There can be some limitations to putting in large volume implants through a transaxillary incision. However, I found that I've been able to get implants in as large as 600 cc through a transaxillary approach including silicone gel. One of the things that I've incorporated in my practice is the use of a Keller Funnel which allows me to put implants in with minimal contact to the skin. This is something I use no matter which approach I'm using, whether it's to the breast, crease, your inframammary fold or through the armpit. It allows me to put in implants in various sizes with ease, minimal contamination to the skin and really optimize the results. I think the transaxillary procedure has certain technical nuances that are very specific to that approach.

I guess it's very important that if you're going to see a surgeon that's interested in offering that to you, you ask them about their background of the procedure that they make you feel most comfortable with that type of approach as they would with any other type of approach. You know for myself, I specifically trained with an expert in that approach and have, you know, brought that into my own practice both because of its interest and also because of my training. It's important to be able to share before and afters with patients and discuss the results that they may be able to expect. And I think it’s something that is technically different. Each approach has its own nuances and with the right approach and the patient's selection, you can certainly get great results in multiple ways.

Transaxillary Breast Augmentation: Implant Size Limits and Risks

Transaxillary breast augmentation, or the armpit approach, is the least invasive approach to inserting an implant, according to Dr. Steven Camp.