Is Transaxillary Incision Possible for Silicone Breast Implants?

I have consulted several surgeons regarding my Breast implants I plan to receive in November. I was told by 2 that complete submuscular placement can be achieved via the transaxillary, so I had decided to go for it, using silicone, but then was told this approach can not be used with silicone, is this true?

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7 Doctor Answers | Asked by nursemeow in Albany, NY

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Transaxillary Breast Augmentation with Cohesive Silicone Implants can be a wonderful choice

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. As far as riding high, this is technical error. The entry dissection through the armpit has to be done thoughtfully. The lymphatics that drain the breast are nearby... more

Silicone Breast Implants are Possible with a Transaxillay Incision

Dear nursemeow, This is a great question you ask. Contrary to the opinions posted above (and I rarely disagree with Dr. Wallach), it is completely possible to place silicone breast implants through an axillary incision. In fact, my opinion and experience is that it is preferable.100% of the silicone breast implants I put in are through the axillary approach. In considering this question here are a few things to have in mind. Fewer than 10% of augmentations are... more

Silicone and transaxillary appraoch

Silicone implants require a larger incision than saline and therefore may leave an unfavorably long scar in the axilla.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

VIDEO (Click HERE) Is Transaxillary Incision Possible for Silicone Breast Implants ?

This is possible particularly using the Keller Funnel but this is generally not advised because it can result in difficulties with placement and possiblecolonizations. see video

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Transaxillary silicone gel implants some technical considerations

I agree with your other consultants that transaxillary silicone gel implants are difficult to seat because of the limited incision length. In those patients who are adamant that they must have a "scarless" breast augmentation, I will explain the technical consideration of size, style and texture, which makes the approach more challenging. The endoscope is used to more precisely develop the dual plane pocket but is removed prior to placing the implant, which is limited in its size... more

Lavinia Chong, MD

22 reviews

Orange County Plastic Surgeon

www.chongmd.com

Transaxillary incision not usually used for silicone breast implants

Hello, Silicone gel breast implants come completely filled and sealed, so they generally don't fit through the narrow pocket used in trans-axillary breast augmentation. If you go really small it might be possible, but I wouldn't recommend it.

Transaxillary breast augmentation

It is generally not recommended to have silicone implants placed through the transaxillary route. You have a choice, if you wish to have the incision placed in the axilla, then go with a saline implant. Otherwise choose a periareolar or inframammary incision for the placement of a silicone implant. Dr. Sean Simon Miami, FL