This patient received breast augmentation with 525 ml saline implants placed under the muscle through the belly button (transumbilical augmentation, TUBA). This approach allows breast augmentation to be performed without any scars on the breast. The scar is hidden inside the belly button. Dr. Hughes achieves fantastic results with this technique four or five times a day. Few people have the training to perform this type of breast augmentation, and that is the primary reason why many surgeons perform augmentation through other incisions.