Transaxillary Incision for Silicone Breast Implants?

The axillary or underarm area incision is primarily used for sub-pectoral ('under the muscle') implant placement, particularly in patients with small areolae (where the peri-areolar incision is not ideal) and smaller breasts (where the inframammary fold is not concealed) or for any woman who wishes not to have scars on the breasts. Silicone or saline implants can be inserted through this incision. Just be certain to select a surgeon with extensive experience with breast... more

First of all I am not a big fan of transaxillary implant placement.  Furthermore, using silcione impalnts requires a bigger incision in the armpit than salines, and cohesive gels need a larger incision than standard gels.

I frequently place gel implant through a transaxillary incision. The only difference from saline implants do this same way is the the incision must be quite a bit longer. Even if you don't make the incision longer it will tear itself. However the incisions all have healed well and a re minimally noticeable. If you are sold on gel implants and I certainly prefer them, then I would encourage you to consider an incision around the nipple areolar complex and place the implants under the... more

Depending on the plastic surgeon you can have silicone implants, of any profile assuming they are proportionate to your body, placed via the trans-axillary approach. Do make sure and have a conversation with your plastic surgeon as to whether you would possibly have another incision and subsequent scar should there be a need for revision surgery. Dr Edwards