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Please contact your surgeon if you require assistance completing this form:
The Patient Promise warranty provides full comprehensive assurance against the potential complications of your breast augmentation or reconstruction surgery when using Polytech breast implants.
This insurance policy is provided by Surgical-Aftercare-Solutions (SAS) and is underwritten by Lloyds of London. The policy will meet any remedial treatment fees in respect of clinically required revision surgery up to a maximum of £1,500 per implant or £2,500 per B-Lite® implant. The following potential complications are covered by this warranty.
- Capsular Contraction Baker Grade III or IV
- Haematoma (Requiring Treatment)
- Seroma (Requiring Treatment)
- Post Operative Infection
- MRSA Infection
Your surgeon or their clinical team can provide you with information on these potential complications.
In order to administer this service we need to collect certain information from you. Surgical-Aftercare-Solutions and Q MedicalTechnologies Ltd, are obliged to treat personal data as strictly confidential. Your contact information will be used solely to administer the Patient Promise warranty. All other data will be used exclusively for statistical analysis and to provide you with the service requested. Your data will NEVER be sold or passed onto a third party.