TUBA (Transumbilical Breast Augmentation) is a novel approach used in breast augmentation to increase the size of your breasts without an incision on or near the breasts. Implants are used just like in other breast augmentation techniques, but the insertion site is different with TUBA.
The most common incision sites for breast augmentation have traditionally been under the breast crease, around the nipple, or under the arm. The TUBA technique places a very small incision made inside the rim of the navel. The incision can even be placed through any existing scar you have on your body, such as a scar from an appendectomy, gallbladder surgery, or a C-section. The result of this type of enlargement looks the same as after other methods, but without the telltale scar on the breast.
Only saline implants are used in this technique because the implant must be filled after insertion. Silicone implants in some traditional breast augmentations are filled prior to insertion and require a larger incision.
In addition, apart from just achieving enlargement of the breasts, this technique can be used to adjust the shape, size and volume of uneven sized breasts (asymmetry), and as an adjunct to correct certain breast deformities.
Dr. Kevin Tehrani is one of only a few breast surgeons to successfully perform the TUBA technique on a regular basis.
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WHO IS A CANDIDATE FOR TRANSUMBILICAL BREAST AUGMENTATION?
If you desire to increase the size of your breasts, you might be a candidate for transumbilical breast augmentation. The only way to find out, however, is through a consultation with Dr. Tehrani. After an examination and listening to how you wish your breasts to look, he can determine if the TUBA technique would work for you. It is not suitable for all breast augmentation patients.
At Aristocrat Plastic Surgery, we also use VECTRA 3D imaging so that you can try different implant sizes and shapes by seeing an image of exactly how you will look after your surgery.
TYPES OF BREAST IMPLANTS
Breast implants come in many shapes and sizes. All breast implants have an outer pliable envelope (or shell). The contents of the envelope are used to achieve fullness and create the most natural breast-like feeling possible. For the TUBA technique, the implants are filled with saline (salt water) after the shell has been inserted.
The implant shapes are generally round, oval, or contoured. The surface of the implants can be smooth to the touch or textured. Dr. Tehrani will also discuss these options with you.
THE TUBA PROCEDURE
After the incision is made in the navel, a small camera is inserted so that Dr. Tehrani can see inside without the need for a larger incision. The saline implant shell is then inserted through a narrow tunnel created under the skin and into the tissues behind the breast, after which it is filled with salt water to the desired size.
The transumbilical breast augmentation (TUBA) procedure can be used to place the implants over the muscle or under the muscle. There are advantages to each, and Dr. Tehrani will discuss these options with you during your consultation.
RECOVERY FROM TRANSUMBILICAL BREAST AUGMENTATION
After your surgery, you will experience some swelling, bruising, tightness, and soreness, although the amount of discomfort in the breast area is less than with a traditional breast augmentation. You will have some slight soreness at the incision site in the navel as well. We will provide you with full post-op instructions for washing your stitches and when to come back to our office for follow up appointments.
You can take pain medication, if necessary, but many of our patients find that it isn’t necessary. Most of our patients choose to take 1-2 weeks off from work after surgery. You can return to exercise within a month to 6 weeks.