Hyaluronic acid filler to enhance breasts? Is this procedure uncommon or safe?

Question

Hi, I only know of one doctor in San Diego area who is using PRP and Hyaluronic acid filler for the breast area. Is this procedure uncommon or safe? I am interested in a slight enhancement with no surgery.

Jason Emer, MD · Answer

PRP with fillers doesnt make sense unless its ripples from an implant or small problem area. if you want larger size sculptra/renuva + PRP can help. you have to consult to see if you are a candidate.  Best, Dr. Emer.

Stanley Okoro, MD · Answer

Thanks for your question. It is difficult to recommend a treatment options without photos or examining you. I recommend you consult with a board certified plastic surgeon for your breast planning. However, if you wanted to add a bit more volume to help with a "slight enhancement" you have a few options: 
1. Filler 
2. Fat grafting, which is a minimally invasive procedure 
3. Breast implant

There are many different filler options, including PRP + HA Filler. However, these are not permanent. I recommend Renuva instead. Good luck!

Robert H. Cohen, MD · Answer

I recommend the nonsurgical breast augmentation AKA vampire breast lift. I combine the PRP with a high G' hyaluronic acid filler like Voluma or Volex for enhanced lifting. Depending on the patient's desire, I will do 2-3 treatments to achieve the best results over 3 months. The results usually last yo to two years. Many patients return annually for one touch up.

Justin Gusching, DO · Answer

You can use hyaluronic acid in your breasts but as mentioned before can get pricey. It also depends on how much you need and what your goals are. If you have a small area/crease/defect then I think it makes perfect sense. Any larger defect (like a lumpectomy divot) would best benefit from a fat transfer.

Daniel Barrett, MD · Answer

Dear exxj019,
generally speaking, you will need a large amount of filler which will be very expensive and the results are temporary. Two main options for breast augmentation are breast implants and fat transfer. 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

Ronald J. Edelson, MD · Answer

HA is being used in Europe under the name Macrolane. It’s pretty pricey. Several thousands of dollars fir about 100 cc’s. Then it only lasts about a years making it pretty pricey. Also there have been reports of lumpiness. It’s in the early stages and more will gradually come out about whether it’s worthwhile.

Robert Singer, MD · Answer

It is expensive, requiring significant amount of filler with only a small temporary improvement,  neither hyaluronic acid fillers nor PRP is FDA approved for the breast, and multiple complications have been reported from outside of the U.S.

I wou;d be concerned about any physician offering this treatment now and would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Douglas Taranow, DO, FACOS · Answer

While hyaluronic acid (HA) is being used in Europe and abroad for breast augmentation, it requires a tremendous amount of product and is quite pricey. That along with the fact that the hyaluronic acid‘s only last for up to one year, it doesn’t seem like a viable solution. The use of PRP is truly experimental in the breast and I have not seen many acceptable breast augmentation‘s done by this method. The best method remains A breast augmentation using Celine or silicone implants. Ultimately fat transfers I’ve been quite successful in my practice, however, the size increase is still limited.
Best wishes 
Dr. Taranow

Hyaluronic acid filler to enhance breasts? Is this procedure uncommon or safe?

Answers (8)

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