Trans Umbilical Breast Aumentation

Dr Cheski Discusses Issues in Breast Augmentation.

Issue: Saline versus Silicone implants
There is a lot of misinformation about this because much of the literaturerumours, and word of mouth about silicone implants is based on liquid silicone implants from the 1970’s, 80’s and early 90’s. The silicone implants used now are a cohesive gel implant, and they behave much differently . The silicone implant has a higher rate of leakage and the leaks are harder to detect and correct. Silicone implants come pre-filled and thus require a larger incision/scar and are much more difficult to match size in patients who have one breast larger than the other. Further, the silicone implants are more expensive.
Some people think that cohesive gel implants(modern silicone) have less rippling and a more natural feel. This is true with the old liquid silicone implants, but I, and many other surgeons, have found that the new implants actually have more ripples and a higher rate of capsule contracture(hardening of the breasts) . To get FDA approval, the implants are now safer but the trade off is a higher rate of rippling.
In contrast, the new saline implants are far superior to the saline implants of old. I have found that there is a significant decrease in rippling and more natural feel, especially among the high profile saline implants. The implants are inserted uninflated and are inflated in place, thus they can be inserted through a much smaller incision, resulting in a much smaller scar. A leak or deflation is much safer and is easier to detect and correct. Further, there is a much lower risk of capsule contracture, especially when placed through the belly button.
I use both saline and silicone implants, but I much prefer the saline implants.

Issue: Minimizing and Treating Rippling
Place the implant under the muscle. I prefer the High Profile Saline Implant. Their configuration has a sidewall that ripples less. Also, more of the implant is under the muscle and less hanging toward the armpit.
I have developed a unique technique to minimize the risk, or treat, rippling. For very thin patients or for patients who has rippling, I suggest fat grafting to the area of rippling which provides a cushion between the skin and the implant. This masks any potential rippling.
Issue: Capsule Contracture:
To minimize the risk of capsule contracture, I prefer to use saline High Profile under the muscle and use massage post operatively. Also, placing the breast implant through the belly Button, or TUBA) greatly reduces the chance of Capsule Contracture

Issue: Need to change implants every 10 years.
This used to be true with the old implants, but it is no longer the case. In fact the implants are guaranteed for life by the manufacturer, which covers a replacement implant plus provides money toward the surgery.





Named by the Consumers Research Council of Washington DC as one of America’s Top Surgeons. Voted Best Plastic Surgeon by AV Press. Listed in the Guide to America’s Top Plastic Surgeons. Chosen “Best Plastic Surgeon and Facelift Surgeon” by Destination Southern California, Chosen “Best Doctor” by AV Press, Named by the Consumers Research Council of Washington DC as one of “America’s Top Plastic Surgeons”. “Innovative Research Award in Surgery” renamed after Dr Cheski as “The Dr Peter Cheski Innovative Research Award in Surgery”. Chosen as NBC’s Exclusive Pro in Cosmetic Surgery. Chosen as KTLA’s Expert in Cosmetic Surgery. “Normal natural results” as stated by Howard Stern, Developer of instrumentation for Transumbilical Breast Augmentation. Lecturer and Live Surgical Demonstrator and teacher to surgeons from around the world. Over 30,000 procedures performed. Many Charitable Honors, including The Huntingtons Disease Society of America “Humanitarian Award of Medical Excellence”, Previous Board Member of Safe Passage and awarded the Award of Honor for charitable work with victims of domestic violence .
And most of all, a kid from small town Oshawa Ontario Canada who was blessed with a loving supporting family and a good upbringing.

Face lift, Neck Lift, Face and Neck Lift, Brow Lift, Blepharoplasty ( Eye Lift) Facial Rejuvenation, Stem Cell Face Lift, Fat Injection, Rhinoplasty ( Nose Reshaping ) , Septoplasty, Improved Nasal Breathing, Nose, Cheek, Chin and Facial Implants, Cheek or Midface lift, Laser Facial Surgery and Laser Facial Resurfacing, Sinus Surgery, Chemical Peels, Phenol Peel, VIPeel, Thermage, Thermacool, Facial Fillers and injections, Botox, Dysport, Juvederm, Artefill, Silicone, Restylane, Radiesse, Collagen, Skin Care, Esthetician, Spa and MediSpa services, Microdermabrasion, liposuction, laser liposuction, Radiofrequency Liposuction, Breast Implant and Breast Augmentation (Saline and Silicone) with all approaches ( Periareolar, Inframammary, Axillary and Transumbilical ), Breast Lifts, Breast Revision Surgery, Correction of rippling, Mastopexy, Breast Reduction and Reconstruction, Arm Lift and Liposculpture, Abdominoplasty / Tummy Tuck, Thigh Lift