Can I have my silicone implants removed and replaced via implants replaced via transaxillary incision?

There are limits when using the transaxillary incision. It's remote and delicate revision work is difficult. I'd suggest the inframammary crease incision

Implants can be switched via trans axillary approach friending on the situation. If you need more than a simple exchange you will probably need a different incision

I would suggest not using that incision because of the risk to your nerves and arteries in your armpit. Plus, the exposure is much better with the breast scar. The axillary incisions are difficult to reuse and visibility is limited. Since the gel implants are ruptured, the entire capsule must also be removed.

The transaxillary approach is not recommended for silicone implants.
Access through this approach is usually quite limited, and, forcing the implant through a small opening, can cause fracturing of the cohesive silicone gel inside the implant.
It’s not a good approach to remove ruptured, silicone, implant. Direct access with a inframammary incision, or possibly peri-areolar if women have large areolas is preferred.
Bilateral silicone, implant rupture would be somewhat uncommon within the first 10 years. MRI is the most sensitive study, but is not 100% accurate regardless.
Most plastic surgeons don’t rely on the trans axillary approach. To get a more accurate description of what’s possible or not possible you should discuss this with providers who use that approach more frequently.
Having direct visualization of the implant pocket has a lot of advantages.
Follow up with your plastic surgeon to see what they have to say or schedule a few in person second opinion consultations.
Best,
Mats Hagstrom, MD