The Scarless Breast Lift (Transumbilical Breast Augmentation, or TUBA) is a unique surgical procedure that was developed so women could achieve natural-looking breasts without disfiguring scars and long recovery periods.

This unique procedure can be a life-changing surgery for many women who have often felt self-conscious about the size or appearance of their breasts or who have lost volume and lift of the breast from pregnancy or weight loss. The TUBA technique was designed to fulfill that need, causing minimal recovery time, bleeding, and  best of all…no visible scar.


This unique scarless breast lift procedure was developed taking advantage of everyone’s natural anatomy. Every person has one natural scar…the navel! If you think about it, the “belly button” results from the umbilical cord healing thus creating a scar  consequently everyone has this one natural scar. Furthermore, the belly button is a depression or “ pit” in the abdominal skin.  With the scar less technique, a half inch incision is made in the depths of the belly button. When the incision heals it is virtually invisible because it is a “scar on a scar”, that is at the bottom of a “pit”. The Scar Less breast enlargement technique therefore does not create a new scar on the body, it just uses an old one.

The procedure is performed, usually under general anesthesia or sedation, as are the majority of breast enlargement procedures. After the incision is made, two tunnels are created, extending from the navel in a “V” shape, one to each breast. The tunnels are made with a tubular instrument that is passed upward from the navel in the fat layer that is just beneath the skin, NOT inside the abdomen. Because the tunnel is completely above the abdominal cavity, there is no way the abdominal organs can be injured!  


The tunnel can be placed either beneath the breast tissue or beneath the muscle, depending on the placement desired. To verify the position of the tunnel, a long laparoscope (which is a long television camera) is inserted into each tunnel. The position of the tunnel is clearly visible on a digital monitor as is the entire length of the tunnel. The laparoscope is removed and a saline implant sizer is rolled up like a cigar and inserted into the tunnel and pushed up until it is in a position where we want the implant to go. The sizers are then inflated through their long fill tubes that extend out of the navel, with sterile saline solution (ie: sterile salt water which is a normal body fluid that is also used in IV lines into the body).

The asleep patient is placed in a sitting position on the operating table, and the sizers are slowly inflated until the breasts are the size desired (based on a picture that the patient has selected as the desired size). Since most women’s breasts are rarely the same size, the sizers are usually inflated differently. During the inflation procedure the implants are slowly filled, creating their own pocket, gently pushing the tissue beneath the breast tissue out of the way. There is no cutting of tissue or burning of tissue with electrocautery, as is the usual dissection technique with the other surgical approaches.

This implant pocket creation technique causes almost no bleeding because the pocket is not made by cutting the tissues, but by gently pushing the tissues out of the way. Because there is minimal trauma to the tissues, as is caused in the other techniques, healing is very short after the procedure, with almost no bleeding, allowing the average patient to return to work in 1 to 2 days.

With the patient still sitting, the volumes of the saline in the sizer are adjusted until the breasts look as close to the sizing picture as possible. Then the saline is removed from each implant and recorded. We now know exactly what size implant to use and how much to fill each one. The sizers are removed and the patient is placed in a flat position. Based on the volume measurements we then select the appropriate implants.  The real implants have a very secure self sealing valve in which we place a removable long fill tube. Each implant is rolled up like a cigar, slid up the tunnel, and inflated with the correct amount of sterile saline, directly from an IV bag through a sterile tubing in a completely closed system. When both implants are filled, we sit the patient up in a sitting position, and we make final adjustments to fine tune the implant volumes. When we are convinced the breasts are as close to the sizing picture and as symmetrical as possible, we remove the fill tubes. As the fill tubes pass through the self sealing valves, the valves snap shut.  The patient is placed flat and the tiny incision in the navel is closed with a few self dissolving sutures. The patient is placed in a breast dressing, and awakened from anesthesia if used.

This complete procedure, from incision to closure typically takes less than 30 minutes, and patients usually go home from the recovery area an hour or so after surgery. Most patients can return to work within 1 to 2 days.

Dr. Vitolo’s unique approach to Transumbilical Breast Augmentation is reflective of his dedication and passion for innovative plastic surgery that focuses on the patient’s health and happiness. Dr. Vitolo’s goal is to have the patient so wildly happy with the results that they only have the surgery done once.


Dr. Robert Vitolo treats patients from the Greater New York Metropolitan area including Manhattan, the 5 boroughs and New Jersey. He has offices in Manhattan, Brooklyn, and Staten Island for the patients’ convenience. Dr. Vitolo frequently has patients seeking his consultation and surgeries from across the United States, Europe, Russia, and Asia, consequently, we offer internet consultations via FaceTime and Skype for those patients who are not local.

Take the first step. Get your questions answered and find out if the Scar Less Breast Augmentation is best for your personal situation by meeting with board-certified plastic surgeon Dr. Robert Vitolo for an in-person consultation. Simply fill out the form on this page, and one of Dr. Vitolo’s knowledgeable staff members will reach out to you promptly. You can also call our offices directly toll free at 800-332-1067.



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*Individual results may vary



“Dr. Vitolo and his team are the most kind and considerate professionals I’ve encountered. My first surgery, rhinoplasty, was done by Dr. Vitolo in 1998, which I’m extremely pleased with. After having two children via C-section, I recently turned to Dr. Vitolo for a well-deserved Mommy Makeover and am so happy I did. I highly recommend Dr. Vitolo; he is worth every penny.”*

“Dr Vitolo, is amazing!! Iam very happy I had such an experienced and caring doctor!  The results are incredible. And I couldn’t be happier!! I didn’t have to worry about anything. Nothing. He is extremely knowledgeable in every aspect. Which made me feel secure and comfortable. I had an amazing trustworthy doctor! Would recommend him to anyone!”*  -RealSelf Patient Review

“I just want to say thank you for everything. You helped me more than you know; I really appreciate you doing the surgery for me and I know I will be very happy with the results. I know you have a reputation of one of the best surgeons, and I truly agree you are, if not the best, and I mean by the person you are. It was very kind of you to help me under the circumstances.”*   – JH

“Words cannot express what you have done for my self-esteem and confidence. You and your staff made me feel relaxed and comfortable the whole way through. I thank you all dearly, and you truly have “hands of magic!” Happy Holidays to all of you and yours.”*   -J


*Individual results may vary


Dr. Vitolo is one of a very few plastic surgeons in the world who uses the scarless breast lift technique almost exclusively. Dr. Vitolo perfected this technique over the many years that he has been performing this procedure in order to provide patients with a better recovery experience, quicker, more natural results, and has performed thousands of Scar Less procedures over the years. He has, many times, been able to correct the droop of the breasts (ptosis) with this technique, without visible scars, when most other plastic surgeons would have performed a mastopexy, with its “lollipop “scars.

Dr. Vitolo has developed many unique improvements in the Scar Less Breast Augmentation technique that has allowed him to place the implants both below or above the muscle, remove leaking or deflated implants or change the size of the implants without creating a new scar.  He has developed a technique to perform capsulotomies of the beasts to correct hardened encapsulated breasts, and can even remove old silicone breast implants with this technique and replace them with new saline implants, without re-opening the old scars, so that no one would know there had ever been a change, because there is no visible scar.


One of the most exciting benefits to Dr. Vitolo’s transumbilical breast augmentation technique is that downtime is incredibly fast; patients are able to take off their surgical dressings within 24 hours and can return to work  within 1 to 2 days!

This lightning-fast downtime is just another reason why more patients seek out Dr. Vitolo’s highly credentialed and world-renowned surgical expertise. 


Dr. Vitolo considers himself to be a plastic surgery artist, with an eye for natural-looking results that perfectly complement the patient’s lifestyle. Results from his scarless breast lift technique include an enhanced and symmetrical bustline, as well as sky-high confidence levels.


If you would like to schedule an in-person consultation, please fill out the form on this page and one of Dr. Vitolo’s knowledgeable medical staff will reach out to you promptly. You can also call our office directly to schedule – 800-332-1067.

Dr. Vitolo has three offices in Staten Island, Manhattan and Brooklyn. Dr. Vitolo has patients that come to him for treatment from across the United States, Europe, Russia, South America and Asia. Our practice offers Internet consultations via FaceTime and Skype for those patients who are not local.

*Individual results may vary