Implant exchange through armpits

Steven Wallach, MD answers: Can I replace saline implants with silicone implants through my armpits?

I had my saline breast implants 15 years ago. Can I replace it with silicone implants go through my armpits?

I had a consultation with my Dr. He said the only way he can replace silicone implants is go through the nipple area. Because he has to remove the capsule.

Steven Wallach, MD
14 months ago

I think that for any implant exchange going through the armpit would be almost impossible.  Often a capsule develops that needs to be removed.  Additionally the small incision in the armpit is usually not conducive to plasce silicone implants.

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A: It all depends on your anatomy

David Shafer, MD
14 months ago

Huy, Implants can be placed through the axillary, areolar or inframammary fold incisions. However, choosing the incision site really depends on your anatomy. If you need extensive capsule work done, then the areolar or inframammary incision is probably the best choice. Remember not to compromise your results by trying the hide your incision. All three choices for incision sites tend to heal very well. I hope you find this helpful. David Shafer, MD New York City

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A: Depends on the size and the reason

Kenneth R. Francis, MD
14 months ago

Huy,

Your saline implants can indeed be replaced with silicone implants through the armpit (axillary) incision. However, you will be limited in the size of implant that can be inserted (maximum 350-375cc) and by your need for work on the capsule. If your breasts are currently soft with no capsular contracture, then minimal or no capsular work needs to be done and the replacement can probably proceed through the armpit. Good luck!

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A: Don't recommend revision breast augmentation throught the armpit.

George J. Beraka, MD
2 months ago

Hi.

The question is not can someting be done.  The question is how will you get the best result. I think you will get a better more predictable result from secondary breast augmentation with silicone breast implants with an incision under the breast or under the nipple.

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