Breast Augmentation

Breast augmentation is a popular cosmetic surgery procedure where breast implants are used to enlarge and reshape the breasts. Many women who are dissatisfied with the size of their breasts choose breast augmentation to increase breast fullness, projection and add balance to their figure. Women who want to restore breast volume lost because of pregnancy or weight loss are also good candidates for breast augmentation.

Important details that will be determined during your consultation include the incision location for your breast augmentation procedure and where the breast implants will be placed. Along with your choice of breast implants, these important decisions will be made by you with the help of your board-certified plastic surgeon.

Breast Augmentation Incisions

The four main types of incisions are:

  • Inframammary Fold (beneath the breast)
  • Peri-Areolar (around the nipple)
  • Transaxillary (in the armpit)
  • Transumbilical (at the upper rim of the belly button)

Breast Implant Placement

After the incision is made, breast implants are placed behind the breasts to expand the contour of the breast tissues. The implants can be placed:

  • Over the pectoralis muscle (subglandular)
  • Partially under the muscle (partial submuscular), or
  • Completely under the muscle (full submuscular)

The subglandular placement tends to create a more distinct cleavage and rounded appearance, while the partial and full submuscular placements are usually less rounded and may provide a more natural breast shape, especially in the upper breasts.

Transumbilical Breast Augmentation

An innovative endoscopic surgery technique known as Transumbilical Breast Augmentation (TUBA) is used to enhance the size and shape of the breasts with saline breast implants. For the TUBA procedure, the breast implants are tunneled to their placement site through a small incision at the upper belly button rim before being filled with saline solution.

TUBA is considered to be the less invasive option for breast augmentation. Most women experience only minor discomfort only and can quickly resume their normal activities. Also called “scarless breast augmentation,” the transumbilical method leaves only a tiny scar at the navel and no scars in the breast area.