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Understanding the Transaxillary Breast Augmentation Incision

By Peter Fisher, MD on January 18, 2016


A woman in lingerie If you are unsatisfied with the appearance of your breasts, breast augmentation may be right for your needs. Breast augmentation can return fullness to deflated breasts or be used to increase cup size. When patients decide to undergo breast augmentation, it's also important to consider the incision type. Dr. Peter Fisher has experiencing performing various techniques, including the transaxillary incision. To find out if the transaxillary breast augmentation incision is right for you, contact our San Antonio, TX practice today.

The Transaxillary Breast Augmentation Incision Procedure

When a transaxillary incision is used during the breast augmentation procedure, incisions are made under the arms. The incisions are specifically made within the folds of the armpit to help hide scarring and avoid scarring on the breast.

After the incision is made, a channel from the underarm to the breast is formed. Next, a pocket is made behind the breast. A silicone or saline implant can then be inserted through the transaxillary incision, through the channel, and placed into the pocket behind the breast. Once this is done, the incision may be sutured closed.

Recovery after Breast Augmentation with a Transaxillary Incision

In the first few days after breast augmentation, it is common for patients to experience some pain, swelling, and discomfort. Pain and swelling should decline as the body heals. If pain or swelling increases, it could be a sign of infection or complication and should be brought to your surgeon's attention as soon as possible.

Many patients will be well enough to return to their normal activities within a couple days of surgery, although heavy lifting and raising the arms should be avoided during this time. Most patients will feel fully recovered within a few weeks after surgery.

The Benefits of Transaxillary Breast Augmentation Incisions

There are key benefits to using transaxillary incisions during the breast augmentation procedure. Some benefits to consider when deciding if the transaxillary incision is right for you include:

  • No scarring on the breasts: Patients who want to avoid scarring on the breast during augmentation should consider transaxillary incisions for their augmentation. Transaxillary incisions are made within the underarm, leaving all scars from breast augmentation within the armpit.
  • Less likely to cause problems with future breastfeeding: Transaxillary incisions are also less likely to result in damage to the mammary glands since the incisions are located away from the nipples and areolas, making this approach appealing to women who plan to breastfeed in the future.

The Disadvantages Associated with Transaxillary Incisions

As with any surgical procedure, there are some disadvantages associated with transaxillary breast augmentation incisions, including:

  • The transaxillary incision site can only be used once: Transaxillary incision sites can only be used once to place a breast implant. This means the incision site cannot be reopened if revision is needed or when implants need replacing. A second incision will need to be made, which will create a second scar.
  • Nerve damage: Nerve damage is a risk associated with most surgeries. Because transaxillary incisions are made in the underarm, there is a slight risk of nerve damage.
  • Breast asymmetry: Although less of a risk when performed by an experienced surgeon like Dr. Fisher, placing the breast implants symmetrically can be more challenging using the transaxillary incision.

Schedule a Consultation

For more information about breast augmentation, we welcome you to schedule a consultation with Dr. Fisher.

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