Transaxillary Breast Augmentation Procedure Explained

If you want to enhance the size, shape, and symmetry of your breasts while minimizing visible scarring, you might feel overwhelmed by the many breast augmentation options available today. Many women seeking a natural look with minimal disruption to the breast tissue have discovered transaxillary breast augmentation as an appealing alternative.

At the New York Liposuction Center, our surgeons recognize that both results and recovery matter when you decide to have plastic surgery. Choosing the right incision type plays a crucial role in not only your final results but also your day-to-day confidence. This guide will walk you through everything you should know about the transaxillary method, how it differs from other approaches, and what you can expect before, during, and after your surgery.

What Is Transaxillary Breast Augmentation?

Transaxillary breast augmentation refers to a technique where our surgeons insert breast implants through a small incision in the armpit. The incision stays hidden within a natural crease, so patients typically do not have scars on their breasts at all.

The procedure uses a specialized endoscope, a small camera inserted through the incision, which gives our team a clear view inside the surgical area. This approach allows for precise implant placement and careful handling of soft tissue. By navigating from the underarm to the breast pocket, the surgeon avoids direct disruption of breast tissue.

This method appeals to women who want to maintain the most natural look possible, both with and without clothing. It also lets patients change their bra style or go braless confidently, since there are no scars on the breast mound or around the areola.

History and Evolution of the Approach

Plastic surgeons first developed the transaxillary incision in the late 20th century, as innovations in both tools and endoscopic surgery improved. This approach originally faced limitations with visibility and implant size, but advances in technology have made it much more accessible and reliable.

While not as common as inframammary or periareolar techniques, transaxillary breast augmentation has gained popularity among select patients and experienced surgeons. Today, it remains the only consistently reliable way to achieve a scarless breast augmentation outcome for many women.

Who Makes a Good Candidate for the Transaxillary Approach?

Suitability for transaxillary breast augmentation depends on a combination of body type, surgical goals, and implant preference. The method is not ideal for everyone, so you and your surgeon should have an honest discussion during your consultation.

Key Factors in Patient Selection

Our team will carefully evaluate your medical history, breast anatomy, and desired results. Here is what we consider most important:

• Desire for minimal visible scarring: Patients who feel strongly about avoiding breast scars are natural candidates for this approach.
• Natural breast shape and size: Smaller or moderate breast sizes and minimal drooping usually respond best to the technique.
• Implant type limitations: Some very large silicone implants can limit suitability, as can certain textured or anatomically shaped implants.
• Overall health status: Good candidates are generally healthy non-smokers with realistic expectations and no untreated breast disease.

Contraindications and Cautions

Patients with a history of complicated breast surgery or a need for combined breast lifting usually require a different approach. Women with significant ptosis (drooping) may not get ideal results from the transaxillary incision alone.

If you have very muscular, thick underarms or have experienced surgery in the axilla before, our surgeons will discuss additional considerations. Finally, those with advanced health concerns may not qualify for elective breast surgery of any type.

You should always communicate your goals and concerns honestly. Our surgeons will guide you to the safest, most natural solution for your body type.

How Does Transaxillary Breast Augmentation Differ From Other Techniques?

You have several breast augmentation incision locations to choose from, each with specific strengths and limitations. Understanding what makes the transaxillary incision unique can help you weigh your options with clarity.

Incision Placement and Scarring Locations

Among the key differentiators in breast augmentation are scar visibility and implant placement accuracy. Here is how transaxillary compares to other common approaches:

• Transaxillary (Armpit): Incision hides within the underarm crease. There are no scars on the breast or areola.
• Inframammary (Under the Breast): A small scar forms under the breast fold. This may be visible when lying down or with certain bra styles.
• Periareolar (Around the Nipple): The incision follows the lower border of the areola. This can sometimes affect nipple sensation or create visible pigmentation changes.
• Transumbilical (Belly Button): A less common method, this involves placing saline implants through the navel. Only select surgeons perform this and with limited implant choices.

Because transaxillary incisions avoid cutting through breast tissue or glandular structures, they preserve the most natural appearance when unclothed. However, they also require surgical finesse and the right patient profile for fully optimal results.

Advantages and Limitations of the Transaxillary Route

While the benefits of hidden scars attract many women, the method also carries some unique features. Consider the following factors:

• Advantages: No breast scarring, less disruption of breast tissue, natural cleavage, and optimal implant placement.
• Challenges: Slightly steeper learning curve for surgeons, limited implant size/types, and possible difficulty with revision surgeries later.

You should discuss these pros and cons in detail at your consultation before making a decision.

Step-by-Step: The Transaxillary Breast Augmentation Procedure

When you choose the transaxillary method, our team at the New York Liposuction Center uses advanced endoscopic surgery for safety and precision. The procedure occurs under general anesthesia and usually lasts one to two hours.

The Surgical Steps in Detail

Our surgeons follow the following basic sequence on the day of surgery:

• Incision Creation: The procedure starts with a small incision (about 1.5 inches) in a natural crease of the armpit.
• Tissue Dissection: We use a fiber-optic endoscope to visualize the tissues, gently creating a pocket for the breast implant.
• Implant Placement: The implant (usually saline or, in select cases, silicone) is inserted through the underarm tunnel and positioned beneath either the breast tissue or the chest muscle.
• Symmetry Adjustments: Our team checks positioning and symmetry before closing the tiny incision with dissolvable sutures.
• Recovery Room: Patients wake up under close observation, then return home later the same day.

Incisions typically heal well and become virtually invisible within several months, as the underarm skin tends to heal with minimal discoloration or lumpiness.

Types of Breast Implants Most Compatible With the Transaxillary Approach

While the transaxillary method accommodates several implant choices, not all options work well for every patient. The size, shape, and fill material of your implant should fit both your anatomy and lifestyle.

Implants Commonly Used in Transaxillary Surgery

Surgeons at the New York Liposuction Center use a variety of implants to personalize your results. Typically, the preferred implant types include:

• Saline Implants: These can be inserted while empty and filled once in place, which allows for a smaller incision and easier placement.
• Moderate-sized Round Silicone Implants: Modern techniques support placement of certain silicone implants, especially those of moderate size. However, larger, highly cohesive, or anatomical (teardrop) silicone implants remain more challenging to position through this approach.

Patients should understand that the implant cannot always be exchanged or replaced through the same incision, especially with more complex or unique styles. Our surgeons will discuss these details during your planning session to ensure you receive the safest, most attractive outcome.

The Recovery Experience: What Should You Expect?

You can expect a similar recovery timeline to other types of breast augmentation, with a few differences related to the incision site. Our team works closely with you to encourage proper healing and minimize discomfort after surgery.

What Happens After Surgery?

After transaxillary breast augmentation, you will spend a short period in the recovery room before heading home that same day. Our staff will provide detailed aftercare instructions that include:

• Take prescribed medication as directed to minimize discomfort or swelling.
• Keeping your arms as relaxed as possible. Avoid overhead reaching and strenuous arm movements for two weeks.
• Wearing a surgical bra or recommended support garment to protect new implants.
• Keeping the underarm area gently cleansed and dry, following specific wound care advice.

Most patients feel comfortable returning to desk work or light activities within a week, but you should avoid vigorous exercise or heavy lifting for at least four to six weeks.

Incisions typically look slightly pink or raised initially. Over the next several months, the armpit incision fades until very faint or invisible.

Tips for a Smooth Recovery

You can encourage optimal healing and results by keeping in mind a few important suggestions:

• Follow our instructions precisely for wound and scar care, including the timing of showers and exercise.
• Refrain from shaving the underarm area until you receive our approval.
• Report any new pain, swelling, or signs of infection immediately to our office.

By adhering to these guidelines, patients usually experience a rewarding, low-complication recovery.

Advantages and Drawbacks of Transaxillary Breast Augmentation

The transaxillary approach offers unique rewards but also requires careful consideration. Understanding both the positives and the possible limitations can help set realistic expectations.

Benefits

• Scar-Free Breast Appearance: The most-discussed benefit is that the breast itself stays free of visible scars. This can significantly improve confidence in swimwear or intimate settings.
• Minimal Breast Tissue Disruption: Because the incision stays away from the breast gland, breastfeeding capability and nipple sensation often remain well preserved.
• Natural Cleavage: The entry from the side or underarm can encourage more natural-looking cleavage for eligible patients.

Drawbacks

However, patients should also weigh these possible downsides:

• Limitations on Implant Size and Shape: You may need to choose only certain implant types, as large textured or anatomical styles can be difficult to place.
• Potential for Complex Revision Surgery: If you need a revision or breast implant replacement later, you may require a new incision on the breast itself for optimal results.
• Learning Curve for Surgeons: Only experienced breast surgeons should perform the transaxillary approach, as the anatomy and visualization differ considerably from other incision types.

During your consultation, we will honestly discuss the risks, benefits, and likelihood of your ideal aesthetic result using the transaxillary incision.

Risks and Potential Complications to Consider

All surgical procedures involve some level of risk, and transaxillary breast augmentation is no exception. Most complications occur rarely, especially in experienced hands, but you should know the possibilities up front.

Most Common Risks

Patients should be aware of several general and transaxillary-specific complications:

• Infection: Any surgical procedure can lead to infection, which may require medical or surgical treatment.
• Bleeding or Hematoma: Blood may collect under the incision, rarely needing surgical evacuation.
• Implant Malposition or Asymmetry: Incorrect implant placement or shifting can require revision.
• Changes in Sensation: Although uncommon, numbness or tingling may affect the underarm or upper arm more often with this approach.
• Capsular Contracture: Even with the transaxillary approach, scar tissue can tighten around the implant, affecting its softness or shape.
• Thicker Underarm Scar: Some individuals with darker skin may see more noticeable scarring in the axilla compared to the breast.

Prompt recognition and early intervention can reduce these risks and improve outcomes. At the New York Liposuction Center, we prioritize your safety and satisfaction at every step of care.

What to Look for in a Surgeon and Practice

Choosing an experienced plastic surgeon with a solid background in endoscopic breast surgery is crucial for a safe and successful outcome. The transaxillary method demands precise technique, thorough planning, and a track record of success.

Qualities of the Right Surgical Team

Patients should consider these important factors when selecting a provider for transaxillary breast augmentation:

• Board Certification: The surgeon should hold certification from the American Board of Plastic Surgery or an equivalent recognized body.
• Extensive Endoscopic Experience: Your surgeon should perform transaxillary procedures frequently and demonstrate a photo gallery of successful results.
• Modern Surgical Facilities: A clean, fully-accredited operating suite supports safety and smooth recovery.
• Detailed Consultation Process: You should feel comfortable discussing your questions, medical history, and goals, and receive personalized advice rather than a one-size-fits-all plan.
• Transparent Follow-Up Care: Look for a practice that conducts thorough follow-ups, with options for patient support should issues arise.

At your consultation, ask direct questions about your surgeon’s previous outcomes, revision rates, and their comfort with different implant types and techniques. An experienced team in a major city like New York often has access to the latest tools and refined surgical protocols as well.

Your Next Steps for a Confident, Scar-Free Result

Restoring or enhancing your breast shape does not need to leave distracting scars behind. The transaxillary technique creates beautiful, natural results for the right candidate, as long as the surgery takes place in skilled hands using the most up-to-date methods.

Taking the time to learn about your incision options and discussing them openly with your surgeon lays the foundation for results that align with your image goals. At the New York Liposuction Center, we remain committed to making your experience smooth from the first conversation to your final follow-up.

If you feel ready to explore scar-free breast augmentation, reach out to our friendly team. Schedule a personal consultation to review your options in detail, and let us help you take the next step toward the confident, natural look you deserve.