Can Breast Augmentation with Silicone Cohesive Teardrop Implant Be Done with Transaxillary Incision?

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10 Doctor Answers | Asked by Brooklyn8414

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Absolutely! Transaxillary approach with highly cohesive Natrelle 410 or Sientra implants is the only way to go!!!

The transaxillary approach is very misunderstood. It is much more difficult and technically demanding then directly accessing the breast through an infra-mammary approach or through the nipple. This is the main reason that most surgeons think it is too difficult or frankly impossible. In my opinion it just does not make sense to place a scar on the breast in an aesthetic elective procedure unless a lift is needed. For primary augmentations with class I-II... more

Transaxillary "gummy bear" Breast Augmentation

I have performed thousands of transaxillary augmentations over the last 27 years and have been involved in discussions involving the tear drop cohesive gel ("gummy bear" / 410) implant as a member of Allergan's Novo breast aesthetic council. With that said, I would never attempt to place one of these implants via the transaxillary route. Besides obvious physical challenges of insertion, the pocket must be a perfect fit for the implant and not over-dissected to avoid rotation. This is... more

Can a gel implant be placed through a trans-axillary incision.

Technically this could be done, but I think it is a bad idea. In my experience, the transaxillary approach is riskier for infection and, to be done correctly, must use a very small incision and an endoscope to create a small tunnel. If not, the implant always works its way into the axilla when the patient is lying down. I think it can be done with a saline implant, because the implant is inserted in the deflated state through a very small tunnel. However, gel implants... more

Tranaxillary approach for tear drop shape form stable implants

It would be a bad idea to place a form stable cohesive tear drop shaped silicone implant due to few facts. The implant is difficult to insert from that anatomical area since it is not compressive and would require a large incision. To place the implant properly and to avoid the rotation or "flipping" of the implant the pocket needs to be created in specific manner that is very technically challenging. Smooth round implants work well what was the reason for using the stable form... more

Almost anything CAN be done...

The real question is...should it be done? The silcone cohesive teardrop implant is not currently available for general use in the U.S. Technically, the operation can be done, and perhaps the use of a breast funnel, which I use on a regular basis for breast augmentation cases, will allow access with a reasonable sized incision. The fact is that the implant is too new to get and its results, indications for its use and long term benefits have yet to be determined. ... more

Breast implants via armpit

Cohesive gel implants are still not approved for general use by the FDA. While a transaxillary approach is one way to place implants, the size of the incision to accommodate a textured cohesive implant would be quite large.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Teardrop Gummy Bear Implants

Hello Brooklyn, Although transaxillary augmentation is an excellent way to place the implant, the 410 or CPG implants contain a stiffer gel that can be fractured if they are folded upon themselves when inserted through a smaller incision. These implants can only be placed via a 4 to 5 cm inframammary incision. In general, inframammary incisions are great if you are fair skinned. Conversely, most women do not necessarily need a shaped/teardrop implant and... more

Tear drop shaped breast implants have problems and no advantages.

Hi. They sound good but don't give you better results. Very few plastic surgeons use them. Not a good idea. see video

Can Breast Augmentation with Silicone Cohesive Teardrop Implant Be Done with Transaxillary Incision

First of all, how many consultations have you had? I think it might be wise to speak with some other surgeons. If you have been following discussions about teardrop shaped implants on this site you will have seen that few doctors still use the teardrop implants since they provide no significant improvement over the round smooth implants if they stay properly positioned, but if they rotate as happens occasionally, the teardrop look is quite bizarre. And as to the axillary approach, it would... more

Transaxillary cohesive gel augmentation

The teardrop cohesive gel implants are the stiffest of the implants and need a longer incision to be inserted through. Add to that the fact they need to be precisely oriented to look right and I doubt anyone with any breast surgery experience would try to place them via a transaxillary approach. Hope this helps!