Explant surgery - can the implant be removed from the armpit? (Photo)

Unfortunately the implant cannot be removed from the armpit incision. It simply does not provide enough access to the pocket to safely remove the implant and address any issues with the capsule. Your surgeon should have warned you before your initial procedure that you'd need a different incision if you were ever to have a revision. An inframammary crease or periareolar incision are your only options at this point unless you need a lift done at the same time. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to see what your options are. Best of luck!  

You might find some surgeons that will remove the implant through the armpit incision, but the capsule will be difficult to removal entirely from that approach and the risks, especially bleeding, will be higher. It will also be more difficult to remove a large implant, especially a textured implant, with that incision. I do not use that incision for removal of any implant.

Typically the implants can be removed through the same incision, although not all surgeons advise the axillary approach.  If you are intending to remove the capsules as well then a new incision either around the areola or underneath the breast will be necessary.  I encourage you to speak to your surgeon about your questions and concerns.