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Thank you for your question. While it is possible to remove implants via an armpit incision, a capsulectomy is much more difficult. An under the breast incision is required if the capsule needs to be removed more than partially.
It would be very difficult to remove the silicone implants by way of the transaxillary incision. It would also limit the surgery to implant removal without capsulectomy, which is the recommended approach.
The axillary incision is not a very good one, for many many disadvantages, one of them is being a "one single use". The total capsulectomy (a must do) of implant renewal/removal can be done via areola.
Breast implant removal can be achieved through the same incision that it was placed. There is no need to create additional scars although the easiest is through an inframammary incision.
Breast implant removal is done through an infra-mammary line incision because it has the least complications rate. This incision also is the most direct incision and allows for capsulectomy if needed and repair of muscle or tissue when needed.Technically a breast implant can be removed through an axillary incision. But it does not allow for complete capsulectomy or repairs when needed