Transumbilical Breast Augmentation is widely accepted procedure, but only a few cosmetic surgeons in California are performing this method of breast augmentation.  With over eleven years of surgical training and a decade of experience teaching the TUBA technique, Dr. Shumway is the premier physician on the West Coast performing TUBA.

Breast enhancement is one of the most frequently performed cosmetic procedures. It is done to enlarge small or underdeveloped breasts, or for those whose breasts have decreased in size after pregnancy, in an effort to improve ones' overall appearance.

As the premier physician in San Diego performing the TUBA method, Dr. Shumway will help each patient decide during consultation which implant size, shape, and implant placement is most appropriate.

Implants can be placed either under the breast tissue (above the muscle) or under the pectoralis muscle via:

- Navel (TUBA/Transumbilical)

- Nipple (periareolar)

- Under the breast (inframammary)

- Thru the arm pit (transaxillary)

Did you know...

Transumbilical Breast Augmentation....TUBA..is SAN DIEGO'S PREFERRED CHOICE for breast augmentation!

Dr. Shumway uses only FDA approved Natrelle™  Breast Implants.

The Natrelle™ Collection features saline and silicone fill.  The silicone cohesive gel-filler means that the silicone inside the implant acts more like a soft solid than a liquid. All silicone gel-filled breast implant manufacturers currently have a consistent testing standard for silicone cohesivity, which is recommended by the FDA.

Did you know...

Natrelle breast implants are FDA approved are are available in Saline as well as Silicone filled.  Our implants come in two different types of fill, a variety of different diameters, three profiles, a wide range of volumes, plus textured or smooth shell surfaces

A chemical peel is a body treatment technique used to improve and smooth the texture of the facial skin using a chemical solution that causes the skin to blister and eventually peel off. The regenerated skin is usually smoother and less wrinkled than the old skin. Thus the term chemical peel is derived.

There are several types of chemical peels.

Alpha Hydroxy Acid (AHAs) Peels: Naturally occurring organic carboxylic acids such as glycolic acid, a natural constituent of sugar cane juice and lactic acid, found in sour milk and tomato juice. This is the mildest of the peel formulas and produces light peels for treatment of fine wrinkles, areas of dryness, uneven pigmentation and acne. Alpha hydroxy acids can also be mixed with a facial wash or cream in lesser concentrations as part of a daily skin-care regimen to improve the skin's texture.

AHA peels are used to:
• Reduce fine wrinkling
• Treat areas of dryness
• Reduce uneven pigmentation
• Aid in the control of acne
• Smooth rough dry skin
• Improve the texture of sun-damaged skin

Beta Hydroxy Acid Peels: It is common for the use of beta hydroxy acid (BHA) peels to be used instead of the stronger Alpha Hydroxy (AHA) peels due to BHA's ability to get deeper into the pore than AHA. Studies show that BHA peels control oil, acne as well as remove dead skin cells to a certain extent better than AHA's, due to AHA's only working on the surface of the skin.

Jessner's Peel: Is a combination of salicylic and lactic acids, and resorcinol. It is thought to break intracellular bridges between keratinocytes.
Retinoic acid peel

Trichloroacetic Acid Peels (TCA): Is used as an intermediate to deep peeling agent in concentrations ranging from 20-50%. Depth of penetration is increased as concentration increases, with 50% TCA penetrating into the reticular dermis. Concentrations higher than 35% are not recommended because of the high risk of scarring.

TCA peels:
• Are preferred for darker-skinned patients over Phenol
• Smooth out fine surface wrinkles
• Remove superficial blemishes
• Correct skin pigment problems

Phenol Peels: Phenol is the strongest of the chemical solutions and produces a deep skin peel. Recent studies suggest that phenol is most likely only the carrier for another active component in the solution, namely croton oil. In fact, phenol alone produces only a light peel which is ineffective for restructuring the deeper dermal structures (such as wrinkles). The term Phenol/Croton oil peel has been proposed as a more accurate descriptor, but the established terminology phenol peel continues to be the dominant usage, as the role of croton oil in the mix is not as widely understood.

Effects of a phenol chemical peel are long lasting, and in some cases are still readily apparent up to 20 years following the procedure. Improvements in the patient’s skin can be quite dramatic. A single treatment usually achieves the desired result.

Phenol Peels are used to:
• Correct blotches caused by sun exposure or aging
• Smooth out coarse deep wrinkles
• Remove precancerous growths

Did you know...