Beverly Hills Transumbilical Breast Augmentation (TUBA)

Transumbilical Breast Augmentation (TUBA) Patient

Consultation: 30 min

Procedure: 1 1/2 Hours

Recovery: 1 Week

Duration of Results: Permanent

Anesthesia: General

Breast augmentation is the most common cosmetic surgical procedure performed in the United States. The technique is well-understood by surgeons and, although all surgeries have some risks, the overwhelming majority of women can expect to have a safe, problem-free procedure, especially when they select a premier surgeon like Dr. Mashhadian to perform their augmentation. If women have a single, prominent concern about breast augmentation, it is that possible visible scarring can mar the otherwise outstanding results that they will have after surgery.

However, advances in breast augmentation surgery have made new techniques possible which can eliminate breast tissue scarring while still ensuring women have the attractive and refreshed look they desire. A transumbilical breast augmentation, also called a TUBA procedure, uses a unique incision location that means women can enjoy completely scar-free breast tissue and an extremely discreet and almost invisible scar hidden deep in the folds of the belly-button. This technique has revolutionized breast augmentation, and one of the most experienced surgeons performing the method today is Dr. David Mashhadian of Rodeo Surgical Art.

What is transumbilical breast augmentation?

A transumbilical breast augmentation or TUBA procedure — also commonly referred to as the “belly-button breast augmentation” or “scarless breast augmentation” — places the breast implants in the breast pocket through an incision in the belly-button area. Traditionally, breast augmentation is performed through incisions in the fold under the breast or around the areola, and the implants are inserted there. However, with this significant surgical advancement, women can now have all of the advantages of breast augmentation without the downsides of having an incision and scarring in the breast area.

The Many Advantages of a TUBA Procedure

While many women may see the elimination of scarring in the breast area as a significant enough advantage to consider a TUBA procedure, there are many additional benefits to this technique, which include:

  • No incision is made on the nipple or breast or in the armpit.
  • There is less risk of nerve damage and sensation loss.
  • There is a decreased risk of infection.
  • There is less interruption of healthy breast tissue
  • The ability to breastfeed is preserved.
  • There is a faster recovery with less pain.

Even if scarring is not a woman’s primary concern, talk to Dr. Mashhadian about these additional advantages of a TUBA procedure, especially if you think you may want to breastfeed in the future.

The Myths Surrounding TUBA Surgeries

Many myths which have no basis in fact surround this technique in breast augmentation. Here, we will discuss a few of the most common ones.

For example, many women may think that using a more distant entry point could lead to undesired complications, but in fact, the TUBA procedure has fewer complications than other methods of breast implant placement. Further, the breast pocket is created using an expander which dispenses with the need for dissecting breast tissue but still allows your surgeon total control over the outcome because he has full visibility of the treatment area and can see the final results in real-time.

Also, women concerned about possible problems with the insertion tunnel have little to worry about as there have been no instances of problems during or after recovery. To discover what other myths about scar-free breast augmentation are false, read our blog here. Patients with any concerns whatsoever can also ask any questions you may have about TUBA surgery directly with Dr. Mashhadian during your consultation. He will be happy to share facts about the procedure from his extensive experience with this method, to ensure you’re fully educated about the surgery.

Who is a good candidate for a TUBA procedure?

Candidates for a TUBA procedure must be good candidates for surgery in general. They must be in good overall health, not have a history of bleeding or complications from bleeding and must not smoke for several weeks before and after their procedure if they are smokers. Women should also be over the age of 18 and wish to improve their breast volume — whether their small breast size is due to naturally-small breasts, child-rearing or aging. Women must also be comfortable with having saline implants. The TUBA technique is specifically intended for women who do not wish to have any scarring in the breast area after their surgery; although, in addition, the procedure offers many other advantages. Women should note that cohesive-gel, or gummy bear, implants cannot be introduced into the breast pocket using the TUBA method since these implants come pre-filled with the gel solution. Women who prefer to have gummy-bear implants can still have a procedure with limited scarring, however; and they can discuss their options with Dr. Mashhadian during their consultation. The possibility of scarring, while an important concern for many women, should not prevent them from having a breast augmentation procedure and enjoying its often transformative benefits.

What will happen during my TUBA surgery?

Your TUBA breast augmentation procedure will begin with general anesthesia which will provide you with the greatest level of comfort and safety throughout their surgery. After anesthesia has been delivered, Dr. Mashhadian will make the navel incision, the only incision that is made throughout the procedure. Next, your surgeon will use surgical scissors and carefully begin the tunnel through which the implant will travel to the breast pocket.

The tunnel itself will be created using an obturator (a slender, sharp but non-bladed surgical instrument), and Dr. Mashhadian will carefully cut above the rectus fascia and beneath the subcutaneous layer of tissue. Each pass will extend only four-centimeter increments so that Dr. Mashhadian can visually confirm that each advancement lies directly above the fascia, a method which ensures the highest levels of patient safety.

The obturator along with a tube is then inserted into the tunnel, and the obturator is removed and the tunnel is endoscopically checked to confirm its integrity. Afterward, tissue expanders are introduced into the breast pocket through the bare canal and filled with a sterilized saline solution via an intravenous bag. While the tissue expanders are being filled, Dr. Mashhadian can use manual pressure applied externally to perfect the final shape of the breast pocket, ensuring a highly-satisfying result.

Any necessary adjustments are made to the tissue expander volume at this time, and each patient is evaluated in a nearly upright position in order to make the most accurate assessment possible. Finally, the implant itself is introduced into the canal and manually advanced to the desired position where it is filled to the patient’s pre-determined volume, also by an intravenous bag using a sterile saline solution. Any air which may have been introduced into the canal is finally suctioned away, and the incision is closed with an absorbable suture.

What To Expect During Recovery From Your Transumbilical Surgery

After the transumbilical surgery has been completed, the patient’s chest and abdomen are then wrapped with a pressure bandage. The following day, the bandages will be removed by Dr. Mashhadian and the patient will be allowed to shower. Dr. Mashhadian discourages patients from wearing under-wire bra and push-up type bras until the implants have had adequate time to settle. The surgeon advises patients to take it easy for the next few weeks, though most are able to resume normal activity levels within this time.

Through a proprietary technique developed by Dr. Mashhadian and exclusive to Rodeo Surgical Art called RECOVERY EXL, patients can enjoy a significantly more comfortable and speedy recovery when having their breast augmentation surgery performed by Dr. Mashhadian than by any other surgeon. RECOVERY EXL includes a unique combination of medications delivered before surgery and specialized incisions during surgery which offer his clients many advantages during recovery they cannot have anywhere else. Clients can only find this technique at Rodeo Surgical Art where they can have it performed by its creator, Dr. David Mashhadian.

Women in the Beverly Hills area who are interested in transumbilical breast augmentation must visit breast surgeon specialist Dr. David Mashhadian!

David Mashhadian, MD, FACS is one of the few surgeons serving the Beverly Hills, Hollywood, Santa Monica, Los Angeles and Southern California areas to perform this innovative and proven procedure. Patients travel from Calabasas, Encino, Thousand Oaks, Inland Empire, Rancho Cucamonga, Pasadena and nation-wide to receive treatment using this amazing scarless procedure.

You will have many decisions and choices to make when you begin considering having your breast augmentation surgery, whether it is a TUBA procedure or not. Dr. Mashhadian will always take special care in helping you determine crucial factors, such as the right size, shape and implant profile for your physique and your goals, and the surgeon will ensure that the best and most appropriate surgical techniques will be used to realize your personal aesthetic vision.

Whatever initial concerns you may have prior to your surgery, you are encouraged to share them with Dr. Mashhadian who will ensure that you are heard. Your expectations and goals for your surgery are of supreme importance and will be acknowledged so that your implant and surgical choices can fulfill those needs. Dr. Mashhadian’s ultimate goal is that you have a surgery which guarantees your safety at every stage and that also offers you outstanding and long-lasting results that you can enjoy for years. To begin your journey towards the right implants for your final look, schedule your consultation with Dr. Mashhadian today. The surgeon has the ideal combination of surgical expertise, exceptional taste and deep concern for his clients that ensure consistently satisfying outcomes. Dr. Mashhadian’s offices are located on Rodeo Drive in Beverly Hills, conveniently serving clients from all areas of Southern California, including Hollywood, Santa Monica, Malibu, Los Angeles and Pasadena.

Call now to secure your exclusive appointment with Beverly Hills breast surgery specialist Dr. David Mashhadian at Rodeo Surgical Art!

Be sure to discuss all your possible surgical options with Dr. Mashhadian in Los Angeles to discover the perfect procedure for you. You are welcomed to request a consultation online or call 310-652-4500 to speak to a member of our client-focused staff. We strive to make every experience you have at Rodeo Surgical Art first-class from your inquiry call through your last day of recovery and beyond.


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