So you, like literally millions of others, have decided that it is time to gain some extra weight. If you are like us and the rest of those millions you’d probably prefer a nice thick chest and a nice thick set of arms, shoulders, traps, lats and thighs as opposed to a big belly, love handles, man boobs and a double chin.

Are we right?

Of course we are.

Nobody wants to be fat.

Every body however, would like to be leaner and more muscular.

Our concern is that you may be deceived into thinking that the only way you are going to be able to accomplish this goal is with the use of weight gain drugs and weight gain supplements.

This is simply not true.

We promise that if you have the determination to stick with a simple muscle building diet, training and rest program you will not have any problems making huge gains in a short time without weight gain pills or muscle building steroids.

According to the best in the natural muscle building business it is completely possible especially for beginners and amateurs to gain 15 – 25 lbs of muscle in as little as 16 weeks. That is No Bull. We know from first hand experience and first hand testimonies of others that have hit these kinds of numbers.

The three reasons you should avoid weight gain drugs and even many of the “alternative” weight gain supplements are:

1) They are terrible for your health
2) As you can see from the previous paragraph they are unnecessary
3) They will waste your time and your money.

Fact is weight gain drugs and even many of the best muscle building supplements are bad for your health. We hate the use of fear mongering used to control people or shape there decisions we promise you this is not that. You deserve to be able to make an informed decision regarding the drugs and supplements you are taking or are planning on taking.

Many of the ingredients used in muscle building pharmaceuticals and supplements alike have been banned in other countries where more thorough testing has been done. Many others knowingly cause negative side effects to be able to bring you the results they claim they bring. The damage that can result includes just about everything right up to irreversible organ damage and even death. Be very careful what you choose to ingest.

With proven natural gains like those listed above what is the point of risking your health? Muscle gaining drugs are just simply not necessary. With the right number of calories per day (approx. 16 x your body weight), the right amount of carbs (3 – 4 grams a day per pound of body weight), the right amount of protein (1 gram per day per pound of body weight), plenty of essential fats and oils and a good number of fruits and veggies every day and your body will have all the nutrients it needs to be a muscle growing and developing machine.

Mix this diet with 3 35 – 40 minute training sessions per week, with at least one day off in between workouts and your muscle HAVE to grow. Use High weight (80% of your max). Use low reps (3 sets of 4 – 6 reps). Use exercises that work multiple muscle groups (eg. squats, dead lifts, chin ups, push ups / bench press, dips, rows, clean and jerks and clean and presses). Finally, use super sets to keep your heart rate up forcing more blood into the muscles.

Lastly, since weight gain drugs come with possible side effects you will waste a lot of time researching and testing them rather than just working towards and attaining your goals naturally. This process costs a lot of money. We’ve been there. If it is possible to gain 15 – 25 lbs of muscle naturally in just 16 weeks, then what’s the point of weight gain drugs? Do you know how amazing an extra 15 – 25 lbs of muscle would look on your frame? It would look awesome and you would feel absolutely great about it.

Stay away from harmful drugs. Eat right, train hard and get plenty of rest. It’s all you need to make awesome gains.

Finally! The whole unbiased truth about weight gain drugs & weight gain pills has been exposed. You owe it to yourself to visit http://www.NoBullMuscleBuilding.com/ and get the facts today. Your Free Muscle Mastery course grows your muscles & makes you stronger.

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Are you aware that you need more fat in your diet?  You are probably thinking:  that statement has to be a misprint.  The truth of the matter is that most people here in the United States DO need more fat in their diets. The problem is that we have been taking in too much of the wrong fats and not consuming enough of the healthy fats.

Omega3 fats are a type of polyunsaturated fatty acids that are vital to our good health. Our bodies do not produce this important nutrient so we need to get it from the foods we eat. The main source of these essential fats is found in cold-water fish including sardines, herring, trout, and salmon as well as walnuts and sunflower seeds.

Taking fish oil supplements is another option to get the nutritional benefits of omega3 fats, with the added advantage of knowing the exact amounts you are taking in.

There are basically three classifications of fats: saturated, monounsaturated, and polyunsaturated.  Saturated fats are considered to be the least nutritious, and the NCEP(National Cholesterol Education Program) sponsored by the National Institutes of Health’s National Heart, Lung, and Blood Institute recommends these fats be limited to 10% or less of your total calorie intake.

Some examples of saturated fats are lard, beef, dairy, as well as coconut and palm oils. When eaten in excess, these fats have been known to raise blood cholesterol levels increasing the risk of heart disease.

Monounsaturated fats, considered healthy fats, are found in canola oil, olive oil, and peanut oil. These fats are beneficial to your health as they help reduce bad cholesterol levels in your blood and lower your risk of heart disease and stroke. They also provide nutrients that help develop and maintain your body’s cells.

Polyunsaturated fats also have a positive effect on your health in reducing cholesterol levels and lowering heart disease risks. They include essential fats that your body needs but cannot produce on its own including omega3 fats as well as omega6. These essential fatty acids play a crucial role in brain function and in the normal growth and development of your body. Foods high in polyunsaturated fat include fatty fish, a number of vegetable oils, and some nuts and seeds.

Now that you are aware that all fats aren’t bad, I encourage you to make some necessary changes in your diet to include more foods with omega3 fats, and limit saturated fats for a healthier lifestyle. You will soon notice a positive difference.

For more health information about essential fatty acids check out my web site listed below in the bio.

Elizabeth Ruby is passionate about good health and is a firm believer in taking quality nutritional supplements. She has extensively researched Omega 3 fatty acids for optimal health. Check out her web site at http://www.omega-3-health.com/ to find out how she keeps her mind and body young and active, functioning fully with the help of Omega 3 Fish Oil.

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Fall has just begun and it’s clear that cold and flu season is upon us. Just why are some people more susceptible than others? While doctors are not really sure, experts say it may have something to do with immunity and resistance levels of each individual.

In order to maximize protection against seasonal flu, follow the guidelines issued by the World Health Organization and your local health authorities. In addition, you may want to follow a few easy tips that may help you stay healthy! There are no claims that these methods can actually boost immune health or totally protect you from seasonal flu, but there is sufficient scientific research data that show these may help build immunity. Many recommend chocolate tea or supplementing your diet with additional nutrients. You may want to consider these methods since they do not have side effects and show potential to boost the immune system.

Tips to Boost Immunity!

• Exercise for at least 30 minutes a day, five days a week. A brisk walk in the morning or evening can help get the circulation system going and enhance the functions of all organs of the body. Exercise helps to raise the serotonin levels and happy people are known to have better immune health.
• Get enough sleep! This generation suffers from more sleep problems than any other. Many of us revert to sleep aids or sedatives to get a good night’s sleep. During sleep your body recuperates from the day’s damage. Because other functions are running in stand-by mode your body is able to focus on detoxification and building of new cells. Sleep helps to prime the immune system so that it is in top form to function again the next morning.
• Drink plenty of water. Keep yourself hydrated.
• Antioxidant-rich foods are believed to stimulate immune functions. Eat plenty of foods rich in Vitamins A, C and E. These are the three antioxidant vitamins. Orange juice, tomatoes, carrots are some foods that contain these vitamins.
• Eat 5 to 6 servings of fruits and vegetables every day. Make your plate colorful with a variety of foods. Apples, cranberries, strawberries, kiwis, green vegetables with deep green colors add spice and health to life.
• Eat a daily dose of yogurt for probiotics intake. Probiotics aid the functions of the digestive system. Some people say that 80 percent of immune health depends on the healthy functions of the digestive system.

Drink Chocolate Tea!

• It took a long time for scientists to discover it, but now research shows that pure cocoa is abundantly rich in antioxidants and other health benefits. Pure cocoa shows a strong connection to the body’s immune functions. Apparently, cocoa helps to stimulate the production of white blood cells. You’ll find products like chocolate tea, have high antioxidant value. Pure cocoa also helps to raise serotonin levels. Serotonin, as well all know, is the feel-good hormone. Try cocoa tea to boost your mood and your immunity!
• Green tea, a non-fermented form of tea, is full of antioxidants and shows virus-fighting properties. A combination of ingredients in chocolate tea is believed to help boost immune health.
• Resveratrol, a phyto-nutrient, found in red grapes is also an antioxidant and is believed to have anti-vital, anti-microbial and anti-fungal properties. Red wine contains resveratrol but you would have to drink many glasses of red wine to get enough resveratrol to benefit health. Look for chocolate tea products that contain resveratrol.

The combination of pure cocoa, green tea extract and resveratrol is available in a super-delicious ready-to-make chocolate tea blend called CocoPure. It is powerful in antioxidant strength and all the immune-boosting properties of each of these three nutrients. And it’s only 10 calories a serving so it’s great for people on a diet.

New Vitality is a health supplements company. It develops supplement and chocolate tea products which are carefully formulated under the guidance of an elite panel comprised of renowned doctors, nutritionists, chemists and researchers. Whether you want a chocolate teas, pet health supplement, a personal care product or a health care product, New Vitality is a one-stop shop for all needs

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How much EPA and DHA should you take if you have no heart disease?  You will find the answer to that question and several others in this article.  The information here consists of doctor recommendations and/or the dosages used in clinical trials.

If you don’t have heart disease, cardiovascular specialists recently stated in the Journal of American Cardiology that you should take a minimum of 500mg per day.  When you are comparing supplements, you have to be careful.

The front of the bottle will show the amount of fish oil in each capsule, but the amount of Docosahexaenoic acid and Eicosapentaenoic acid, as well as the total omega-3s will be listed in the nutrient facts on the back of the label.  The concentration of omega-3s in a gram of fish oil, the average amount found in most of the supplements on the market, will vary from 40-90%.  The amount of individual omega-3s will vary, as well.

How much EPA and DHA should you take if you have high blood triglycerides and/or imbalanced cholesterol?  In one study, 3600mg of DHA lower blood triglycerides by 26%.  3180mg of EPA lowered them by 21%.  A slight, but significant increase in “good” HDL cholesterol levels was seen in both groups, but was a little higher in the DHA group.

The study was not actually designed to come up with a recommended daily dosage for average individuals, but to see which of the two omega-3s was most effective at lowering blood triglycerides and increasing HDL levels.  Good results have been seen with lower daily doses.

How much EPA and DHA should you take if you have heart disease or have suffered a heart attack?   Recommendations vary from 800-3000mg per day.  No one should take a high dose, unless they are under a physician’s care.

Research has shown that 3000mg of fish oil or three daily capsules is safe.  It also appears to be safe to combine the use of the therapy with the use of aspirin and blood thinners.  But, that approach should only be taken under the direction of a healthcare practitioner.

How much EPA and DHA should you take if you are pregnant or nursing?  The developing brain must have an adequate DHA-intake.  For that reason, many doctors are recommended a daily supplement or 500-1000mg per day.

Laurel Cohen is a strong advocate of natural health in all its forms: skin care, supplementation, and farm fresh foods. She enjoys introducing people to the best natural products she can find and uses herself daily. Visit her site http://www.omega-3-for-health.com to learn about the omega 3 fish oils Laurel uses daily for optimal health.

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Here’s a brief Q&A, starting with; how much fish oil should I take for heart health.  The answer has been difficult to come by, because recommendations vary, but in a recent review, cardiovascular specialists said that a good daily goal is 500mg per day of DHA and EPA combined.  Now, that doesn’t mean that all you need is 500mg of fish oils.

The average dietary supplement contains 1000mg of natural triglycerides, concentrated esters or both.  Of that 1000mg of fat, some is omega-3.  Some is omega-6 and some is omega-9.  The actual breakdown varies.  Although they are not required to, the better manufacturers break down the fat content, so that people can better plan their daily menus.

Heart specialists say that no more than 20-30% of your daily caloric intake should come from fats, of any kind.  There is no doubt that omega-3 fats are the healthiest ones to choose.  Researchers found years ago that native Inuit tribes with high intakes of omega-3s had practically no heart disease.

Actually, if your question is how much fish oil should I take for any health problem, the answer is two to three capsules.  You should take no more than three grams per day, unless your condition is being monitored by a physician.

While the health benefits of supplementation are numerous, there is a possible risk associated with high doses.  That risk is increased bleeding.

In at least one documented case, a woman taking aspirin, warfarin (a blood thinner) and a high daily dosage of omega-3 fatty acids developed a bleed in her brain that was believed to be associated with the drug combination.  All three of those things thin the blood.  That is the main reason they are beneficial.

They prevent clotting in the bloodstream.  Clots cause strokes and heart attacks, but clots form when we are cut or a blood vessel bursts, too.  So, we need some clotting.  Otherwise, we could bleed to death from a minor cut.

So, how much fish oil should I take to prevent heart disease and reduce the risk of heart attack, without chancing the risk of increased bleeding?  Research has shown that 3 grams or 3000mg per day and is not accompanied by any increased bleeding risk.

Laurel Cohen is a strong advocate of natural health in all its forms: skin care, supplementation, and farm fresh foods. She enjoys introducing people to the best natural products she can find and uses herself daily. Visit her site http://www.omega-3-for-health.com to learn about the omega 3 fish oils Laurel uses daily for optimal health.

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Losing weight can sometimes be depressing because we are not getting the results that we want.  Many of us won’t admit it, but sometimes we talk to ourselves.  Especially when it comes to losing weight we have those conversations with ourselves to get us motivated to go to the gym or to talk us out of eating that juicy bacon cheeseburger.  Positive self-talk is a valuable tool when it comes to weight loss.  It can help keep us motivated.  Staying positive and having positive thoughts are one of the many mental things to keep us on that weight loss track.  There are three things you can do to stay positive:  form a support group, keep track of your progress, and reward yourself.

Having a support group is an easy way to keep you motivated.  Many people find a workout buddy.  Workout buddies go running in the morning or call the other person to get them out of bed.  They are also people to go to the gym with.  If you can’t find a workout buddy another good support group can be found in the classes offered at the gym.  There are many women and men in those classes who have the same goals as you do.  Including your family and friends in your support group can really help.  They want to help you with your goals.  If you need help eating the right foods, ask them to help.

Keep track of your progress is one of the easiest things you can do.  There are many free websites out there that will help you keep track of what you have eaten and your exercise during the day.  There are also support groups on these websites as well.  Another way to record your progress is to write what you did and ate that day in a journal.  Keeping track of your daily activities will help you to feel proud of yourself when you are sticking to the plan.  It can also help you to spot places that need improvement.  You may see that eating that one snack was not as healthy as you thought.  One way to keep track of what you eat is to take a whey protein supplement daily.  This will help you to create lean muscle.  Lean muscle is what burns the calories and fat.  Whey protein isolates are the best type of protein because it is 90% protein and it has fewer fat and carbohydrates as other proteins.  It is also dairy based so it is easier to digest.  

When you do see some progress, reward yourself.  Rewards are another great motivator to help us stay positive.  Many of the rewards can be psychological; however, rewarding yourself with monetary things is not bad either.  We are use rewards differently.  For some people they may only need the pat on the back, but for others it may be that new outfit they have been eyeing at the store.  

Make sure your expectations are realistic.  We live in a world that has developed the “get rich quick” schemes.  Many people seem to think if they aren’t seeing drastic changes in a week something is wrong.  Following these three simple positive thinking rules will help you stay happier about the process.

For more info on whey protein, visit My Top Form Protein

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Omega 3 DHA, EPA and ALA are the three types of long chain, polyunsaturated essential fats. Since they are not produced naturally in our body, we have to obtain them via food in our daily diet. Of all the three, DHA is of much importance and most of the benefits of omega 3 are related to it.

Omega 3 DHA is found in fishes such as salmon, tuna, and halibut. Because of their top position in the food chain, they have good chances to hoard toxins like mercury, lead, PCBs etc. Because of this concern world has shifted to omega 3 DHA supplements. These supplements not only have higher levels of DHA but also have lesser degree of contamination.

According to many experts and researches, regular consumption of DHA has many benefits for all – male, female, child or adult. It plays an important role at every phase of our life.

Many pregnant females are suggested by their doctors to be on high DHA capsules. This helps in better brain and nervous system growth of the fetus. Newly born babies show less sleep disorder. Later while growing up they have better hand/eye coordination, and good learning and retaining skills.

It has been proven clinically that women who are on omega 3 diet for a long period of time, have less chances of having breast cancer. These women also experience less menstrual pain.

Regular intake of DHA supplements are known for inhibiting the diseases like Dyslexia, Bipolar disorder, Arthritis, etc. It also helps in controlling the cholesterol and blood pressure.

A word of caution here, not all omega3 supplements are effective. Above benefits can be reaped only if correct omega 3 DHA supplement is consumed regularly. Effective one must have under gone molecular distillation process, this ensures the end result is highly concentrated and has lower levels of toxins. It should not have any rancid odor and should smell like ocean water. Studies have shown that supplement consisting of both tuna as well as hoki fish oil increases the benefits of omega3 by two and half folds.

Since, there are many omega 3 DHA supplements available in the market, and all of them may not be effective and give you desired results; you should do your own research before starting on any one of them.

If you wish to learn more on omega3 DHA, its benefits and best supplement that gives you the desired results along with value for money, I invite you to visit my <a target=”_blank” href=”http://omega3brief.com”>website</a>, where I have explained everything in detail.

Chuck Blake is an active researcher and consumer of fish oil products.Visit his website http://omega3brief.com today to learn more about the powerful benefits of omega-3 fish oils.

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Gout pain is excruciating and often occurs without warning at the most inconvenient times. I have been a gout sufferer since I was nineteen or twenty. I am now sixty. I can speak from experience about pain at two AM. Waking up when my knee was inflamed to the size of a football so that I couldn’t lie in bed or sleep because of the pain, totally without warning.

I have taken courses of medication that were supposed to “cure” me. However in the end you realize that the only long term solution is watching your diet.

It also helps taking natural supplements that help your body to prevent the accumulation of the uric acid that cause the formation of the crystals in your joins and the painful inflammation. For me that this been taking concentrated fish oil which is rich in essential fatty acids or Omega3 fatty acids.

The strategy I follow includes the following:

1. I drink a large amount of herbal tea every day whether I am at home or at work. I have been told that I should drink more water but I prefer tea. I used to love coffee and used to drink six or seven cups a day. I now limit myself to two or three cups a week as a treat.

2. I seldom eat beef or pork. I generally eat chicken. I have found that this has no negative effects.

3. I drink very little alcohol and I particularly avoid beer and wine. I generally drink vodka coolers and then perhaps only one or two per month.

4. I eat at least two to three portions of low fat dairy every day. This is in the form of low fat milk and yoghurt with fruit or cereal.

5. I take a vitamin capsule and two concentrated fish oil capsules every day. I find that when I stop the vitamin capsule because I have forgotten to buy them I feel tired. When I stop the fish oil capsule, again because I have forgotten to buy them, I start to feel the twinges in my toe, knee and heels that indicate a gout attack is imminent.

I believe from reading about gout that the fish oil has the following effects:

It has anti inflammatory effects, building up anti inflammatory prostaglandins which are a class of powerful hormones. In other words the fish oil is naturally relieving the possible inflammation from the accumulation of uric acid and build up of crystals in the joints.

I enjoy my food but I watch what I eat and I have been able to control my gout and enjoy life without the fear of waking up at two AM or having to hobble around the house being crabby to the family. I would recommend any gout sufferer to consult their doctor about the natural curative effects of Omega3 fish oil supplements.

Henry “Pops” Hugo recommends natural supplements for better health. For important information about Omega 3 Fish Oil Supplements for improved health visit http://www.omega3life.info/ to learn about concentrated Omega 3 Fish Oil Supplements for your optimal health.

A Healthier Life is a Happier Life!

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How To Get Bigger Breasts At Home

Women of all ages and sizes want to have bigger, firmer breasts without going under the knife, there is limited information on the internet as to how you can achieve bigger breasts with exercise alone. There are, in fact, a wide variety of different exercises that can be done at home that will achieve excellent results.

As with any exercise routine, it is important to do the exercises on a regular basis. The biggest advantage of these exercises is that they cost nothing to perform and within just a few short weeks, you can be assured of excellent results.

There are a collection of around thirteen exercises that include yoga type exercises that will not only improve the muscle tone of the torso, but also improve overall posture. The exercises are both easy perform and you will immediately begin to feel the effects with just 20 minutes daily routine.

The top three exercises include:- How To Get Bigger Breasts At Home

1. The Palm Push. This exercise is performed by lifting your hands to chest level and placing the palms against each other. By pressing your palms, holding and releasing you will be working the pectoral muscles. Completing ten repetitions of these press hold and release exercise will help to improve breast lift as well as muscle strength.

2. The Finger Lock. This is the opposite exercise to the one above, by linking your fingers at chest height, you pull the arms apart and hold before releasing tension. This pulling with fingers linked with also build up your pectoral muscles, but is also excellent for the development of the cleavage.

3. The Kneeling Bend. Kneeling on the ground with your knees slightly apart, you in a comfortable position. The exercise involves bending your head forward as far as comfortable towards your knees. Holding this position without strain will improve the muscles above the breasts helping to enhance the lift of your boobs.

Doing these three exercises will improve your breasts shape and lift. There are also some excellent exercises to increase breast size. If the man in your life is spending so much time focusing his attention on your breast, it definitely is worth your while to spend time on ensuring that they look the very best they can. How To Get Bigger Breasts At Home

The breast consists of milk ducts and glands, surrounded by fatty tissue that provides its shape and soft feel. Skin elasticity also contributes to breast shape. Factors such as pregnancy (when milk glands are temporarily enlarged) and the inevitable effects of gravity as you age combine to stretch the skin, causing the breast to droop or sag.

The breast implant can be placed either partially under the pectoralis major muscle (submuscular) or on top of the muscle and under the breast glands (subglandular) depending on the thickness of your breast tissue and its ability to adequately cover the breast implant. You should discuss with your surgeon the pros and cons of the breast implant placement selected for you.

The submuscular placement may make surgery last longer, may make recovery longer, may be more painful, and may make it more difficult to have some reoperation procedures than the subglandular placement. The possible benefits of this placement are that it may result in less palpable implants, less capsular contracture, and easier imaging of the breast with mammography. The subglandular placement may make surgery and recovery shorter, may be less painful, and may be easier to access for reoperation than the submuscular placement. However, this placement may result in more palpable implants, more capsular contracture, and more difficult imaging of the breast with mammography.

Incision Sites

To permit the smallest possible incision, the breast implant is typically inserted empty, and then filled with saline. You should discuss with your plastic surgeon, the pros and cons for the incision site specifically recommended for you. There are three common incision sites: under the arm (axillary), around the nipple (periareolar), or within the breast fold (inframammary)

If the incision is made under the arm, the surgeon may use a probe fitted with a miniature camera, along with minimally invasive (very small) instruments, to create a pocket for the breast implant.

Periareolar – Areola – Nipple Incision

This incision is most concealed, but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites. This incision is a half-circle at the outer edge of the areola, the colored area around the nipple. The scar is extremely favorable and blends well with the areola. It grants the plastic surgeon with the best access for precise placement of the implant, resulting in a strong cleavage and better symmetry. There is also better control of any bleeding during surgery, which ultimately affects the chance of scar formation or capsular contraction.

Inframammary – Breast Fold Incision

This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast feeding. This is a one to two incision made by your cosmetic surgeon near the under-breast fold. Like the peri-areolar incision, this approach affords the plastic surgeon the greatest control over the position of the implant, giving the patient more attractive cleavage. The final scar is very favorable.

TransAxillary – Under Arm Incision

This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast feeding. An incision placed in the arm pit is also known as a Trans-Axillary incision. Despite the myth that this scar is usually unnoticeable, it can be more prominent than other scars, especially when a woman is wearing sleeveless cloths. This access point is very far from the central location of the implant making it very difficult to precisely position the implants, thus causing the implants to sit away from each other, creating a wide cleavage. It is associated with a higher risk of bleeding and less control, often forcing the surgeons to use drains which can increase the risk of infection.

Trans-Umbilical (TUBA) Endoscopic – Belly Button Incision

The Trans-Umbilical Breast Augmentation (TUBA) involves making a one to two inch incision at the edge of the “belly button,” through which a long metallic tube is forced towards the breasts. Then the breast implant is folded and pushed through this tube to its final position under the breasts. There have been some reports of complication with the insertion of this tube, when the tube accidentally speared the liver or lung.

This approach has specific disadvantages as compared to the peri-areolar approach. First, because the implants cannot be placed precisely, there is a higher chance of breast asymmetry and of overly-wide cleavage. Second, if a patient also needs a Breast Lift, another incision has to be made around the areola.

This procedure is often marketed as a “Scarless Breast Augmentation,” but, to the contrary, the scar around the umbilicus could be very noticeable, and at times unsightly, especially if a woman is wearing a shirt that exposes the midriff.

Because this approach can be challenging, and due to its potential complication rate, it should be performed only by a board certified plastic surgeon who has extensive experience with it.