Most PS in my area don’t offer this approach. I understand that if done this way a new incision would have to be created should I need a revision surgeries down the road. I would just really like to avoid having a scars on my breast.
June 26, 2019
Answer: Breast augmentation scar planning A well-planned breast augmentation using an infra-mammary incision should have the resultant scar in the infra-mammary fold itself - its basically invisible in that position. Check out my before/after photos and see what you think. Most PS do not perform trans-ax breast augmentation because of the implant malposition and capsular contracture issues associated with this procedure.
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June 26, 2019
Answer: Breast augmentation scar planning A well-planned breast augmentation using an infra-mammary incision should have the resultant scar in the infra-mammary fold itself - its basically invisible in that position. Check out my before/after photos and see what you think. Most PS do not perform trans-ax breast augmentation because of the implant malposition and capsular contracture issues associated with this procedure.
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February 8, 2022
Answer: In the right hands transaxillary is a fantastic approach. I know sometimes this forum can be so confusing but there are so many different approaches. I’m going to give you the exact opposite of Dr. Young. I have been doing the transax endoscopic approach for 20 years and would not continue to do so if there were the problems mentioned. Let me give you the advantages !1. I believe there is more discomfort for the first 2 to 3 days doing your hair but that is about it. The majority of your discomfort comes from the implant being under your muscle. Within five or six days patients are back doing what they want to do. 2. The scar in most cases is imperceptible. I hide it in a small crease in the under arm and it works great. I have seen horrible scars with an M for memory approach that are visible when the swimsuit rides up but anyone can have a bad scar.3. Many revisions can still be done through the under arm. I can add saline to an implant, adjust a pocket lower, fix mild capsular contracture, remove a ruptured implant and exchange it, exchange silicone or saline and I can insert up to 550 mL through the under arm (I’ve done 600 mL but it was a struggle!) 4. It is true that if the camera is not used, transaxillary does have a tendency for implants to ride high and wide. But using the camera changes all of that. 5. I like the incision being far away from the implant. With inframammary I’m always nervous if there is a wound infection that the implant is sitting right there.6. I do not see an increased incidence of loss of sensation of the nipple. In fact most patients get a little hypersensitive for several months and then return to normal. I also do not see a higher incidence of capsular contracture. I do have my patience massage and I use the Keller funnel. 7. The operative time is very short usually wheels in wheels out around one hour. 8. I believe there is a lower risk of bottoming out because the supportive tissues under the breast are not disturbed as they might be with under the breast incisions 9. Remember the three main incisions used are all acceptable and it really depends on the patient and Dr. comfort but again after 20 years I love it and so did my patients.
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February 8, 2022
Answer: In the right hands transaxillary is a fantastic approach. I know sometimes this forum can be so confusing but there are so many different approaches. I’m going to give you the exact opposite of Dr. Young. I have been doing the transax endoscopic approach for 20 years and would not continue to do so if there were the problems mentioned. Let me give you the advantages !1. I believe there is more discomfort for the first 2 to 3 days doing your hair but that is about it. The majority of your discomfort comes from the implant being under your muscle. Within five or six days patients are back doing what they want to do. 2. The scar in most cases is imperceptible. I hide it in a small crease in the under arm and it works great. I have seen horrible scars with an M for memory approach that are visible when the swimsuit rides up but anyone can have a bad scar.3. Many revisions can still be done through the under arm. I can add saline to an implant, adjust a pocket lower, fix mild capsular contracture, remove a ruptured implant and exchange it, exchange silicone or saline and I can insert up to 550 mL through the under arm (I’ve done 600 mL but it was a struggle!) 4. It is true that if the camera is not used, transaxillary does have a tendency for implants to ride high and wide. But using the camera changes all of that. 5. I like the incision being far away from the implant. With inframammary I’m always nervous if there is a wound infection that the implant is sitting right there.6. I do not see an increased incidence of loss of sensation of the nipple. In fact most patients get a little hypersensitive for several months and then return to normal. I also do not see a higher incidence of capsular contracture. I do have my patience massage and I use the Keller funnel. 7. The operative time is very short usually wheels in wheels out around one hour. 8. I believe there is a lower risk of bottoming out because the supportive tissues under the breast are not disturbed as they might be with under the breast incisions 9. Remember the three main incisions used are all acceptable and it really depends on the patient and Dr. comfort but again after 20 years I love it and so did my patients.
Helpful 1 person found this helpful
