Transaxillary is a great way to insert both saline and gel implants

 I frequently place gel implant through a transaxillary incision. The only difference from saline implants do this same way is the the incision must be quite a bit longer. Even if you don't make the incision longer it will tear itself. However the incisions all have healed well and a re minimally noticeable. If you are sold on gel implants and I certainly prefer them, then I would encourage you to consider an incision around the nipple areolar complex and place the implants under the breast instead of the muscle. I have found that with the new cohesive gel implants my patients get a better result and a more natural looking and feeling result. You also avoid the movement of the implant when you flex your pectoralis muscles.