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Natural looking breast implants with transaxillary incision?

I see many photos of underarm incision for breast implants, and the implant placement looks oddly high and often misplaced. Also, many surgeons won't use this incision.

Is it possible to get a natural look with the underarm incision for silicone breast implant? I am a first time patient, size A, looking to increase to full B.

 

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10 answers to “Natural looking breast implants with...”

A: Natural breast augmentation result possible with Transaxillary Incision

Michael Law, MD

This procedure may take a bit longer, but for some patients this incision is ideal and can provide very natural looking results. Be sure to ask for many  photos of  patients who have had their implants placed through this incision, and then speak with some patients and what their experience is like.

A: An experienced surgeon can make breasts look natural through a transaxillary incision

Lane Smith, MD

Unless the breasts have some pre-exisiting ptosis (droop) prior to the breast augmentation, there should be no reason why breast augmentation performed through a transaxillary  (armpit) incision should not look natural.   You mentioned in your question, that often they look to high when you see... more

A: Consider endoscopic transaxillary approach

A. Peter Salas, MD

There are many approaches used for breast augmentation. The trans-axillary approach is especially appealing since it avoids incisions in and around the breast. However, the only way to safely and precisely perform a breast augmentation through the axilla is to use an endoscope. In this way the pocket can... more

A: It is possible

Michael C. Edwards, MD

    One of the problems with this approach is thet there is inadequate release of the muscle to allow the implant to settle into a lower, more natural shape. I assure you that there are plastic surgeons who like this approach although there are many who don't. Make you decision by looking at a... more

A: Transaxillary incision has the most problems.

George J. Beraka, MD

Hi! When I am doing breast augmentation surgery in New York City, I use the transaxillary approach.  But not too many patients are good candidates.  So I recommend it seldom. Unless the surgery is done perfectly on the right patient (long distance between the nipple and the fold, with no sagging),... more

A: Trans axillary breast implant are great, it depends on the surgeons experience.

Carl W. "Rick" Lentz III, MD

 While over the past few years I have come to prefer peri areolar incisions and the placement of textured silicone gel implants there is no question that in a surgeon who has mastered the technique trans axillary sub muscular implants will give marvelous results in almost all patients. In fact if I am... more

A: Transaxillary breast implants make symmetry harder to get

G. Gregory Gallico III, MD

Transaxillary implants are harder, but not impossible to get symmetric. Compared to a periareolar or inframammary incision, the implant is being positioned by the surgeon from a greater distance. Therefore, symmetry is harder to achieve; intraoperative adjustments are more difficult to make... more

A: Transaxillary approach gives excellent results in augmentation

Peter E. Johnson, MD

Transaxillary augmentation is an excellent approach to augmentation in those individuals who are more comfortable with a scar that is off the breast. The incision in placed high in the crease under the arm and the implant slid down into a submuscular position. This approach was very popular several years ago... more

A: Approach is only part of the equation

Robin T.W. Yuan, MD

It is generally true that the transaxillary approach tends to produce implants that are too high partly because it is harder to get a good dissection at the inframammary fold from a blind, blunt technique but also that if the capsule start to get a little firm, the implant will tend to try to go back into the... more

A: I don't use transaxillary incisions

William B. Rosenblatt, MD

I love circumaerolar incisions, they give a more natural breast and they fade and are almost invisible. The transaxillary approach can very often give you an implant that is too high and asymmetrical -- which is why I will not use it.

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