Is Transaxillary Incision Possible for Silicone Breast Implants?

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

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

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

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.

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