Is Alloclae an option for breast augmentation?

Question

Hello! I have small tuberous breasts that have lost practically all of their volume from breast feeding. I have no interest in breast implants and am wary of fat transfer. Is Alloclae a possible alternative? I am currently an A cup or perhaps a little smaller but would love to go up to a large B or C. Thank you!

Sibel Atalay, MD · Answer

Thank you for sharing your story, tuberous breasts that have lost volume after breastfeeding are something many women struggle with, and it makes sense you’re exploring alternatives to implants and fat transfer.
AlloX2/AlloXplant or similar acellular dermal matrix (ADM) scaffolds like AlloDerm or Alloclae aren’t typically used as a stand-alone way to increase breast size. These materials are designed more as a supportive framework, they can reshape tissue, correct constricted breast bases (like in tuberous breasts), and provide internal support, but they don’t actually add significant volume on their own. That’s why they’re often combined with implants or fat grafting.
Since you’d love to go from an A cup to a fuller B or C without implants, fat transfer is usually the most implant-free way to achieve that increase. It can be done conservatively and refined over time, though you mentioned being wary of it. Alloclae on its own wouldn’t create the cup size change you’re hoping for, but it can absolutely play a role in reshaping the breast and correcting the tuberous shape if paired with some type of volume restoration.
That said, if your main concern is avoiding implants and minimizing risk, you may want to consult with surgeons who specialize in fat grafting for tuberous breast correction, as techniques have improved, results can look very natural. Another option is staged correction, where the shape is first addressed surgically and subtle volume added later if desired.

Donovan Rosas, MD · Answer

Tuberous breast is not, technically speaking, a "yes" or "no" question. There can be different points on the continuum. The typical hallmarks include a high, tight fold with "puffy" or distended areola, minimal breast tissue and potentially herniation of the breast tissue through a tightened ring thus the "tuberous" label. It is a congenital deformity which usually manifests at puberty. To what degree it manifests will vary from one patient to the next.

Treatment of tuberous breasts varies depending on the degree of the breast architectural distortion. Surgical correction typically involves:

-areolar reduction

-submuscular augmentation

-release of constricted breast tissue

All of these techniques work in concert to correct the tuberous deformation of the breast.Based on your photos, you demonstrate some features of a classically "tuberous" breast. You would benefit from the techniques described above. These can be challenging cases and nipple position is function of much more than simply implant profile choice.

With regards to your specific question, Alloclae and other "fat" fillers while an option for augmentation are not very practical.  Both from the perspective of predictability and cost, fillers for augmentation are much less effective than an implant.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Daniel Barrett, MD · Answer

Dear DiemDM,

tuberous breasts can rarely be corrected without implants or at least a small one. The breast needs to be scored radially from the inside to expand it. If you don't place an implant behind the radial scoring it will fall back to its original state. You could theoretically remove the implant at a later day and graft with fat but that would be a separate surgery.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Emre Guvercin, MD, FEBOPRAS · Answer

Thank you for your thoughtful question &mdash; tuberous breasts after breastfeeding can be both a cosmetic and structural concern, and you’re not alone in wanting a natural solution without implants.From what you’ve described:
You have true volume loss, likely from breastfeedingA history of small, tuberous breast shapeAnd a desire to increase from an A to a full B or C cup without implants or fat transferLet’s break it down:1. Is AlloX (like AlloDerm or similar scaffolds) a solution?AlloX-based internal support materials can help reshape the breast, support the lower pole, and improve projection &mdash; especially in tuberous breast cases. However, they don’t add volume by themselves. They are like internal “scaffolding,” not fillers.2. What about fat transfer?If you're wary of fat grafting, that’s understandable. But in low-volume patients like yourself, carefully controlled, micro-droplet fat transfer (if done properly) can be a safe, long-lasting way to add natural volume. In my experience, combining it with structural correction (such as a Push-Up Lift) gives stable, aesthetic results.3. Can a lift alone help?In cases like yours, a lift alone will reshape the breast, release lower pole constriction, and centralize the nipple &mdash; but it won’t achieve a cup size increase. That said, I often perform what I call a Push-Up Lift, which uses your own tissue to create projection and shape, even without implants.So, to reach your goal of a full B or small C cup without implants, the most effective path might be a combination of:Push-Up LiftAnd small-volume, targeted fat grafting &mdash; if you’re open to revisiting itYou're absolutely not out of options &mdash; you just need a personalized plan that aligns with your values and anatomy.

Tuan A Truong, MD, FACS · Answer

Thank you for your question. Tuberous breast correction is typically performed by expanding the existing structure internally and placing an implant to fill the volume. Alloclae can be used as a supplement, and not as a replacement for fat transfer due to its cost. By looking to increase your volume from your current state to a C would be very expensive compared to the alternatives. A consultation with a board-certified plastic surgeon can help present these options for you. Good luck on your journey!

Darryl J. Blinski, MD · Answer

Thank you for the question but you did not post any photos so best to either virtual consult or in person consult. I am in Miami also so you could consult virtually first and we can discuss that the issue with the new ALLOCOAE injections are their cost Specifically if you need 100 cc per breast that would be a $30,000 cost since the product is so expensive best of virtual concept with first so further details can be examined and discussed regards

Is Alloclae an option for breast augmentation?

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