6 Shocking Pros and Cons of Transaxillary Breast Augmentation. Is It Worth the Risk?

Breast augmentation is a popular cosmetic surgery that can enhance the size and shape of the breasts. One technique that is gaining popularity is transaxillary breast augmentation, which involves making an incision in the armpit to insert the implant. While this technique has some advantages, such as avoiding scarring on the breasts, it also has potential risks and drawbacks. In this article, we will explore the shocking pros and cons of transaxillary breast augmentation and examine whether it is worth the risk for those considering this procedure.

What is Transaxillary breast augmentation?

Transaxillary breast augmentation is a type of breast augmentation surgery in which the breast implants are inserted through an incision made in the armpit rather than directly on the breast. This technique allows for the placement of breast implants without leaving visible scars on the breast itself.

It is a minimally invasive procedure that offers several advantages over other breast augmentation techniques, including a quicker recovery time and minimal trauma to the breast tissue. However, it also has some limitations and risks that should be considered before undergoing the procedure.

Transaxillary breast augmentation. A brief overview of the procedure

Transaxillary breast augmentation is a cosmetic surgical procedure used to enhance the size and shape of a woman’s breasts. The procedure involves making a small incision in the natural folds of the armpit, then using an endoscope to create a pocket in the chest muscle where a breast implant is inserted.

By accessing the breast through the armpit, the surgeon can avoid making any incisions on the breast itself, which means that scarring is minimal and can be easily hidden by the natural contours of the armpit.

The procedure is typically done under general anesthesia and can take anywhere from one to two hours to complete. After the surgery, patients will need to rest and avoid strenuous activities for a few days to allow for proper healing.

Pros of Transaxillary Breast Augmentation

Transaxillary breast augmentation offers several benefits that make it a popular choice for many women. Here are some of the pros of transaxillary breast augmentation:

1. Smaller incisions: The primary benefit of this procedure is that the incision is hidden from view. Since the incision is made in the armpit, it is well hidden and leaves no visible scarring on the breast itself.
2. Less visible scarring: Because the incision is hidden in the natural folds of the armpit skin, it is not visible even when the arms are raised. This means that patients can wear sleeveless clothing and feel confident without worrying about visible scars.
3. Reduced risk of damage to breast tissue: The transaxillary approach avoids cutting through the breast tissue, which can reduce the risk of damage to the milk ducts and nerves in the breast.
4. Reduced risk of capsular contracture: Capsular contracture is a complication that can occur after breast augmentation where the scar tissue around the implant becomes tight and constricts the implant. The transaxillary approach has been associated with a lower risk of capsular contracture.
5. Faster recovery time: The recovery time for transaxillary breast augmentation is generally shorter than other breast augmentation methods. Most patients can resume light activity within a few days of the procedure and return to work within a week or so.
6. Better positioning of the implant: Because the transaxillary approach allows for a more direct path to the breast, the implant can be more accurately placed and positioned, resulting in a more natural-looking result.

Overall, transaxillary breast augmentation is a safe and reliable procedure that offers several benefits over other breast augmentation methods. However, it is important to consult with a qualified plastic surgeon to determine if this approach is right for you.

Cons of Transaxillary Breast Augmentation

While transaxillary breast augmentation has many advantages, there are also some potential downsides that patients should consider before deciding if this is the right procedure for them.

One of the biggest cons of transaxillary breast augmentation is that it can be a more challenging technique for surgeons to master compared to other types of breast augmentation procedures, such as the inframammary approach.

This is because the surgeon is working with a remote incision site that is further away from the breast, which can make it more difficult to achieve precise implant placement. As a result, it’s important to choose a skilled and experienced surgeon who is well-versed in the transaxillary technique to minimize the risk of complications.

Another potential con of transaxillary breast augmentation is that it may not be suitable for all patients, particularly those with certain anatomical characteristics.

For example, women with tuberous breasts or other congenital deformities may not be good candidates for this procedure. Additionally, because the incision is made in the armpit, there is a risk of damage to nearby lymph nodes, which can increase the risk of infection or lymphedema.

Finally, as with any surgical procedure, there is always a risk of complications such as bleeding, infection, scarring, and implant rupture. While the risk of complications with transaxillary breast augmentation is generally low, it’s important to be aware of these potential risks and discuss them with your surgeon before undergoing the procedure.

Transaxillary Breast Augmentation Scars

Transaxillary breast augmentation is a popular technique for breast enhancement that involves making a small incision in the armpit area to insert the breast implant. One of the main advantages of this approach is that it leaves no visible scarring on the breast tissue. Instead, any scarring resulting from the procedure will be located solely in the armpit crease. This can be an attractive option for patients who want to avoid noticeable scarring on their breasts.

However, it is important to note that the transaxillary approach requires more surgical skill and finesse compared to other breast augmentation techniques. It also involves more tissue manipulation, which can increase the risk of numbness or changes in muscle function. Therefore, it is crucial to choose a plastic surgeon who is experienced and comfortable with the transaxillary approach.

Learn more about Transaxillary Breast Augmentation Scars>

Candidacy for Transaxillary Breast Augmentation

Transaxillary breast augmentation can be suitable for many women who desire breast enlargement. However, not everyone is a good candidate for this procedure.

Ideal candidates are typically healthy women who have realistic expectations and want to enhance their breasts size and shape. They should also have good skin elasticity, which is important for achieving optimal results. Women with sagging breasts may require additional procedures such as a breast lift in conjunction with the augmentation.

It’s important to note that women who have a significant amount of breast tissue may not be suitable candidates for this technique. Additionally, women with a history of breast cancer or a family history of breast cancer may not be candidates for this procedure.

It’s important to consult with a qualified and experienced plastic surgeon to determine if transaxillary breast augmentation is right for you.

Overall, candidacy for transaxillary breast augmentation will depend on individual factors such as breast anatomy, medical history, and personal preferences. A thorough consultation with a plastic surgeon can help determine if this technique is the best option for achieving your desired breast size and shape.

Factors that make a patient a good candidate for Transaxillary Breast Augmentation

Several factors can make a patient a good candidate for transaxillary breast augmentation. Firstly, the patient must be in good overall health with no underlying medical conditions that could increase the risk of complications during or after the surgery.

Secondly, the patient should have realistic expectations for the procedure’s outcome and understand that while it can improve the appearance of their breasts, it will not completely change how they look.

Factors	Description
Healthy	The patient should be in good overall health with no underlying medical conditions that may increase the risks of surgery.
Non-Smoker	Smoking can affect the healing process and increase the risks of complications, so patients who smoke may not be good candidates for the procedure.
Realistic Expectations	The patient should have realistic expectations about the surgery’s outcome and understand the procedure’s limitations.
Adequate Breast Tissue	Patients with adequate breast tissue are typically better candidates for the procedure as it can help hide the implant and provide a more natural-looking result.
Good Skin Elasticity	Good skin elasticity is important as it can help the skin conform to the new breast shape and prevent sagging.
Stable Weight	Patients should have a stable weight, as weight fluctuations can affect the appearance of the breasts over time.
No Prior Breast Surgery	Patients who have not undergone prior breast surgery may be better candidates for the procedure, as previous surgeries can affect the breast tissue and make the procedure more complex.
Armpit Anatomy	Patients with appropriate armpit anatomy may be better suited for the transaxillary approach, as it requires a clear pathway from the armpit to the breast area.

Medical considerations that may affect eligibility

Some medical considerations may affect a patient’s eligibility for transaxillary breast augmentation. Some of these factors include:

1. Breastfeeding: Women who plan to breastfeed in the future may need to wait until after they have finished breastfeeding before undergoing this procedure.
2. History of breast cancer: Patients with a history of breast cancer or a family history of breast cancer may need to undergo additional screening or tests before undergoing the procedure.
3. Autoimmune disorders: Patients who have autoimmune disorders may not be good candidates for transaxillary breast augmentation.
4. Bleeding disorders: Patients with bleeding disorders or taking blood-thinning medications may not be good candidates for the procedure.
5. Smoking: Smoking can increase the risk of complications during and after the surgery. Patients who smoke may need to quit smoking for a certain period before and after the surgery.
6. Obesity: Patients who are significantly overweight may not be good candidates for the procedure. In such cases, the surgeon may recommend weight loss before undergoing surgery.

Pre-operative Preparation

Before undergoing a transaxillary breast augmentation procedure, there are several important steps that patients must take to ensure a successful outcome. These steps include:

1. Initial consultation with a board-certified plastic surgeon: The first step in preparing for transaxillary breast augmentation is to schedule an initial consultation with a board-certified plastic surgeon. During this consultation, the surgeon will review the patient’s medical history, examine their breasts, and discuss their aesthetic goals. The surgeon will also explain the procedure in detail, including the risks and benefits, and answer any questions the patient may have.
2. Pre-operative instructions, such as diet and medication restrictions: Patients will be given specific instructions to follow in the days leading up to their surgery. This may include restrictions on certain foods or medications that could interfere with the procedure or increase the risk of complications. Patients should follow these instructions carefully to ensure a safe and successful surgery.
3. Pre-operative testing and evaluation: Prior to surgery, patients will undergo a thorough medical evaluation to ensure that they are healthy enough to undergo the procedure. This may include blood tests, a physical exam, and other diagnostic tests as needed. The surgeon will also take measurements and photographs of the patient’s breasts to aid in the surgical planning process.

Recovery and Post-operative Care

Recovery and post-operative care are crucial aspects of a successful Transaxillary Breast Augmentation. The patient should expect to experience some pain, swelling, and bruising after the procedure, and it is important to follow all post-operative instructions from the surgeon.

The expected recovery timeline varies from patient to patient, but most can return to normal daily activities within a week or two, although strenuous activities should be avoided for several weeks. The patient may be advised to wear a special compression garment to help reduce swelling and support the breasts during the healing process.

Pain management strategies may include prescription pain medication or over-the-counter pain relievers. The surgeon may also recommend icing the breasts to help reduce swelling and discomfort.

Care of the surgical incision is important to ensure proper healing and minimize scarring. The patient should keep the incision site clean and dry, and avoid any activities that could stretch or pull on the incision.

Follow-up appointments with the plastic surgeon are essential to monitor the healing process and ensure that the patient is recovering as expected. The surgeon may remove any stitches or drains, and provide further instructions for post-operative care.

It is important to remember that recovery and healing times can vary depending on the individual patient and the extent of the procedure. The patient should follow all post-operative instructions provided by the surgeon and seek medical attention if any concerns or complications arise during the recovery process.

Results and Long-Term Maintenance

After a successful transaxillary breast augmentation surgery, patients can expect to see fuller and rounder breasts. However, it is important to note that results may vary from person to person and depend on factors such as implant size, shape, and placement. Patients may also experience changes in nipple sensitivity and breast sensation.

Long-term maintenance of breast implants is important to ensure their continued safety and effectiveness. Regular monitoring is required to detect any potential complications such as ruptures, leaks, or capsule formation. Follow-up appointments with the plastic surgeon should be scheduled regularly, usually every 1-2 years, to assess the condition of the implants.

In some cases, patients may choose to have their implants removed or replaced. This may be due to a desire to change the size or shape of the breasts or because of complications such as implant rupture. In some cases, the surgeon may recommend implant replacement due to age or wear and tear. The surgeon will work with the patient to determine the best course of action and create a personalized treatment plan.

Conclusion

In conclusion, transaxillary breast augmentation has both pros and cons to consider when deciding if it is the right procedure for you. On the one hand, it offered a scarless approach with a shorter recovery time and reduced risk of infection. On the other hand, it can be more technically challenging and may result in less precise implant placement.

Before undergoing the procedure, it is important to consider factors such as candidacy, medical considerations, and the expected results and recovery timeline. Additionally, careful pre-operative preparation and post-operative care are essential for ensuring a successful outcome.

Ultimately, the decision to undergo transaxillary breast augmentation should be made in consultation with a board-certified plastic surgeon who can evaluate your individual circumstances and recommend the best approach for achieving your desired results. It is also important to keep in mind the long-term maintenance required for breast implants, including monitoring and potential replacement or removal options.

Overall, with careful consideration and proper care, transaxillary breast augmentation can be a safe and effective option for enhancing breast appearance.

Sources

1. American Society of Plastic Surgeons: Breast Augmentation: https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation
2. Mayo Clinic: Breast Augmentation: https://www.mayoclinic.org/tests-procedures/breast-augmentation/about/pac-20393178