Trans-umbilical breast augmentation

Trans-umbilical breast augmentation (TUBA) is a cosmetic surgery procedure that enhances the size and shape of a woman's breasts by inserting breast implants through an incision at the umbilicus, or navel. This method is notable for its minimally invasive nature and the fact that it leaves no visible scars on the breasts themselves. The technique primarily uses saline breast implants because they can be inserted empty and then filled once in place, which is necessary due to the distance between the insertion point and the breast.

Procedure

The TUBA procedure begins with the surgeon making a small incision around the rim of the belly button. A tunnel is then carefully created that extends from the incision up to the breasts. The surgeon uses specialized instruments to create a pocket under the pectoralis major muscle or directly behind the breast tissue, where the implant will be placed. Once the pocket is prepared, a deflated saline implant is inserted through the tunnel and positioned in the pocket. The implant is then filled with saline to the desired volume. Finally, the incision at the navel is closed with sutures. The entire procedure is typically performed using general anesthesia.

Advantages and Disadvantages

Advantages

• Minimal Scarring: The most significant advantage of TUBA is the lack of visible scars on the breasts, as the only incision is hidden in the navel.
• Faster Recovery: Patients often report a quicker recovery time compared to other breast augmentation techniques, due to the less invasive nature of the procedure.

Disadvantages

• Limited to Saline Implants: TUBA can only be performed with saline implants because they can be inserted empty and filled once in place. This limits options for patients who prefer the feel of silicone implants.
• Technical Difficulty: The procedure requires a high degree of skill and experience from the surgeon, as it involves navigating instruments from the navel to the breast area without direct visualization.
• Potential for Complications: There is a risk of complications such as implant malposition, because the surgeon has less control over the placement of the implant compared to other methods.

Candidates

Ideal candidates for TUBA are individuals looking for breast enhancement with minimal scarring and who are suitable for saline implants. Patients should be in good overall health, have realistic expectations about the outcomes, and understand the limitations and risks associated with this procedure.

Recovery

Recovery from TUBA is generally quicker than with other breast augmentation techniques, with many patients returning to normal activities within a week. However, strenuous activities and heavy lifting should be avoided for several weeks to allow proper healing. Patients are advised to follow their surgeon's post-operative care instructions closely to minimize the risk of complications.

Risks and Complications

As with any surgical procedure, TUBA carries risks, including infection, bleeding, and adverse reactions to anesthesia. Specific to TUBA, there is a risk of implant malposition, asymmetry, and changes in nipple sensation. It is crucial for patients to discuss these potential risks with their surgeon prior to undergoing the procedure.