Is Transaxillary Incision Possible with Silicone Gel Implants?

HI, I would like to get 250cc-300cc MAX moderate profile silicone cohesive gel implants under the muscle, but I would like them to be placed through the TRANSAXILLARY incision. I have heard this is not possible, is that true? If not then I'd probably rather saline since I hate scars on the breasts but would like them to feel natural. I am starting out with a full A cup. What should I do??

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silicone implant transaxillary

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6 Doctor Answers | Asked by waterfalls9580 in USA

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Absolutely! Transaxillary approach with highly! cohesive Natrelle 410 or Sientra implants is the only way to go!!

Absolutely! Transaxillary Subfascial approach with highly cohesive Natrelle 410 or Sientra implants is the way to go!!! 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. ... more

Transaxillary incision for silicone cohesive gels

Transaxillary is one approach to place breast implants and was popular with saline implants because the incision could be kept small. With silicone gels the incision has to be longer and with cohesives even longer still. I would suggest a different approach.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Possible is not always Best

Hello, Trans-axillary implant operations have a higher rate of problems including poor implant positioning. They have a higher redo rate and are really best for saline implants if they are to be used at all.

While it is possible, you should consider the risks

It is a bit more difficult but possible to place silicone implants through an axillary incision, but it is important to understand a few things about this approach: 1) Probably the biggest risk of this approach is malposition of the implant. What this means is that the implant may not be placed exactly where the surgeon wants it to be. The aesthetic portion of the breast that is the most important to patients and the most critical to get exactly right (cleavage line and area closest to... more

With the right surgeon

It is possible to place silicone implants through the transaxillary incision but make sure and discuss with your plastic surgeon what would be required if you needed a seconde (not highly likely) operation for a complication such as a hematoma or implant malposition. In some cases a second incision on the breast may be required but the board-certified plastic surgeon that you choose should be able to answer these questions for you. Dr Edwards

It is possible

Depending on the skill of the surgeon, you will need a smaller or larger scar to place the silicone implants. In fact, the axillary incision was originally designed for someone like you with relatively small breasts that might not have a clearly defined inframammary fold and whose nipple areolar complex is too small for a silicone gel implant placement. Perhaps your surgeon does or like this approach or diesn't have experience. Soem surgeons prefer this method while others try to avoid... more