When Will Macrolane Be Available in the US?

Macrolane is a hyaluronic acid product being used in Europe to provide breast augmentation. It is not FDA approved in the US, and no one knows if it ever will be. I recently saw a patient that had this performed in Europe. She actually came in for a breast augmentation consult. Her breasts were unusually firm and lumpy from the product. I wouldn't recommend using it, because it is unclear what the long term sequelae will be.

Macrolane is a hyaluronic acid product similar to Juvederm which is currently used in Europe for breast augmentation. Here are the issues with using any hyaluronic product for breast reduction: FDA safety and efficacy studies have been conducted using relatively small amounts of this product. When using it to treat facial wrinkles we typically use 1-2 cc of the product (2cc of Juvederm costs about $600). Most breast augmentations require at least 100cc per side to create a noticeable... more