Can a pocket adjustment be done using a transaxillary method? Concerned about scarring (photo)

It would be very challenging to treat your issues through a transaxillary approach. The outcome would be far less reliable than an inframammary approach. I suspect you will be hard pressed to find a surgeon willing to do this through the axilla.

The short answer is no. A significant pocket repair cannot be done through a TA incision. In fact, pocket malposition problems like you have are most common with the TA approach and this is part of your original problem, so why rely on that method again to fix the problem. Do it right this time.
Good luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Dear Skylint,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery