August 29, 2011


The Naval Incision or the TUBA

Trans umbilical breast augmentation is a surgical process of breast augmentation wherein the plastic surgeon makes an incision in the patient´s naval.    He will then place the breast implants through the naval incision and he will slip it upward to the area of the chest and will accurately positioned the implant.   An instrument called endoscope will guide the surgeon while performing this type of procedure.   The endoscope is connected to a TV so the surgeon can view the monitor while he is placing the implant.

The trans umbilical breast augmentation can actually used for either the below and above muscle.   The procedure will not produce a scar that is near the breast.    Some cosmetic surgeons claimed that this kind of procedure is not an excellent one for there will be a risk of poor placement because the site of the incision is far removed from the area of implant placement.     If the patient desires to have this kind of incision for her breast augmentation, she must search for an experienced surgeon who is specialized with this type of incision.  Many surgeons are performing this method to place the breast implants above the muscle.   There are also practitioners who perform this procedure with subpectoral placement.

The TUBA slit is done through the edge of the patient´s navel.

A passageway is made beneath the skin through the subcutaneous layer.  The instrument, endoscope is used to create the tunnel and to enable the surgeon to view on the monitor while he is performing the procedure.     The endoscope will make a way through channel, reaches the rear end of the breast up to the loose tissue layer which is amid the breast and the pectoral muscles.   A pocket will be created in the breast.    The implant will be slot in through the incision and will be slide upward into the area of the breast.  The positioning of the implant is on the center at the back of the nipple.

In comparison with the inframammary and peri-areaola, where the incisions is in the directly on the breast are, the surgeon is having the incision away from the breast.  The space gap makes the TUBA more complicated for the surgical doctor in completing of the procedure; make a new shape and   minimal amount of blood loss.   This type of notch will have a limitation in the breast area that will require beautification and reshaping.

Woman´s breast contains group of tissues that includes fatty, glandular and fibrous tissue.  The breast id placed above the pectoral chest muscles with loose tissue layer which is in the rear of the breast.

One of the advantages of the trans umbilical breast augmentation like the axillary procedure, there will be no slit or cut or even a scar in the area of the breast.  The incision can be performed to position the breast implants in any of this 3 placements, which are the subglandular, partial and complete submusculars.

Some surgeons are using the four types of incisions for the breast augmentation and they are continuing to note the benefits of each incision especially the TUBA incision.  Like the transaxillary approach, in TUBA there will be a complete absence of any tension on the incision.    With this, it will allow to have huge size of implant without to worry edge necrosis occurrence and infection which will be factors in the minimal level of pain by patients and a speedy recovery after the TUBA.      Anesthesiologist also reported that TUBA patients have good signs of lower anesthetic and analgesic requirements than with the patients using other types of incisions.