Is Transaxillary Incision Possible for Silicone Breast Implants?

Trans-axillary breast
augmentation is becoming an increasing popular method for breast augmentation as
technology continues to improve. There are several misconceptions about
axillary breast augmentation.

First of all both saline and silicone implants
can be used with this method. Many patients and surgeons that do not commonly
perform this surgery don’t know that a silicone implant can be placed from an
axillary incision. The use of the Keller funnel allows a variety of
implants to be placed through the axilla easily.

Secondly, the incisions in the axilla is just as
small as it would be if it was placed around the nipple or under the breast.
The incision is well concealed in one of the natural arm creases in the axilla.




Thirdly the use of the
endoscope has made the procedure very precise as the entire breast pocket is
created under direct vision. This method has become very popular in Miami where
I first practiced and now I commonly perform this procedure here in Austin
Texas as it avoids putting any incisions on the breast, thus decreasing the
chances of altering nipple sensation.

Please consult your board certified plastic
surgeon to help guide you through your breast augmentation process.

As long as your surgeon is skilled in an endoscopic axillary breast augmentation you will be fine. I have performed thousands of these procedures and can assure you this is preferred way to achieve better lookng breasts with no breasts scars. The key is to use an endoscope to visualize the pocket and utilize a Keller funnel to insert the silicone implant See for yourself on before/after pics from my patients 

A transaxillary approach with submuscular implant placement is entirely possible.  We perform almost all of our breast augmentations in this manner.  A Keller funnel helps immensely in placing the implant through an incision that is high in the axilla and is as short as possible.  A surgeon experienced in transaxillary placement of implants, preferably under endoscopic control should have no problem with this.  Any size of implant can be placed in this manner.Please seek a board certified plastic surgeon that can offer this type of technique for a second opinion.Aloha,Shim Ching, MD

For the
addition of a #BreastImplant with a Breast Lift, we have been using an approach
for more than 20 years known as the #Transaxillary Breast #Augmentation. Axillary
– with this incision, there are no scars on the breasts. Special training,
experience, and equipment may be required for this procedure.It is our
most common and recommended site for silicone implant placement. The partial muscle coverage will hide the implant better and help avoid visibility of any implant imperfections such as rippling. The appearance will also look more natural.

I place silicone implants through the armpit. I prefer to place textured gummy bear silicone implants through this approach. Many believe it is not possible to do, but I do it regularly. It is my favorite way of performing breast augmentation in patients who are candidates as they have very natural looking results and there is no scar on the breast.