Breast Augmentation: Q&A

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Doctor Recommendation for Trans-Umbilical Breast Augmentation in New York

I just saw a video online of Trans-Umbilical Breast Augmentation.I thought to myself amazing.I really dont want any visiable scars and this would be perfect.But after reviewing this procedure it seems like a risk.I want a natual appearance and feel.I'm currently a size 36B and just want to gain one cup size.Has anyone had this procedure and can the implant be placed under the chest muscle ?

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7 Doctor Answers | Asked by Butterhoney in New Brunswick, NJ

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Transumbilical breast augmentation

There is a lot of misinformation about trans-umblical breast augmentation surgery or TUBA. This is due to the fact that there are few plastic surgeons who have been exposed to or trained in this procedure. This leads to many thoughts and opinions on the procedure that have been perpetuated without basis in experience or scientific evidence. To answer your questions: Can a natural look and appearance be achieved with a TUBA? Yes. Although no size can be... more

Transumbilical breast augmentation

TUBAis a procedure to plae SALINE implants through the umbilicus through a narrow tube up into the chest. I have used TABA transabdominal breat augmentation for patients undergoin abdominplasty surgery. But this is done under direct vision. I can use saline or silcone implants this way. In fact, I used to give a course on this at our national meeting. I do not think using TUBA is the best way for a primary procedure, because of the limited visibility. more

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

There are many reasons to avoid trans umbilical breast aumentation.

Hi. We strongly advise against this operation, and so do most plastic surgeons. Here are some reasons: 1) It voids the manufacturer's warranty for the implants. That tells you what the manufacturers think of this operation which really traumatizes the implants. 2) It only can be done with saline implants, and most women get better results (more natural looking and feeling) with silicone gel implants. 3) Incidence of poor results (bad... more

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Doctor Recommendation for Trans-Umbilical Breast Augmentation in New York

There are many pros and cons to the Transumbilical Breast Augmentation (TUBA) procedure. You should educate yourself on them. Dr. Leonard Grossman has probably the largest experience in the New York area with this operation. Look his website up and educate yourself. Dr. Peter A Aldea

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

Not a good ideal

The most important thing concerning breast augmentation is that it is NOT a one time operation-period!! You will require revisions within your life time. When you do you will not be able to use the belly button incision and most likely not the armpit especially if revision is due to capsular contraction. Mal position is more common with the belly button and armpit incision as well. also with the belly button you can only use saline implants... more

It's not ideal. Getting the implants in the right position is more important

It's not so amazing. You cannot place the implant under the muscle if you introduce it through the belly button. The dissection is more difficult too. Plus you are almost certainly going to have another implant operation in the future and redos are not usually possible through the belly button. The scar can be very favorably on the breast. You might want to consider having the periareolar approach. Keep in mind, the belly button scar does not always... more

See a board certified plastic surgeon

Cassie, I see you are asking 2 sets of questions re breast augmentation. I have been doing this surgery and teaching residents for over 30 years. From my personal point of view there are two fads to be avoided. One is trans umbilical augmentation and the other is trans axillary. Both of these have a higher incidence of problems, such as malposition - then if you need it re done, there is a scar on the breast. So why not have a tiny scar part way around your areola which is quite... more

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