Is the Brava Required Before Fat Transfer to the Breasts?

The science (what happens long term when you inject fat into the breast, does it do nothing bad? cause cancer? cause fat cysts?) is not all sorted out on this procedure.  I'm sure we all hope it turns out to be a great way to augment (or even reconstruct) breasts without implants.  So the answer is, the current teaching is that BRAVA helps create space and the vasculature to support fat injections, but it not imperative that BRAVA be used.  Be aware that this may be a several surgery process.  Best of luck to you.

The use of the Brava system plus fat injections for breast augmentation is a new approach done by a few surgeons.  I have been somewhat unimpressed with the results and we don't know how the result will hold up in the long term.  I would not volunteer for this procedure until the bugs are all knocked out, and that seems a far way off.  I guess I'm just a common sense kind of guy.

The answewr is yes and no. If you have small breasts with tight skin envelope and tight parenchymal tissues it does help prepare the breast for better fat take. It's been shown on MRI studies that it not only loosens and increases breast volume, but it also helps improve blood supply to the breast. This way the fat has a better survival rate. Most surgeons do not use the BRAVA. In Europe it is rarely used if ever and fat grafting is done successfully without it. Now, it is important to note, that without the BRAVA pre-expansion of the breast, you might need two or more sessions of fat grafting. The reason is, that about 65% of the fat survives in the long run.