From the Inland Cosmetic Surgery Center, Rancho Cucamonga, CA.
Ann Plast Surg. 2023 May 1;90(5):494-500. doi: 10.1097/SAP.0000000000003511. Epub 2023 Mar 8.
Transumbilical silicone breast augmentation (TUSBA) is a fairly new and rapidly growing technique of endoscopically assisted placement of silicone breast implants. In comparison, the well-known transumbilical breast augmentation (TUBA) with saline has been described in the literature since 1993 (Planas J. Introduction of breast implants through the abdominal route. Plast Reconstr Surg. 1976;57:431-437). The TUBA procedure has proven to be safe, efficient, and cosmetically sound over the last 29 years (Shiffman MA, Caleel RT, Shumway R, et al. Survey of transumbilical breast augmentation (TUBA). Am J Cosmet Surg. 2011;28:5-11). Augmentation with silicone through the umbilicus is becoming more popular due to several factors: first, because the acceptance of TUBA with saline has been good with positive outcomes and, second, because patients prefer the discrete location and small size of the umbilical scar left behind. Endoscopic guidance is a critical tool for learning and visualization and for reducing complications such as hematoma or misplacement of the implant.Breast augmentation continues to grow in popularity and acceptance, alongside cosmetic procedures in general. This author expects that, as the TUSBA technique becomes more widespread in use, surgeons will benefit from having a practical clinical publication from which to modify their own technique. This publication will present the authors' TUSBA technique and chart review of practice data from May 2021 through November 2022, wherein the TUSBA procedure was performed.Forty women aged 21 to 61 years (mean, 35.13 years) underwent endoscopically assisted TUSBA. All patients had the implants placed in the submuscular pocket. Patient surveys and postoperative visit data were used in the generation of follow-up information. Upon inspection of the chart data at 3, 6, 9, and 12 months, there were no reports of capsular contracture. Transumbilical silicone breast augmentation is a safe and efficient method for silicone implant placement in select patients.
经脐硅胶乳房增大术（TUSBA）是一种相当新且快速发展的内窥镜辅助硅胶乳房植入物放置技术。相比之下，自 1993 年以来，文献中就已经描述了著名的经脐盐水乳房增大术（TUBA）（Planas J. 通过腹部途径引入乳房植入物。整形外科学杂志。1976;57:431-437）。在过去的 29 年中，TUBA 手术已被证明是安全、有效且美容效果良好的（Shiffman MA、Caleel RT、Shumway R 等人。经脐乳房增大术（TUBA）调查。美国美容外科学杂志。2011;28:5-11）。由于几个因素，通过脐部进行硅胶增大变得越来越受欢迎：首先，因为盐水 TUBA 的接受度很好，并且效果良好，其次，因为患者更喜欢脐部留下的小而离散的疤痕。内窥镜引导是学习和可视化的关键工具，可减少血肿或植入物错位等并发症。乳房增大术与一般美容手术一样，越来越受欢迎和接受。作者预计，随着 TUSBA 技术的广泛应用，外科医生将受益于实用的临床出版物，从中可以修改自己的技术。本出版物将介绍作者的 TUSBA 技术，并回顾 2021 年 5 月至 2022 年 11 月期间的实践数据，在此期间进行了 TUSBA 手术。40 名年龄在 21 至 61 岁（平均 35.13 岁）的女性接受了内窥镜辅助 TUSBA。所有患者均将植入物置于胸肌下袋中。患者调查和术后就诊数据用于生成随访信息。在检查 3、6、9 和 12 个月的图表数据时，没有报告包膜挛缩。经脐硅胶乳房增大术是一种安全有效的硅胶植入物放置方法，适用于特定患者。
