What Is TUBA Breast Augmentation? The Belly Button Approach Explained

When it comes to breast augmentation, most people think of incisions under the breast, around the nipple, or in the armpit. But there’s another option that’s gaining attention for its minimal scarring and innovative approach, TUBA, or Transumbilical Breast Augmentation. This technique places implants through a small incision inside the belly button, leaving no visible scars on the breasts.

In this article, we’ll break down how TUBA works, who it’s best for, its pros and cons, and what to expect from surgery and recovery. Whether you’re researching breast augmentation for yourself or supporting someone who is, this guide will help you understand this lesser-known but fascinating option.

What Is TUBA?

TUBA stands for Transumbilical Breast Augmentation. It’s a surgical technique where breast implants are inserted through a small incision inside the patient’s belly button (umbilicus). From there, the surgeon creates tunnels under the skin and muscle up to the chest area. The implant, usually saline, is then rolled up, passed through this tunnel, and inflated once it’s in place.

The idea behind TUBA is to avoid making cuts on or near the breast. This results in no visible scars on the chest, making it appealing to patients who want a more discreet option.

How Does TUBA Work?

Here’s a simple breakdown of the procedure:

Small Incision: The surgeon makes a 1.5–2 cm incision inside the rim of the belly button.
Creating a Pathway: Using a small camera and special tools, a tunnel is made under the skin up to the breast area.
Inserting the Implant: A deflated saline implant is pushed through the tunnel.
Positioning: The surgeon positions the implant under the chest muscle or breast tissue.
Filling the Implant: Once in place, the saline implant is filled to the desired size through a small tube.
Final Checks: The surgeon ensures both breasts are even and symmetrical, then removes the instruments and closes the belly button incision with dissolvable sutures.

The surgery typically takes 60 to 90 minutes, and patients usually go home the same day.

Why Choose the Belly Button Approach?

There are a few unique advantages to this method:

No Scars on the Breasts: Since the incision is hidden in the belly button, there’s no scarring on the breast area.
Faster Recovery: Some patients report less bruising and a quicker return to normal activities.
Less Disruption to Breast Tissue: TUBA often causes less trauma to the actual breast, which may mean less discomfort.
Ideal for First-Time Implants: This technique is most effective for patients receiving implants for the first time, rather than for replacements or complex revisions.

Who Is a Good Candidate for TUBA?

You might be a good candidate if:

You are healthy and a non-smoker.
You are seeking saline implants (not silicone).
You haven’t had previous breast surgeries.
You are looking for a scar-free chest appearance.
You prefer a minimally invasive option with a fast recovery.

Patients who want silicone implants or are looking for revision surgery (such as implant replacement or lift) may need to consider other methods.

Is TUBA Safe?

When performed by a board-certified plastic surgeon experienced in this technique, TUBA is considered a safe procedure. Like any surgery, it does carry some risks, including:

Infection
Bleeding
Implant misplacement
Asymmetry
Capsular contracture (scar tissue that hardens around the implant)

Because TUBA is a more technically demanding procedure, it’s important to choose a surgeon who specializes in this approach and has a proven track record.

TUBA vs. Traditional Breast Augmentation

Here’s a quick side-by-side comparison:

Feature	TUBA	Traditional Methods
Incision Location	Inside the belly button	Under breast, around the areola, armpit
Visible Scars on Breasts	None	Yes
Implant Type	Saline only	Saline or silicone
Recovery Time	Often shorter	Varies
Revision Flexibility	Limited	More options
Surgeon Availability	Fewer surgeons offer it	Widely available

Also Read: Saline vs. Silicone: Which Breast Implants Are Right for You?

What Is Recovery Like?

Most patients recover quickly after TUBA breast augmentation. Here’s what to expect:

Day of Surgery: You’ll go home with bandages and a support bra. You’ll feel sore and swollen, but pain is usually manageable with medication.
First Few Days: Avoid lifting, stretching, and raising your arms above your head during this period.
1 Week: Many patients return to desk jobs or light activity.
2–4 Weeks: Swelling goes down, and the implants settle into place.
6 Weeks: Most patients are cleared to return to full activity, including exercise.

Your surgeon will give you personalized instructions to make sure you heal properly.

Are There Limitations to the TUBA Method?

Yes. While TUBA offers clear cosmetic advantages, there are some trade-offs:

Saline Only: Silicone implants can’t be placed through the belly button because they come pre-filled.
Not Ideal for Revisions: If you need a lift or implant replacement in the future, the surgeon will likely need to use a traditional incision.
Fewer Surgeons Offer It: TUBA requires specific training and isn’t as commonly practiced, so you’ll need to find a qualified specialist.

Choosing the Right Surgeon for TUBA

Because TUBA is a highly specialized technique, choosing the right surgeon is one of the most important decisions you’ll make. Look for:

Board certification in plastic surgery
Specific experience with TUBA procedures
Before-and-after photos of TUBA results
Clear communication and willingness to answer your questions
A surgical facility accredited for safety

Ask how many TUBA surgeries the surgeon has performed and how often they do them. Don’t be afraid to consult with more than one provider.

Is TUBA Breast Augmentation Right for You?

TUBA is an exciting option for the right patient. It offers a no-scar look, less trauma to breast tissue, and a fairly quick recovery. But it’s not for everyone. If you’re set on silicone implants, need a lift, or are having a revision surgery, a more traditional approach might suit you better.

If the benefits of the belly button technique appeal to you and you’re a good candidate, TUBA can be a great choice. Be sure to choose a qualified surgeon and enter the process with realistic expectations.

Thinking About Breast Augmentation?

Start by booking a TUBA consultation with board-certified plastic surgeon, Dr. Kevin Tehrani at Aristocrat Plastic Surgery. He’ll help you understand your options, what’s possible for your body type, and decide if TUBA is the right choice for your goals.

A confident, informed decision is the first step toward loving your results.