Non-Surgical Breast Enlargement By Patrick Mallucci

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Non-surgical breast enlargement - the facts

As with all areas of cosmetic surgery, there is increasing interest in non-invasive techniques in order to try and avoid ‘the knife’. The idea of being able to change shape or form and look better/younger without going in for surgery is a very attractive one and virtually every area of cosmetic surgery has explored its non-surgical options. Breast surgery is no exception, and whilst breast implants today are safer, more reliable and longer lasting than ever before there are those who might want to explore alternatives.

There are two procedures that are relatively non-invasive which have gained some popularity in certain individuals. Fat transfer is one of them and more recently the introduction of macrolane – VRF. These will be dealt with individually in order to try and explain a little bit about them, who they might be suitable for and what there advantages or disadvantages might be.

MACROLANE – VRF

This is a new and exciting addition to the world of breast augmentation. Macrolane – VRF (volume restoration factor) is a similar product to Restylane – technically known as a NASHA (non animal stabilised hyaluronic acid). Restylane is best known as one of the substances commonly used as a ‘filler’ in and around the face and lips and has now been established for some years with great success. The difference with Macrolane is that it is effectively thicker in its structure than Restylane and therefore stays in the body for longer. Restylane typically lasts 4-6 months whilst Macrolane is thought to last 12-18 months before it is naturally broken down.

Macrolane – VRF was specifically designed for restoration of volume in parts of the body requiring significant enhancement such as buttock and calve re-shaping and now more recently breast re-shaping. One of the great attractions is that it can be carried out under a local anaesthetic in the surgical office or clinic environment without requiring hospital admission or having to undergo a general anaesthetic.

Several studies have now looked at its safety and effectiveness to bring it into the market place.

Macrolane will probably appeal to those who are unsure about breast augmentation and are perhaps thinking about using it as an opportunity to ‘try out’ breast enlargement prior to committing to breast implants. It may also appeal to those who for whatever reason do not wish to undergo ‘surgery’ with an anaesthetic. Some women may want an enhanced look for a special occasion or period of time without necessarily wanting a permanent change. And Macrolane would be potentially ideal in all of these situations.

It is not suitable for everybody however, and its suitability would depend on one’s natural breast shape to begin with and also how big an enlargement is being sought. Women with droopier breasts would probably not be good candidates for Macrolane alone and would need other corrective surgery in addition such as a breast lift or tightening

Those looking for a significant increase in size would also not be ideal as the volumes used to date are fairly modest and would probably not enhance more than a cup size.

There is no doubt that Macrolane will find its place in the spectrum of procedures for breast enlargement. If you think you might be a candidate for it, our advice is to discuss this with one of The Firm's surgeons who will happily advise you.

Advantages

Undoubtedly the most attractive feature of Macrolane-VRF is that it is breast enlargement without having to undergo surgery and not requiring hospital admission. It can be carried out under a local anaesthetic in an ‘office’ surgery environment as a walk-in, walk-out procedure. Macrolane is a naturally occurring molecule which has been tried and tested over a significant period of time as Restylane and related products.

It may well be suited to those who are not after permanent change or for those contemplating breast enlargement but are not ready to commit.

Disadvantages

The main disadvantage is that it is only temporary – lasting for up to 12-18 months, after which the procedure needs to be repeated. It may not be suitable for all breast shapes, and will not be suitable for those seeking significant enlargement as only relatively modest volumes are used.

FAT TRANSFER

Fat transfer is used in all parts of the body to enhance and reshape areas. It is sometimes referred to as Coleman fat transfer after Sydney Coleman an American plastic surgeon responsible for the popularisation of the technique. The principle is that fat is harvested from one part of the body – typically the abdomen/hips or thighs, processed and then transferred into small syringes and injected in a meticulous fashion into the area to be enhanced.

In order for the procedure to be effective, the fat has to survive – if it doesn’t it simply disappears. It is thought that probably 70% of the injected fat survives whilst the remaining 30% is lost. There is also variation from individual to individual.

Fat transfer has been used in the breast for some time especially where there has been unevenness between two breasts. However, more recently it has been used for breast enlargement in some specific cases. As always, if you think this is a technique which appeals to you, discuss it with your surgeon at The Firm who will advise you on your suitability.

Advantages

This is breast enlargement using your own body tissue. There is virtually no scarring – small 1- 2mm incisions at the points where the fat is harvested and at the point where it is injected. Once the fat survives it is there for life. It is ‘natural’ breast enlargement.

Disadvantages

It is only suitable for a select few – those who only want a modest increase in size and whose breast shape is suitable to begin with. Even a modest increase in size requires a lot of fat harvest and so it is not suited for those who are very slim.
In terms of surgery, it is a long and laborious process and would probably require a general anaesthetic. Because fat survival is unpredictable it might take more than one sitting to get enough volume.

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Your comments

May 23rd 2009 at 19:29:52

sarah said ...

hiya, i recently went to see my GP as i have one breast bigger than the other which is very noticable and makes me feel low and self concious. he has referred me to a consultant and im awaiting the appoinment. Although i dont want to have an implant or reduction there was a girl i met on holiday and she had the same problem and told me about an option to have fat tissue from my body injected into my breast. This option i thought would be suitable for me, but i was wondering whether i would be able to have it done through choice or whether i would have to have an implant even though i really would not like to have one. Thanks sarah

June 6th 2009 at 00:36:02

Anna said ...

Hi I am currently a 70A, maybe 65AA actually, very skinny. However I have a lot of muscles on my legs so I am 50kg and 164cm, 22years old. My breasts were barely there and it makes very inconfident. I would like to have a medium 70B, is it possible?

June 21st 2009 at 19:24:29

Sarah said ...

Hi I am interested in a breast augmentation, but the only thing that puts me off, is wondering whether the implants will be hard? Will they still be a bit squishy! are they relatively soft, or will they feel quite hard and wont move? I am currently a 36B and want to go to a D if possible, but dont want to end up having 2 hard lumps stuck in front of me!

June 24th 2009 at 21:56:49

Hayley said ...

I am a 24 yr old with 34a breasts. I weight 56kg and am 5'6. I have wanted to undergo a breast enlargement proceedure for many years now having suffered years of self-conciousness and difficulty finding tops and bras small enough. I have decided the time is right to make the step to change this. My only concern is anaesthetic risks, i am asthmatic, and would not wish to have a GA for cosmetic reasons if this can be helped. Please could you advise me of my options as i am keen to research this before booking my consultation with you. Many thanks.

July 6th 2009 at 22:09:56

michel said ...

Hello, how much it cost for lift my breasts without implants?..Thank you

July 11th 2009 at 09:19:17

jojo said ...

Hi there i am a 24 year old Model and am wishing to try out the Macrolene injection to see if i would fancy breast implants later on... I am a 34B presently but would love to go up to a C and wondered if the macrolene injections would give me this cup size and if it is all ok to have Implants if i chose to whilst still having Macrolene inside me. Also, is it safe having this inside you? I am just worried the risks if it could get into the bloodstream and block them or something?

July 17th 2009 at 13:36:09

anita said ...

I had breast augmentation 5 years ago (They are now a C, I had near enough no breasts before but one was bigger than the other) I am now considering to have the implants removed as I want to go more natural, however I'm worried that they will be differnet sizes again. I'm interested in the fat transfer but I'm quite slim- would I have to put on some weight to make some fat for it? Also, how much does it cost and do you have any before and after pictures? thanks

July 21st 2009 at 14:50:29

Sophie Kennedy said ...

I am an A cup and would like to go up to a C. I breastfed my 4 children and have little breast tissue left, I used to be a B cup which was fine but I need to get my body back for self esteem! Would fat transfering from tummy be possible although I am a size 10 my tummy is still fat so it would sort out 2 things in one go without painful surgery!! How much would it cost and what is the recovery time? Alternatively I would consider natural looking implants, again could you tell me what the cost is- I have been wanting to do it for years and have saved up some money. Recovery time- how long does it really take before being able to drive? Exercise/lift kids? I am in Kent near Tonbridge, what is the nearest center? I am quite keen to do it over the summer before going back to work and I have home help. Look forward to your reply Sophie

July 24th 2009 at 17:42:05

Rachael said ...

I am 21 and have vertually no breast at all i dont even fit an a cup i have very low self eestem and i would love to have a breast enlargment to a b or c cup to help my confidence. Could you please let me no how much this would cost and what the terms and conditions are for pay monthly sceme, thank you, look forward to hearing from you racheal

July 26th 2009 at 12:29:09

adele said ...

i have recently lost alot of weight and lost two cup sizes from my breast ,i also have one bigger than the other, i am now a 34b and possibly smaller in the smallest breast. i do not want a big breast just to go back up two cup sizes. would the macrolane work, how much would that cost. or if i decided on implants what is the cost of that procedure..

July 31st 2009 at 22:48:48

zara said ...

Hi there, for all of my life i have had no chest at all, i could get away without even wearing a bra, , Im 26 and have 2 children, (struggled with both to breastfeed) if i was to shave my hair off i could get mistaken for a 12 year old boy,. i really dont have anything, worse now after having kids., Id so love anything to make me feel like a woman, just something to fill a bra, but being a full time mummy money is obviously tight, is there anything i can do or have done and pay in installments,.... Im so so desperate to feel like a woman, please help;;; regards

July 31st 2009 at 23:44:18

lynn said ...

hi, i've lost some volume in my breasts due to weight loss. how much does it cost to get breast injections done?

September 2nd 2009 at 19:36:17

maria said ...

Hi im interested in going from A cup to C cup using the fat transfer method. Can you please let me know the cost of this? Kind Regards

September 16th 2009 at 11:23:53

tina said ...

i visited a surgeon who suggested i try taking fat from my stomache and injecting it into my breasts, I am currently a 34c but would want a 34d/dd look, he said it could be possible but I'm not sure, at least with implants its a guaranteed size as i don't want to have to pay twice to achieve the look. however i'm swayed as to the health benefits of fat injection. having the fat injected will they not be heavy so become saggy. i felt the surgeon was very keen to use the fat injection process and heavily played down the implants so am no confused.

September 17th 2009 at 08:04:52

vicki light said ...

I am enquiring about the fat transfer into breast. I have been thinking about breast enlargement for quite sometime but i am a bit put off implants, untill after i have had kids i have heard so many stories saying it is best to wait. I have no plans in the near future to have children but i dont want to spend all that money before i have kids and them change dramitically. Thanks

September 18th 2009 at 21:10:22

Hari said ...

hi i have been reading about macrolane a non surgeery breastenlargment. how does this method work and how much does it cost? we can i get this done? thanks hari

October 2nd 2009 at 11:01:08

Abi said ...

Hi, I have been doing a lot of reading on implants, herbs, macrolane and fat transfer. I have always been flat chested and was suprised to have had milk to nurse two kids but there was no breast increase. I thought of surgery but cannot afford it. How can I get an evaluation for the fat transfer as I am also skinny. I do not want scars. I would appreciate a plan where I can volunteer my self for a macrolane or fat transfer to be used for advert purposes as I can not afford the treatments unless it is real affordable. Thank you.

October 4th 2009 at 12:12:37

vicki light said ...

enquiring about fat transfer i`m a size 10 to 12 and far from skinny could this work for me?

October 15th 2009 at 14:18:26

laura said ...

hi, im a size ten and really considering breast enlargement, would like to enlarge by 2 cup sizes as im tiny would any of these methods benfit me and how much please. thank you

October 16th 2009 at 01:38:08

nikita Burton said ...

I would like fat tranfered from my tummy into my breast and how much would it cost. Kind Regards Nikita

October 20th 2009 at 02:53:49

Sue said ...

Lost lot of weight and went from 36D to 34 C one is bigger than the other .I dont wont big breast just a bit fuller.Would macrolane work and how much would it cost

October 20th 2009 at 14:29:31

Helena Soares said ...

Dear Patrick: Im Helena Soares, journalist from Chick Intimate Cult magazine. I'd like to request a interview by email. Please say me something by email: helena@chick-pt.com

October 21st 2009 at 08:49:21

agnieszka said ...

Hi.Im a 36A and would like to go to 36BorC but the most natural way possible, Also I dont like scars so Im interested in the fat transfer.Im size 10-12, 5.5'tall and 9stone.Would that be possible for me? Also, how much does it cost and what is the after operation recovering time? Thank you.

November 3rd 2009 at 21:43:54

sarah said ...

hi, i am 30 years old and in A cup size and would like to go for a macrolane injection to enlarge me breast after I lost some of my breast tissues after my delivery a year ago, would that be suitable for me? and how much will it cost please? thanks

November 5th 2009 at 20:38:52

Julia said ...

I have always had very small breasts but since breastfeeding my 4 children years ago I have no breast tissue, no partner and no confidence at all. I am now 50 years old, completely flatchested and can't bear to be seen undressed. Could the fat transference method be a possibility to increase my breasts to something rather nothing. I am 5'4" & weigh 51 kg, a typical pear shape! If possible could you give me some idea of cost please.

November 11th 2009 at 15:54:40

zoe-jo said ...

hia im now a mum and i breast fed i was a 34E and during my pregnancey went up to a 34FF the size hasnt altered but they look lsmaller then before and sunken so now my confidence has slightly changed to the point i refuse to wear tops that are baggy im highly interested in the uplift and enlargement im just wondering how much it would cost and how much a month i would have to pay

November 19th 2009 at 22:13:42

jane said ...

hi, iam 46, ive lost fat from my face around the cheeks, eyes area sunken and nosalibia needs filler, please may i know how much this costs? Can you also let me know how much breast uplift cost without implant. Im a very interested customer.

November 22nd 2009 at 13:07:23

saba said ...

hi im a mum and i breast feed for 16months 6years ago.my breast are 34c but they are not very firm.they are not really droopey but i would like them bit more firm and dont want them any bigger.im 5'3 and weight 9stones and 6ponuds.can you give me some idea of price.i dont want implants.

November 28th 2009 at 01:22:38

Clare said ...

Hi, i used to be an E cup but after loosing my puppy fat and changing my contraceptive pill i have gone down to a B/C cup and feel very self consious as i was used to them being bigger. I don't like the idea of having implants and thought the sound of the fat transfer was perfect for me but i'm a size 8 and don't have much fat, is it still posible to do the procedure?? Thanks.

December 16th 2009 at 18:29:15

keisha dior said ...

hi im a mum f 1 and breast fed my child till she was 11months, my breast arent droppy but they have lost that plump look too it them, i was wondering if i could get some more info on it cause im not to sure about ging under the "knife"

December 20th 2009 at 18:56:44

sophie said ...

how much is the macrolane injectons.

December 22nd 2009 at 13:03:17

Debbie said ...

I am 29 years old and petite in stature at 5'2" & a slim size 8 with breast size 32b and and so would just be looking for a slight increase in bust size to maybe a c cup. I am interested to know how much it would cost to have Macrolane breast augmentation and the effects experienced when the Macrolane is gradually coming to the end of the expected life span, ie. could i expect mis-shapen breast towards the end of the year to eighteen months? Thanks, Debbie.

December 22nd 2009 at 19:20:29

n said ...

hi im currently an A cup and would like atleast B/C cup size however im very slim and i think i may not have enough fat to get to the desired size.. how much would it cost and should i wait until i gain more weight?? also are their any female surgeons to carry out the procedure?? thanks

December 31st 2009 at 13:28:49

Dana Mulholland said ...

Hi , i am a slender girl on my top half but have big thighs , my breasts are 32B and i would love to transfare some fat from my thighs to my breasts. I was wandering if it would be posible for me to reach a D cup ? Also id like to know the cost involved ? Kindest Regards Dana..

January 6th 2010 at 10:39:00

ann said ...

Hi, i decided to go for Macrolane, but I can't see any prices on your website. I know each person is diifferent and individual, but can you please tell me approximate costs of it? Regards Ann

January 22nd 2010 at 02:11:13

Christina said ...

Do you perform only cosmetic surgeries? I am adviced to undergo a double mastectomy because of inherited breast cancer (and high risk of recurrance in the other breast). This would reduce the risk of recurrance in the other breast by 96%. Would you recommend immediate reconstruction, and if yes, what would be your advice?

January 31st 2010 at 14:18:38

adele said ...

i have been self conscious of my breasts for a long time now. one is a cup size bigger than the other and i feel very self conscious about this. im roughly an a cup and would like to be a full size c cup, i wondered if the fat transfer is right for me im not skinny and want to shift some weight from my tummy to. this seems ideal for me. how much would this be?

February 11th 2010 at 23:12:51

Susan said ...

Hi. I am looking to increase the size of my breasts by the fat transfer because last year i went through a tough time where i was paralysed for months, i am fine now but due to this i have put on alot of weight which i can not loose so my boobs are not in proportion. I had hardly any boobs to begin with and with now being in the 10stone area i have no confidence. Can you help please and how much does this cost? Thanks x

February 17th 2010 at 14:46:52

jane said ...

hi, i had two boob jobs about a year ago that went wrong!im 27 size 10 i now hate my boobs and dont want surgery again. im a 34b but would like them bigger? what would you suggest?

February 21st 2010 at 20:48:10

Kelly said ...

Hi there, Im looking into the Fat transfer for breast enlargement. Im 28 a 34A, size 10/12 and during 2 pregnancies my breasts never grew at all, So now Im fed up, and would like to know rough costs etc. Im approx 5'9" tall, and approx 10.5 stone, so some podgy bits to take fat from.... Many thanks

February 21st 2010 at 20:48:35

Kelly said ...

March 30th 2010 at 16:23:06

karen said ...

hi there i would like a breast enlargement with implants, i am currently flat chested and would lik to be a (c) cup can you please tell me how much a month i would have to pay and where it would be at thankyou

April 8th 2010 at 19:41:21

alison maqnsfield said ...

hi im 54 yrs old would i be to old for this procedure

April 21st 2010 at 21:14:09

Amelia said ...

Dear Mr. Mallucci, Three years ago I underwent a R. breast mastectomy with a very successful diep flap reconstruction on the NHS. Whilst the finished result is lovely I am now a considerably smaller breast size than pre op., is it possible to have a breast enhancement operation without compromising the diep flap and how successful would the likely outcome be? Many thanks. Milly.

April 27th 2010 at 14:24:38

Rod Mitchell said ...

Hi Patrick, I am wanting to make contact with the right person within mybreast.org to discuss a 3D simulation solution for plastic surgery that will 1. Give you competitive advantage 2. Increase consultations and conversion rate bt at least 20% 3. Enhance your patients' experience 4. Give you a recognised ROI within months Can you please advise who I can speak to? Many thanks, Rod

May 3rd 2010 at 12:39:35

kaz said ...

Hi doctors. I used to be a size 20 but not now a size 12-14. I have lost a lot of volume in my breast. I used to be a D cup but now am an A cup. i would like to know how much a stem fat transfer will cost. As you may suspect i am very unhappy about having an 'empty pocket'. it has taken the joy out of the weightloss. My aim is to fill it up as much as possible. could you email me prices of a transfer from my love handles. I still have a lot of fat around my stomach which can be used. Many thx

May 15th 2010 at 08:13:13

nadia said ...

hi . i have a fibroadenoma inboth breast . in my rt breast it is directly beneath the nipple quite big . in the lft breast it is in the upper inner quadrant . i want to remove them since im now 40 yrs old .7 i want to do breast lifting as well . at the moment im wearing d cup .

July 26th 2010 at 13:26:15

agathi said ...

I would like to lift my breasts without impants. Is it a less dangerous and easier procedure as compared to inserting implants?

August 7th 2010 at 11:36:25

jp said ...

Hi i am 40 this year and i would like to treat myself to a breast enlargement surgery as a gift to myself, i have followed your advice and plan to use a local hospital who your listed surgeons do work. MY questions are: 1 i am very petite will this prevent me from choosing a breast size i would like? 2 would the implant have to be tear drop as i have read these can turn? 3 does everyone who has surgery have drains in after op as i have been told you do? and does everyone stay in overnight 4 how much is my first consulatation and will i find out cost of procedure? as i wish to pay cash but i am not sure if i have reached my target for cost of surgery yet?

August 10th 2010 at 16:39:38

leigh said ...

Hello am 19 and i am slim with a natural large bust of DD-E, i have lost weight in the past 2 years and i still have a large bust but they are saggy and it is really affecting my life, i model and it affects which jobs i take, i dont feel confidanty naked and i try and avoid going topless with my boyfriend and i hate it, i would like to know how much a breats lift would cost? thank you

March 29th 2010 at 13:26:05

Patrick Mallucci replied @ sarah...

hi sarah, the choice of what you have done is both up to you and your surgeon. He will recommend what he feels is best for you. It is important that you express your opinion, however, it might be the case that you are not suitable for a particular technique and therefore, you will be advised on what is best for you.

March 29th 2010 at 13:26:25

Patrick Mallucci replied @ Anna...

It is possible for you to achieve such an increase in size, but probably not by fat injection as you are so skinny. I would advise you to consult one of our surgeons in order to be best advised on what is ideal for you.

March 29th 2010 at 13:27:08

Patrick Mallucci replied @ Sarah...

thank you for your enquiry. The hardness you refer to is also known as capsular contracture - the hardness being as a result of a layer of tight scar tissue being formed around the implant - the capsule. however, the design of modern implants has been significantly improved upon with respect to previous generation implants. The You have about a 3% chance of getting hardness with new generation implants over a life time. this is extremely low - older generation implants and smooth textured implants had risks of upwards of 30%. In summary the design of modern implants has improved greatly over the years to provide reliabilty and longevity.

March 29th 2010 at 13:27:24

Patrick Mallucci replied @ Hayley...

The anaesthetic options depend slightly on what is required surgically - some procedures are more painful than others. It is advisable for you to book an appointment with your surgeon for him to advise you on the options. He can also put you i touch with his anaesthetist to discuss the options for your anaesthetic.

March 29th 2010 at 13:28:39

Patrick Mallucci replied @ michel...

if you contact the office on 02030067351 - our advisers will be able to advise you on the cost of surgery. Thank you for your enquiry.

March 29th 2010 at 13:27:43

Patrick Mallucci replied @ jojo...

the success and indication for macrolane depends partly on the current size and shape of your breasts and therefore it is difficult to advise you fully without seeing you. however, macrolane seems to be diminishing in popularity - it doesn't last long, it is difficult to control the shape of the breast and it doesn't last for long (9-15 months) - it can also produce lumpiness. If you do go ahead with macrolane, you are best to wait for 6- 9 months for it to wear off before considering breast augmetation.

March 29th 2010 at 13:28:05

Patrick Mallucci replied @ anita...

It is always difficult to predict the appearance of your breasts when implants are removed after a period of time. If you are considering fat transfer -it may have to be done as a delayed procedure ie remove the implants first, allow the breasts to settle for a period of 3-6 months and then assess the potential for fat transfer.

March 29th 2010 at 13:28:22

Patrick Mallucci replied @ Sophie Kennedy...

thank you for your enquiry. Without seeing and examining you it is difficult to say whether you are a good candidate for fat transfer. after breast feeding four children it is likely that you have loose skin and this might be best suited to a natural implant. I would suggest you come and see one of our surgeons so that he can best advise you.

March 29th 2010 at 13:29:00

Patrick Mallucci replied @ adele...

For the cost of the various procedures i recommend you call us on 02030067351. In general Macrolane would not be a good solution to your problem. However, if you see one of our surgeons they will be able to best advise you.

March 29th 2010 at 13:29:31

Patrick Mallucci replied @ zara...

please contact our office to find out about payment methods - 02030067351

March 29th 2010 at 13:29:53

Patrick Mallucci replied @ tina...

your surgeon probably feels you are a good candidate for fat injection, and i do not envisage that they will go floppy as a result. it is true that implants might give you a fuller look, however, the benefit of fat is that it is your own tissue. If you are unsure you can come for a second opinion with one of our surgeons who will give you his/her opinion.

March 29th 2010 at 13:29:54

Patrick Mallucci replied @ tina...

November 23rd 2009 at 14:40:00

Patrick Mallucci replied @ Sue...

Hi Sue, thank you for your enquiry - it is very common to go down in size following weight loss, and un-eveness between two breasts is also frequently seen. whilst macrolane might help, it has two disadvantages, firstly that it is only a temporary solution and fairly expensive at that, and secondly in someone who already has reasonable breast size it would take a large volume for it to make a difference. It is always difficult to give advice without seeing and examining, so I would recommend you come and see us for a consultation.

November 23rd 2009 at 14:41:03

Patrick Mallucci replied @ agnieszka...

Hi Agnieszka, thank you for your enquiry. Fat transfer is a way of increasing breast size but probably only to a maximum of 1 cup size greaster than you are at present. it depends on how much fat you have available for use, and often there is less than you think! it is more expensive than straight forward breast augmentation because the process is much more time consuming. it is also possible that you would need a 'top-up' at some point after surgery as not all the injected fat survives. Feel free to come and see us for a consultation to discuss your situation further. Many thanks.

November 23rd 2009 at 14:42:48

Patrick Mallucci replied @ sarah...

Hi Sarah, thank you for your enquiry. Macrolane is a way of increasing breast size - probably to a maximum of 1 cup size. however, don't forget that it is only a temporary way of achieving an increase in size with many people reporting a return to normal after only 6-9 months. Macrolane is absorbed by the body, and once absorbed it needs to be repeated. it is a fairly expensive way of achieving enhancement because of the repetition required. As a result it seems to be not as popular as perhaps expected initially. Please feel free to come and see us to discuss your situation further. Many thanks.

November 23rd 2009 at 14:44:14

Patrick Mallucci replied @ Julia...

Hi Julia, thank you for your enquiry. Fat transfer is a way of increasing breast size but it requires a lot of excess fat in order for it to be achievable. At 51 kg, you probably have less available than you think! Not all of the fat that is transferred survives and the process often needs to be repeated some months later making it an expensive way of achieving enlargement. We would be delighted to see you for a consultation to advise you in person as it is possble to give you a natural look with subtle implants. Many thanks.

November 23rd 2009 at 14:46:00

Patrick Mallucci replied @ zoe-jo...

Hi Zoe-Jo, thank you for your enquiry. It is very common to under-go the changes you describe following pregnancy, and often the emptiness and sag is treated by a combination adding volume with an implant and lifting the breast at the same time. Costs can vary and this would depend on your situation and it is always advisable to come in for a consultation so that we can discuss the best options for you. Many thanks.

January 20th 2010 at 15:47:40

Patrick Mallucci replied @ Clare...

Thank you for your enquiry. From what you tell us, now that you have gone to a size 8 - it probably would be very difficult to find enough fat to find anywhere near the volume that would be required for your breasts. in your situation implants are usually the best solution. Modern implant technology has changed radically over recent years making implants much safer and more durable than ever before. If you are looking for enhancement it is likely that implants would be the best option for you. Pleae feel free to contact the offoce to arrange a consultation with one of our surgeons to discuss the matter further.

January 20th 2010 at 15:55:05

Patrick Mallucci replied @ keisha dior...

Hi keisha, thank you for your enquiry. The blog from the web site on macrolane is fairly self explanatory in terms of information and knowledge about macrolane. At Mybreast and in our personal practices many of us have adopted a 'wait and see' policy with regard to macrolane. when it first came out not much was known about it and how it would fair in the long term. It is a fact that we have started to see some problems and patient dissatisfaction with macrolane. common complaints range from the discomfort of having the procedure itself to incidences of infection, irregular lumpiness, short lived effects, cost to name but a few. As a result it is not something which we are actively promoting or advocating. My view is that whilst it sounds like a sound idea, the feeling is that it is not living up to its early promise.

January 20th 2010 at 16:01:15

Patrick Mallucci replied @ sophie...

For price of procedures please contact the patient advisers who can inform you about prices over the telephone.

January 20th 2010 at 16:01:58

Patrick Mallucci replied @ Debbie...

The blog from the web site on macrolane is fairly self explanatory in terms of information and knowledge about macrolane. At Mybreast and in our personal practices many of us have adopted a 'wait and see' policy with regard to macrolane. when it first came out not much was known about it and how it would fair in the long term. It is a fact that we have started to see some problems and patient dissatisfaction with macrolane. common complaints range from the discomfort of having the procedure itself to incidences of infection, irregular lumpiness, short lived effects, cost to name but a few. As a result it is not something which we are actively promoting or advocating. My view is that whilst it sounds like a sound idea, the feeling is that it is not living up to its early promise.

January 20th 2010 at 16:02:24

Patrick Mallucci replied @ n...

Thank you for your enquiry. Our patient advisers would happily put you in touch with one of our female surgeons should you be interested in going for a consultation. To go from an a cup to a b/c cup might require a significant volume of fat. Until you have been seen and assessed by a surgeon it is difficult to advise you specifically. If you arrange for a consultation the pros and cons of the procedure can be discussed with you in order to give you a better idea of what is appropriate for you and what you might reasonably expect.

January 20th 2010 at 16:02:53

Patrick Mallucci replied @ Dana Mulholland...

To go from a b cup to a d cup might require a significant volume of fat. Until you have been seen and assessed by a surgeon it is difficult to advise you specifically. If you arrange for a consultation the pros and cons of the procedure can be discussed with you in order to give you a better idea of what is appropriate for you and what you might reasonably expect. our patient advisers could give you an idea of the cost over the telephone if you contact them directly. However, i would strongly recommend a consulaation with a surgeon in the first instance.

January 20th 2010 at 16:03:17

Patrick Mallucci replied @ ann...

Thank you for your enquiry - please contact our patient advisers directly and they will be able to give you an idea of pricing over the telephone.

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