Fat Injection and Brava System for Mild Tubular Breasts?

Unfortunately the Brava system is very similar to a breast pump. If you have ever seen a breast placed in a breast pump, the areola can become distorted. One of the conditions of tuberous breasts or constricted breasts is a herniation or "mushrooming" of the nippple and areola. Correction of the constricted breast often requires surgically relaxing the tight breast tissue which is not likely to happen with the fat injection/Brava technique

Implicit in what you are proposing is the false premise that small tuberous breasts can be corrected with fat grafting and suction by the Brava system. That is not the case.
First - Tuberous breasts are also more accurately called CONSTRICTED breasts and have been described as a Snoopy Dog (snout) Deformity. The base of the breast is held in by soft tissue fibers similar to how twine ropes are used to hold the branches of Christmas trees on sale on street corners. These fibers cause the breast to have the shape of a TUBER (or a root). To give them the shape they need to cover an implant (or anything else), the fibers (string) need to be cut - suction with Brava is NOT going to do it. (This is nicely done via a periareolar incision just before breast implant placement).
Second - Although the Brava system has been out there for almost 10 years. It has very few fans because it is cumbersome, the results are not stable and they often relapse in NORMAL shaped breasts.
Third. Fat grafting to the breast is increasingly done YET it remains VERY controversial. The female breast has a 1 in 11 chance of breast cancer. Placing fat grafts which are likely to die and leave calcified scar tissue in a cancer prone tissue which is usually surveyed with mammogram would make it hard on all but the most experienced mammography radiologists from telling dead fat calcium from calcium associated with breast cancer. This may translate to a lot of needless. preventable worrying in the future and and equal number of preventable breast biopsies.
I would do more research.
Peter A Aldea, MD