I have seen this procedure on television, but with the consultations I've had with doctors, no one really seems to want to do it. Is there a reason why? I know the best incision option for me would be through the areola since one of mine is larger than the other and that could be corrected at the same time. But if it wasn't for that, I would want to go through the belly button due to no detectable scarring. Why is this procedure not as popular?
Breast Augmentation Through the Belly Button?
Doctor Answers 35
Trans-Umbilical Breast Augmentation
As a plastic surgeon I understand the appeal of minimizing visible scarring.
My professional ideology and how I approach all my patients is to deliver excellent reproducible results, which are done safely, with minimal postoperative issues. I can achieve these results with a minimal visible scar using an infra-mammary incision. Therefore, I do not perform nor recommend breast augmentation through the belly button to my patients.
Trans-umbilical breast augmentation
TUBA Breast Augmentation
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TUBA - Breast Augmentation Through the Belly Button?
Recent advances in instrumentation make it possible to perform the operation placing the implant either above or below the muscle. As there is no cutting of tissue over the ribs, patients experience much less pain and quicker recovery – even with placement under the muscle. The TUBA procedure requires a higher level of skill and training, which is why most plastic surgeons do not perform it.
Breast Augmentation Placement
There are several ways to place the incision so that it is well hidden in natural skin folds or breast transitions.
- a.Hidden at the natural transition from the areola and the breast skin. The incision can be hidden in this natural color transition
- 2.Inframmary Fold
- a.The incision is hidden in the fold below the breast.
- a.The incision for the implant can be hidden in one of the natural axilla folds.
- a.This technique has become less popular as only saline implants can be place using this method.
- b.Also patients run the risk of destroying the fold, which can cause their implant to drop overtime.
It is important to see your board certified plastic surgeon to help guide you to an implant that will give you an aesthetically pleasing breast.
Transaxillary (armpit) endoscopic augmentation is the way to go!
Belly button for breast implants
Breast Augmentation: Transumbilical Augmentation Vs. Transaxillary Infra-Mammary or Peri Areolar Incisions
The transumbilical approach to breast augmentation has advocates, but the vast majority of plastic surgeons prefer other surgical approaches. Surgeons, who prefer the transumbilical approach, feel that this procedure has the major advantage, of less scarring. They believe that transumbilical incisions heal imperceptibly. They acknowledge that there’s a steep learning curve with this procedure and that there are potential problems with implant malposition. There’s no question that excellent results can be obtained with this procedure.
The majority of plastic surgeons prefer the transaxillary infra-mammary or peri areolar incisions. They feel that these incisions are associated with a decreased incidence of implant malposition. They also feel that scarring with these incisions is rarely a problem.
They feel that the probability of implant malposition with transumbilical incisions is higher than the probability of adverse scarring with traditional breast augmentation incisions.
It’s important to realize that surgeons have different comfort levels with different incisions. They do their best work when they are able to use their preferred incision. Although good results can be obtained with transumbilical incisions there’s probably a good reason why the majority of plastic surgeons prefer traditional surgical approaches.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.