Is BRAVA breast enlargement worth considering?

I know that most doctors agree that BRAVA offers temporary results. Knowing that, why do women choose it as a breast enlargement option then? On the other hand, I've read comments on YouTube saying the effects of it lasted for more than a year. Is that even possible?

pattybe

F, 32, New Jersey

The Brava or Noogleberry breast enhancement systems are not a particularly effective method of breast augmentation. While both systems are considered safe, the amount of "natural breast enhancement" these enlargement systems offer is questionable.

The premise behind vacuum-based external tissue expanders is that the constant pressure of the suction pump stimulates blood flow, which in turn eventually stimulates new tissue growth.

While there’s evidence suggesting these suction cup systems do in fact work, the real issue is more about how well they work. From reports of Brava users, the answer appears to be less than one cup size after 10 weeks of using the device for a minimum 10-plus hours every day.

One practical use of the Brava system, however, is in preparation for a fat grafting procedure. Prior to fat transfer breast augmentation many plastic surgeons advise their patients to use the Brava system for tissue expansion. Because the Brava system expands the skin envelope, we can typically transfer an additional 100 to 150 cc's of fat during the graft. And because the system enhances vascularity within the breast tissue we can increase the survival rate of the graft up to 90%.

Please be aware that the Brava system is intended to be used under the supervision of a plastic surgeon. If you are considering using Brava or another breast enlargement pump device, I advise you to first consult with a local board-certified (ASPS) plastic surgeon to discuss any potential issues and which options make the most sense for your particular case and goals.

Dr. Kimberly Henry has 4 Breast augmentation before & afters:

Breast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly HenryBreast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly HenryBreast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly HenryBreast augmentation before image performed by Dr. Kimberly HenryBreast augmentation after image performed by Dr. Kimberly Henry

» View Dr. Kimberly Henry's full profile

The Brava breast enhancement and shaping system is a non-invasive vacuum system for breast enlargement. It’s considered safe and has virtually no negative effects other than the discomfort of using the device and some occasional reports of contact dermatitis.

The Brava system and others like it promise bigger breasts by stimulating natural breast tissue growth. The stretching action caused by the gentle suction of the vacuum increases blood supply and (eventually) leads to new breast tissue growth.

The two issues to be aware of concerning breast enlargement pumps is that they must be worn for a minimum of 10 hours a day. The manufacturers advise using the system for a minimum of 10 weeks, before which very little increase to breast size is typically visible.  

Women who are pregnant, lactating, or have a family history of breast cancer are advised against wearing the bra.

After 10-plus weeks of wearing the device, the sustained tension of the Brava system pumps should result in breast growth measuring approximately half a cup size. When one measures the costs, benefits and recovery time of breast augmentation surgery, by comparison the Brava system is a waste of time.

If you are dissatisfied with the current size or contour of your breasts, I encourage you to meet with a board-certified plastic surgeon to discuss more traditional breast augmentation procedures. While it may sound tempting to try a "natural" solution without the need of surgery, the tiny payoff of half a cup size probably isn’t worth the effort. Traditional saline and silicone breast implants are safe, FDA-approved, and offer much better results. Plus you won’t need to wear an uncomfortable plastic device for 10 hours every day.