Can a Breast Implant Revision Be Done Through Same Transaxillary Incision?

I am 5'5 and was not quite a full 34A. I got silicone 350cc via transaxillary less than a wk ago and erred on the side of wanting to look natural with my small frame that I don't think I went big enough tho I know it takes several months to see the final result.

Doctor Answers (10)

Can a Breast Implant Revision Be Done Through Same Transaxillary Incision

+1

Simple revisions such as implant removal with a larger implant may be performed through the same incision but it may require a larger incision or endoscopic assistance. Other more complex revisions such as caspulectmy or capsulorrhapy or mastopexy will likely require an incision on the breast


Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Revison through transaxillary approach

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If you want  to go bigger iwth the implants size and you had a transax before, I think that with a revisoin it would be difficult to go that way.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Revision usually not possible through armpit

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Hi there-

Among other limitations, you are beginning to understand why many experienced breast plastic surgeons do not favor the armpit incision.

Almost always, when a revision is needed, another incision (usually under the breast) will be required.

Armando Soto, MD, FACS
Orlando Plastic Surgeon
5.0 out of 5 stars 105 reviews

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Revision=No transaxillary incision

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It is best now to allow everything to heal and settle.  Then the final determination can be made about the size in relation to your frame. I my mind, have a natural result differs from size.  You can have a naturally looking full breast.   If revisions are necessary, other than just s simple an exchange to increase size without internal pocket work, an breast crease incision is necessary.

Dr. ES 

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Not recommended

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Technically, yes it can be done, but it is not recommended. Revision is very tricky with the transaxillary incision. Also, you are right, it does take several months...even up to a year to see final results. I would not be too anxious in order to avoid a maybe unnecessary surgery. Consult with your plastic surgeon on all of your concerns.

best regards,

Dr. Speron

Sam Speron, MD
Chicago Plastic Surgeon

Breast implant revisions through the axilla

+1

There are very few revisions that can be done through the armpit.  Consequently it is a less advantageous incision in my opinion.  Also, 350 implants may well suit you nicely after giving them some healing time.  Your muscle will compress the implants early so they will look different after 6-8 weeks.  Be patient.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 50 reviews

Transaxillary larger than 350cc?

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First of all, 350cc in a 32A cup breast on a small frame is not "small".  Wait for the implants to settle before you decide that the size is not right.  Secondly, placing implants larger than 350cc from the transaxillary approach is very difficult and would likely require a larger incision than you already have.  Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 32 reviews

Axillary incision in Breast Augmentation is of limited use

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A few comments; I do NOT think you "erred on the side of wanting to look natural ". Breast augmentation, contrary to what many women think, is NOT a contest of squeezing the biggest implant into a breast and hoping it will look "natural". Choosing poorly and picking a surgeon who would willingly put any implant into anyone results in the parade of thousands of poor results we all see and can no longer help. Once the breast has been thinned and stretched it cannot be shrunk and brought back to its pre-augmentation state. You are stuck with the result caused by the implant you chose.

One week after surgery is WAY too soon to draw any conclusion about breast size and symmetry.

The trans-axillary (armpit) approach is acceptable for a few narrow indications but will NOT allow subtle breast pocket changes or repairs nor a breast Lift when the time comes.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 62 reviews

Implant revision be done through same transaxillary

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Is it possible? Yes. But would I try that NOOOOOO! In a revision of implants I want the best access to the capsule I need. By far transaxillary is not that. Have you discussed with the operating surgeon? To increase the size using a prefilled silicone is very difficult.

From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Wait and see before deciding on larger implants

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One difficluty with the axillary approach is revisions, but you are very early post op and it may take some time to really know whether you like the size since early impressions often change. Also, 350 cc on a petite to average frame is on the large side, and going larger may create problems in the long run.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.