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The Basics of Transumbilical Breast Augmentation Surgery

The Basics of Transumbilical Breast Augmentation Surgery

Transumbilical Breast Augmentation is a procedure that was developed to prevent scarring on the breasts caused by traditional breast augmentation methods. Developed in the early 90’s, this procedure allows the surgeon to create only one small incision in the belly button area and insert both implants through the same place, preventing multiple scars.

The first versions of the Transumbilical Breast Augmentation procedure involved placing the implants above the muscle in each breast. However, as the surgeons improved their skills with the procedure, they eventually were able to place the implants below the muscle, which in some women provides a much more natural looking result.

The Procedure

In order to perform a Transumbilical Breast Augmentation, the surgeon first makes an incision in the belly button where the scar will not be noticed. An instrument called an obturator is then inserted through the incision, and moved very carefully beneath the skin until it reaches the crease beneath the breast. At that point, the dissection of the breast tissue is performed to allow insertion of the implants. For breast implants to be placed above the muscle, the connective tissue is dissected above the breast muscle. If the implants are to be placed beneath the muscle, the surgeon dissects the tissue in the area below the muscle.

The surgeon will ensure that the dissection was performed correctly by use of an endoscope, and then continue with the procedure. An implant sizer will be inserted into the cavity created by the dissection. This sizer does not contain any fluid when inserted, but is filled once inside the breast. This is a test run for the actual implant and helps the surgeon to ensure the dissection is correct and that everything looks symmetrical. Both breasts will be sized in this manner prior to proceeding with the actual implants.

After the sizers have been emptied and removed, the surgeon will then insert the implants. These implants have a fill tube that allows for minor adjustments in size to ensure symmetry and correct shape of each breast. When this is adjusted correctly, the tubes are removed, and the incision is closed up by the surgeon. Self-sealing valves in the implants will close up to ensure the fill level remains as it was set by the doctor.

All Transumbilical Breast Augmentation Surgeries are done under general anesthesia, and there may be some effects of this when the patient awakens. The recovery time ranges from 2-7 days, with a longer recovery expected with implants placed beneath the breast muscle. Patients who have this procedure should expect several months for full recovery, even up to a year. Most patients can resume exercise within 2-3 months.

Risks of Transumbilical Breast Augmentation

Transumbilical Breast Augmentation procedures carry the same risks as any breast augmentation surgery. The saline implants can wear out and leak, however the saline will simply be absorbed into the body and is in no way dangerous to the patient. The implant can be replaced, and is usually under warranty against leaks. Another surgery will be required in order to replace a defective implant.

As with any surgery done under general anesthesia, a risk of a reaction to the anesthetic is possible, but relatively rare. You should discuss all of the possible risks of the surgery fully with your doctor prior to the procedure. It is important to be fully aware of any potential dangers before you make the decision to have any elective surgery.

Thanks to Transumbilical Breast Augmentation, it is now possible to have breast implants inserted without being left with unsightly scars on the nipple or beneath the breast, the two traditional locations for the incisions. The scar on the belly button will not be visible after healing is complete, and most women will have no outward sign of the surgery with the exception of the obvious result.

When making a decision regarding which procedure is right for you, go over all of the options with your doctor in detail. In addition to choosing the incision location for your surgery, you will also need to decide whether to place the implant above or below the muscle. In order to make an informed choice, sit down with your doctor and discuss the options.

Remember that breast augmentation is surgery, and the decision to have any surgery should always be approached with caution and of course with knowledge.

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