Transaxillary breast augmentation

The underarm (axillary) approach to breast augmentation is always the first choice to consider.

I prefer it by far to the other two options (around the areola or in the crease under the breast.

The scar is on a crease in the armpit and will definitely fade better. The incision in the underarm is right next to the edge of the muscle where the implant is going.

The axilla and the lymph nodes are never touched because the surgery is immediately under the skin for the small distance (1-2 inches) the implant will have to go.

The underarm approach is used whenever the breast does not have ptosis. If the breast droops a little, then a “dual-plane” approach from under the breast fold is better.

Transaxillary breast augmentation photos

The areola incision can be a good choice, but I do not use it myself because if the scar should darken unexpectedly it will be front and center. A risk best avoided. (Gregory Diehl, MD, FACS, Long Island Plastic Surgeon)

There are typically 3 incisions used to place a breast implant: in the crease (underneath the breast), under the arm (transaxillary), or along the areola (pigmented skin surrounding the nipple).

The choice of incision is made by both the patient and the surgeon after discussing the advantages and disadvantages of each. (Loren Schechter, MD, Chicago Plastic Surgeon)

Incisions can be made: under the arm under the breast around the areola through the belly button silicone cannot be please trans umbilical. all the incisions are safe and can give equal results when done be surgeons who are experienced with the techniques. problems and complications should be no different (Jed H. Horowitz, MD, FACS, Orange County Plastic Surgeon)

Axillary versus Inframammary Fold Augmentation

Transaxillary breast augmentation picture

This is another personal and surgeon’s preference. My preference is to do primarily inframammary fold breast augmentations as it gives me much more Control especially of a patient with breast asymmetries and minimizes the need for breast revisions which I see often in patients who have had transaxillary breast augmentations. (Rod J. Rohrich, MD, Dallas Plastic Surgeon)

I prefer using the incision in the natural breast crease. This approach allows me to create a sub-muscular pocket for the implant perfectly. This incision heals well and is hidden very easily. Complications i have encountered with this approach are uncommon and/or minamal. (Michael A. Fiorillo, MD, New York Plastic Surgeon)

I am not a big fan of a trans axillary breast augmentation for a couple of reasons. First, I don’t think you can see the surgical field that well. Second, I have seen a number of results which have a poor definition of the inframammary fold near the sternum.

Transaxillary breast augmentation photo of scar

My colleagues that do this surgery will disagree. I respectfully disagree with them. I prefer a small incision under the breast which typically heals to an almost imperceptible result. (Talmage J. Raine, MD, Champaign Plastic Surgeon)

Transaxillary breast augmentation

Breast augmentation can be done in several ways. The most common and popular approach is via inframmary crease line. The second way is through the areola. The third way is through the axilla. The fourth way is through the belly button in case of saline implants. Introducing the implant via crease line or areola offers the most direct way to visualize the implant pocket as well as to place the implant.

After transaxillary breast augmentation

However, if your surgoen is well experienced in transaxillary approach, she/he should be able to place the implant without damage to axillary vessesl/nerves/lymph nodes. Please talk with your plastic surgeon to discuss the pros and cons of each approach. (Sugene Kim, MD, FACS, Houston Plastic Surgeon)

Arm Pit Incision is a Safe Choice for Breat Augmentation

Multiple clinical studies from different institution have clearly demonstrated that the arm pit incision does not affect the lymph nodes. This is consistent with my personal experience utilizing this method for years. I have never encountered any issue with lymph nodes. You also ask about swelling. All approaches to breast augmentation will result in some degree of swelling. The thing about swelling is it goes away, its just a matter of time. I recommend my patients have a low sodium diet after surgery and have found this the most helpful thing a woman can do to reduce her swelling. (Bernard Shuster, MD, Hollywood Plastic Surgeon)