There is a lot of hype about “scar-less surgery” and unfortunately a lot of misinformation as well. I will try to clarify scarless surgery a little.
Scarless surgery can be classified as:
- Fetus surgery – interestingly, fetal surgery does not heal with scarring. There are a lot of theories about why this is true and something that medical science is trying to understand. Hopefully someday we will learn the secret and scarless surgery can be a reality. As I can safely assume that none of my readers fit this category I will move on.
- Scars that are much shorter than customary for a given procedure. (But not truly scarless)
- “scarless breast reduction” involves very small (3-5 mm) incisions for liposuction of the breast. The scars are very short and well hidden but there ARE scars.
- “scarless facelift” - endoscopic facelift through shorter than customary incisions.
- A non-invasive approach to a procedure.
- “scarless breast augmentation” with fat grafting
- “scarless facelifts” with laser skin tightening or fat grafting.
- “scarless rhinoplasty” – Soft tissue injectable for correction of nasal defects.
- Incisions through tissue other than the skin.
- This is hot in general surgery right now. Weight loss surgery through the stomach endoscopically by the way of the mouth for example
- No great examples of this in cosmetic surgery.
- Scars placed away from the operative site
- another version of “scarless breast augmentation” or TUBA is the placement of breast implants through the navel. The scar is actually just as long or longer than the standard approaches it is just on the abdomen. I do not favor this approach for a variety of reasons. I blogged about it a few weeks ago http://www.yorkyates.com/breast-implant-scars/
Confusion lies in the variety of procedures that have a number of versions of “scarless” surgery.
In my opinion, for the appropriate patient “scarless breast reduction” and “scarless facelift” with endoscopic lift or fat grafting have some value. “Scarless breast augmentation” with fat grafting will likely prove to be a fringe ‘fad’ in plastic surgery. “scarless breast augmentation” with TUBA is inaccurate and in no way solves the problem with scars in breast augmentation.

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One of the most difficult surgical procedures for breast augmentation is actually the under arm axillary technique, this is far better than TUBA because there really is no visible scar as they are hidden in the crease lines under the arm pits.
It suprises me why this surgery is not more widely available in the USA. it does take longer to perform and a senior surgeon is usually qualified to perfrom this. But it certainly is still the best breast augmentation in my medical opinion and experience.
No visible scars…
Thanks for the comment from Thailand. I would agree that it is a difficult procedure and what is difficult about it is achieving symmetry with both breasts as you can not “feel” the implant pockets simultaneously. In my opinion the revision rate and rate of asymmetry is just too high. The other scars are never a problem if they are well placed and small and yet much more accurate.
hi,Its a latest technique and is being used in hospitals across the UK to remove whole organs – including the spleen and appendix.In the US it is being used for hysterectomies- removing the uterus through the belly button.
I like your post because it’s so very informative. It helps a lot, specially for women who have been hesitating doing this kind operation. Thanks for the good information. I will tell my girl friend about this..Breast Implants Prices