Transaxillary Incision for Silicone Breast Implants?

I want cohesive gel silicone breast implants. I am 12 or 13 inches in diameter and would much rather prefer moderate profile (for full A or small B); I hate the look of the high profile implants. I wouldn't like to increase more than 250- 300cc. I'm very worried about having scars on my chest. I only want the transaxillary incision. I heard that this is not possible with gel implants, but I've seen it done on surgeons' before and after webpages. Any advice?

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5 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. The entry... more

Transaxillary incision for Silicome 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

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Transaxillary is a great way to insert both saline and gel implants

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

It is possible

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

Transaxillary approach for cohesive gels

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.