Trans-umbilical breast augmentation
Encyclopedia
The Trans-Umbilical Breast Augmentation (TUBA) is a type of breast augmentation
in which breast implants are placed through an incision at the navel
rather than the chest.
T.D. Cronin and F.J. Gerow reported the first breast augmentation procedure using silicone gel-filled implants. In that implantation procedure, the breast implant devices were inserted through an incision to the inframammary fold (IMF), where the breast
meets the chest of the woman.
In 1972, J. Jenny described a periareolar-incision emplacement technique for inserting the breast implants via an incision under the nipple-areola complex
(NAC).
In 1973, Koeller described a transaxillary breast implant emplacement technique effected by means of an incision to the axilla.
In 1992, a trans-umbilical emplacement technique (through the umbilicus), for the implantation of saline breast implants through a small incision at the woman’s belly button, was described. The trans-umbilical emplacement approach is a technical variant of the abdominal tunnel technique employed for inserting breast implants, which was described in 1976, which facilitated the inserting and emplacing of empty saline implants to the breast-implant pocket.
(navel), which dissection then tunnels superiorly, to facilitate emplacing the breast prosthesis to the implant pocket without producing visible surgical scars upon the breast
hemisphere; but it makes appropriate dissection and device-emplacement more technically difficult. A TUBA procedure is performed bluntly (without endoscopic assistance), and is inapplicable to emplacing (pre-filled) silicone-gel implants, because of the great potential for damaging the elastomer silicone shell of the breast-implant device during its manual insertion through the short, two-centimetre (~2.0 cm), incision at the navel, and because pre-filled silicone-gel implants are incompressible, and cannot be inserted through so small an incision.
Advantages
A single small scar is produced in a remote, hidden location (the navel) rather than scars upon the breast hemisphere or in the axillae.
Disadvantages
The TUBA (Trans-umbilical Breast Augmentation) approach is inapplicable for the emplacement of incompressible, pre-filled breast implants, usually of the silicone-gel-filled variety.
Breast augmentation
Breast augmentation denotes the breast implant and fat-graft mammoplasty procedures for correcting the defects, and for enhancing the size, form, and feel of a woman’s breasts...
in which breast implants are placed through an incision at the navel
Navel
The navel is a scar on the abdomen caused when the umbilical cord is removed from a newborn baby...
rather than the chest.
History
In 1964, the American plastic surgeonsPlastic surgery
Plastic surgery is a medical specialty concerned with the correction or restoration of form and function. Though cosmetic or aesthetic surgery is the best-known kind of plastic surgery, most plastic surgery is not cosmetic: plastic surgery includes many types of reconstructive surgery, hand...
T.D. Cronin and F.J. Gerow reported the first breast augmentation procedure using silicone gel-filled implants. In that implantation procedure, the breast implant devices were inserted through an incision to the inframammary fold (IMF), where the breast
Breast
The breast is the upper ventral region of the torso of a primate, in left and right sides, which in a female contains the mammary gland that secretes milk used to feed infants.Both men and women develop breasts from the same embryological tissues...
meets the chest of the woman.
In 1972, J. Jenny described a periareolar-incision emplacement technique for inserting the breast implants via an incision under the nipple-areola complex
Areola
This article is about the breast tissue. For the entomology term, see the glossary of Lepidopteran terms. For an artistic cloud motif, see aureola. For the cactus feature, see Areole....
(NAC).
In 1973, Koeller described a transaxillary breast implant emplacement technique effected by means of an incision to the axilla.
In 1992, a trans-umbilical emplacement technique (through the umbilicus), for the implantation of saline breast implants through a small incision at the woman’s belly button, was described. The trans-umbilical emplacement approach is a technical variant of the abdominal tunnel technique employed for inserting breast implants, which was described in 1976, which facilitated the inserting and emplacing of empty saline implants to the breast-implant pocket.
Surgical technique
A trans-umbilical breast augmentation (TUBA) is a breast prosthesis insertion technique wherein the incision is at the umbilicusNavel
The navel is a scar on the abdomen caused when the umbilical cord is removed from a newborn baby...
(navel), which dissection then tunnels superiorly, to facilitate emplacing the breast prosthesis to the implant pocket without producing visible surgical scars upon the breast
Breast
The breast is the upper ventral region of the torso of a primate, in left and right sides, which in a female contains the mammary gland that secretes milk used to feed infants.Both men and women develop breasts from the same embryological tissues...
hemisphere; but it makes appropriate dissection and device-emplacement more technically difficult. A TUBA procedure is performed bluntly (without endoscopic assistance), and is inapplicable to emplacing (pre-filled) silicone-gel implants, because of the great potential for damaging the elastomer silicone shell of the breast-implant device during its manual insertion through the short, two-centimetre (~2.0 cm), incision at the navel, and because pre-filled silicone-gel implants are incompressible, and cannot be inserted through so small an incision.
Advantages
A single small scar is produced in a remote, hidden location (the navel) rather than scars upon the breast hemisphere or in the axillae.
Disadvantages
The TUBA (Trans-umbilical Breast Augmentation) approach is inapplicable for the emplacement of incompressible, pre-filled breast implants, usually of the silicone-gel-filled variety.
See also
- BreastBreastThe breast is the upper ventral region of the torso of a primate, in left and right sides, which in a female contains the mammary gland that secretes milk used to feed infants.Both men and women develop breasts from the same embryological tissues...
- Breast augmentationBreast augmentationBreast augmentation denotes the breast implant and fat-graft mammoplasty procedures for correcting the defects, and for enhancing the size, form, and feel of a woman’s breasts...
(Augmentation mammoplasty) - Breast reconstructionBreast reconstructionBreast reconstruction is the rebuilding of a breast, usually in women. It involves using autologous tissue or prosthetic material to construct a natural-looking breast. Often this includes the reformation of a natural-looking areola and nipple...
- MammoplastyMammoplastyMammoplasty or mammaplasty can refer to the surgical procedure to insert cheek implants or augmentation mammoplasty, an enlarging of the breasts via implants...
- Mastopexy (breast lift)