Women's Journal

Understanding Silicone Implants through Armpits

Understanding Silicone Implants through Armpits
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For individuals contemplating breast augmentation, it’s beneficial to understand the “transaxillary incision” technique, which entails inserting silicone implants through an armpit. While this method is viable, it’s essential to recognize that not all plastic surgeons offer it.


Many surgeons generally opt for saline implants when utilizing the transaxillary incision method. Saline implants are less rigid than silicone implants and are inserted empty, reducing potential risks, especially for less experienced surgeons, as they are easier to maneuver through the incision. 

However, under the expertise of a seasoned plastic surgeon like Dr. Luis Macias, the insertion of silicone implants through the armpit is both safe and efficient. They understand the significance of your upcoming surgery and are committed to addressing all your concerns with thorough explanations, ensuring no questions are left unanswered.

Understanding the Procedure: Dr. Macias’ Approach to Transaxillary Breast Augmentation

The incision for transaxillary breast augmentation is discreetly placed within the natural crease of the armpit, ensuring that the scar remains hidden and nearly undetectable. 

After the incision, Dr. Luis Macias creates the pocket for precise placement. 

How Does Transaxillary Usually Work with Saline Implants?

The unfilled saline is inserted through the incised armpit, filling it to the desired volume. After being filled in place, saline implants are checked for size and position, after which the fill tube is removed, and implants automatically seal themselves. 

How Can Dr. Macias Do Transaxillary with Silicone Implants?

At Aesthetic MdR, you can confidently opt for silicone implants for your transaxillary incision. Dr. Luis Macias, a double-certified plastic surgeon, is experienced in achieving natural-looking breast augmentation using various methods and materials, including transaxillary placement with silicone implants. 

The technique involves making incisions in both armpits and inserting silicone implants without the need for additional equipment. Dr. Macias ensures precise positioning and symmetry before closing the incisions, resulting in minimal scarring. It’s important to discuss the appropriate implant size and material with Dr. Macias based on your body proportions before deciding. Additionally, you can explore testimonials from satisfied patients who have undergone successful surgeries.


What Are the Advantages of Armpit Incision Over Others?

Transaxillary breast augmentation is favored by women seeking natural-looking breasts without visible scars. Incisions in the armpits eliminate scar lines around the nipple or under the breast. These incisions are challenging to detect in the armpit’s vertical folds, even upon close inspection, allowing for the confident wearing of swimsuits and revealing clothing. Additionally, the procedure carries a low risk of damaging nerves or milk ducts, as the incisions are made far from the breasts, leading to less pain and faster recovery compared to other methods.

What Are the Disadvantages of Armpit Incision?

One drawback of transaxillary breast augmentation is limited access to the breast pocket for implant placement, which can pose challenges in achieving symmetry and desired results compared to methods with incisions closer to the breasts. Additional incisions may be necessary for proper adjustment and positioning of implants. Additionally, the smaller incisions in the armpits limit the size of implants that can be used, potentially affecting those seeking larger, more dramatic results.

Are You a Good Candidate for Armpit Incision?

At Aesthetic MdR, you can try on implants before the surgery. Special Vectra 3D simulation technology allows you to see the expected outcome of the procedure, including different implant sizes and placement options. 

3D cameras capture images of treatment areas from various angles. Software processes these images to show accurate depictions of final results, allowing for real-time comparison of implant sizes, forms, and materials. Before deciding, it’s advisable to consult with Dr. Macias to fully understand the procedure.

Natural Results When Inserting Implants through an Armpit

When breast augmentation is performed in the subfascial plane, meaning the implant is placed under a layer of connective tissue that covers the chest muscle, the results tend to look more natural. This gives patients a more aesthetically pleasing and proportionate shape with natural-looking cleavage.

As natural anatomy does not have breast tissues under the muscle, placing an implant above the muscle is considered most natural. 

How Is the Procedure Performed?

The procedure, typically under general anesthesia, lasts 1-3 hours, depending on complexity. An incision in the armpit crease creates a tunnel for implant insertion, then closes with dissolvable sutures. Post-op, a surgical bra is worn for a few weeks for support and proper positioning, possibly with a compression garment to reduce swelling and aid healing.

What Are the Risks of Transaxillary Breast Augmentation?

Transaxillary breast augmentation, like any surgery, has manageable risks. Choosing an experienced surgeon who regularly performs this procedure can minimize these risks. The surgery requires a skilled surgeon familiar with armpit anatomy to create a minimal incision tunnel for implant insertion. This method can be a favorable alternative for darker skin, as scars may be less noticeable. Overall, with proper care and monitoring, transaxillary breast augmentation is considered safe, with risks similar to other breast augmentation surgeries.

These include:

  • Infection
  • Bleeding
  • Complications related to anesthesia
  • Allergic reactions to medication or materials used during the procedure
  • Changes in nipple sensation
  • Asymmetry of the breasts

To Wrap Up

Inserting an implant through an armpit is one of the most common methods for breast augmentation surgery when the vertical incision is made in the armpit area to insert the implants. This method offers several advantages, like less surgical scarring, lower risk of losing nipple sensation, and faster recovery time. 

Consult with a board-certified surgeon to discuss your options and determine if transaxillary breast augmentation is right for you

Discover more:

Interested in learning about innovative approaches to breast augmentation? Delve into the topic of “Silicone Implants Through an Armpit: Is That Possible and Safe?” and discover if it’s a safe and viable option.


Disclaimer: The information provided in this article is for general informational purposes only and is not intended as medical advice. Readers should consult a qualified healthcare professional before making any health-related decisions. The contents of this article should not be used as a substitute for professional medical advice, diagnosis, or treatment. 

Published by: Martin De Juan

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