I am interested in Breast Augmentation and would love to have an unnoticeable scar. Most gummy bear procedures I’ve seen have inframammary incisions and I would prefer no underboob scars. Can I get a transaxillary incision instead? is it safe?
October 2, 2018
Answer: Gummy Bear and the transaxillary approach A transaxillary approach while safe can be relatively limiting. In order to maintain a smaller access will be somewhat restricted. Smaller implants can pass while larger implants will not. With regards to your specific question, "gummy bear" or cohesive gel implants are generally recommended to be placed via a slightly larger IMF or crease incision. This avoids the risk of gel fracture from excessive force needed to place the device via a more constricted approach. Additionally, there is the risk of malrotation in the case of shaped gels. Pocket control and dissection is crucial when placing shaped devices. This control is more limited in a transaxillary approach due to the lack of direct vision.As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Helpful 1 person found this helpful
October 2, 2018
Answer: Gummy Bear and the transaxillary approach A transaxillary approach while safe can be relatively limiting. In order to maintain a smaller access will be somewhat restricted. Smaller implants can pass while larger implants will not. With regards to your specific question, "gummy bear" or cohesive gel implants are generally recommended to be placed via a slightly larger IMF or crease incision. This avoids the risk of gel fracture from excessive force needed to place the device via a more constricted approach. Additionally, there is the risk of malrotation in the case of shaped gels. Pocket control and dissection is crucial when placing shaped devices. This control is more limited in a transaxillary approach due to the lack of direct vision.As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Helpful 1 person found this helpful
October 1, 2018
Answer: Axillary Scar Hello there The problem with the axillary scar is that it is prone to the highest rates of revisional surgery being required .Control of the implant pocket and prevention of rotation with tear drop implants would be the major concerns .So most surgeons have moved away from it .The IMF scar is generally inconspicuous as it is hidden in the 'shadow' of the breast .So you need to weigh up the benefit you believe the axillary scar brings against the increased risk of needing a second operation which usually has to be done with a different scar .CheersTS
Helpful 1 person found this helpful
October 1, 2018
Answer: Axillary Scar Hello there The problem with the axillary scar is that it is prone to the highest rates of revisional surgery being required .Control of the implant pocket and prevention of rotation with tear drop implants would be the major concerns .So most surgeons have moved away from it .The IMF scar is generally inconspicuous as it is hidden in the 'shadow' of the breast .So you need to weigh up the benefit you believe the axillary scar brings against the increased risk of needing a second operation which usually has to be done with a different scar .CheersTS
Helpful 1 person found this helpful
