When Will Macrolane Be Available in the US?
- Asked by x in Los Angeles, CA
- 5 years ago
Macrolane and Breasts
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 not the best choice for what you want
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 difference in the shape. The cost be prohibitive for US approved products. There is no FDA data that I am aware of using those types of volumes.
In addition, fillers are temporary and reabsorption is a natural sequelae over time, meaning that the improvement in contour would likely be temporary.
And finally - injectables into the breast have the unfortunate possibility of creating calcifications (a part of the scar tissue), which can be difficult to discern from breast cancer.
I hope this helps.
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