A history of breast enlargement

From implants to EVEBRA.

Explore the milestones behind EVEBRA, from early enlargement claims and implants to Dr. Khouri's work on external expansion. Each chapter separates company history from published evidence.

A visual archive with source notes for key clinical and regulatory milestones.

Woman wearing the EVEBRA bra and clear domes, holding the pump
EVEBRA, the latest chapter in Dr. Khouri's external expansion work.

An evolving question

The goal stayed familiar. The methods changed.

Early advertising promised enlargement without proof. Implants made a more selectable size possible through surgery. Later, surgeons and researchers explored fat grafting and external tissue expansion. EVEBRA grew from that last line of work: a wearable approach designed for sustained, gentle tension at home.

This timeline separates company history from published clinical findings. Research involving surgery or an earlier device should not be read as a trial of today's EVEBRA system.

Chapter 01 · 1897–1977

Before the evidence came the promise.

These archival images show how long the desire for a non-surgical route has existed. They record marketing history, not proof that the devices worked.

Archival Princess Bust Developer advertisement
EVEBRA visual archive: Princess Bust Developer advertisement
1897

Claims arrive before clinical evidence.

The Sears “Princess Bust Developer” is one of the early products in EVEBRA's archive. Its enlargement promise illustrates the era's appetite for an alternative to surgery, without establishing that it caused lasting growth.

Archival photograph associated with the early silicone breast implant era
EVEBRA visual archive: early silicone implant era
1962

Silicone implants reshape augmentation.

The early 1960s mark a turning point for surgical breast augmentation. Implants offered a way to choose a more specific size, while adding the considerations of an operation and an implanted device.

Archival Salonmay Bustline Increaser advertisement
EVEBRA visual archive: Salonmay advertisement
1977

Quick-fix devices keep appearing.

Retail suction gadgets continued to be marketed for breast enlargement. Their brief use and promotional claims should not be confused with the later research on sustained external expansion.

Chapter 02 · 1987–2000

Safety questions meet a new research path.

Breast surgery evolved while Dr. Roger Khouri began investigating whether an external device could apply the kind of sustained tension used in tissue expansion.

1987

Fat grafting meets caution.

The American Society of Plastic Surgeons' predecessor advised against fat injection for augmentation, calling it experimental and raising concerns about breast imaging. This was an advisory position, not a claim that every future form of fat grafting was permanently prohibited.

Read the ASPS history
American Society of Plastic Surgeons archival logo
The professional society's later guidance recounts its 1987 advisory.
Archival image about FDA regulation of silicone breast implants
FDA history: a 1992 voluntary moratorium was lifted in 2006.
1992

The FDA calls for more implant data.

The FDA announced a voluntary moratorium on silicone gel implant sales in the United States while it reviewed safety information. New silicone gel implants were approved in 2006. The FDA continues to state that breast implants are not lifetime devices.

Read the FDA account
1996–1998

Dr. Khouri looks beyond the operation.

After years in complex breast reconstruction, Dr. Khouri began developing a wearable external expansion system. EVEBRA's archive traces his design work to the late 1990s; that development story is distinct from the clinical evidence published later.

Meet the inventor
Dr. Roger Khouri speaking at the Royal College of Physicians
Dr. Roger Khouri, from the EVEBRA archive

The first pivotal publication

2000

External expansion is studied without surgery.

Khouri and colleagues published a small study of an earlier external soft-tissue expansion system. Seventeen women enrolled and 12 completed the protocol. MRI findings among completers supported enlargement of breast tissue rather than swelling alone. The study was single-group and did not test today's EVEBRA device.

Read the published paper
Cover or first page of the 2000 external expansion study
Khouri et al., Plastic and Reconstructive Surgery, 2000

Chapter 03 · 2001–2016

BRAVA brought the idea into daily life.

The first consumer system also revealed the practical challenge: external expansion asks for consistent wear. A separate research track later paired pre-expansion with surgical fat transfer.

Illustration of the original BRAVA external expansion system
BRAVA system illustration from the EVEBRA archive
2001

BRAVA reaches women at home.

EVEBRA's predecessor put the external expansion concept into a wearable system. Its history matters because the method relied on hours of steady wear, rather than a short suction session. Published papers explored external expansion, but the earliest work should be read within its own study scope.

Understand the method
2005

The story reaches a wider audience.

EVEBRA's archive records BRAVA coverage in fashion and news media, reflecting public interest in a non-surgical option. Media attention is distinct from clinical evidence.

2006

Wearability becomes the central challenge.

The original system required patience and consistency. Its daily time commitment was a practical barrier, even for women drawn to the method.

2015–2016

BRAVA's first chapter closes.

BRAVA was no longer available by 2016, according to EVEBRA's archive. Dr. Khouri later developed EVE as a successor for use around fat-grafting care.

2009

Fat-grafting guidance evolves.

After reviewing the evidence, ASPS issued guiding principles in 2009. They did not provide a blanket clinical recommendation for fat grafting, but marked a change from the 1987 caution. This is a surgical topic separate from at-home expansion alone.

Read ASPS guiding principles
2012–2015

BRAVA also enters surgical research.

Published studies examined BRAVA pre-expansion before fat transfer for augmentation or reconstruction. These procedures involved surgery; their outcomes cannot be used as a prediction for non-surgical EVEBRA wear.

Read the 2012 studyRead the 2014 study
Cover of a 2012 Plastic and Reconstructive Surgery paper on BRAVA-assisted fat transfer
2012 · BRAVA and fat transfer
Cover of a 2014 Plastic and Reconstructive Surgery paper on BRAVA-assisted fat grafting
2014 · Multicenter fat-grafting experience
Cover of a 2015 Plastic and Reconstructive Surgery paper on reconstruction with BRAVA-assisted fat grafting
2015 · Reconstruction research

Chapter 04 · 2017 onward

The idea is refined for a new generation.

From EVE to EVEBRA, Dr. Khouri continued working on external expansion. Research in reconstruction and the current at-home product answer different questions.

Clear EVE domes shown in their packaging
EVE domes from the EVEBRA archive
2017

EVE follows BRAVA.

According to EVEBRA's product history, Dr. Khouri developed EVE as a successor for use around fat-grafting care. Its role in a surgical pathway is separate from the later direct-to-consumer EVEBRA routine.

2023 · Research

A reconstruction trial asks a different question.

A Dutch randomized trial compared post-mastectomy reconstruction using external pre-expansion plus surgical fat transfer with implant-based reconstruction. It reported higher scores in three of five quality-of-life domains and fewer complications in the fat-transfer group. It did not test EVEBRA used alone for natural breast enlargement.

Read the JAMA Surgery trial
Image of the 2023 JAMA Surgery reconstruction trial
JAMA Surgery, 2023 · reconstruction with expansion plus fat transfer

The current chapter

EVEBRA

External expansion, designed for everyday wear.

EVEBRA carries Dr. Khouri's external-expansion approach into a current at-home system. Its pressure-regulated pump, adjustable bra, Skin Seal and progressive dome sizes are designed for sustained low-level tension across a recommended 12-hour daily routine over 4–6 months. Individual results vary, and suitability and fit matter.

Current EVEBRA bra, domes, tubing and pump arranged together
EVEBRA system, from the current brand archive
This archive image contains uncensored breast photography.I agree — view imageHide image
BRAVA and EVEBRA domes worn side by side for a product-design comparison
Archive comparison of BRAVA and EVEBRA dome designs; this is a product comparison, not a results image.

What changed in the design

The same research lineage. A different system.

The current EVEBRA product uses an adjustable bra, pressure-regulated pump, silicone rim skirts, Skin Seal and progressive dome sizes. These are design differences from the earlier BRAVA/EVE systems; they do not turn predecessor studies into trials of today's product.

See the current components

Read beyond the timeline

The primary sources behind the milestones.

Historical product images come from EVEBRA's existing archive. These external sources support the research and regulatory dates discussed above.

Research on BRAVA, EVE or a combined surgical procedure informs the history of the method. It does not establish an individual outcome with EVEBRA. Browse the EVEBRA publications page.

From the original History pageView the visual archive

The original page's supporting imagery remains here for historical context. Some archive cards depict older products or surgical research, not the current EVEBRA device or its results.

Archival graphic explaining external tissue expansion
External tissue expansion graphic
Archival patent application graphic
Patent application image
Dr. Roger Khouri speaking at a lecture
Dr. Khouri lecture
Gloved hands preparing material for surgical fat grafting
Surgical fat-grafting image
Original BRAVA system shown with its domes and pump
Original BRAVA system
Out of stock graphic used on the former History page
Former page's BRAVA availability illustration

Where the story goes next

Explore today's EVEBRA with the full context.

Learn how the current device works, what its routine asks of you, and whether it may be suitable before you order.