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Is a Transumbilical Breast Augmentation Hip or Hype?

This method of augmentation  has been marketed as being nearly scar-free.  However, as one knows, what is marketed and what is reality are two different things.  I don’t perform this procedure due to the high rate of complications and long term poor outcomes.  In general, this technique places implants in the subglandular plane (just under the breast).  This increases the risk of capsular contracture and visible rippling.  I have performed revisions on implants placed via this manner more than any other.  I have seen implants placed in the submuscular plane via this technique, but it often traumatizes the muscle.  Due to the blind nature of the technique, I have also seen implants placed partially submuscular as well as submuscular on one side and subglandular on the other.  If one is concerned with a breast scar, transaxillary placement, in my opinion, is far superior to the transumbilical.

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