Although traditional incision options for breast augmentation leave scars in inconspicuous places on the breasts, many women are still concerned with scar visibility. An alternative to these more common techniques is the trans-umbilical breast augmentation (TUBA), which involves only one incision in the navel. The implant shell is inserted through the incision and is maneuvered through the subcutaneous fat toward the breast. Once it is situated, the implant is filled with saline solution.
Since this technique does not involve any incisions on the breasts, they cannot be lifted. Patients who have sagging breasts should consider the breast lift procedure, or a combination of a breast augmentation and a breast lift.
The implants for scarless breast augmentation are commonly placed under the chest muscle. Candidates who desire implants placed above the muscle must have enough breast tissue to cover the implant so a natural look is achieved. Some surgeons may have differing opinions, but I recommend that patients have at least two centimeters of “pinch able” tissue in the upper chest area in order to place implants above the muscle. If there is not enough tissue present, a sharp demarcation line between the breast tissue and the implant could result. This is why sub-muscular placement is recommended in most cases.