Transumbilical Silicone Breast Augmentation: A Practical Review of an Innovative Technique

Area of Science:

• Plastic Surgery
• Cosmetic Surgery
• Surgical Techniques

Background:

• Transumbilical breast augmentation (TUBA) with saline has a long history of safety and efficacy since 1993.
• Transumbilical silicone breast augmentation (TUSBA) is a newer endoscopic technique gaining popularity.
• Patient preference for minimal scarring drives interest in umbilical approaches.

Purpose of the Study:

• To present the authors' technique for endoscopically assisted transumbilical silicone breast augmentation (TUSBA).
• To evaluate the safety and efficacy of TUSBA through a retrospective chart review.
• To provide a clinical reference for surgeons adopting the TUSBA technique.

Main Methods:

• Retrospective chart review of 40 patients undergoing TUSBA from May 2021 to November 2022.
• Endoscopic guidance utilized for submuscular placement of silicone implants.
• Patient surveys and postoperative data collected for follow-up assessment.

Main Results:

• No instances of capsular contracture reported at 3, 6, 9, and 12-month follow-ups.
• The TUSBA procedure demonstrated a favorable safety profile.
• The technique proved efficient for silicone implant placement.

Conclusions:

• Endoscopically assisted transumbilical silicone breast augmentation (TUSBA) is a safe and efficient procedure.
• TUSBA is a viable option for select patients seeking breast augmentation.
• The technique offers cosmetic advantages due to a discreet umbilical scar.