Transumbilical breast augmentation.

Transumbilical breast augmentation was first described in the literature more than 15 years ago. Since its introduction, this procedure has been controversial and has never been widely adopted by plastic surgeons. This article reviews the history of transumbilical breast augmentation; describes a simplified, nonendoscopic approach to insertion of saline implants via the umbilicus; and discusses the advantages, disadvantages, and limitations of this technique.