Will breast injections like Lanluma / Renuva be possible soon? Just want a little more upper pole in small deflated breasts.

Hi — thank you for your thoughtful and honest question. You’re not alone in hoping for a gentler, less-invasive alternative to implants or fat transfer. I completely understand wanting a little more upper-pole fullness without the risks or downtime of surgery. I want to walk you through what I know — what these injections might offer, and what they cannot reliably do, so you can make an informed decision.

✅ What Renuva / Lanluma are (in theory)

Renuva is a processed “adipose matrix” derived from donated human fat tissue — but it doesn’t contain living fat cells. Instead, it provides a scaffold of collagen, proteins, and extracellular matrix. After injection, the idea is that the body’s own fat cells migrate into that scaffold over several months.
Allure
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RealSelf.com
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Lanluma is a poly-L-lactic acid (PLLA) implant material intended to stimulate collagen production and help restore volume in depressed or volume-deficient areas.
Lanluma
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drleylaarvas.com
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Because both are designed to restore volume gradually (rather than instantly like a traditional filler), they appeal to patients seeking a more “natural” effect — less like a prosthetic augmentation and more like your own tissue regaining fullness.

Some clinicians have used Renuva (or similar matrix-type injectables) for small-volume corrections: smoothing implant rippling, refining irregularities, or subtle contour improvements — often after implant removal or reconstructive surgery.
RealSelf.com
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Allure
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⚠️ Why — at least for now — these injections are not a reliable solution for upper-pole fullness or breast augmentation

Volume limitations: For most patients, filling the entire upper pole — or substantially increasing breast volume — would require a lot of product. For Renuva, that often becomes impractical or “cost prohibitive.”
RealSelf.com
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RealSelf.com
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Slow, unpredictable results: Because Renuva relies on your body’s own fat to repopulate the injected matrix, results are gradual (taking several months) and variable — some patients respond well, others less so.
RealSelf.com
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spotlightgroup.agency
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Regulatory and safety concerns:

In the U.S., Lanluma is not FDA-approved for breast augmentation.
doctormedica.co
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Use of injectables in or around breast tissue is more complex than other areas (face, hands, buttocks) — the tissue composition, blood supply, and functional demands of the breast differ. Some experts caution against expecting filler-type results in the breasts.
RealSelf.com
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RealSelf.com
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Given the lack of long-term, large-volume outcome data, many plastic surgeons remain skeptical of using Renuva or similar injectables as a substitute for implants or fat transfer.
RealSelf.com
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Best use cases are modest corrections, not “augmentation”: In medical literature and clinical practice, Renuva is more commonly used for small corrections — like smoothing irregularities or subtle volume support — not for creating significant upper-pole fullness or a “boosted” breast shape.
Sarasota Facial Aesthetics
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Eterna Cosmetic Surgery
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Because of all the above, many experienced plastic surgeons advise that for true volume or lift, the most reliable options remain:

Breast implants, or

Fat transfer (autologous fat grafting)

With proper technique (and if you are a good candidate), fat transfer often yields more predictable, natural, and lasting results compared with experimental injectables for volume.

I would hold my breath. I don’t think these will be an option any time soon. Breast tissue behaves diferente than most tissues. This is way fat doesn’t work on the breasts as well as it dies on the butt. In any case if you don’t want implants, fat grafting is your second best option. All procedures have risks… even injectables. I recommend waiting until you are comfortable with either a breast augmentation (best option) or fat grafting to the breasts (second option), and please avoid any other options or gimmicks because they will not work and you will ultimately lose time and money.

Hop I’m not too honest and best of luck,
Dr. Miguel Mota