Brava Sport Instruction Manual
Contents
1. 25 2 SportBox daily dry cleaning 26 3 SportBox wet cleaning procedures ccc ee 27 4 Emergency cleaning procedures s0ccciivsssusees cece seivesaseeee seesesveane tens 29 Helpful tips frequently asked 5 31 FCC SUSI scsi ww irinin naii aA TE E E 40 Help informatio sosina aa aaa aea back cover 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 2 The information contained in this manual will assist you in understanding how the Brava Breast Enhancement and Shaping System works the changes your body will experience and the underlying biological reasons for these changes This manual will also instruct you on how to get the greatest benefit from using the System and how to take care of its various components PLEASE REVIEW THE FOLLOWING SECTION FOR APPLICABLE WARNINGS AND PRECAUTIONS BEFORE USING THE BRAVA SYSTEM The terms Brava Brava System Brava Sport and Brava Starter System all refer to the family of Brava System products and are used interchangeably throughout this manual WARNING READ BEFORE WEARING DEVICE Warnings 5 DISCONTINUE USE IF YOU EXPERIENCE SIGNIFICANT DISCOMFORT PAINFUL SWELLING S2. A CURRENT BREAST MASS LUMP OR CYST A HISTORY OF RADIATION TO THE CHEST AREA OTHER THAN ROUTINE X RAYS CHRONIC ACNE ECZEMA HYPERPIGMENTATION OTHER SKIN CONDITIONS INVOLVING THE CHEST AREA OR HAVE AN ALLERGY TO SILICONE TAKING NARCOTIC PAIN MEDICATIONS BLOOD THINNERS ABUSING ALCOHOL OR USING ILLEGAL SUBSTANCES PRONE TO KELOID FORMATION A MASTOPEXY REDUCTION MAMMOPLASTY Use of the Brava System should not begin until 6 months have elapsed since the surgery see disclaimer 5 IMPLANT REMOVAL SURGERY Use of the Brava System should not begin until 3 months have elapsed since the surgery see disclaimer 3 ASYMMETRICAL BREASTS AND OR INVERTED NIPPLES The Brava System may be used see disclaimer 5 BREAST BIOPSY Use of the Brava System should not begin until 3 months after breast biopsy and as long as results were shown to be benign BREAST CYST ASPIRATION Use of the Brava System should not begin until month after aspiration Disclaimer Some individual physicians have noted a positive effect with regards to using the Brava System after implant removal There have been no formal clinical studies showing any positive or negative effect conducted by Brava LLC NOTE Existing scars may increase in size and or become more pronounced Disclaimer Some individual physicians have noted a positive effect on the treatment of asymmetry of the breast Brava LLC makes no claims regarding the treatment of asymm
3. sensor will assume that the appropriate vacuum level has been reached when in fact it has not If this occurs the vacuum inside the domes will not be effective Correct this by changing or cleaning the filter To determine whether the filter is clogged connect the filter to the SportBox and turn the SportBox on If the pump does not turn on detach the filter from the SportBox while on If once the filter is removed the pump turns on this indicates that the filter is clogged and either needs to be cleaned or replaced Cleaning your filter To clean the filter attach a dry syringe to the male side of a dry filter and depress This will force air through the filter and remove any trapped particles Note DO NOT use any liquid for this cleaning procedure 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 26 Dry Clean Process for SportBox Daily process It is necessary to do a DRY CLEAN PROCESS same as WET Clean but without alcohol water mixture after every use for optimal care It is important to allow the pump to run vibrate at least 10 20 minutes daily for optimal maintenance In extreme cases of perspiration you may allow the pump to vibrate up to an hour daily with extended hours of wear This is to avoid moisture buildup within the Sport Box which may cause potential malfunctioning or damage PROCESS Remove the filter from top of Sport Box 9 Carefully remove the small gray port cover on top o
4. Prep wipes have been applied and skin area is completely dry 8 to 10 minutes 18361 BRA SportMan gxp 012306 Sport Manual sates 4 8 09 4 15 PM Page 31 FAQs Do I need to power the SportBox before I wear the System for the first time Yes Just insert two AAA alkaline batteries in the rear of the SportBox to power it What kind of Batteries does the Brava Sport use AAA alkaline batteries ONLY For optimum performance use the same brand of batteries and replace both batteries at the same time How long will the batteries last It is best to change the batteries every 7 to 10 days to mantain optimum therapeutic treatment How can I best care for my skin when using the Brava System Proper cleaning of your System s domes and personal hygiene are essential when you wear the Brava System Each day before putting the domes on gently clean your breasts and the surrounding area with the Brava Skin Cleanser Baby Shampoo or Ivory Bar Soap lather and water rinse well and dry the chest area completely This important step will remove the layers of dead skin cells from the area where the dome makes contact with your skin Apply the No Sting Skin Prep to the area where domes come in contact with your skin Allow 8 to 10 minutes or as long as necessary to dry before placement of domes 31 After removing the System clean the dome s tacky surface with the Brava Dome Cleanser This helps to remove the dead cells and regenerate the dom
5. Turn the SportBox on again While the SportBox is on be sure to keep the SportBox in the inverted upside down position With your other hand empty the cleaning tray of all fluid and replace the inverted SportBox onto the empty cleaning tray Turn OFF the alarm to allow the Sport Box to do a dry cycle for 3 5 hours after the wet clean cycle for best results before your next wear session Remove the SportBox from the cleaning tray shake the SportBox gently while inverted to remove excess fluid and dry the port with a soft paper tissue Don t forget to replace the rubber port cover after cycling is complete Once you finished this process you should change batteries to ensure the proper amount of power for the next wear session NOTE After the cleaning process you may notice a slight difference in the pump s sound i e slightly louder The normal sound should resume within a few hours After long drying cycles batteries should be changed to ensure proper functioning 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 29 Emergency Cleaning Procedure To be used only with the assistance of Brava Customer Care or if SportBox does not turn on In some instances even when you have followed the wet cleaning procedure the SportBox may not function properly This can happen when debris usually made up of salt crystals from perspiration is trapped in the SportBox s check valves In order to re
6. alcohol and water in the same cleaning tray same reservoir Remove any filter or tubing attached to the SportBox NOTE Do not discard the filter or tubing as you will need this after the process is complete Locate the rubber port cover on top of the SportBox This cover loops over the vacuum port small tube at the top of the SportBox and covers the exhaust port opening Remove the rubber port cover by gently lifting it upward and pull it off completely Now place the rubber port cover on the cleaning tray post for easy storage during this process see Figure 21 NOTE Do not discard the port cover as you will need this after the process is complete 4 Turn both the SportBox and alarm on listen for audible beep to indicate ON 5 6 7 Turn the SportBox upside down with the vacuum port facing down and place it into the cleaning tray on the side with the solution To be sure you have it on the correct side the guidepost will only allow you to insert the SportBox in the correct position for cleaning see Figure 21 Allow the SportBox to run until the alarm sounds approximately 10 minutes During this time the alcohol and water mix is being cycled through the SportBox s pump removing any debris and salt crystals left in the pump from use You will see the fluid empty into the other reservoir of the cleaning tray Once the alarm sounds after about 10 minutes the wet cleaning process is complete
7. are a few possible solutions if the pump remains on for more than 10 minutes at a time 1 Check to see if the tubing is properly connected If loose reconnect each tube If the end of tubing has become frayed trim a small amount and reconnect to dome ports 34 2 Check to ensure that both domes are positioned securely Press down on each dome to ensure a tight seal and maintain pressure until motor stops 3 If the SportBox continues to pump for more than 10 minutes and all other checks have been completed the SportBox may need cleaning Refer to Caring for your Sport Box To ensure proper operation of your SportBox disconnect from the System turn the SportBox on you will hear the pump sound place your index finger over the port located on top of the SportBox and press down firmly If your SportBox turns off when the port is blocked it is functioning properly You should replace the filter and re attach your System Using the filters will help to ensure proper operation See the section CARING FOR YOUR SPORTBOX NEVER USE THE SPORTBOX WITHOUT FILTERS ROTATE FILTERS DAILY FOR OPTIMAL PERFORMANCE 4 Finally if your SportBox does not turn off please contact Brava Customer Care to assist you in further trouble shooting 18361 BRA SportMan gxp 012306 Sport Manual sates 4 8 09 4 15 PM Page 35 What material is the bra made of and how do I clean it The bra is made of 75 Nylon and 25 Spandex Each bra comes inside a
8. are usually temporary that have been observed in some women include e Redness heat rash and skin irritation e Itching e Excessive sweating e Temporary increased or decreased sensitivity of the nipples e Temporary discoloration of the skin e Hyperpigmentation darkening of the skin e Costochondritis a rare cause of chest wall pain occurring in the costal cartilages of the rib cage where the ribs connect to the breast bone e Tietzes Syndrome painful rib swelling prolong wear of the Brava System may be associated with painful rib swelling an inflammatory condition which is self limited 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 5 IMPORTANT INFORMATION THE BRAVA SYSTEM REQUIRES A CONSISTENT WEAR REGIMEN OF A MINIMUM OF 10 CONSECUTIVE HOURS A DAY EVERY DAY FOR AT LEAST 10 CONSECUTIVE WEEKS TO ACHIEVE EFFICACY DUE TO BIOLOGICAL VARIABILITY A HIGHER INTENSITY OF WEAR AND LONGER WEAR TIME MAY BE NEEDED TO ACHIEVE DESIRED RESULTS FAILURE TO COMPLY WITH THE PROTOCOL WILL REQUIRE A LONGER WEAR PERIOD OR PRODUCE SUBSTANDARD RESULTS THE BRAVA SYSTEM MAY NOT BE SHARED PROLONGED CONTACT WITH SOMEONE ELSE S BACTERIAL FLORA COULD CAUSE INFECTION ABSCESSES SKIN BREAKDOWN AND BLISTERING REMOVE IT IMMEDIATELY AT THE SIGN OF SIGNIFICANT ITCHING DISCOMFORT BURNING AND OR PAIN IN THE RIBS OR STERNUM THE BRAVA SYSTEM SHOULD BE COMFORTABLE TO WEAR YOU ARE ENCOURAGED AFTER THE INITIAL 2 WEEKS
9. breast tissue This technique known as tissue expansion has been used by the medical profession for the last 30 years Clinical research indicated that women who complied with the protocol experienced an increase in breast volume which ranged from 35cc to 250cc of lasting tissue growth use ranged from 10 to 26 weeks of wear In the early phase of wear the initial increase that you will see is made up of of mostly swelling with a very small amount of true tissue growth However as you continue to use the Brava System real tissue growth slowly begins to take place and by the end of treatment there is a greater proportion of true tissue growth to swelling Figure 2 describes the Brava growth cycle Figure 2 Nonsurgical Breast Tissue Growth th sI A Baseline breast tissue Early Late Breast tissue at initial resting When activated the Brava Over a 10 week process the state System draws air out of the sustained tension generates domes and the breasts are both new lasting tissue and gently drawn forward swelling The breasts appear Breasts increase due mostly to swelling Little to no lasting tissue growth at this point True breast growth is a slow and progressive pprocess to be very large in size Tension Growth 1 Khouri RK Schlenz Murphy BJ Baker TJ Nonsurgical breast enlargement using external soft tissue expansion system Plast Reconstr Surg 2000 105 250 251
10. surrounding soft tissues This ability of the tissues to grow under the effect of tension has been extensively demonstrated and carefully studied in all types of tissues including skin bone nerves muscle viscera cardiovascular and pulmonary tissue As a matter of fact it is well recognized that under the persistent effect of gravity the larger heavier breasts grow progressively downward with time In contrast to this undesirable uni dimensional downward pull the Brava System applies a multi dimensional pull that grows and fills the breasts with new tissue see Figure 4 Figure 4 Effects of Gravity Gravity causes ong Lei ta on The Brava System causes large breasts to the breast to grow in all grow downward directions Most growth is 9 focused in the upper portion of the breast Most growth is focused in the upper portion of the breast How do tissues grow in response to tension The body s cells are constantly under the influence of mechanical forces They have the ability to sense these forces and adapt to changes When a gentle sustained pull stretches the cells they become flattened and they respond to this tension by replicating until the perceived gap is filled and the normal equilibrium state is restored The outcome is new tissue growth This crucial homeostatic process encompasses several tightly integrated biochemical cascades involving growth factors cytoskeletal components and protein ki
11. washable tote bag After wear first remove the domes and the SportBox from the bra Place the bra inside the tote bag and launder in cold water using the gentle cycle The bag will protect your other articles from possible damage from the Velcro straps We recommend that both bra and laundry bag be dried flat WARNING Never launder the bra with the domes and SportBox attached Laundering of domes and SportBox will cause severe damage to each How often should I change the filter on my SportBox It is recommended to alternate filters daily to allow thorough drying before the next use If you perspire heavily when using the System you will need to change them more often When using for longer than 10 hours per day filter should be changed twice during this time See the section on Filters on page 25 I noticed water droplets inside the domes shortly after I put on the System Is 35 that normal Yes perspiration may bead up on the inside surface of the domes This is normal and should not be a cause for alarm Does the room or outside temperature need to be considered before wearing the Brava System Yes You will want to wear the Brava System in a comfortable environment Never wear the domes in extreme heat If any skin discomforts occur discontinue use and contact your physician Can I leave the Brava System in my car when I am not using it It is not advisable to leave the Brava System in your car or outside in direct su
12. wearing the System Please familiarize yourself with this section Tips 5 Avoid placing the Brava System including the domes in extreme heat or extreme cold temperatures Never dry any components in direct sunlight Never place any of the Brava System components except the bra in any automated washing or drying devices e g washing machines dishwashers microwave ovens electric dryers etc Never leave the Brava System in your car Extreme heat or cold will damage it Keep all components out of reach of children Improper use could result in suffocation Keep all components away from pets One of the most common reasons for the domes to lose their tacky surface is coming in contact with pet hair Please keep the Brava System domes covered in their protective storage Use only AAA alkaline batteries For optimum performance use same brand of batteries and change both batteries at the same time Discontinue use if you experience any skin changes such as a significant rash or skin blistering If any changes occur call your physician immediately 5 Do not wear the Brava System during any type of exercise activity e g swimming running lifting weights 5 Never shower with the SportBox 5 The Brava System cannot be shared for reasons of hygiene Note To ensure proper dome adhesion and to avoid skin irritation before placement of domes be sure 1 Your chest area is completely dry 2 The No Sting Akin
13. will lose your seal more quickly and over time this will damage the domes 3 If you are still unable to obtain a good seal the tacky sole may need to be cleaned Please review cleaning instructions on page 24 4 Check to see that domes are not damaged Any open area between your skin and the soft gel rim can cause a leak in the system Excessive pilling or balling on the domes tacky gel surface can also indicate damaged domes However some pilling or balling is normal with use Breakdown of the tacky surface can inhibit achieving a good seal In this case you will need to order a new set of domes Be sure you are cleaning your domes daily and are using the proper products see page 24 33 5 If you are unable to achieve a proper seal you may have outgrown your current dome size You may need to progress to the deeper size domes If your nipples touch the inside of the dome you will need to move to the next larger dome size As a rule when the distance between the nipple and inside of the dome is approximately 1 2 at peak swelling ie at the end of your 10 hour session while your system is on and under vacuum pressure you should move to a larger size dome If the alarm on the SportBox sounds what does this mean and what should I do Silence the alarm by pressing the alarm button and also turn off the SportBox The alarming indicates the Sport Box pump has been running for 10 minutes indicating you could have lost a seal Whe
14. with this manual and DVD are Warranty BRAVA and other important information Storage Container The package in which the Brava System is shipped provides the ideal place to safely store your domes It allows you easy access to them as well as protection from dirt and dust keeping your System in optimum rag WW Figure 16 Instructional condition to ensure proper functioning It is also the Materials ideal place to let your domes air dry after cleaning Note The deluxe domes rack is available for purchase through Brava Customer Support Instructions for using and maintaining your Brava System Precautions This product is designed to be comfortable to wear If any signs of discomfort occur while you are wearing the Brava System remove it and contact Brava Customer Care 05 at 1 800 407 5304 For any medical questions please contact your healthcare provider The part of the Brava System that comes into contact with the skin dome s tacky sole is covered by hypoallergenic material that has been tested for prolonged skin contact however it is recommend that the Brava Skin Care Line be used daily for extra skin protection Contact Brava Customer Care US at 1 800 407 5304 for more details You should stop wearing the system if you develop symptoms of moderate to severe itching painful swelling skin redness skin irritation bone tenderness or a bruising like sensation in the sternum or rib area Contac
15. 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 1 VII Table of Contents Warnings Precautions Adverse Reactions and Important Information 2 What is the Brava Breast Enhancement and Shaping System 6 What is happening to your body neni 7 Understanding the science behind 9 How is the Brava System used and what results should you expect 13 Overview of the Brava Sport System components 14 a DOMES 14 15 PCONMECIOM UDINE coc 16 d Support Dia isco eristaasceevaueeseeissrdeies Aa EEEE T 16 6 FRETS irap ea aE 7 f SportBox e 7 g adareta a 18 psi 18 Instructions for using and maintaining your Brava 18 a WPPEGAUILIONS o sieniniai EEE TOE ia haan eu atyeutons A bare N dannane rsa 18 b Instructions for putting on the Brava System 19 c Caring for your skin 11 24 Caring for your SPB a RE EA 24 1 Filter replacement and cleaning
16. 38 space is above 1 2 to 2 1 2 from your breast to the inside of the dome when wearing the System at the end of a 10 hour wear session and while the vacuum is on How long should I plan on wearing the System Brava should never be worn for less than 10 weeks However as a rule of thumb you know you are at the midpoint of treatment when before putting the System on for the next 10 hour cycle the increase you see is the breast size you have always wanted If purchased the System from anyone other than a Brava Authorized Physician Brava LLC or an Authorized Brava Domestic or International Distributor willl able to get product support and service No Support is only available on product purchased through Brava LLC or one of the above mentioned resellers How will I know when I should go into the next size dome When the nipple is within 1 2 from touching the inside of the dome NOTE Even though there may be sufficient space at the apex nipple of the dome of the dome if your nipple sits low in the dome and it is 1 2 from touching the sides of the dome you should move into a larger deeper dome 18361 BRA SportMan gxp 012306 Sport Manual sates 4 8 09 4 15 PM Page 39 If I see any skin irritation or experience any discomfort at the mid line of my chest can l keep wearing the System No You should never wear the System if your skin is irritated or experience a bruise like sensation in the chest area or
17. 4 a Final After completing use of the system 10 weeks the breast is enlarged by newly generated tissue After discontinuing its use and once the breasts are stabilized about 3 weeks the remaining tissue shows the increase in breast volume 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 8 8 Each day you wear Brava for at least 10 hours you will notice that your breasts become swollen and enlarged When you remove the System the swelling subsides and your breast volume decreases In fact each day you put the Brava System on and then take it off you are going through the Brava growth cycle As the weeks progress and you repeat this seesaw on and off process you will slowly begin to notice that after you have had the domes off for a prolonged period of time your breasts no longer experience a significant decrease in volume You are now experiencing tissue growth along with the accompanying swelling the amount of growth you are experiencing is about a droplet a day As a rule of thumb you know you are at the midpoint of treatment when before putting the System on for the next 10 hour cycle the increase you see is the breast size you have always wanted The new tissue growth covers the entire breast area since Brava was designed to grow breast tissue in every direction Many Brava users take weekly photographs of their progress to help them remember their starting point While this may seem u
18. KIN IRRITATION REDNESS ITCHING OR TENDER RIBS STERNUM 5 MOVE TO A DEEPER DOME SIZE OR DISCONTINUE USE IF THE NIPPLE OF YOUR BREAST REACHES WITHIN 1 2 INCH OF TOUCHING THE DOME 5 DO NOT WEAR WHILE SHOWERING BATHING SWIMMING OR DURING ANY 2 OTHER WATER RELATED ACTIVITY 9 THE BRAVA SYSTEM SHOULD NOT BE WORN BY WOMEN WHO ARE NOT FULLY DEVELOPED UNDER THE AGE OF 18 OR THOSE WOMEN WHO ARE HAVE PREGNANT Use of the Brava System may begin 3 months after giving birth unless breastfeeding BREASTFEEDING Use of the Brava System can begin as early as 3 months after terminating breast feeding however in some cases lactation can occur therefore it is suggested that use begin 3 months post lactation FAMILY HISTORY OF BREAST CANCER MOTHER or SISTER If your mother or sister was diagnosed with pre menopausal breast cancer breast cancer occurring before the menopause then we do not recommend wearing the Brava System If your mother or sister was diagnosed with post menopausal breast cancer breast cancer occurring after menopause you may use the System after you complete a screening mammogram and a breast exam These guidelines are recommended prior to use and are currently used by plastic surgeons prior to any type of cosmetic breast surgery 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 3 HISTORY OF AN ABNORMAL MAMMOGRAM OR BREAST BIOPSY HISTORY OF SEVER PAINFUL FIBROCYSTIC BREAST CHANGES
19. OF 10 HOURS OF DAILY WEAR TO WEAR THE SYSTEM FOR AS LONG AS YOU WISH INTENSIVE WEAR OVER THE REQUIRED MINIMUM 10 CONSECUTIVE HOURS PER DAY AND LONGER CONSECUTIVE WEEKS OF WEAR WILL LEAD TO BETTER RESULTS 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 6 What is the Brava Breast Enhancement and Shaping System The Brava Breast Enhancement and Shaping System is the only scientifically proven nonsurgical alternative for breast enlargement that exists today The Brava System stimulates natural growth of the breasts without drugs creams or implanted materials As a result the breasts become enlarged and lifted by the addition of more of your own breast tissue The Brava System looks like a sports bra but it is actually placing a gentle sustained tension on the breasts that induces new tissue growth The medical principle behind the System is known as tension induced tissue growth and has been used in medicine for over 30 years in other reconstructive procedures The Brava System utilizes negative pressure to apply a gentle three dimensional pull on the breasts inducing the slow growth of your own breast tissue over the treatment period see Figure 1 The initial clinical study published in the peer reviewed scientific medical journal Plastic and Reconstructive Surgery showed that women who consistently wore the Brava System for 10 consecutive hours per day for a consecutive 10 week period grew an average of 100 cc
20. acket thoroughly 2 Complete the product registration card and mail 3 Ifin the US call 1 800 407 5304 Option 5 M F from 9 00am to 6 00pm EST to arrange a convenient time to review the proper set up and use with your Brava Coach Step 3 Insert the 2 AAA alkaline batteries into your SportBox Turn your system on by pressing the SportBox power button and listening for the whirl of the vacuum pump Once you hear the vacuum pump you can turn it off by pressing the power button a second time NOTE BATTERIES TYPICALLY LAST APPROXIMATELY 2 WEEKS AND MAY BE REPLACED AS NECESSARY 18361 BRA SportMan qxp 012306 Sport Manual nage 4 8 09 4 15 PM Page 20 20 Step 4 Prep Skin Each day just prior to putting the domes on clean your breasts and the underarm area with the Brava Skin Cleanser and water rinse thoroughly and dry the chest area completely This important step will remove the layers of dead skin cells from the area where the dome makes contact with your skin It is important to also cleanse the underarm area to remove any deodorant powder or moisturizer that can come in contact with the dome s tacky surface Apply the No Sting Skin Prep to the area where domes come in contact with the skin and allow this area to dry thoroughly 8 to 10 minutes before placement of domes If using hair conditioner in shower be sure to wash chest area with Brava Skin Cleanser to remove residue It is also very important to clean the
21. acky surface Never dry domes in direct sunlight Never use harsh chemicals on the dome s tacky surface Never use any product that contains any antibacterial product or moisturizing product to clean the domes When drying keep domes in the stackable cardboard racks inside the storage container This will keep dust and pet hair from sticking to the surface What can do if I cannot get a proper seal with each dome First check to see that all connection ports are well secured Domes to T tubing T tubing to filter screw cap Filter to Sport Box and Domes snug to the skin 1 If there are any gaps between the skin and the domes tacky rim apply gentle but consistent pressure with the palms of your hands pressing the domes snuggly to your chest Maintain this pressure to eliminate air entering around the circumference of the domes until the seal is fully achieved and the Sport Box pump sound has stopped Due to anatomical differences you may find the need to vary the position of your domes to customize the fit to your ribs and chest See Figures 22a and 22b below for some 32 suggestions that may be helpful 2 If your chest area is slightly damp or the No Sting Skin Wipe is not sufficiently dry you will not be able to achieve optimal pressure or get a seal To correct this remove the domes and wash your complete chest area again with Brava Skin Cleanser rinse well and dry thoroughly Then re apply one No Sting Skin Prep only one per wea
22. ce complies with Part 15 of the FCC rules Operation is subject to the following two conditions 1 This device may not cause harmful interference and 2 this device must accept any interference received including interference that may cause undesired operation Federal Communications Commission
23. domes every day after use We suggest using the Brava Dome Cleanser for best results The Brava Dome Cleanser eliminates the chance of bacteria buildup and restores the tacky surface After cleaning rinse thoroughly 4 to 5 times shake to remove excess water and allow domes to air dry each day using the racks which house the domes In addition to proper hygiene it is recommended that you use the other Skin Care products that cleanse protect and moisturize your skin while using the Brava System Good hygiene and use of the Brava Skin Care products has been tested and proven to minimize the chance of skin irritation Step 5 Connect filter to top of SportBox Gently connect filter threaded side down to the port located on the top of SportBox Over tightening of filter to SportBox may result in damage to the connected filter and SportBox Set aside the connected filter and SportBox for later connection completion Step 6 Put bra on Put the Brava support bra on and zip completely over bare chest Disconnect shoulder straps Lower zipped bra to waist area Step 7 Remove the protective seal on the domes Remove the plastic tamper resistant sheet on the bottom of the domes The domes are marked with an R for right and an L for left Prior to wear be sure that the adhesive sole is See Caring for your skin and domes 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 21 clean and free of any fore
24. e s tacky surface Apply a small amount of Brava Skin Lotion to soothe and nourish the skin after you wash chest area or shower using your normal bath soap If I notice that my domes are losing their tackiness or stickiness what can I do Be sure to clean the tacky surface on each dome daily after use with the Brava Dome Cleanser or Baby Shampoo or Ivory Bar Soap lather Usually the dome s seal can be greatly improved by simple cleaning Spray on leave for 5 to 15 minutes then place the dome in the sink to rinse thoroughly and shake excess water off Domes should be air dried by placing them upright Brava dome racks can be purchased by calling Brava Customer Care Next clean each side of your chest area where the domes will be placed and also your underarm area You can wash your chest area with soap and a washcloth This will remove any dead skin cells and allow for a better seal Dry this area completely prior to repositioning each dome A good seal is important to achieving true tissue growth A decrease in tackiness can cause you to loose pressure inside the domes Daily cleaning removes dirt and grime and helps to restore the tacky surface to the soles of your domes not more than 15 minutes 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 32 Do not use moisturizer powder or deodorant when you are wearing the System Never use paper products or towels to dry the domes as lint or paper may adhere to the t
25. e SportBox on and off activating the sensor and pump The second switch located at the bottom turns the alarm on and off The alarm alerts the user when the integrity of the vacuum seal is broken and the System cannot work properly The alarm is manually enabled at the discretion of the user and is generally utilized when the System is worn to bed After 10 minutes without a seal the alarm will sound for one minute repeatedly alerting the wearer of lost pressure The alarming sound will shut off after one minute and if not addressed will automatically shut off the SportBox The SportBox also has a vacuum port centered at the top to be connected to the domes via T Connector tubing an exhaust port located at the rear top enables the air to escape from the pump and a battery compartment in the back of the housing The SportBox has a built in sensor that reads the vacuum in the domes every 2 3 seconds When the vacuum drops below 15mmHg millimeter of mercury the pump will automatically start The pump stops when the vacuum reaches 33mmHg The vacuum levels cannot be changed manually Figure 11 SportBox The SportBox is powered by two alkaline AAA batteries a 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 16 16 T Connector Tubing For the SportBox to create an airtight environment within the domes a system of thin tubing is used to connect it to the domes see Figure 12a The tubing is con
26. e tissue True breast growth is a slow and progressive process It is the result of the gradual accumulation of small daily increments of newly generated tissue Figure 5 illustrates the expected daily growth pattern when the recommended treatment protocol of 10 hours per day of use is followed 10 During the 10 consecutive hours of wear tension induces the breast to gradually enlarge Over the subsequent 14 hours of non use the reversible swelling is gradually lost and a small residual amount of true tissue growth remains The next day the cycle is repeated and daily cycles build up upon the previous ones With consistent wear the result is a seesaw growth pattern as the daily process is repeated again and again This response curve is reminiscent of the winding and unwinding of a spring and is typical of what happens with many medical treatments The Brava System is a medical Figure 5 Daily Growth Chart device and the medical profession expects people to Brava System Daily Growth Profile with Recommended Use respond somewhat differently to any given medical treatment 10 hours 14 hours of wear wear Every Brava user will not respond in the same fashion to the same treatment dose and different doses amount of use are normal and may be required to achieve the desired result Our research indicates that we can expect three types of responses among Brava System users Breast Volume Change 18361 BRA Spor
27. es will adhere to the body creating a seal when they are placed against your skin and the vacuum is achieved by SportBox see Figure 9 Due to the differences in body shapes each user s starting dome size will be determined based on certain measurements Once your dome size is determined you will receive one 1 pair when you order the Brava Sport As your breasts grow you may outgrow this initial pair and therefore move to the next larger deeper set of domes Your nipples Figure 9 Domes should never touch the inside of the domes when the System is activated or the System will not function properly Call Brava Customer Care to purchase the next larger dome size 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 15 There is a right and a left side to each pair of domes They give the appearance of natural contours and shapes enabling you to wear the device at any time while awake or asleep most women prefer to wear it in the evening A small port at the lower portion of each dome is connected to the SportBox with the T Connector tubing see Figure 10 Do not cut tubing on initial use see page 22 Figure 10 Dome Port SportBox The SportBox see Figure 11 consists of a microprocessor sensor and miniature pump This component creates and regulates the gentle pull or vacuum pressure 15 33mmHg within your domes 15 The SportBox has two power switches The top switch turns th
28. ese do not replace the antiseptic function of te dome Antiseptic Cleanser Be particularly careful as you use your fingertips to gently wash the adhesive soles of each dome and do not allow a washcloth or any paper product to come in contact with the tacky sole of the domes see Figure 18 Note Never scrub the domes when cleaning This will damage the adhesive sole and render the device inoperable After use clean your skin apply Brava Body Lotion to your chest area This will soothe your skin and help to reduce any irritation Wash all lotion off prior to reapplication of your domes Caring for your SportBox After each daily use remove the filter from Sport Box and disconnect filter from T tubing be sure not to discard the screw connector on bottom of T tubing for filter connection Remove the rubber port cover with 3 tiny pinholes from the top of the Sport Box and turn the Sport Box upside down and place it in an EMPTY cleaning tray with the Pink POWER and ALARM buttons facing the word Brava on the cleaning tray Sport Box will not fit in any other position The rubber port cover can be placed on the small post at the right side of the cleaning tray for safe keeping until the process is complete Allow the Sport Box to remain on the tray all day until its next use See Filter Use on next page If your Sport Box fails to start or fails to turn off first try inserting 2 new batteries If this fails contact your Brava Custo
29. etrical breasts or inverted nipples No clinical studies have been conducted to show any benefit positive or negative 18361 BRA SportMan gxp 012306 Sport Manual sates 4 8 09 4 15 PM Page 4 4 Precautions 5 This product is designed to be comfortable to wear If any signs of discomfort occur while you are wearing the Brava System remove it and contact Brava Customer Care US at 1 800 407 5304 For any medical questions please contact your healthcare provider 5 The part of the Brava System that comes into contact with the skin dome s tacky sole is covered by hypoallergenic material that has been tested for prolonged skin contact however it is highly recommend that the Brava Skin Care Line be used daily for extra skin protection and that the Brava Dome Cleanser be used to extend the life of the domes Contact Brava Customer Care US at 1 800 407 5304 for more details 5 You should stop wearing the system immediately if you develop symptoms of sternum or rib tenderness moderate to severe itching painful swelling skin redness or irritation Contact your health care provider for any medical questions 9 The domes are made of materials that should not be punctured sliced or stored at temperatures below 35 F or above 120 F Avoid placing the domes in a location with severe temperatures such as a car s trunk in summer weather as the System could become damaged Adverse Reactions The potential adverse reactions which
30. f Sport Box looped over white vacuum port with 3 tiny holes e Hang port cover on the small peg at right side of cleaning tray with Brava logo facing you for proper aligment and also as a reminder to replace port cover when process is complete 5 Turn Sport Box Power ON audible Beep and Alarm OFF Silent No Beep to allow pump to run indefinitely not just 10 minutes Turn Sport Box upside down with pink buttons facing Brava logo on tray and place inside the DRY tray until desired time is reached Note Box will only fit in cleaning tray if properly aligned Severe cases of moisture buildup may require longer drying process When process is complete replace rubber port cover carefully over white vacuum port 9 It is recommended to change batteries every 7 10 days to avoid loss of power during a wear session or while sleeping causing loss of your daily therapy session requiring make up time Please Note See Instructions for Wet Cleaning Process and consult with a Customer Care Representative before performing this process Also Note PRIOR to each Wet Clean Process perform a 1 2 hours Dry Clean Process the follow up again with a 3 5 hours Dry Clean Process after Wet Cleaning Insert new batteries in Sport Box prior to next wear session 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 27 SportBox Wet Cleaning Procedure The SportBox wet cleaning procedure should be used only if you encounter a p
31. ft bra but avoid flattening the breast tissue If you are planning on wearing low cut apparel after using the System be sure to allow at least 1 hour for the redness to dissipate Using the Brava Body Lotion after removing the System helps to reduce redness Can I use the Brava System if I am taking hormones Yes You can use the System while taking birth control pills or while on hormone therapy 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 38 Is there any way for me to track my results A great way to help you track your progress is to use a formed or molded bra in a size larger than you usually wear AA cup would get a molded A bra and take weekly pictures of yourself in this bra from different angles front side semi oblique at end of non wear period not immediately upon removal You will notice that you will begin filling out the bra more and more as the weeks go by Most women tell us that they notice most of the growth in the upper portion of the breasts they start to see the cup filling up and some cleavage How do I know whether I had a successful night wearing Brava when I was sleeping Having visible swelling in the morning when you first remove the System is confirmation that you had a successful therapeutic session The domes seem too large for me How do I know that I am in the correct size There should always be space between your breasts and the inside of the domes Proper
32. ign material You can check for proper placement by making sure that the dome ports at the bottom of the domes face inward If your height is greater than 5 7 tall place the lowest edge of the domes at 1 3 4 inches from breast crease this will allow proper airflow around the breast and an optimal fit over the rib cage Step 8 Placement of domes The domes should be placed on your body one at a time please refer to Diagram 1 Hold the sides of the soft rim between your thumb and fingers Gently rotate the dome s soft gel rim away from your body by turning your Figure 17 Outward Dome Rim thumbs away from you Ensure that all of your breast tissue is completely inside of each dome by leaning forward See Figure 17 Leaning forward allows gravity to assist with the proper placement of your breast inside the dome In most cases the breast crease is approximately 1 1 2 from the lowest edge of the dome s gel rim 21 Repeat this process with the other dome The tacky surface on each dome s sole will assist in holding the domes on the chest until you finish putting the System on Place the palm of your hand on the top of the dome to offer support until the bra is zipped You will also need to use one forearm to hold first dome in place while applying the second dome to maintain a flared gel rim Side View Step 9 Ensuring proper placement of domes Once each dome is in place inspect the area where the dome
33. in breast volume or approximately one cup size This true breast enlargement was the result of healthy natural breast growth and persisted more than 2 years after they stopped using the 5 Brava System A second clinical study confirmed these results Figure 1 Brava Action Graph Breast Volume Increase Use Period weeks Follow up Period months Discontinued Using the Brava System The principle of tension induced tissue growth is used widely by the medical profession for many procedures including tissue expansion limb lengthening and breast reconstruction In the post mastectomy breast reconstruction surgeons insert a tissue expander a silicone bag under a 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 7 the residual breast tissue and gradually inflate it to create an internal tension that generates the tissue necessary for the breast reconstruction The creators of Brava have taken this principle and instead of an implanted device pushing from the inside developed a patented process and design that applies the force non invasively from the outside to enlarge all the soft tissues of the breast What is happening to your body The Brava Breast Enhancement and Shaping System is the only medical device that uses in vivo tissue engineering for cosmetic enhancement The Brava System works by placing gentle tension three dimensional pull on the breasts This process when sustained results in new
34. inutes If this occurs alarm will begin to beep repeatedly To stop the beeping press both the Alarm and Power buttons twice each once to turn Power and Alarm off and once to turn them back on Return to pressing domes toward chest until SportBox pump turns off indicating that seal is achieved Once this initial seal has been achieved and the pump shuts off it is normal for the pump to reactivate from 1 to 4 times to regulate pressure as needed The pump will autornatically shut 23 off in less than 2 minutes once correct pressure has been regained This requires no action on your part If you are still unable to get the initial seal refer to the Frequently Asked Questions section What to do if the pump on my SportBox does not turn off Step 14 Wearing the System If the nipple is touching the dome once the vacuum has been created you should check that your dome is properly aligned under the inframammary crease If the alignment is correct but your nipple continues to touch the dome you should discontinue use and contact Brava Coach or Customer Care to confirm dome size and or order deeper domes During sleep if the pump has been vibrating for more than 10 minutes the alarm continuous beeping will alert you that the seal has been lost providing that the alarm was activated In most cases by gently pressing the domes toward your chest a seal can be achieved and the System begins to restore the correct vacuum pressure NOTE I
35. is recommended that the Brava System be worn as intensely 10 hours per day as possible especially for those Slow Responders younger women who had no children and have very small breasts and those body types mentioned above Figure 7a Average Responder Figure 7b Average Responder Normal Growth Average Growth Brava System Average Responder Accumulated Growth with 1 Intensive 2 Recommended and Effect of Missed Day 12 Breast Volume Change Breast Volume Change Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 The Brava System induces tissue growth only when it is allowed to apply continuous and persistent tissue tension over prolonged periods As important as the daily cycle of adequate use followed by non use periods the progress loss incurred by missing an entire day of use is substantial Figure 7b illustrates the loss of progression that is experienced when the Brava System user misses a whole day of treatment By missing Day 6 for example the volume loss continues until the system is used again on Day 7 As the growth curve reveals missing treatment Day 6 brings back the volume growth to a Day 2 level Missing that single day of treatment interrupts the required daily accumulation and sets back the growth chart by 4 days Failure to use the System for at least 10 hours over two consecutive days requires 2 weeks of additional compensatory wear time In addition failure to use the system for any 3 days over a 2
36. l breasts and or are very thin with low body fat and or are heavy exercise enthusiasts with high aerobic concentration They accumulate less volume during the wear cycle and lose it more rapidly during the non wear time Pursuing the spring analogy they have a small and stiff spring that is a poor accumulator They end up unable to build upon the previous day of wear and despite repeated daily cycles their growth curve fails to take off from the baseline volume to grow tissue These women require a larger dose to achieve a response Therefore it is recommended that Slow Responders may want to use the device longer than 10 hours per day and for additional weeks or cycles of wear to achieve lasting growth 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 12 While we recommend a minimum of 10 consecutive hours a day of wear the effect of varying the intensity of wear is depicted in Figure 7a for an average responder If the Brava System is worn for only 7 hours per day curve 3 there is less daily volume growth and more time to lose that growth during the rest of the day This sub therapeutic wear pattern is unable to build upon successive cycles and as a result there is no breast tissue growth The spring is completely unwound every day and the required day after day accumulation fails to occur On the other hand with 14 hours per day of wear curve 1 the same average responder will grow very rapidly Therefore it
37. lease the debris the system must be manually flushed with the assistance of the syringe When using the syringe follow these steps WARNING NEVER TURN YOUR SPORTBOX UPRIGHT WHEN WET CLEANING IF TURNED UPRIGHT LIQUID CAN ENTER THE SPORTBOX AND WILL RESULT IN SERIOUS DAMAGE CONTACT BRAVA CUSTOMER CARE 1 Remove the syringe from the cleaning kit 2 Fill the cap of the isopropyl alcohol bottle with only alcohol 3 Take the syringe and fill it with 3cc of the isopropyl alcohol 29 4 Remove rubber port cover from the SportBox Turn the SportBox on Initially you will hear a single beep Later you will hear the pump activate 5 Hold the SportBox in the inverted or upside down position during this emergency cleaning procedure You should hold the SportBox over a sink so that the alcohol can empty safely 6 Gently twist the end of the syringe into the vacuum port small tube located at the top of the SportBox and empty syringe into port 7 Turn the alarm off and place in empty cleaning tray to cycle and dry for 3 5 hours prior to use The Sport Box should activate eventually if not immediately while drying If not contact Customer Service for assistance 8 Replace rubber port cover and store SportBox 18361 BRA SportMan gxp 012306 Sport Manual sates 4 8 09 4 15 PM Page 30 30 Helpful tips and frequently asked questions FAQs Listed below are helpful tips and FAQs to ensure that you get the full benefit from
38. meets the skin to ensure that the dome sits comfortably on your Sele View Body body and that it is properly aligned under the inframmamary crease Make sure that there are no skin folds under the adhesive sole as these folds will act as air channels and prevent the formation of a good seal See Diagram 1 Breast Mammary Fold Inner Fold Any gaps at the sides of domes will be addressed in a later step Y Gel Rim Cross Section 7 lt Breast Crease inrammary fold q 11 2in wen Diagram 1 Fitting the Domes 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 22 Step10 Attach tubing to domes Connect the end of each tube to the port located on the lower section of the dome ensuring a tight fit Even though the tubing appears to be too long do not trim Only trim frayed or stretched ends of the tubing as you use the System to help ensure a tight fit on each dome port Picture 1 Domes On Picture 2 Placement of Picture 3 System On SportBox 22 Two semi rigid plastic domes with specially Consistent vacuum pressure of approximately The Brava System is held in place with a engineered silicone gel rims are placed over 15 33mmHg is maintained by the sports bra the breasts SportBox a small battery powered micro computer controlled vacuum pump Step 11 Application of bra over domes tubing Do not connect SportBox yet Once you are satisfied that the domes a
39. mer Care US 1 800 407 5304 Select Option 2 to be instructed on how to WET Clean your Sport Box see page 27 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 25 Filter replacement and cleaning Using the in line filter can help maintain the proper functioning of your SportBox Inside your System is a package of filters a small clear plastic disk with two attachment ports at either end By using the in line filter you will only need to use the Wet Cleaning Procedure in case of product failure Replace filters To attach the filter to your System follow these simple steps 1 Take the male end threaded port and attach it by gently twisting it on to the port on the SportBox Over tightening can damage the exhaust port on the SportBox Figure 19 SportBox with filter attached 2 Take the bottom end of the T Tubing with the connector and twist it into the top end or female end smooth port of the filter until it is secure Filter Use For best results we recommend that filters be rotated daily to allow sufficient drying time We suggest labeling each filter with the day of the week Mon Sun to help remember which filter to use each day Rotate them weekly If you perspire more than average or wear more than 10 hours in one session you may need to clean or change the filters more often In time the filter will clog with perspiration and other particles When the filter is clogged the SportBox
40. n addition to breast enlargement This is because the ptotic breasts have an already stretched out skin envelope in relation to the tighter retracted contents The pull of the Brava System goes through the lax skin to directly affect the contents inducing them to grow As a result the breasts become fuller firmer and lifted see Skin taut buf not expanded k Content Figure 8 Seite 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 14 Overview of the Brava Sport System Components The Brava Sport is sold as a kit and contains the following components Domes each consisting of a semi rigid shell with a tacky silicone sole base The Brava Sport comes with one pair of domes Larger domes may be necessary in the future depending on growth level One SportBox self regulating microprocessor powered by two AAA alkaline batteries One T Connector tubing One support bra and tote bag used for washing bra Filters 10 filters per pack SportBox cleaning kit cleaning tray and syringe Instruction material in written format Storage container Each element of the Brava System plays a critical role in the proper functioning of the product and ultimately in the results you will experience sa Please familiarize yourself thoroughly with each component to get an understanding of its role in the System Domes The semi rigid domes of the Brava System have a tacky silicone sole The dom
41. n the seal is broken for a period of 10 minutes and the alarm is on the alarm will automatically sound with a continuous beeping noise for 1 minute After reseting both the POWER and ALARM button ON gently press both domes toward your chest and maintain pressure to help remove excess air inside each dome Be certain that all edges of the domes are smooth and not rolling inward and that each area of the domes tacky surface is properly adhered to your chest area This process allows the SportBox to re pressurize the domes quickly The alarm is activated when you hear a single beep Pressure has been achieved when POWER button is pressed and you hear only a single Beep with no vibration 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 34 I do not want others to hear the alarm If I monitor it myself can I keep the alarm off Yes you may choose to keep the alarm off The alarm button is located on the lower right side of the SportBox The alarm is activated when you press the ALARM button and hear a single beep To deactivate the alarm press the ALARM button and you hear no beep Note It is recommended to always use the alarm feature during wear to avoid lost therapeutic time Otherwise if the seal is lost and you are not aware of the loss in pressure the motor will run continuously until the batteries die providing no therapy during this time What do do if the pump in my SportBox does not turn off There
42. nases When the Brava System is activated cells in the breast are placed under tension In response to this tension they restore the normal balance by making new cells During the entire treatment phase the cells are kept under sustained gentle tension and the breasts progressively grow in size 1 Khouri RK Schlenz Murphy BJ Baker T J Nonsurgical breast enlargement using external soft tissue expansion system Plast Reconstr Surg 2000 105 250 2514 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 10 GROWING TRUE BREAST TISSUE REQUIRES SUSTAINED WEAR PATTERN TIME AND PATIENCE TRUE CHALLENGE IS COMPLIANCE It takes nearly 10 years for nature to develop and grow a woman s breasts The Brava System is a natural process it will not outpace nature Our research has shown that at least 10 weeks of sustained uninterrupted treatments for a minimum of 10 consecutive hours per day are required to achieve a modest one cup size growth This is because the cells need time to sense the need to proliferate to respond to the growth stimulus and to gradually deposit new tissue In fact the rapid visible growth when the system is first worn is almost all due to reversible swelling with little or no tissue growth True tissue growth does not start taking place until the cells have been under constant tension long enough for them to sense the need to restore their normal resting state and to then gear up to manufacture mor
43. nected to each dome in line filter and the SportBox vacuum port Figure 12a T Connector Tubing Figure 12b Tubing and filter Note The connections must be airtight in order for the System to work correctly As illustrated in Figures 12a and 12b the tubing should be connected to the filter which is then connected to the SportBox port Excessive force should not be used when tightening the filter or the port may crack Support Bra The outer support garment is designed to hold the System in place and resembles a sports bra see Figure 18 It has been designed specifically for the Brava System and it comes with a washable drawstring tote bag for easy laundering The bra s back straps are lined with Velcro and may be adjusted for a more comfortable fit The bra also has a Velcro lined inside pocket where the SportBox is held in place Figure 13 Support Bra Note If bra is pressing too tightly on domes this may cause painful pressure to the ribs and sternum area If you experience this pressure loosen the bra a 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 17 Filters Each Brava System comes complete with one package of 10 filters These filters when used as directed protect your SportBox from the effects of perspiration that can clog and inhibit the proper functioning of your System We recommend rotating the use of the filters daily and alternating them weekly Note label 7 filter
44. nlight Any extreme heat or cold will affect the action of the System 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 36 When I remove the Brava System I noticed my breasts are slightly red and there are red marks in the area where the domes come in contact with my skin Is that normal Yes You will notice temporary redness to the breast area but this should disappear within 1 or 2 hours after removing the System To care for your skin while using the Brava System it is recommended that each day after removal of the System you clean your chest area with the Brava Skin Cleanser rinse thoroughly and pat the area dry Next apply a small amount of Brava Skin Lotion to soothe the area If redness persists or if you notice any other skin changes discontinue use immediately and contact your Brava Coach Brava Customer Care or Physician as soon as possible When I have the System on my breasts appear larger and red in color is that normal Yes When using the Brava System the gentle tension to the breast increases circulation This causes some swelling and after weeks of use this temporary increase will slowly become true tissue growth If any pain or open skin irritation occurs discontinue use immediately Typically 36 redness disappears within approximately 1 2 hours after removal of the System I noticed that my breast is touching the inside of the dome Is that OK No If you notice that the tip of your brea
45. nnecessary it is a documented fact that even women who have had surgical breast augmentation forget what they looked like prior to their surgery These photographs when taken in a form fitting bra or bathing suit top help to visualize the changes Most Brava users comment that they first notice growth as they begin to fill the upper portion of their bra Some women report that after using Brava their breasts seemed to be lifted The gentle pull of the Brava System places tension on the lax skin which directly affects the content of the breasts inducing tissue to grow As a result the breasts become fuller The added fullness to the upper portion pole of the breast actually gives the effect of a lift to the breasts See Figure 3 Figure 3 Effect on breasts with mild to moderate sagging ptosis after using Brava Saggy breasts have a loose skin envelope The breast content is shrunken Skin taut but not expanded Content ox with pull 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 9 Understanding the science behind Brava The Brava System is based on the scientifically proven principle that our body can grow and generate new healthy tissue when subjected to a gentle and sustained tension Tension or some degree of stretch is good for the cells and is the natural mechanism by which our bodies grow from infancy to adulthood as our axial skeleton accrues in length and stretches the
46. ollowing pillow arrangement 1 pillow under your head to support your neck horizontal 2 pillows one under each arm in the vertical position to support between your elbows and armpit areas 2 pillows one under each knee area pulled closely to your buttocks to relieve lower back stress This places you in a semi reclined position and removes pressure from any one point adds support and reduces the need to sleep on your side Keep your room cool as you are now wearing more clothing than you are used to What clothing can I wear when I have the System on Loose fitting clothes such as a large denim shirt or a man s size oxford shirt seem to camouflage the System best You can also wear a large blousy shirt or a large sweatshirt 37 When I take the System off my breasts are swollen and my nipples are sensitive Is this normal Yes Your body is working hard to grow more breast tissue and increases the amount of blood circulating in that area Your breasts become enlarged and may be sensitive We recommend using a bra in a larger size without a seam Many women prefer a molded seamless cup bra as the seams can cause irritation NOTE After use wear loose clothing It is best to wear lingerie and clothing that does not constrict the breasts after wearing the System Your breasts are swollen and loose fitting clothing helps to keep the tissue swollen for a longer period of time and helps to encourage growth You may wear a li
47. r session Allow No Sting Skin Prep to dry completely before re applying domes 8 to 10 minutes Figure 22a Inward Facing Figure 22b Outward Facing OO OU e Place domes snugly together Secure domes to chest with the adhesive area of the dome 5 Do NOT allow domes to overlap in the middle as this will cause air to escape and lose vacuum seal This may also cause added pressure to sternum causing pain between your breasts 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 33 Try to incorporate all the breast tissue INSIDE the domes rather than allowing the adhesive of the domes to rest on your actual breast tissue Growth only takes place on the tissue INSIDE the open space not under the gel portion of the domes e Remember to flare out the gel portion of the domes ALL the way around the domes By doing this it prevents the soft gel rim from folding under or inside the rigid portion of the domes when the SportBox is activated Do not place the tacky surface on the soft tissue of your breast it should be placed outside the breast tissue area If you accidentally position soft breast tissue on the dome s tacky rim the tissue will be placed under tension as the breast are drawn forward The soft breast tissue when attached to the dome s rim will adhere and place unnecessary friction on the skin area that can become painful and irritated if not corrected If the gel rim is allowed to roll under you
48. re positioned correctly raise the zipped bra over domes tubing Reconnect the shoulder straps with Velcro Your bra is now in place and the vertical portion of the T tubing will be hanging below the bottom of the bra Step 12 Activate the SportBox Turn the SportBox on by pressing the power button then press the alarm button You will hear a beep when the SportBox is turned on or when the alarm is activated Both switches are toggle switches which turn on and off by the same pressing motion Thus make sure that you hear the beep when you turn either the system or the alarm on See page 34 for more information on alarm use 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 23 Step 13 Connect system Connect T tubing that is hanging down from the bra to the filter already attached to the top of the SportBox twist gently to ensure connection Place palm of hand on front of corresponding dome and press domes to chest until SportBox pump shuts off indicating a seal has been achieved By maintaining this manual pressure on the domes any gaps at side of domes or other potential air leaks are closed off until the pump generates enough vacuum pressure to secure the domes It is important to remain in a still and standing position while doing this so that progress toward achieving seal is not interrupted The seal is normally achieves in 2 10 minutes However the deeper domes may require the slightly longer than 10 m
49. rib Remove the System and call a Brava Coach for advice on when to re start the System and how to avoid these issues Can l use any tapes or Band Aids to cover tender areas while wearing Brava Never use any restrictive items such as tapes or Band Aids anywhere where the domes make contact with the skin or on the skin inside the domes Your breast tissue will expand during your 10 hour wear session and the bandaged area will not This may cause blistering and thus cause set backs due to the inability to wear the System while these areas heal If I need product support or need additional accessory items how can I contact you If youneed product support or need to order any accessory items you may call 1 800 407 5304 option 2 Monday through Friday from 9 00am to 6 00pm EST or email customersupport brava com Please have your UIN Unique Identification Number available when you call Your UIN number 39 an eight digit number is located inside the battery compartment cover and on the outside of your SportBox packaging This number identifies you as a registered Brava user and will help us to serve you better If you are just starting Brava and wish to set up your coaching appointment please call 1 800 407 5304 option 5 Leave your name your telephone number and the best day and time to reach you anda Brava Coach will contact you 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 40 40 FCC REQUIREMENTS This devi
50. roblem with your SportBox Please contact Brava Customer Care before attempting this procedure Prior to starting the wet cleaning process place the SportBox upside down in a dry cleaning tray While upside down turn on the SportBox for 2 hours When complete proceed to the wet cleaning process After wet cleaning follow with a 3 5 hour dry cleaning cycle before the next wear session Port cover storage post 27 Figure 21 Cleaning Kit Figure 20 Cleaning Tray and Add 1cc of tap water Syringe Add 1cc of alcohol WARNING NEVER TURN YOUR SPORTBOX UPRIGHT UNTIL THE DRYING CYCLE IS COMPLETE IF TURNED UPRIGHT WHILE STILL CYCLING ANY MOISTURE INSIDE THE SPORTBOX CAN CAUSE SERIOUS DAMAGE TO THE MOTOR CONTACT BRAVA CUSTOMER CARE AT U S 1 800 407 5304 FOR FURTHER INSTRUCTIONS Using the included cleaning tray and syringe follow these steps Remember to do a 2 hour dry cleaning prior to the wet cleaning process 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 28 28 _ w Remove the syringe and cleaning tray from your container box Fill the syringe to with isopropyl alcohol rubbing alcohol Empty the syringe into the side of the cleaning tray marked Fill to line See Figure 20 Then fill the syringe with an additional of cool tap water Empty the syringe into the side of the cleaning tray marked Fill to line You will have 2 of the 50 50 mixture of
51. s with a different day of the week for better tracking Filters can also be cleaned or additional filters may be ordered within the US by calling Brava Customer Care To attach the filter take the threaded port male i Figure 14 Filter SportBox with end located on one end of the filter and twist filter and tubing attached on to the top end or port of SportBox until secure Note Do not twist too tightly Excessive force can damage the port on the SportBox Attach the filter to one end of the tubing and the other end to the top of your SportBox see Figure 14 SportBox Cleaning Kit If your SportBox is not shutting off after the domes are correctly positioned and a good vacuum has been achieved or your SportBox does not turn on salt particles may have formed inside from perspiration buildup Cleaning with a solution of half water and half alcohol may dislodge these particles Your Brava System comes equipped with a cleaning tray and syringe that is used to clean the SportBox see Figure 15 However we recommend contacting Brava Customer Care at Figure 15 Cleaning Tray 1 800 407 5304 prior to cleaning your SportBox to ensure and Syringe proper operation Please see section titled SportBox wet cleaning procedure on page 27 for further instructions on cleaning the SportBox 17 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 18 18 Instructional Material Included along
52. st or nipple touches anywhere inside the dome you should discontinue use immediately and move into the next deeper sized dome When your breast tissue touches the inside of the dome you have outgrown your domes Using the incorrect size ie too small could result in skin changes such as blistering If you are in need of a larger dome size please contact Brava Customer Care to purchase new domes In the US call 1 800 407 5304 Should I experience any pain when using the Brava System You should never feel pain when using the System but remember it will take a few days of adjustment to reach your personal comfort level Brava s patented design allows for a painless experience If you experience any type of pain when using the System please discontinue use immediately Please contact your Brava Coach Brava Authorized Physician or Brava Customer Care Representative as soon as possible If pressure is felt at the mid line area unzipping the bra approximately 1 2 of the way down you may secure it with a safety pin will reduce the pressure If pressure persists discontinue use and contact your Brava Coach or Brava Authorized Physician 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 37 Do you have any suggestions on how to get a good night s sleep if I decide to wear Brava to sleep When you sleep in the Brava System you will need to sleep on your back To help get into a comfortable position we recommend the f
53. t is important that you DO NOT press on domes once the seal has been achieved to avoid potential damage to SportBox To allow skin to acclimate to the domes it is recommended that you only wear the system for 8 hours for the first 2 days If no adverse reactions you may begin wearing 10 hours per day for next 12 days At this point you may wear as many hours per day as you like Additional hours and weeks of wear will enhance your results 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 24 24 Caring for your skin and domes After removing the System each day clean the skin around your breasts with the Brava Skin Cleanser The Brava Skin Cleanser is extremely gentle and will help to care for your skin during treatment The domes should be washed after each daily wear session with the Brava Dome Cleanser which has been especially formulated to clean your domes restore the tacky surface and extend the life of your domes Use of the Brava Dome Cleanser will ensure a longer lasting set of domes Simply spray on entire dome wait 5 to 15 i ud wa minutes and rinse thoroughly with lukewarm water Note Do not allow Dome Cleanser to remain on domes longer than 15 minutes Figure 18 Wash Domes Allow to dry away from dust or pet hair You can also use IVORY Bar Soap made into a lather or baby shampoo DO NOT USE LIQUID SOAPS THAT CONTAIN ANTIBACTERIAL ADDITIVES OR ALCOHOL PRODUCT However please note that th
54. t your health care provider for any medical questions The domes are made of materials that should not be punctured sliced or stored at temperatures below 35 F or above 120 F Avoid placing in a location with severe temperatures such as a car s trunk in summer weather as the System could become damaged Use of the Brava Dome Cleanser will prolong the life of your domes 18361 BRA SportMan qxp 012306 Sport Manual pempe 4 8 09 4 15 PM Page 19 Instructions for putting on the Brava System Please follow the directions carefully to achieve the best results Step 1 Remove components from container box Please ensure that your kit contains the following items 5 1 pair of domes Each dome s hypoallergenic adhesive sole is covered by a tamper resistant safety shield Do not use the domes if the seal has been removed or broken 5 SportBox 5 2 AAA Alkaline batteries 5 T Connector tubing 5 A Brava bra specially designed for the Brava System 5 Tote bag to be used for washing bra Instruction guide booklet 5 Cleaning and maintenance kit 5 Filters 19 5 Storage container 9 Optional STRONGLY RECOMMENDED Brava Skin Care Kit ordered separately Step 2 Important points to follow before getting started To ensure proper use and warranty coverage with your Brava System please be sure that you complete the following before using your System 1 Read the Warnings and Precautions Card inside instruction manual p
55. tMan gxp 012306 Sport Manual sates 4 8 09 4 15 PM Page 11 Figure 6 illustrates the daily growth curves of the A rapid responder B average responder and C slow responder Figure 6 Response Chart Breast Volume Change A Rapid Responders These are the women who notice a change immediately and Women Respond Differently to Brava System 10 hours 14 hours of wear no wear Day 1 Day 2 Day 3 A Rapid responder B Average Responder C Slow Responder who grow rapidly These women usually had pregnancy induced breast enlargement followed by significant volume loss after childbirth They already have some breast volume and their breasts hang down to some extent because the skin envelope is loose they have some ptosis According to the spring analogy these women have a large and compliant spring that is a very good accumulator B Average Responders These are the women who begin noticing a change within the first few days of wear and slowly accumulate tissue growth consistent with Figure 1 At the end of the 10 week cycle they can expect the average 100 cc growth provided they adhered to the 10 hours per day uninterrupted wear pattern C Slow Responders These are the women who with the average recommended wear pattern may not see a change during the first few weeks They have tight and limited amounts of breast tissue They are typically younger and or are non Caucasian and or had no children and or have very smal
56. week period will also require 2 weeks of compensatory wear time a 18361 BRA SportMan qxp 012306 Sport Manual ampe 4 8 09 4 15 PM Page 13 How is the Brava System used and what results should you expect The Brava System requires from the user the commitment and perseverance to consistently wear the device for a minimum of 10 consecutive hours every day for a minimum of 10 consecutive weeks While the average volume gained for every 10 weeks is around 100cc individual responses varied in our experience depending upon body build and intensity of wear Every woman however who used the System as prescribed was rewarded with an improvement in breast size and shape that was her very own natural tissue growth Inconsistent wear pattern by the same token led to disappointing results The Brava System requires commitment dedication and most of all persistence Because of this it is not for everybody The major issue is the inability to wear it for at least 10 consecutive hours a day every day because it may interfere with one s social life and commitments In our experience most women had to wear the System for 12 to 16 weeks to receive a 10 week effective therapeutic dose 13 Before Figure 8 Lift In women who have mild to moderate 9 i Saggy breasts have a loose skin envelope ptosis droopiness of the breasts the bracar content i srwunker Brava System provides a significant amount of breast lift i
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