Breast Augmentation: Q&A

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Orange County Doctor for Transumbilical Breast Augmentation?

Im looking for a doctor in my area (orange county) that preforms Transumbilical breast augmentation. If you do this prosedure what is the cost vrs. a reg. implant surgury. I am a 36 small to med size D cup and am thinking of going back to full D small DD which is where I was last year before I lost all my wheight. Also saline vrs. silicone ive heard so much good and bad about both is there someplace for me to look it up and get the true facts I want my surg in the begining of April. Thank you!

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16 Doctor Answers | Asked by daisy1977 in Lake Forest

Doctor Answers (16)
Community Comments (0)

Finding the best breast augmentation surgeon for you

I recommend you find a board certified plastic surgeon who is a member of the American Society of Plastic Surgeons (ASPS). To find a member ASPS surgeon near you, please visit the ASPS website link. I've listed it below for you. Best of luck.

Differences between silicone and saline implants

Both silicone and saline implants can look natural, but silicone implants feel significantly more natural. Silicone is about $800 more expensive. There is something called rippling, which is where you can see or feel the implant (usually on the side or the bottom of the breast) and that is more common with saline. If a saline implant ruptures, it will go flat and your body will absorb the fluid (salt-water). This will not cause any medical problem. If a... more

TUBA

The best place to start to find a plastic surgeon in Orange County is to go to the ASPS or ASAPS websites.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Sagging after breast augmentation

TUBA procedure can only be performed with a saline implant. It cannot be used on all comers because if there is any breast asymmetry or nipple malposition that usually requires a skin incision on the breast. If the nipples are in the right position, there is no asymmetry and all of the native breast tissue is centered under the nipple there is nothing wrong with the TUBA as long as you know that you can only have saline and the approach punches a hole in the shelf that the implant sits on.... more

When Is a TUBA the best operation

I perform TUBA's and I love the operation FOR THE RIGHT PATIENT. I always stress that the most important issue is to make a beautiful breast, not hide the incision in the umbilicus. First of all, only saline implants can be used for a TUBA, so if silicone is more appropriate for you, go with the silicone. Second, if there is a lot of loose tissue, like after weight loss or pregnancies, the TUBA may not be the best procedure. Often in these situations the... more

Transumbilical Breast Augmentation aka TUBA

TUBA commits you to a saline implant as you can't put a gel implant thru an endoscope. Also, if you are already a D cup are you sure you want to commit yourself to further surgery down the road (lifts or implant replacement)? Make sure you get at least 3 opinions because as long as your check doesn't bounce you'll get someone to do your surgery whether it is a good idea or not....

Marcel Daniels, MD

11 reviews

Long Beach Plastic Surgeon

TUBA (Trans Umbilical Breast Augmention) In Orange County

Dear Daisy, Thank you for your inquiry. Finding the right surgeon is crucial for TUBA surgeries as it is of a delicate nature and I encourage you to seek a board certified surgeon of extensive experience in that field. As for the Saline versus Silicone, the silicone implants have more natural and less rippling effects than the saline ones in general. Nonetheless, every patient is different and the procedure is determined mainly by the goals... more

TUBA Breast Augmentation

Please contact the American Society of Plastic Surgeons (ASPS) for a listing of board certified plastic surgeons in your area. Please go into your consultation with an open mind. As you have read from the comments on here, this approach is not commonly used for good reason. Best of luck!

Breast Augmentation, Breast Enlargement, Breast Implants

Be careful with this type of surgery. It is better to place a small scar on or near the breast than to tunnel from such a long distance away. This procedure may void your implant warranty.

The TUBA (transumbilical approach) has its limitations.

The TUBA (transumbilical approach) is attractive because of the location of the scar but it is generally used to place implants in the subglandular (not submuscular) position and I prefer the submuscular approach. I have found that the submuscular location results in: 1)more tissue covering the implant for a more natural look 2) improved mammograms when compared to the subglandular implants and 3) decreased rate of capsular contracture. TUBA approach is also limited to saline... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Beware-Do Not Do It

I think having a breast augmentation is wonderful. It is the most popular cosmetic procedure in the USA. The TUBA procedure is a complex procedure in which only normal saline implants can really be used. The results can be good or very bad. the risk is not worth taking. You will need revision surgery in the future and this usually can not be don't via the umbilicus. The most common long term complication is capsular contrature and this can not be done through... more

TUBA

Dr. Siamak Agha is a plastic surgeon in newport beach who performs the TUBA for patients in Southern California.

Breast augmentation

The trans umbilical breast augmentation is not for everyone. Saline implants are used, which, I don't believe, give the best and most natural results. The saving of a scar may not be worth the other problems.

TUBA procedure

I would not recommend this procedure given the number of complications, malpositions, and reoperations I have seen after TUBA.

Please send pictures

Without a picture it is hard to give good advise. Trans umbilical can not be done with silicone gel implant . please consult few board certified plastic surgeons for more information and evaluation. In general TUBA limits the options and not a good option for patients with mild to moderate sagging.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Tranumbilical breast implants

Transumbilical breast implants can only be saline. I much prefer the feel, appearance of silicone implants and therefore do not use the transumbilical approach. The other prroblem with this approach is that it is essentially blind and some problems with positioning of the implant may occur. The main advantage of saline implants in the past was that the chances of getting capsular contracture or hardness was diminished. I have found that in my practice, it now is... more