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Natural Looking Breast Implants with Transaxillary Incision?

TC
Thea in CTMay 5, 2009

I see many photos of underarm incision for breast implants, and the implant placement looks oddly high and often misplaced. Also, many surgeons won't use this incision.Is it possible to get a natural look with the underarm incision for silicone breast implant? I am a first time patient, size A, looking to increase to full B. 

Answers (24)

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Dr. Shim Ching, MD
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Dr. Shim Ching, MD
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Dr. Johnny Franco, MD, FACS
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Dr. Johnny Franco, MD, FACS
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Answered on Sep 1, 2016
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Dr. S. Larry Schlesinger, MD, FACS
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Dr. S. Larry Schlesinger, MD, FACS
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Answered on Mar 14, 2017
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Dr. Gregory Turowski, MD, PhD, FACS
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Dr. Gregory Turowski, MD, PhD, FACS
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Answered on Apr 4, 2017
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Dr. Richard J. Bruneteau, MD
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Dr. Richard J. Bruneteau, MD
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Answered on Feb 10, 2017
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Dr. Luis Macias, MD, FACS
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Dr. Luis Macias, MD, FACS
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Answered on Feb 10, 2017
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Dr. Jerome Edelstein, MD
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Dr. Jerome Edelstein, MD
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Dr. Larry S. Nichter, MD, MS, FACS
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Dr. Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
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Answered on Feb 10, 2017
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Dr. Rian A. Maercks, MD
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Dr. Rian A. Maercks, MD
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Answered on Feb 10, 2017
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Dr. Lane Smith, MD
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Dr. Lane Smith, MD
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Answered on Feb 10, 2017
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David Rankin, MD

Silicone has a much more natural feel to it than does saline. It feels more like a natural breast than saline. It has less chances of visual rippling (especially on the sides) than saline. The only times that I would not recommend a silicone implant is in a woman who does not want the slightly...

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Stephen T. Greenberg, MD, FACS

Thank you for your question.  In the immediate post-operative period it is not uncommon for patients to express concern over the appearance of their breasts and/or the implant volume chosen.  While some patients are afraid that they have gone too large, others will cite that they wish that t...

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Larry S. Nichter, MD, MS, FACS

Breast Implant Rippling most often occurs when there is insufficient soft tissue coverage due to little overlying body fat and breast tissue. Implants placed beneath the muscle help to minimize this phenomena but the lower and outside breast (as pectoralis muscle is no longer present), towards...

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Michael Horn, MD

Yes, high profile breast implants can give you more projection (look bigger from the side view) while not increasing the diameter (front view). The size you are considering can look quite nice with most women's frame size. One thing to understand is that each size larger than 350cc implants...

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Otto Joseph Placik, MD

The capsule will likely shrink a small amount but there are many different aspects to the breast capsule other than the volume. The diameter and projection of you new implant play a role as does the surface texture. More often than not some amount of capsule repair is required and is called a...

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Michael S. Beckenstein, MD

Depending on the magnitude of the size change,a smaller implant will roll all around the pocket and might be more prone to rippling as well. The overlying tissues may also "sag" due to less structural support from the smaller device and can be improved with a lift.. The pocket needs to...

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