I was initially set on getting my augmentation done through the endoscopic transaxillary method to avoid a scar beneath my breast (not interested in having them done through the nipple) but my latest consultation mentioned a few risks of the transaxillary method so I am now debating what I want to do. Also, I am broad chested (boobs far apart) so is it harder to create cleavage with this method or easier?
Answer: Endoscopic transaxillary breast augmentation Most surgeons will say the transaxillary incision results in implants that are too high. However, this is only true if the augmentation is done blindly (without an endoscope). With the endoscopic technique, the inferior portion of the pectoralis muscle can be clearly visualized and released adequately, resulting in a very natural looking augmentation. There should really be difference in the ability to create cleavage with any incision choice. Endoscopic transaxillary breast augmentation is an advanced technique that requires specialized equipment, so many surgeons do not offer this option. Make sure to seek out someone who is comfortable with the endoscopic approach if you are considering augmentation via an armpit incision. Best of luck.Emile Brown, MD
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Answer: Endoscopic transaxillary breast augmentation Most surgeons will say the transaxillary incision results in implants that are too high. However, this is only true if the augmentation is done blindly (without an endoscope). With the endoscopic technique, the inferior portion of the pectoralis muscle can be clearly visualized and released adequately, resulting in a very natural looking augmentation. There should really be difference in the ability to create cleavage with any incision choice. Endoscopic transaxillary breast augmentation is an advanced technique that requires specialized equipment, so many surgeons do not offer this option. Make sure to seek out someone who is comfortable with the endoscopic approach if you are considering augmentation via an armpit incision. Best of luck.Emile Brown, MD
Helpful 3 people found this helpful
Answer: This is the best way to do it if you find a surgeon who knows how do it safely and predictably I think a lot of surgeons are against transaxillary breast augmentation because they do not feel comfortable performing it or they even never tried or got train in performing it. I learned how to safely and successfully perform this type of breast augmentation over 25 years ago. Since then I augmented many thousands of breasts this way and this is my experience: it is my preferred way to do it (for a right candidate) my main reason is: why mutilate perfect beautiful woman's body if you can avoid it ? And there is really no downside, it is not true that are more complications, problems or capsular contractures than with any other way to do it. If surgeon is skilled and knows how to perform axillary breast augmentation results are very predictable. I would not be repeating this procedure for over 25 years if it would be causing problems. It would be insane since I sometimes have 10 patients /week and would ha to deal with a lot of unhappy women... And do not trust surgeons who tell you under the breast incision is great. Frequently, they are quite visible, stretched, dark, keloidal and quite annoying. Especially in small breasts that have no folds make these scars impossible to hide. Last time I performed inframammary incision is over 20 years ago. There is no need for that. Armpit incisions ALWAYS heal great and they are either invisible or look like a wrinkle in your armpit. And in my experience problems that people are describing are if anything less common that with other approaches.
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Answer: This is the best way to do it if you find a surgeon who knows how do it safely and predictably I think a lot of surgeons are against transaxillary breast augmentation because they do not feel comfortable performing it or they even never tried or got train in performing it. I learned how to safely and successfully perform this type of breast augmentation over 25 years ago. Since then I augmented many thousands of breasts this way and this is my experience: it is my preferred way to do it (for a right candidate) my main reason is: why mutilate perfect beautiful woman's body if you can avoid it ? And there is really no downside, it is not true that are more complications, problems or capsular contractures than with any other way to do it. If surgeon is skilled and knows how to perform axillary breast augmentation results are very predictable. I would not be repeating this procedure for over 25 years if it would be causing problems. It would be insane since I sometimes have 10 patients /week and would ha to deal with a lot of unhappy women... And do not trust surgeons who tell you under the breast incision is great. Frequently, they are quite visible, stretched, dark, keloidal and quite annoying. Especially in small breasts that have no folds make these scars impossible to hide. Last time I performed inframammary incision is over 20 years ago. There is no need for that. Armpit incisions ALWAYS heal great and they are either invisible or look like a wrinkle in your armpit. And in my experience problems that people are describing are if anything less common that with other approaches.
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November 10, 2021
Answer: Transaxillary augmentation Transaxillary augmentation carries a greater risk of implant malposition. This is in part because the surgeon can not visualize where the implant is being placed which could impact correct placement. This approach also carries a higher risk of capsular contracture.
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November 10, 2021
Answer: Transaxillary augmentation Transaxillary augmentation carries a greater risk of implant malposition. This is in part because the surgeon can not visualize where the implant is being placed which could impact correct placement. This approach also carries a higher risk of capsular contracture.
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February 27, 2019
Answer: Can you please elaborate on the risks of transaxillary augmentation? Thank you for your question. Unfortunately, it is difficult to answer without a photo or in-person assessment. Please discuss these concerns with your chosen plastic surgeon. This way, you will be able to discuss your goals and concerns, and work out something that fits you best.
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February 27, 2019
Answer: Can you please elaborate on the risks of transaxillary augmentation? Thank you for your question. Unfortunately, it is difficult to answer without a photo or in-person assessment. Please discuss these concerns with your chosen plastic surgeon. This way, you will be able to discuss your goals and concerns, and work out something that fits you best.
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February 27, 2019
Answer: Transaxillary Breast Augmentation Hello,I perform both transax and inframammary breast augmentation surgery, and I can tell you that the safest route is the inframammary, when we look at risk of complications, especially capsular contracture (peri-areolar has the highest risk). The inframammary scar has a bad reputation that it doesn’t deserve from the perspective of cosmesis.
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February 27, 2019
Answer: Transaxillary Breast Augmentation Hello,I perform both transax and inframammary breast augmentation surgery, and I can tell you that the safest route is the inframammary, when we look at risk of complications, especially capsular contracture (peri-areolar has the highest risk). The inframammary scar has a bad reputation that it doesn’t deserve from the perspective of cosmesis.
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February 25, 2019
Answer: Transaxillary augmentation Done correctly, the risks of transaxillary augmentation are typically the same as augmentation done through the inframammary and periareolar approach. This is some risk of injuring or traumatizing the nerves to the arm ( brachial plexus) , however this should be rare if the procedure is performed competently. The downside, in my opinion, is the difficulty in controlling the placement of the implant at the correct level, or inframmary fold. This results in the implants being "too high" . Scarring in augmentation is generally excellant and rarely a problem wherever the scar is. If you definitely do not want a scar on the breast, or under the breast, the transaxillary approach is a reasonable option. Consult an experienced surgeon that uses this approach and request to see their results.
Helpful 1 person found this helpful
February 25, 2019
Answer: Transaxillary augmentation Done correctly, the risks of transaxillary augmentation are typically the same as augmentation done through the inframammary and periareolar approach. This is some risk of injuring or traumatizing the nerves to the arm ( brachial plexus) , however this should be rare if the procedure is performed competently. The downside, in my opinion, is the difficulty in controlling the placement of the implant at the correct level, or inframmary fold. This results in the implants being "too high" . Scarring in augmentation is generally excellant and rarely a problem wherever the scar is. If you definitely do not want a scar on the breast, or under the breast, the transaxillary approach is a reasonable option. Consult an experienced surgeon that uses this approach and request to see their results.
Helpful 1 person found this helpful
