Not all women who want breast implants are willing to accept the visible scars that appear in the lower breast crease, at the perimeter of the nipple, or in the underarm area. While it is not a formally accepted technique, TUBA (trans-umbilical breast augmentation) is an option. With the use of an endoscope, unfilled implants are placed in a pocket at the breast site through an incision in the belly button. The implants are then filled with sterile saline, sealed, and no visible incisions remain on the breast. (This is not an option for silicone.)
There are a few caveats. Only a handful of doctors are qualified to perform this procedure, so choose your doctor carefully. If your implants need to be replaced in the future, you’ll find that TUBA is not a likely option; incisions at or near the breast are probable. And with TUBA, your surgeon does not have direct control of implant placement, resulting in a greater likelihood of asymmetry or other minor complications.
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