Endoscopic Transaxillary Breast Augmentation

The procedure involves the insertion of the breast implant through a small incision at the top of the armpit. The implant may be placed either below the pectoralis muscle or above the muscle in the subglandular position. Either a saline implant or a silicone implant may be used through this incision.

While transaxillary breast augmentation is not a new procedure, the use of the endoscope is relatively new. The advantage is that the breast augmentation surgeon has total control of the placement of the implant, and creation of the fold below the breast, and release of the pectoralis muscle. This way the cleavage is precisely created, and a minimal amount of bleeding results.

The endoscopic transaxillary breast augmentation procedure usually takes 2 hours. It is performed in our fully accredited office-based surgery center. Patients remain in the recovery area for about one hour after surgery.

Anesthesia: As in all breast augmentation procedures, the operation may be performed under general anesthesia or intravenous sedation anesthesia. Our anesthesiologists are highly experienced, fully trained, and board certified.

Advantages: A transaxillary breast augmentation is generally used in patients who do not desire to have a scar on the breast, even if the scar is inconspicuous. 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 operation. Endoscopic transaxillary breast augmentation is ideal for this patient.

While transaxillary breast augmentations have a recognized incidence of asymmety of the inframammary fold, the use of the endoscope diminishes this possiblilty.

Convalescence: Patients should allow a full week to 10 days to resume a full schedule without difficulty. While the rate of return to work depends on the patient, patients who have a sub muscular implant take longer to recover than those have sub glandular breast augmentation.

Complications: The rate of capsular contracture, infection and nipple sensation diminishment is the same as in all approaches for breast augmentation.

In addition, some patients experience a temporary numbness of the nipple for several weeks after surgery. This may last longer or may be permanent in a very small group of breast augmentation patients.

To set up a private consultation with Dr. Sherman, contact us today. Call us at (212) 535-2300 or e-mail us.

Member American Society of Plastic Surgeons, Member, American Society for Aesthetic Plastic Surgery, Fellow American College of Surgeons, Member American Society of Maxillofacial Surgeons