Hello mitalove. I'm not aware of any cream or medication that can grow breasts consistently to match the results of breast implants. I know that hormone therapy will give you some breast development and you can reach out to your private doctor for a recommendation. As far as surgery, breast implants are the most predictable way to achieve bigger breasts! We get a lot of patients from NY and the east coast in Scottsdale each and every year mainly because Scottsdale is know as a plastic surgery hub. The weather and the accommodations are really great too, especially this time of year. Scottsdale is also well known for great breast implant results and has its own MTF center at Greenbaum. It is usually a good idea to seek a specialist in breast augmentation and one with plenty of experience with MTF breast augmentation! You may have to travel to find the best for your situation. We post our options and prices on our website. Make sure you see lots of before and after photos on the procedure and sizes you're looking for from your doctor. We find that traveling to Scottsdale is easy for most people and in the office we have information that can facilitate your trip. Best wishes,Dr. ALDO