Can an external tissue expander over the breasts kill fat cells?

Question

Hi, I’ve been looking at external breast tissue expansion systems such as BRAVA and Noogleberry as a way to naturally enlarge my breasts. It’s a suction system that claims to naturally boost bust size by a cup size or so with consistent use. In a research article, I read that tissue expansion has been found to cause 30-50% loss of fat cells. Does anyone know if using an external suction device on the breasts could kill fat cells?

Casey Anderson, MD, FACS · Answer

You are mixing information about internal and external tissue expansion. Internal tissue expansion will cause some thinning of tissue over the expander (but doesn't necessarily kill fat cells). Also external expanders are only used in the setting of later fat grafting. You will not achieve any results from using the expander alone.

Ronald J. Edelson, MD · Answer

The Brava suction device you are referring to never worked. I put it under the category of wishful thinking. It had been tried fir years and found to be useless. I don’t believe it’s even available anymore.

Gerald Minniti, MD, FACS · Answer

Brava was conceived of and originally produced as a means of permanently enlarging the breasts by applying frequent intermittent suction to the breasts. Typically 8 hours a day for a month or more. Keep in mind, you cannot hide it under clothing. After extensive testing, average breast enlargement after using it for months at a time was less than 100 cc, or about two thirds the size of the smallest breast implant. There was no long term follow up to confirm efficacy past 6 months. One of the inventors, Roger Khuri, M.D., went on to pioneer fat transfer to the breast, incorporating the Brava system as a means of optimizing the breast tissue for fat grafting. My suggestion is either fat grafting of implant based breast augmentation.

Daniel Barrett, MD · Answer

Dear bunni21,
it is unlikely that external tissue expander will increase the size of your breasts. The best options are breast implants and fat grafting. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert M. Tornambe, MD · Answer

External tissue expansion devices for breasts such as the Brava system offers only modest and temporary breast augmentation. The device was originally designed to be used in conjunction with fat transfer, for which it had modest success at best. Depending on your particular situation, breast augmentation with implants or fat transfer is still the best option. Consult with a board-certified plastic surgeon  in your area to explore the best options for you. Good luck.

Can an external tissue expander over the breasts kill fat cells?

Answers (7)

Answer: BA candidate

Answer: BA candidate

Answer: External Tissue Expansion For Breast Augmentation?

Answer: External Tissue Expansion For Breast Augmentation?

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Can an external tissue expander over the breasts kill fat cells?

Answers (7)

Answer: BA candidate

Answer: BA candidate

Answer: External Tissue Expansion For Breast Augmentation?

Answer: External Tissue Expansion For Breast Augmentation?

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.