Is Brava Necessary for Fat Transfer to Breast?

Is the Brava system really necessary for a successful fat transfer to the breast? It's pretty expensive and the procedure itself is expensive already. Also, can fat be saved or frozen for a second and third round session for fg to breast instead of getting lipo again?

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11 Doctor Answers | Asked by needhelp1

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Brava, Fat Grafting, and Lipobanking

The important thing to understand about fat grafting is that the amount of fat that can be injected into the tissues at any single procedure is limited. Trying to graft excessive amounts of fat into the breast will be counterproductive and result in loss of most or all of the graft. The benefit of Brava is that it expands the tissues, and brings in blood supply which allows more fat to be grafted successfully in a single session. Most of the studies show that without BRAVA, an average of... more

BRAVA and fat grafting to the breast: who needs it and who does not

The BRAVA system is an expansion system you place on your breasts for 4+ weeks prior to surgery and then for a few weeks after surgery. The thought is BRAVA expands the skin envelope increases vascularity ? increases growth factors and other things to help the fat keeps pressure off the newly transferred fat So does it work? A study came out by Dr. Khouri in Miami, who I worked with last summer and saw his patients firsthand. The study was... more

The BRAVA is not required but it helps.

The BRAVA system in not required but it allows for a larger volume of fat to be transfered during a single session by expanding the breast tissue and increasing the blood supply. This leads to a higher percentage of fat survival and more grafted fat. Without the BRAVA, about 150cc of fat can be transfered to each breast during a single session. With the BRAVA, 250-300cc of fact can be transferred to each breast during a single session. To be sure fat grafting is right for you,... more

Brava system and fat grafting.

The Brava system is not necessary for successful fat transfer to the breasts. However, it may increase the viability of grafted fat reducing the total number of procedures necessary. Regardless, fat transfer is controversial in regards to breast augmentation due to the questions involved with breast cancer surveillance. As for "storing" fat following harvest for future use, this is unlikely to occur in an office setting. Technically this would be banking of human tissue for... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

BRAVA system and fat grafting

Although it is not a requirement for success with fat grafting, the use of the BRAVA system, (an external suction device that acts like a tissue expander to help stretch the skin) allows the plastic surgeon to graft larger volumes of fat for reconstruction. Additionally, use of the system immediately after surgery for several weeks helps allow the most optimum conditions to help promote survival of the grafted tissue. I can and have performed fat grafting for breast reconstruction... more

Fat grafting to the breast and brava bra

A brava bra will help get the best survival of the fat grafts. Without brava you will get some improvement of the breast size but it is not as predictable as with brava. For the best results possible, I would use brava. I don't think freezing fat is a good idea as it is not as reliable as fresh fat.

Is brava necessary

The answer is no. Many doctors enlarge the breast with fat without the clumsy, uncomfortable brava such as Dr, Koobehi in New Orleans and has excellent results.It does however in small breasts obviate repeat procedures some feel. Women hate to wear it for many weeks.

Breast enlargement with fat grafting

Breast enlargement with fat grafting does work, but one can not get enlargement comparable to implant augmentation. The Brava system is quite cumbersome for the patient, but it does somewhat improve the results of fat grafting to the breast. Conversely, you could choose to undergo more than one session of fat grafting, few months apart, to get the desired result. As for freezing and storing the fat for later use, it has to be done in a very specific... more

Brava and breast surgery

The Brava system helps to increase the relative breast laxity so that fat can be added with greater ease and more volume per session. For an increase of 1-1.5 cup sizes it's probably not needed, to gain any larger increase in volume then I would reccomend it and the results will be improved. I don't store or freeze fat and I don't know anyone who is having reliable results doing this. Good luck! Dr K

Mahlon Kerr, MD

17 reviews

Austin Plastic Surgeon

BRAVA Not Necessary for Fat Transfer to Breast

No BRAVA is not necessary but if there is minimal fat donor sites and minimal breast tissue to start with, it is probably is helpful as there is probably increased take, according at least with the early studies thus far. If you have enough fat to transfer however then over time and with perhaps with an addtional fat transfer procedure (vs the hassle and expense of the BRAVA devise) you would probably end up with the same outcome. There is a limited amount of fat that I typically inject... more