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Yes, you can place saline implants with an umbilcal approach under the muscle. And yes, the placement can be done accurately. The vase majority of doctors who claim that you cannot have accurate placement have not even done one breast augmentation with the umbilcal technique. So of course if you don't have experience it would be difficult. All the methods are good for placing breast implants including umbilical and trans- axillary. But if your doctor gives you a million reasons why the areola is better or the crease that probably means he/ she prefers to do it that way. So if you go to that doctor that is the way you should do it. Going with the umbilcal technique does not void the warranty.
Yes! You can definitely go under the muscle with TUBA. But only if you don't need a lift with your implants. And only if you want saline rather then silicone. I suggest you first ask your surgeon the following question. Do I need a breast lift with implants or will a breast augmentation alone be enough? If you need a lift, there is no point in avoiding a breast scar... we cannot lift the breasts without additional scars. Silicone Vs saline, is another conversation worth going into with your surgeon. In the TUBA technique, saline implants are placed via an umbilical incision, and then filled with saline once the breast pocket is ready and the implants are in place. For obvious reasons, we cannot do this with silicone implants. As long as the patient is a good candidate, good results can be obtained with any incision. That said, I think surgeons do their best work when their hands are not tied up because of a patient's preference for one scar or the other. This way, surgeons can chose the technique they feel is best for each particular case. Best of luck,Dr. Miguel Mota
The transumbilical approach to breast augmentation hasadvocates but the vast majority of plastic surgeons prefer other surgicalapproaches. Surgeons who prefer thetransumbilical approach feel that this procedure has the major advantages ofless scarring. They believe thattransumbilical incisions heal imperceptibly. They acknowledge that there’s a steep learning curve with this procedureand that there are potential problems with implant malposition. There’s no question that excellent resultscan be obtained with this procedure. Themajority of plastic surgeons prefer the transaxillary, infra-mammary orperi-areolar incisions. They feel thatthese incisions are associated with a decreased incidence of implantmalposition. They also feel that scarringwith these incisions is rarely a problem. They feel that the probability ofimplant malposition with transumbilical incision is higher than the probabilityof adverse scarring with traditional breast augmentation incisions. It’simportant to realize that surgeons have different comfort levels with differentincisions. They do their best work whenthey 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 prefertraditional surgical approaches.
Yes, you can have the implants placed over or under the muscle as long as the surgeon who is performing your surgery is experienced in the technique.
It is possible to put the implants below the muscle with TUBA approach, however it is important you find an experienced board certified plastic surgeon who specializes in this technique. It is very difficult to position the implants via TUBA, and even more difficult when placed sub muscularly.
TUBA, or Trans-Umbilical Breast Augmentation, involves implanting the breasts from the belly button. It uses the abdominal area to get the tuba implants up to the breast area. When it gets to the breast area, it pours a Tuba breast implant gel. This procedure must not be used on someone who already had a breast implant. Doctors recommend operating on “virgin” skin. Via the navel area, the doctors can avoid scarring the tissue. In the end, the procedure does not produce any new scars.
