Macrolane is a Hyaluronic Acid (HA) product, which is currently available in Europe and was produced by the original manufacturers of Restylane. Although its main focus has been treatment of soft tissue contouring irregularities following liposuction, some injectors have advocated its use as an alternative to implant breast augmentation. Although I have an extensive background in the use of various HA fillers and feel them to be an excellent way in which to address volume loss, I do not see them as a cost-effective or long-term solution to breast implants. It would simply require too much volume to achieve desired results and the longevity of the product may require yearly touch-ups or more. At this point, I do not see any of the fillers or volumizers as an adequate alternative to breast implant augmentation.