Today, breast augmentation is the most commonly performed cosmetic surgery
operation in the U.S. At Bozeman Health Cosmetic Surgery, we find there
are many reasons women choose to have their breasts augmented. Consider
- If you want a better proportioned or more appealing figure
- If pregnancy, weight loss or aging has affected the size and shape of your breasts
- To restore symmetry (i.e., if one of your breasts is a different size than
- To replace older implants
We offer two options for breast augmentation: TUBA with saline implants
or Transaxillary with gel implants. We encourage our patients to do their
own research and we'll work with you to help you determine the best
option to achieve the look you want for your body.
TUBA with Saline Implants
Trans-umbilical breast augmentation or TUBA, allows saline implants to
be placed through the navel with precision using an endoscope. The procedure
is done entirely subcutaneously (or just under the skin), so it does not
involve the abdominal organs or muscles. Highly trained cosmetic surgeon
Hugh Hetherington, MD, has completed specialized training in this procedure
and is the only physician in Montana who performs this procedure.
Most women appreciate that the TUBA surgery is less invasive than typical
breast augmentation so there’s less breast trauma and risk of injury
to breast tissue. Because it’s less invasive, it means a faster
recovery time -- something our patients truly appreciate.
There are misconceptions about the TUBA procedure. You may see references
to the surgeon not being able to position implants properly, but that's
simply not true. Because the surgeon sees the exact shape of the breast
and position of the implant during the expansion phase, there is no guesswork
involved in implant positioning. You see exactly what you are going to get.
There are many benefits to each procedure, and the staff and I provide
one-on-one consultations to help the patient determine which option is
the best for them.
~Dr. Hugh Hetherington
TRANSAXILLARY with Gel Implants
Another option is Transaxillary breast augmentation with gel implants.
It too allows for minimal scarring since the incision site hidden within
the armpit resulting in natural looking breasts. Many patients prefer
the armpit incision because it avoids scars on the breast and avoids cutting
through the breast tissue when placing the breast implants underneath
the muscle. The incision is small, about 1 inch, and well hidden in the
depth of the armpit. Once the armpit incision heals, it is barely noticeable.
With the transaxillary endoscopic breast approach, the breast implants
can be placed below or above the chest (also known as the pectoralis)
muscle with great precision.
During your initial consultation, you will be asked about your goals and
wishes for breast augmentation or breast enlargement. Your current concerns
about your breast appearance are discussed as well as the improvements
you are seeking. We'll also discuss the choice of breast implant filler,
shape, size and placement will be determined according to body type, breast
size and shape and your esthetic objectives.