blood supply to breast tissue
 * Clinical diagnosis of depression or other mental health disorders, including
   body dysmorphic disorder and eating disorders
 * Those with a diagnosis of depression or other mental health disorders should
   wait for resolution or stabilization of these conditions prior to undergoing
   breast implantation surgery

What else should I consider?

 * There is a Boxed Warning for breast implants. Please see bold text at
   beginning
 * Many changes to your breasts following implantation are irreversible. If you
   later choose to have your implants removed and not replaced, you may
   experience dimpling, puckering, wrinkling, or other cosmetic changes, which
   may be permanent
 * Breast implantation is likely not a one-time surgery. The longer implants are
   in place, the greater the potential risk for complications. You will likely
   need additional surgeries on your breasts due to complications or
   unacceptable cosmetic results. Thus, you should also consider the
   complication rates for later (revision) surgery since you may experience
   these risks in the future
 * Cancer treatments and surgery will affect the outcome and timing of breast
   reconstruction
 * Breast implants may affect your ability to breastfeed, either by reducing or
   eliminating milk production
 * Rupture of a silicone-filled breast implant is most often silent. Even if you
   have no symptoms, you should have your first ultrasound or MRI at 5 to 6
   years after your initial implant surgery and then every 2 to 3 years
   thereafter regardless of whether your implants are for augmentation or
   reconstruction. If you have symptoms of or uncertain ultrasound results for
   breast implant rupture, an MRI is recommended. Additional imaging may be
   required depending on your medical history and status. The health
   consequences of a ruptured silicone gel-filled breast implant have not been
   fully established
 * Routine screening mammography for breast cancer will be more difficult, and
   implants may rupture during the procedure. Perform self-examination every
   month for cancer screening and ask your surgeon to help you distinguish the
   implant from your breast tissue. Lumps, persistent pain, swelling, hardening,
   or changes in implant shape should be reported to your surgeon and possibly
   evaluated with imaging

What are key complications with breast implants?
Key complications include reoperation, implant removal with or without
replacement, implant rupture with silicone-filled implants, implant deflation
with saline-filled implants, and capsular contracture (severe scar tissue around
the implant). Other complications include breast pain, swelling, asymmetry,
wrinkling/rippling, implant malposition nipple complications, hypertrophic
scarring, and implant palpability/visibility.
Talk to your doctor about other complications.
For more information, see the patient brochures at rxabbvie.com.
To report a problem with Natrelle® Breast Implants, please call Allergan® at
1-800-624-4261.
The sale and distribution of Natrelle® Breast Implants is restricted to licensed
physicians who provide information to patients about the risks and benefits of
breast implant surgery.

Natrelle® 133S Tissue Expanders Important Information

Approved Uses

Natrelle® 133S Tissue Expanders are approved for breast reconstruction following
mastectomy, treatment of underdeveloped breasts, and treatment of soft tissue
deformities.

IMPORTANT SAFETY INFORMATION
Who should NOT get tissue expanders?
Do not use if you:
 * Already have implanted devices that would be affected by a magnetic field
 * Have tissue unsuitable for expansion
 * Have an active infection or a residual gross tumor at the expansion site
 * Are undergoing adjuvant radiation therapy
 * Have a physiological condition (eg, obesity, smoking, diabetes, autoimmune
   disease, hypertension, chronic lung or severe cardiovascular disease, or
   osteogenesis imperfecta) or use certain drugs (including those that interfere
   with blood clotting or affect tissue viability) that may result in a high
   risk of surgical and/or postoperative complications


What else should I consider?

 * Natrelle® 133S Tissue Expanders should NOT be used in patients who already
   have implanted devices that would be affected by a magnetic field
 * Active infection anywhere may increase risk of infection around the tissue
   expander. Certain infections may require premature removal of the device
 * Natrelle® 133S Tissue Expanders are temporary devices and are not to be used
   for permanent implantation or beyond 6 months. Tissue expansion in breast
   reconstruction typically requires 4 months to 6 months


What are possible complications?


Deflation, tissue damage and/or appearance of the implant through the skin,
infection, unwanted shape, unintended blood or fluid collection, capsular
contracture (tightening of scar tissue that causes the breast to harden),
premature device removal, bone/pain/sensation changes, and inflammation.

For more information, please visit rxabbvie.com. To report a problem with
Natrelle®, please call Allergan at 1-800-624-4261.
Natrelle® 133S Tissue Expanders are available by prescription only. The sale and
distribution of Natrelle® 133S Tissue Expanders is restricted to licensed
physicians.
BOTOX® Cosmetic (onabotulinumtoxinA)
Approved Uses
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and
used to temporarily improve the look of moderate to severe forehead lines,
crow’s feet lines, and frown lines between the eyebrows in adults.
IMPORTANT SAFETY INFORMATION
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get
medical help right away if you have any of these problems any time (hours to
weeks) after injection of BOTOX® Cosmetic:
 * Problems swallowing, speaking, or breathing, due to weakening of associated
   muscles, can be severe and result in loss of life. You are at the highest
   risk if these problems are pre-existing before injection. Swallowing problems
   may last for several months.
 * Spread of toxin effects. The effect of botulinum toxin may affect areas away
   from the injection site and cause serious symptoms including: loss of
   strength and all-over muscle weakness, double vision, blurred vision and
   drooping eyelids, hoarseness or change or loss of voice, trouble saying words
   clearly, loss of bladder control, trouble breathing, and trouble swallowing.

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other
botulinum toxin product.
There has not been a confirmed serious case of spread of toxin effect when
BOTOX® Cosmetic has been used at the recommended dose to treat frown lines,
crow’s feet lines, and/or forehead lines.
BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision
problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this
happens, do not drive a car, operate machinery, or do other dangerous
activities.
Serious and/or immediate allergic reactions have been reported. They include:
itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or
feeling faint. Get medical help right away if you are wheezing or have asthma
symptoms, or if you become dizzy or faint.
Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in
BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction
to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB),
Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin
infection at the planned injection site.
Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou
Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at
increased risk of serious side effects including difficulty swallowing and
difficulty breathing from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have
surgery; had surgery on your face; have trouble raising your eyebrows; drooping
eyelids; any other abnormal facial change; are pregnant or plan to become
pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are
breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast
milk).
Tell your doctor about all the medicines you take, including prescription and
over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX®
Cosmetic with certain other medicines may cause serious side effects. Do not
start any new medicines until you have told your doctor that you have received
BOTOX® Cosmetic in the past.
Tell your doctor if you have received any other botulinum toxin product in the
last 4 months; have received injections of botulinum toxin such as Myobloc®,
Dysport®, or Xeomin® in the past (tell your doctor exactly which product you
received); have recently received an antibiotic by injection; take muscle
relaxants; take an allergy or cold medicine; take a sleep medicine; take
aspirin-like products or blood thinners.
Other side effects of BOTOX® Cosmetic include: dry mouth; discomfort or pain at
the injection site; tiredness; headache; neck pain; and eye problems: double
vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows,
swelling of your eyelids and dry eyes.
For more information refer to the Medication Guide or talk with your doctor.
To report a side effect, please call Allergan at 1-800-678-1605.

Please see BOTOX® Cosmetic full Product Information including Boxed Warning and
Medication Guide.
JUVÉDERM® Injectable Gel Fillers Important Information
APPROVED USES
JUVÉDERM® VOLUX® XC injectable gel is for deep injection to improve moderate to
severe loss of jawline definition in adults over the age of 21.
JUVÉDERM® VOLUMA® XC injectable gel is for deep injection in the cheek area to
correct age-related volume loss and for augmentation of the chin region to
improve the chin profile in adults over 21.
JUVÉDERM® VOLLURE® XC, JUVÉDERM® Ultra Plus XC, and JUVÉDERM® Ultra XC
injectable gels are for injection into the facial tissue for the correction of
moderate to severe facial wrinkles and folds, such as nasolabial folds.
JUVÉDERM® VOLLURE® XC injectable gel is for adults over 21.
JUVÉDERM® Ultra XC injectable gel is also for injection into the lips and
perioral area for lip augmentation in adults over 21.
JUVÉDERM® VOLBELLA® XC injectable gel is for injection into the lips for lip
augmentation and correction of perioral lines, and for injection into the
undereye hollows to improve the appearance of undereye hollows in adults over
the age of 21.
IMPORTANT SAFETY INFORMATION
Are there any reasons why I should not receive any JUVÉDERM® formulation?

Do not use these products if you have a history of multiple severe allergies or
severe allergic reactions (anaphylaxis), if you are allergic to lidocaine or the
Gram-positive bacterial proteins used in these products, or if you have had
previous allergic reactions to hyaluronic acid fillers.

What warnings should my doctor advise me about?
 * One of the risks with using dermal fillers is the unintentional injection
   into a blood vessel. The chances of this happening are very small, but if it
   does happen, the complications can be serious and may be permanent. These
   complications, which have been reported for facial injections, can include
   vision abnormalities, blindness, stroke, temporary scabs, or permanent
   scarring of the skin. Most of these events are irreversible.
 * If you have changes in your vision, signs of a stroke (including sudden
   difficulty speaking, numbness or weakness in your face, arms or legs,
   difficulty walking, face drooping, severe headache, dizziness, or confusion),
   white appearance of the skin, or unusual pain during or shortly after
   treatment, you should notify your health care practitioner immediately.
 * The use of dermal fillers where skin sores, pimples, rashes, hives, cysts, or
   infections are present should be postponed, as this may delay healing or make
   skin problems worse.
 * The effectiveness of removal of any dermal filler has not been studied.

What precautions should my doctor advise me about?
 * JUVÉDERM® VOLBELLA® XC should only be injected into undereye hollows by
   doctors who have completed the necessary training for this treatment area. To
   find a doctor, visit Juvederm.com/find-a-specialist. Doctors who complete the
   training will be listed with a symbol
 * The safety of these products for use during pregnancy or while breastfeeding
   has not been studied
 * The safety of JUVÉDERM® VOLUMA® XC has not been studied in patients under 35
   years or over 65 years for cheek augmentation, or under 22 years and over 80
   years for chin augmentation. The safety of JUVÉDERM® VOLUX® XC, JUVÉDERM®
   VOLLURE® XC and JUVÉDERM® VOLBELLA® XC has not been studied in patients under
   22 years, and the safety of JUVÉDERM® Ultra Plus XC and JUVÉDERM® Ultra XC
   has not been studied in patients under 18 years
 * The safety and effectiveness of treatment with JUVÉDERM® products in
   anatomical regions outside of their approved uses have not been established
   in clinical studies
 * If you have a history of excessive scarring (thick, hard scars) or
   pigmentation disorders, treatment in these patients has not been studied and
   may result in additional scars or changes in pigmentation
 * If you are planning other procedures including laser treatments or a chemical
   peel, there is a possible risk of inflammation at the treatment site if these
   procedures are performed closely before or after JUVÉDERM® injectable gel
   treatment
 * Tell your doctor if you are on therapy used to reduce your body’s natural
   defense system (such as steroids, chemotherapy, and medicines to treat
   autoimmune diseases, HIV, and AIDs), as these may increase your risk of
   infection; and medications that can prolong bleeding (such as aspirin,
   ibuprofen, or other blood thinners), as these may result in increased
   bruising or bleeding at the injection site.
 * Avoid applying makeup for 12 hours after treatment and minimize strenuous
   exercise, exposure to extensive sun or heat, and alcoholic beverages within
   the first 24 hours following treatment, as these may cause temporary redness,
   swelling, and/or itching at the injection site
 * JUVÉDERM® VOLUMA® XC was not studied in patients with significant loose skin
   of the chin, neck, or jaw
 * The effect of JUVÉDERM® VOLUMA® XC injection into the chin on facial hair
   growth has not been studied
 * Patients who experience skin injury near the site of JUVÉDERM® VOLUMA® XC
   injection may be at a higher risk for adverse events
 * Tell your doctor if you have already been injected with dermal fillers in the
   same area as the one(s) you are about to be treated for. This information
   helps your doctor decide when and whether you should get treatment

What are possible side effects of treatment?

The most commonly reported side effects with JUVÉDERM® injectable gels were
redness, swelling, pain, tenderness, firmness, lumps/bumps, bruising,
discoloration, and itching. For JUVÉDERM® VOLBELLA® XC, dryness was also
reported.

These side effects are consistent with other facial injection procedures and
most will resolve within 30 days. Your doctor may choose to treat side effects
persisting longer with antibiotics, steroids, or hyaluronidase (an enzyme that
breaks down hyaluronic acid).
As with all skin injection procedures, there is a risk of infection.
To report a side effect with any product in the JUVÉDERM® Collection, please
call the Allergan® Product Support Department at 1-877-345-5372. Please also
visit Juvederm.com or talk to your doctor for more information.
Products in the JUVÉDERM® Collection are available only by a licensed physician
or properly licensed practitioner.
Natrelle Perks℠ Terms and Conditions
 * Allē Members who undergo breast augmentation with Natrelle® gel implants
   (“Member”) may qualify to receive either (a) one (1) complimentary treatment
   of BOTOX® Cosmetic (onabotulinumtoxinA) up to 50 units OR (b) one (1)
   complimentary treatment of JUVÉDERM® Ultra XC up to two .55 mL syringes at
   participating Allē provider offices only. Allergan Aesthetics is not
   responsible for any associated injection costs.
 * Members enrolled in Medicare, Medicaid, or other federal or state healthcare
   programs are not eligible for this offer.
 * Member must claim offer in the Allē app via text message link within 6 months
   of their Natrelle® breast augmentation and select their complimentary
   treatment.
 * Once claimed, the selected complimentary treatment cannot be changed and the
   offer must be redeemed within 6 months of the offer being deposited into
   Member’s Allē Wallet. Offer expires 6 months after issue date into Allē
   Wallet.
 * Limit 1 per Member.
 * A healthcare provider will determine if Member is an appropriate candidate
   for a BOTOX® Cosmetic or JUVÉDERM® Ultra XC treatment.
   * If Member is an appropriate candidate, offer can be redeemed at a
     participating provider’s office.
 * Standard Allē Loyalty Program Terms and Conditions apply.
 * Members will earn Allē points on all qualifying Earnings Eligible Product
   purchases, subject to applicable earnings caps.
 * The value of this offer cannot be redeemed or exchanged for cash.
 * Offer cannot be applied to past transactions.
 * Offer cannot be combined with other Allē offers on BOTOX® Cosmetic or the
   JUVÉDERM® Collection of Fillers but can be combined with Allē and Allē
   brand-specific gift cards, Allē points offers, including Double Points
   offers, and other Allē brand-specific offers.
 * The complete value of this offer must be used in a single transaction.
 * If you have questions, please contact Allē Customer Support at 1-888-912-1572
   Monday - Friday, 8 am – 6 pm CT.
 * Allergan Aesthetics, an AbbVie company, reserves the right to alter or cancel
   this offer at any time.

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© 2023 AbbVie. All rights reserved.
JUVÉDERM and its design are trademarks of Allergan Holdings France SAS, an
AbbVie company, or its affiliates.
NATRELLE and its design are trademarks of Allergan Inc., an AbbVie company.
All other trademarks are the property of their respective owners.
Natrelle.com  MBD104055-v19  05/23   022236



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