Is Brava Breast Enhancement System a Scam?

I am wondering about this alternative to breast implants called brava. Their web site says that it works by creating tension on the breast to get more breast tissue to grow. They promise larger and fuller breasts without pills or surgery.  Also they state it is clinically tested.

Doctor Answers 21

It works, but takes a lot of effort

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The Brava system works if you are a good candidate. However, it takes considerable patient effort and time. You have to wear the device for several weeks to months (all day long - including to work or whatever you do during the day). Also, the best results I have seen presented at meetings are when the Brava is combined with fat grafting once the breast is distended with the system. So when you are considering breast surgery, contrast this to a one to two hour surgery to place implants followed by a few days of discomfort. It all depends on how motivated you are and how much time you have to dedicate. I hope this is helpful.

Not a scam, but not a recipe for success either

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There are very few patients who will be satisfied with the results of the Brava system, given the amount of effort. I've had quite a few patients that have tried it, but then saw me for breast augmentation - surgically. While in theory, modest results can be obtained with vacuum expansion, don't expect much.

Hope this is helpful.

Dr. Kaufman

BRAVA vs Breast Implants for BA

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If you are interested in a small augmentation - about a half of a cup size and willing to undergo the regimen for using BRAVA then this warrants consideration but results varies. On the other hand use of breast implants are predictable with the ability to enlarge your breast to your desire in most cases

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Breast Augmentation, micro fat grafting to the breast, breast implants, #beauty #cosmeticsurgery

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Brava is a system originally designed for stand alone breast augmentation.  As you can see from the comments that it does not work well in this fashion. If combined with fat grafting to the breast - excellent results can be achieved.


With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 126 reviews

Brava can produce positive though limited results

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Yes, the Brava system actually does work and for the effort your cup size can be enhance by one half cup, In a slightly fuller breast "before" it may work even better as there is more tissue to recruit and draw upon in the suction process.

The techniques are not new. Suction breast enhancement devices were available by mail order in the 1890's. Devices often are promoted with salves or breast creame which probably only serve to enhance the seal for suction.

For an Asian market they may be an appropriate choice for one with dicipline expecting only a very small increase in cup size, or for anyone else with such goals and expectations.

If the product fits your needs you may wish to try it.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

It works to a limited degree

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Brava works in a limited way if you want enhancement of about one size. However, the enhancement is not permanent and will need to repeat and wear the bra again to boost the size. It is often used in conjunction with fat injection into the breast subcutaneous areas. It allows for space to form for the fat to be placed there. It is safe, and does work, and is an alternative to breast augmentation but is not permanent. It is a bit cumbersome to wear but if you can try it and it may be right for you. Certainly cheaper than a breast augmentation.

Helen S. Colen, MD
New York Plastic Surgeon


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Brava is a device which was invented to promote external tissue expansion on the breast.  By doing negative pressure (brava pulls on the breast tissue to expand it)  the body will create swelling and increase circulation to promote a larger area for fat transfer.  It does work but the down side is that the patient has to initially use the device for longer periods of time (usually all night or part of day if you do not work).  Also, depending on the size the patient wishes to get, it may require serial procedures, including liposuction and use of Brava to get larger breast.

Roberto Gonzalez, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 6 reviews

Total Scam? No. Worth it? Also, No.

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Hi Janet, 

It may temporarily cause some changes, possibly seemingly increased in volume, but possibly in an uneven way. I would not recommend any method that involves this process to achieve an increased breast size.The cost and effort involved for the (uncertain) moderate outcome just doesn't seem worth it. 

Much like we tell people who read online or see people promoting on social media about pills and creams to increase their breasts and buttocks or belts/corsets to shrink their waist, if these things really worked, do you think people would still be having surgery? There wouldn't be a need. 

Once you are done developing after puberty, nothing can stimulate "growth". The only size changes in your breasts are from weight gain, pregnancy and sometimes hormonal birth control. I urge you to find a board certified surgeon and save your funds to achieve what you want, safely and correctly.

P/S Since this question was posed 7 years ago, the Brava system has had some major uncertainties, it was pulled from study, then reintroduced and finally gained FDA approval and re-marketed as an accompanying device for fat grafting breast augmentation. In 2014 they were issued warnings for failure to ensure proper monitoring of the investigation and failure to submit accurate reports. I'm not up to date on what is currently happening with this device.

William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews


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BRAVA is  negative pressure system that increases blood flow to the breast with some hypertrophy if used for a prolonged time.  It can give a limited increase in size by itself and is most often used in conjuntion with fat grafting to improve graft take.  It is cumbersome and bulky, patients have to wear it for up to 8 hrs a day for 2 weeks before the procedure and often multiple fat grafting sessions are needed.  I find I have adequate graft take 50-80% without needing the Brava system.

Brava Breast Enhancement Results in Minimal Increase in Breast Size

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It’s not unusual for women to look for non surgical methods for breast enhancement.  These fall into several categories including drugs, creams, and exercise.  None of these methods have been shown to be effective for increasing breast size,
The brava system is another non surgical method for breast enhancement.  This technique utilizes a suction apparatus which is applied to the breast over the course of time.  Low continuous suction over prolonged periods of time has been shown to result in mild increases in breast size.  The vast majority of patients report an increase in breast size of no more than a half cup size.
Maintenance is required to preserve this increase in breast size.  The technique is labor intensive and in most cases results in minimal increases in breast size.  Based on these observations, I feel that for the majority of patients breast augmentation with implants is still the best alternative.  If your considering breast enhancement, consultation with a board certified plastic surgeon is still the best option.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.