San Francisco Plastic Surgery Dr James Romano

126 Post Street, Suite 618, San Francisco, CA 94108 | 415.981.3911 

San Francisco Plastic Surgeon

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TUBA-Transumbilical Breast Augmentation

The number of different incisions used for placement of breast implants has increased over the years. One such incision is around the belly button (umbilicus). The Trans-Umbilical Breast Augmentation (TUBA) is where though this incision, breast implants are placed. It requires a very special breast anatomy and implant size to work well in our opinion, therefore is utilized in only a select few patients.

 

THE BREAST IMPLANTS

  • Saline or silicone implants may be used.  Your anatomy, concerns and priorities will help us determine which implants are best suited for you.
  • The latest in technologies are utilized including all shapes (anatomic, teardrop, or round) and textures (smooth or fuzzy). These allow the doctor to customize your surgery.
  • The many new type implant fillers such as soybean are still experimental, not yet approved by the FDA.

THE PREOPERATIVE FEATURES

  • Breasts that are small, uneven or asymmetric.
  • Breasts that are slightly sagging or deflated.
  • Breasts that are out of proportion to the rest of the body.
  • Desire for better fit in clothing or more sensual body image.
  • Desire for an inconspicuous incision around the belly button.

THE PROCEDURE

  • General anesthesia can be used and it takes about two hours.
  • The incision is placed around the upper edge of the belly button.
  • The nipples and areola usually enlarge in proportion to the increased breast size.
  • The space is made exactly in the right place and position to correspond to the exact type of implant.
  • Temporary breast implant sizers are inserted in the space and inflated to create the space and adjustments are made, then the appropriate permanent implant is then inserted.
  • The only dressing is a surgical bra.
  • No drains.
  • This can be combined with other surgeries.

THE RECOVERY

  • You can go home after several hours.
  • You can shower on the second day after surgery.
  • Moderate pain for the first two days that is mostly gone by the third day and easily controlled by medications.
  • You will feel very groggy for the first two days and weak for about ten days.
  • Swelling is moderate for the first week after which it rapidly disappears.
  • Breasts are high on the chest for the first three weeks then settle into a very normal position and contour.
  • Usually no bruising.
  • Resume many activities within the first week, and most by at least three weeks.
  • No stitches to remove. They are all dissolvable.
  • Off of work for five to seven days, often less.

THE RESULT

  • Enlarged, full, balanced breasts.
  • Very natural result that just gets better in time.
  • Softness and natural bounce that persists.

For before and after images of this procedure click here

 

Please call or contact the office for any further information or to schedule an appointment.

Copyright 2007 James J. Romano, M.D., 126 Post Street, Suite 618, San Francisco, CA 94108, 415 . 981 . 3911
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