I have implants placed by a transaxillary incision. Is it possible to have them removed and replaced a different way? (Photo)

Hello,Your photo indicates a drop out and double bubble, a problem that requires a complex repair of the pocket using sutures and sometimes mesh.  This is a surgery that is best performed via an inframammary incision.  In fact, data supports that fact that revision surgeries done via the inframammary fold have the lowest risk of capsular contracture, the most common complication of breast implant surgery, and something you don't have but wouldn't want after a revision surgery.  If your surgeon isn't an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery, you should have a consultation with a few who are. Best of luck!

Yes and in fact it will be easier to replace implants with an incision other than transaxillary especially if revisions are needed. Your picture appears to show some issues that may require revision so plan on having an inframammary or periareolar incision.

For me, any revision surgery should usually be done via a breast crease incision so as to give me the greatest ability to access the pocket and do whatever I need to. For someone with a previous transaxillary augmentation, this is definitely true. 

In my opinion it is a must to approach your breast revision through a different incision. Inframammary would be the choice incision. Although transax approach is still available, it has fallen out of favor for variety of reasons. Approaching your breast via an inframammary approach will allow correction of your bottomed out implants by tightening of the lower pole and capsule of your breasts. Good luck.

or if a simple remove/replace was to be done.  Otherwise approaches on the breast itself (nipple or fold) are required to address issues down the road.  From your photos, a fold approach would be best and it would also make your repair a little easier and more predictable.  

Absolutely.  In my opinion, it is much preferable to remove and replace breast implants  through an infraareolar or inframammary approach.  In my practice I would likely recommend an infra areolar incision in your case; I would also recommend adjustment of the breast implant capsules to improve positioning of the breast implants given that one of your implants seems to be sitting too low (and a little too far medially) compared to the other side.   In other words, careful planning and careful execution of the procedure should result in improved symmetry of your breasts. My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as well. Working together you will come up with a good plan to achieve your goals.  
Best wishes. 

The answer to your question is absolutely.  The inframammary incision would work well for you and allow for the correction of the lower, bottomed out right breast.  While there are a number of ways to achieve this, I have found that the new natural feeling gummy bear implants work especially well for this. 
You can also have the revision of your breast implants done with the rapid recovery protocol so that there is really no downtime from your surgery. 

I have added a video testimonial and a web reference for you.

I hope that helps.
Best regards

Yes, it is better not to go back in thru the armpit; in fact, your bottomed out implant pocket can also be repaired via the crease approach.