Cosmetology India
VIDEOENDOSCOPIC  TRANSAXILLARY
BREAST  AUGMENTATION
Is it more painful to have breast implants put in using the armpit incision?

No. Pain with breast augmentation surgery varies from patient to patient but normally lasts 1 to 2
days and is well controlled with pain relief medications. The pain is usually related to the
placement of the implants
underneath the muscle whether this is done through the armpit,
periareolar or crease incision. Thus, the armpit incision is no more painful than the other
incisions.

What is the type of anaesthesia is used for this procedure?

As in all breast augmentation procedures, the operation may be performed under general
anesthesia or under IV sedation anesthesia. The
breast augmentation procedure takes
approximately 1-4 hours. Patients remain in the recovery for about 2-3 hours after surgery until
they are fully awake.

What post operative care is required with the armpit incision?

The care is very simple. The armpit should be washed once a day and antibiotic ointment applied.
The stitches dissolve on their own. Deodorant can be used in 2 days. Shaving can be resumed in 2
days with care.

Will having the armpit incision affect me medically in anyway?

No. When the armpit incision is made, none of the deeper structures of the armpit are disturbed.
The structures of the armpit including the nerves and the lymph nodes are not affected.

How does the armpit incision heal? And what does it look like?

The armpit incision is about 4.5-5 cms. in length. Normally, it is barely seen and blends in with
the natural creases of the armpit. Many patients believe that it heals better than the periareolar
or
crease incision.

What if the breast implants need to be adjusted?

If a second surgery is necessary to adjust an implant, replace a leaking implant or correct a
capsular contracture, this can be done through the original armpit incision. In rare or severe
cases, a separate incision on the breast may have to be performed.

How are the results with transaxillary endoscopic breast augmentation?

The results with the armpit incision are excellent and patients are thrilled with the results.One
potential drawback of the transaxillary incision is the risk of less than perfect placement of the
implants. This is because the surgeon is working further away from the actual surgical
destination, leaving more possibility for error. When a surgeon is trained and experienced with
the transaxillary technique, the risk of error in implant placement is very low.

Who does transaxillary endoscopic breast augmentation?

Ask your plastic surgeon. Not every plastic surgeon performs the armpit incision for breast
enhancement. Transaxillary breast augmentation requires special training and expertise. Your
plastic surgeon should be able to perform breast implants through a variety of incisions including
the armpit, periareolar or crease incision to give you the most options and can recommend what
is best for you.
Breast augmentation, transaxillary, breast enlargement
What is transaxillary endoscopic breast
augmentation?

Transaxillary endoscopic breast augmentation is a
technique of breast enlargement where breast implants
are placed through an armpit incision. The incision is
about 4.5-5 cms, and well hidden in the depth of the
armpit. When the incision heals, it is barely noticeable.
With the transaxillary endoscopic breast approach, the
breast implants can be placed below or above the chest
muscle (also known as the pectoralis) with great
precision.

Using an endoscope, a tube attached to fiberoptic
equipment that allows the
breast augmentation
procedure to be visualized on a television screen, the
pocket for the implant is carefully developed. The
advantage is that the breast augmentation surgeon has
total control of the operation. There is no blind
dissection of the space for the implant. The fold below
the breast (inframammary fold) as well as the medial
aspect of the pocket (the cleavage area) is precisely
created..
Is it more difficult to have the
implants placed through the
armpit?

It is probably easier. The pocket for the
placement of the implant
underneath the
muscle is entered very easily through
the armpit incision. The dissection of the
breast pocket is completed with the
assistance of the endoscope. The breast
is lifted up with no cutting of the breast
tissue. With the visual guidance of the
endoscope, the implants can be placed
precisely in the proper position.
Why do patients choose the armpit incision for their breast implant surgery?

Many patients prefer the armpit incision because it:
1)
Avoids scars on the breast . Most patients do not desire to have a scars on the breast, no matter
how inconspicuous the scars are.

2)
Avoids cutting through the breast tissue when placing the breast implants underneath the
muscle.

3)The armpit scar heals well. Since the armpits normally remain concealed, scars resulting from
transaxillary breast implant incisions are highly inconspicuous, even if they do not heal properly.

In addition, patients who have not had a pregnancy or whose areola is small may not be able to
have a
periareolar approach for the breast augmentation. Endoscopic transaxillary breast
augmentation is ideal for these patients.
Breast augmentation, Transaxillary, through armpit
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