Breast augmentation transaxiliary incision recovery time?

Question

Is it true that the recovery time for transaxiliary incision is faster then other methods? Especially for mubmuscular placement of the implant since there're no cutting of the muscle?

Richard Zienowicz, MD · Answer

Transaxillary approach is through the arm-pit. It is the most sophisticated technique. Armpit incision is a wonderful scar-free option for breast augmentation. Silicone or saline implants can absolutely be inserted through the arm-pit, don't let anyone tell you that is not an option. There is really no reason for an incision under the breast or through the nipple. The scarring under the armpit is minimal, there is minimal bleeding or bruising. Review the attached video. Don't let doctors not comfortable with the approach talk you out of it. It does not make sense to put scar tissue on a breast. Transaxillary is the standard in Asia and the UK and the results are completely natural. Patients are so happy not having to deal with any types of incision or scarring on the breast with little to no pain after surgery.

Johnny Franco, MD, FACS · Answer

This is a great question as you want to help make the surgery go as smooth as possible.  Every surgeon has their own pre-op routine but they are typically very similar.  
  
In my practice, I see patient two or three weeks before the surgery for a pre-op visit.  At this visit we go over the surgery in detail.  We also go over all of your consents for you Facelift surgery.  Patient also receive their prescriptions, and post-op instructions. It is very important to review these and fill your prescriptions prior to the day of your surgery.  When your actual surgery day comes, you don’t want to be worried about anything else.
  
I also like to have all my patients be on a good skincare regimen before and after their surgery to make sure their skin is in the best possible shape before the surgery.  
  
In preparation for the surgery I have all of my Face and Neck Lift patients have labs drawn, an EKG and a clearance for their surgery from their primary care doctor.  This is an elective surgery and I want the surgery and recovery to go a smooth as possible for my patients.  This clearance gives your primary care doctor the opportunity to make sure you are in as good of health as possible for your surgery.  This will help ensure that you get the best possible results from your Facelift.  
  
The day of the surgery patients have to have someone with them to take them to the surgery center and take them home. They also need someone to stay with them the first night of surgery.  
  
Facelifts are an incredible procedure as they can turn back the hands of time.  You want to do as much as possible to make sure the day of surgery and your recovery is as smooth as possible.  
  
Please discuss your Face and Neck lift surgery with your board-certified plastic surgeon and their specific recommendations on how to prepare for the surgery.

Ronald J. Edelson, MD · Answer

The recovery will be about the same whether it is done by the transaxillary method or other incisions.  Maybe you are being told it is a quicker recovery as a way to sell you on that method, but there is no evidence that such us the case.

Kenneth Hughes, MD · Answer

I perform all of the approaches and incisions for breast augmentation and the pain will come from muscle dissection which is necessary in all methods, including the transaxillary approach.Kenneth Hughes, MDLos Angeles, CA

Kyle Song, MD · Answer

Good question.  Trans-axillary incisions for breast augmentation certainly have the benefit of not leaving a scar on the breast, but there are some other problems.  First, I do think it is a bit more uncomfortable because there is a larger area of dissection, and it causes a bit more inflammation.  The least amount of dissection -- and, I believe, the least amount of discomfort -- is from an infra-mammary incision (under the breast).  Hope this helps.

Vincent N. Zubowicz, MD · Answer

The transaxillary approach involves the development of a tunnel and remote dissection under the muscle.  It generally is a little more uncomfortable than other approaches.

Stephen M. Davis, MD, FACS · Answer

Unfortunately all incisions heal in the same time frame. Six weeks to get as strong as they ever will and 12-18 months to mature ( soften) as much as possible. I personally am not convince that trans-ax approach is better and prefer to use an infra-mammary sub-muscular approach / implants placement.Trans-ax Augmentations have there own set of issues, it's best you speak with your local Board Certified Plastic Surgeon to determine if you are a good candidate for that approach.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Ronald V. DeMars, MD (Retired) · Answer

It's the muscle that hurts, not the incision. Transaxillary incisions are beginning to fall out of favor since dual plane cannot be done and the rate of infection is shown to be higher.

Breast augmentation transaxiliary incision recovery time?

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