I wouldn't say it's "extremely odd" for a doctor to recommend a TUBA
procedure. If you have not discussed every aspect of breast
augmentation in terms of your overall goals, however, then I might say
that recommending transumbilical breast augmentation seems premature.
Your plastic surgeon needs to evaluate your physique and understand what
you're hoping to achieve, then talk with you about the best way to get
there. This includes the type of implant (silicone vs. saline), size
and placement. Incision options are secondary to these key decisions.
There are not many plastic surgeons who perform the TUBA procedure.
That doesn't mean you can't get a good result with TUBA, but I would
make sure your doctor does lots of these surgeries and that the
constraints TUBA places on the other aspects of breast augmentation are
ok with you.
you make your final decisions, I would advise you to consult at least
one other board certified plastic surgeon and go in with a clean slate.
Start with your goals and see what he or she recommends.
Elliot Jacobs, M.D.
New York Plastic Surgeon
While it is true that not many plastic surgeons perform the TUBA, there are plastic surgeons who have been properly trained and have developed expertise in this operation. I have many satisfied TUBA patients. However, since the silicone implants have become so popular, the demand for the TUBA has diminished because the TUBA can only be performed with saline implants. It is important that the operation is appropriate for each patient and that the surgeon does not try to have all patients have the same operation. If you have an interest in silicone implants, the TUBA is not for you. Also, if you have a low degree of body fat, silicone implants may be better for you.
Doctors are like cooks. They all have their own technique(recipe) for surgery. If you are comfortable with surgeon and like his results you should be fine. Complications may occur with any approach. Good luck. Donald R. Nunn MD Atlanta Plastic Surgeon
You should trust your surgeon and be comfortable about his/her recommendations. If your have concerns, get second opinion.
To answer your question it is not odd to offer TUBA breast augmentation to the right patient. In appropriate candidates for saline breast augmentation, the TUBA procedure actually is a very good option as there aren't any visible scars. You should go to an in person consultation and then base your decision upon the results shown to you of other patients that had the TUBA procedure. I would caution you to be wary of anyone touting themselves as being the best in any one particular procedure. I perform more than 50 TUBA procedures per year which may be the highest in the NY area.
In general, tuba procedures involve saline implants above the muscle. Is this want you want? I tend to use an inframammary (in the breast crease) incision or a periareolar (around the areola) incision and normally place the implant in a subpectoral (below the muscle) pocket.
How can you make up your mind with a phone call. Very few doctors do that procedure for various reasons, in general , a more standard approach gives a better result with a better implant. Get some in person consultations with a local plastic surgeon.
I can tell you that your doctor is definitely NOT the best at the TUBA because I am!! I have done over 5000 TUBA procedures over the past 23 years, more than anyone in the world. I do them above the muscle or below the muscle. Still, like all breast augmentation approaches, the TUBA has its pros and cons. One of the downsides of the TUBA is that it can only be done with saline-filled implants. Although I have given lectures and published papers on the TUBA procedure, I tend to like silicone gel implants more so this limits the usefulness of the TUBA procedure. If your doctor is strongly pushing this approach then I would be somewhat suspicious as well. It's a nice approach if you want saline implants but I would make sure your doctor is qualified. A lot of non- American Board of Plastic Surgery- certified doctors are using the TUBA approach with disastrous results. This is one reason you don't hear about it as much as you do other approaches. It is being abused by non-qualified doctors. Contrary to Dr. Neinstein's response, the learning curve for the TUBA is really not that high.
TUBA is an accepted procedure, most docs dont do it because the learning curve is very high and also the implant companies do not recommend it. That being said it is a great choice for the right patient if the surgeon is very skilled at it!