Gabriel Patino, MD is the second surgeon in the world to insert silicone implants via the navel and the first one to insert them manually without an endoscope or instruments in 2020. He was the first surgeon to perform a TransUmbilical breast Augmentation under Tumescent Anesthesia and oral sedation in 2004. He has been teaching the Trans Abdominal Silicone Breast Augmentation and the Trans umbilical Breast Augmentation with Saline implants since 2014. He has been a speaker at multiple yearly meetings. He is the CACS & ASOCP & WAGS TUBA program director. He is a Fellow of the American Academy of Cosmetic Surgery & Affiliated Fellowship Program Faculty Member, Fellow of the California Academy of Cosmetic Surgery & Board of Trustees Member. Fellow of the American Society of Cosmetic Physcians, Fellow of the American Society of Cosmetic Breast Surgery, World Association of Gluteal Surgeons CEO.