Can you use the TUBA technique for under muscle?

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 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 advantages 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 incision 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.