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Doctor Recommendations in LA - Breast Augmentation with Cohesive Silicone Gel via Endoscopic Transaxillary?

asked 1 year ago by ddankkoma in Los Angeles, CA
Latest answer by Tom J. Pousti, MD
Question viewed 559 times
Tags: 130-149 lbs, 5 ft 4 in to 5 ft 7 in, silicone implant, A cup, Asian, cohesive gel, doctor referral, dual plane, endoscopic, round, smooth, transaxillary

I'm a Asian/5'4"/105 lbs/full A cup(almost no saggy), would like to have dual plane breast aumentation through the armpits to full C cup, want to be natual shape with round smooth cohesive silicone gel. I heard using endocope could reduce hematoma, more approch asymmetry & shape, minimize capsular contracture, no scar around breasts, heal faster than without using endoscope ect... It seems to have many pros to me. I'm looking for a experienced doctor who using endoscope in Los Angels area. Help.

7 answers to Doctor Recommendations in LA - Breast Augmentation with Cohesive Silicone Gel via Endoscopic Transaxillary?

+1

Choosing your Surgeon?

Thank you for the question. When choosing a plastic surgeon it is important to do your due diligence carefully. You will find that well-trained, well experienced board-certified plastic surgeons are extremely capable managing a variety of different procedures and the potential complications associated with the procedures I am sure there are many well-qualified plastic surgeons in your area. I would suggest starting with the American Society of Plastic Surgery... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Transaxillary Breast augmentation

My favorite surgery is Trans axillary approach to breast augmentation. I specialize in that surgery and have done so for 23 years. My 20 year experience in trans axillary surgery is being published in September in the Aesthetic Surgery Journal which is the official journal of the American Society for Aesthetic Surgery. This paper will have the largest series published ever on the trans axillary approach which will be about 1700 patients. The largest series before this... more
Dan Mills, MD

Orange County Plastic Surgeon

www.danmillsmd.com

+1

Breast augmentation

True " dual plane " technique involves loosening the muscle from the overlying breast tissue. I think what you really mean is under the muscle. You can't do a true dual plane technique from the armpit. Under the muscle will give you  a more natural appearance and using an endoscope is better than without an endoscope. Usually for asians though I think the areola is a good approach since the scar may heal dark in your armpit with asian skin.
David E. Kim, MD

Beverly Hills Plastic Surgeon
+1

Augmentation in LA

The best way to start is to go to the plastic surgery website at ASPS or ASAPS and look up the surgeons in your area.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Transaxillary smooth silicone dual plane breast augmentation.

This is a very challenging procedure with true cohesive textured anatomic implant and further compliicated by the dual plane dissection. It may be slighthly easier with a smooth round gel but unless you are requesting a very small implant, a cohesive silicone implant of any modest size will likely require a minimum 5 cm and likely even a longer incision.  Meet with physicians and ask to see the scars if patients are available. see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Endoscopic breast augmentation through the armpit

I do transaxillary breast augmentation with both silicone and saline breast implants.  Although back in my training I learned how to do it "blind", these days I believe the best way to do it is to use endoscopic equipment.  This allows for a much more precise dissection, immediate and secure control of any bleeding, and less trauma which translates into less post-operative pain and bruising, and less chance of capsular contracture.  The visualization from the... more
Douglas J. Mackenzie, MD

Santa Barbara Plastic Surgeon

www.pacificplasticsurgery.com

+1

Trans axillary silicone gel implants give really great results

While I personally don't use an endoscope with my trans axillary augmentations there use is good in the hands of those who use them. I just don't find hardly any hematomas with just straight blind blunt dissection. The issue you are asking about is the use of Silicone gel verses saline implants through the trans axillary incision. I do this quite frequently and find that the silicone gel implants give a much nicer more natural looking and feeling breast. The only disadvantage of... more
Carl W. "Rick" Lentz III, MD

Daytona Beach Plastic Surgeon

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