I have consulted several surgeons regarding my Breast implants I plan to receive in November. I was told by 2 that complete submuscular placement can be achieved via the transaxillary, so I had decided to go for it, using silicone, but then was told this approach can not be used with silicone, is this true?
Is Transaxillary Incision Possible for Silicone Breast Implants?
Doctor Answers 14
Silicone Breast Implants are Possible with a Transaxillay Incision
This is a great question you ask. Contrary to the opinions posted above (and I rarely disagree with Dr. Wallach), it is completely possible to place silicone breast implants through an axillary incision. In fact, my opinion and experience is that it is preferable.100% of the silicone breast implants I put in are through the axillary approach.
In considering this question here are a few things to have in mind.
- Fewer than 10% of augmentations are performed via an axillary approach.
- Among the advantages of this approach is that there are no vissible scars on the breasts and the axillary scar is extremely inconspicous.
- All will agree a silicone implant requires a incision that is longer than that for a saline implant. A question for any patient to consider is where they would prefer the scar; under their breast, around the areola, or concealed in the armpit. I would suggest asking the surgeon to see photo's of results and scars. You will be able to judge for yourself.
- Some have suggested that the transaxillary approach is not a good choice because they can not do secondary surgeries by this method. This is not the case. Surgeons who are experienced with this method can perform secondary procedures (such as exchanges and capsulotomies) through exactly the same incision.
- Some surgeons may feel it is too challenging to place a gel implant this way. Not all surgeons are comfortable with every approach. In the end it should be the patient's choice which approach to use but you certainly don't want to ask your surgeon to do something they are not comfortable with.
To answe your question, Yes, Transaxillary Incision is Possible for Silicone Breast Implants.
I hope you find this helpful.
Bernard Shuster, MD
Axillary Breast Augmentation Truths
First of all both saline and silicone implants can be used with this method. Many patients and surgeons that do not commonly perform this surgery don’t know that a silicone implant can be placed from an axillary incision. The use of the Keller funnel allows a variety of implants to be placed through the axilla easily.
Secondly, the incisions in the axilla is just as small as it would be if it was placed around the nipple or under the breast. The incision is well concealed in one of the natural arm creases in the axilla.
Thirdly the use of the endoscope has made the procedure very precise as the entire breast pocket is created under direct vision. This method has become very popular in Miami where I first practiced and now I commonly perform this procedure here in Austin Texas as it avoids putting any incisions on the breast, thus decreasing the chances of altering nipple sensation.
Please consult your board certified plastic surgeon to help guide you through your breast augmentation process.
Transaxillary Incision and Silicone Breast Implants
Please seek a board certified plastic surgeon that can offer this type of technique for a second opinion.
Shim Ching, MD
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Yes silicone implants will fit through an axillary incision
I use the transaxillary, submuscular approach in nearly 95% of my primary breast augmentations because it hides the scar so well. The overwhelming majority of my patients choose silicone implants because of a more natural look and feel when compared to a saline implant. Yes, it is true that the incision for a silicone implant insertion will be longer than one for a saline implant insertion, but that is true for ALL approaches (including periariolar and inframammary incisions). For an average size implant (350cc) the incision length is usually only one-half inch longer than it would be for a saline implant insertion. That length of scar in the armpit (about 2 inches long) still hides extremely well. When using the Keller funnel. I have placed implants as large as 550cc in a primary augmentation without difficulty. If you choose the transaxillary approach, make sure your surgeon is experienced in this method.
Silicone Transaxillary Breast Augmentation
Submuscular gels via transaxillary especially with the Funnel
Gels can most definitely be placed via the transaxillary approach. Salines are definitely easier to place due to the smaller incision required and a little less dissection under the muscle tails where the implants have to make "the turn." I have been doing this technique since 1987 and have done around 2500 pairs. Other than during the "dark days" from 1992-2005, most have been gels. I used to have a limit of 425 for gels, but with the Keller Funnel I have placed 700's with some room to spare. The incision is longer but has not been a problem to date.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.