Abstract
Breast augmentation (BA) is one of the most common procedures performed in cosmetic surgery. The procedure comprises enhancing the volume of the breast using implants (saline or silicone), autologous fat transfer and flaps. In this chapter, we will focus on BA using implants. Silicone implants are more widely used than saline implants for many reasons including the feel of the breast, less sloshing as well as a more natural feel and the absence of a valve that might cause deflation if it malfunctions. However, saline implants are still appealing to many patients as saline implants are usually cheaper than silicone, some patients are concerned about silicone implant rupture with a possibility of silicone migration and granulomas, and one of the very important reasons is the ability to place saline implants, via transumbilical approach, without placing any scars on the breast.
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Trans-umbilical breast augmentation (TUBA) by Dr. Robert Shumway and Dr. Ehab Akkary. 0.0–2.47: Marking of the patient in a standing position; 2.48–5.19: Infiltration of the tract and the implant pocket area; 5.20–5.37: Peri-umbilical incision and dissection of the subcutaneous plane; 5.38–6.49: Use of round and bullet dissector to create a plane of dissection in the abdomen and breast; 6.50–9.28: Use of the “Hockey stick” dissector to release the muscular attachments medially and laterally; 9.29–10.06: Lateral pocket is dissected with “Tuba fork dissector”; 10.07–10.54: Use of endoscope to confirm the adequacy of pocket dissection as well as hemostasis; 10.55–12.00: Inflatable breast implant sizer being rolled and readied for placement in the “Mammotube”; 12.01–12.43: Sizer being placed in the pocket using a “mammotube”; 12.44–13.30: The Sizer being inflated to check the adequacy of the dissected pocket; 13.31–13.45: Pocket is irrigated with saline solution; 13.46–14.38: Saline implant being placed and inflated to the adequate volume; 14.39–End: Checking the final Implant position and closure (MP4 1148785 kb)
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Akkary, E., Shumway, R. (2023). TUBA: Transumbilical Breast Augmentation. In: Thomas, M., D‘silva, J. (eds) Manual of Cosmetic Medicine and Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-99-3726-4_8
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DOI: https://doi.org/10.1007/978-981-99-3726-4_8
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