TUBA can stress the implant and weaken it.
Your breathing motions (30,000 breaths per average person, per day) weakens the shell if not properly overfilled. That is why they overfill it slightly to create resistance to the crushing breaths that you take every day to live. These implants are strong. Plus, doctors are performing endoscopic techniques through the same traditional incisions now. They are rolling up the implants and inserting them through an incision about an inch long - some even less. It is basically the same technique only a different incision placement.
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