A needle shell is inserted through skin with a needle insert within the needle shell occluding an insertion end of the needle shell. The needle insert is withdrawn from the needle shell and an implant tube is inserted into the needle shell and below the skin, wherein the implant tube is slid within the needle shell while the needle shell is below the surface of the tissue. Interior surfaces of the implant tube contact and guide sliding movement of the implant. An implant insertion rod is inserted into the needle shell to implant an implant below the skin.
