Trans Axillary is a better option
I prefer the trans-axillary (through the armpit) approach. This also avoids any scar on the chest, and allows a much more precise placement under the muscle. Also with the Keller Funnel I can place Gel Implants up to 600cc through the axilla. The scar is usually hard to find. (Rodney A. Green, MD, Cleveland Plastic Surgeon)
TUBA breast implants is a great operation for sub-muscular placement of saline implants in anatomically appropriate patients. It does have a steep learning curve and should not be universally used for all augmentation patients, any more than a transax (armpit), periareolar, or crease incision.
Thin patients with good symmetry (yes, they exist) and no sagging are the best candidates. There are risks, as with any proceedure, but in the hands of an experienced surgeon, the results are excellent, reproducible, with very little down time and no tracking on the abdominal wall, even in the thin patient.
All this with a virtually “scarless” procedure. Do your research and find a plastic surgeon in your area that has a lot of experience and, provided you’re an appropriate candidate, you should have a very nice result.
If you can’t find a surgeon in your area, travel to a place where there is one. It will be worth the effort! (Christopher J. Schaffer, MD, Birmingham Plastic Surgeon)
In Medicine and Surgery, many techniques are possible. TUBA breast implants surgery is one of these. With this approach, it’s very easy to have problems like malposition, asimmetries, inframmary fold irregularities,. In other words, in my opinion you will achive a better result with other approaches (inframmamary / periareolar preferably). I think that it’s easier to get a better result after an augmentation mammoplasty (only with aesthetic purposes) using viscoelastic silicone gel implants; GEL implants are incompatible with TUBA breast implants approach. ANATOMIC IMPLANTS are also incompatible with TUBA breast implants. (Enrique Etxeberria, MD, Spain Plastic Surgeon)
Breast Augmentation through the belly button
TUBA breast implants has been performed for a number of years now and has its limitations like all surgeries do. First is that experience is needed to get good at that procedure, so best to go to someone that has done a large number of them.
Secondly, there are many reports in the medical literature of ridges or tracks of firm tissue developing going from the belly button to the breast area, especially in thin women. This is due to the trauma to the tissue in using the scope for implant placement.
The third thing is that normally the implants are warrantied for life, and the company will replace a leaking implant at no cost to the patient, but the TUBA invalidates the warranty on the implant. Some doctors claim that there is less cutting, but the painful part of a breast augmentation is the creation of the pocket where the implant will be placed, and that is the same for any breast implant, no matter what the incision.
The pain at the incision site is typically negligible. So a few things to consider. (Julio Garcia, MD, Las Vegas Plastic Surgeon)
Transumbilical breast augmentation?
I do not think that this is a good operation for the reasons my colleagues have discussed below. I see, in my practice, more patients for revisionary surgery after the TUBA breast implants procedure (taking into account the relative numbers of procedures done through different approaches) then after breast augmentation procedures done through the other approaches available. Make sure you seek consultation with well experienced what certified plastic surgeons. (Tom J. Pousti, MD, FACS, San Diego Plastic Surgeon)