Although breast augmentation by insertion of implants remains by far the most popular cosmetic surgical procedure, a question that is more and more frequently being asked by many small-breasted women these days seeks to find out if breast enlargement without surgery is really possible or is it just a myth promoting a huge scam. This question results from a growing awareness of risks and adverse side effects associated with breast augmentation surgery, together with a growing awareness of the existence of possible alternatives. The fact is that there are indeed several options for non-surgical breast enhancement that are effective and safe, in varying degrees. The Breast Actives system of natural breast enhancement based on herbal pills and cream containing phytoestrogens has many happy and satisfied users all around the world. The Brava suction bra system is said to be clinically proven and creates the breast enhancement effect by applying computer-controlled suction to the breasts. Macrolane injections are a more recent development in which stabilized hyaluronic acid is injected into the breasts in a procedure that takes 30 to 90 minutes and claims to result in enlarged breasts which are smooth, without lumps and feel natural. So, yes, there are options for non-surgical breast enhancement and any woman considering opting for one of these should carefully research the options and decide which is likely to best suit her.