During the last few years it has become very popular to use a long known nerve poison for medical or for cosmetic medical purposes. The botulin poison is produced by the botulin bacteria which is a septic bacterium often found in canned meat, for instance.

As the ideals for size and shapes of the breasts vary in different cultures and with different fashion trends, it is impossible to decide how the breast should look like regarding size. A pleasing shape without significant sagging of the breast is mostly regarded as optimal. 

The extreme awareness of the body nowadays, seen as the popping up of fitness-studios, makes people more concerned about the shape and volume of their muscles. In spite of hard training the desired shape might not be achieved and all these factors might give a desire of surgical muscle-augmentation.

 No gymnastics, ointments or commercially available hormones or even massage can enlarge the breasts. "Sugar" implants ( Monobloc®) are preferred by the clinic because it is a biologic filler that degrades to sugar by the enzymes of the body. Saline and methylcellulose are totally harmless substances and in case of leakage they are totally absorbed.