What Are the Benefits Of The Trans-Axillary Approach?

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What Are the Benefits Of The Trans-Axillary Approach?

Breast Augmentation With Implants

It Is Virtually Scarless

The trans-axillary approach has gained popularity in recent years due to its ability to deliver beautiful, natural looking results without the risk of scarring on the breasts. While the inframammary method requires making an incision below the breasts in what is referred to as the inframammary fold, this technique leaves a one to two-inch scar in the crease of the breast. Although this can often be concealed with a bra or bikini top, many women feel self-conscious about the resulting scarring. As a result, some patients turn to the peri-areolar approach, which involves making an incision around the outer edge of the areola. This incision placement helps to ensure that the resulting scarring is hidden within the pigmentation of the areola, however, it can hinder a patient’s ability to breastfeed in the future, which makes it an undesirable option for many women.

The trans-axillary or, armpit approach has not been shown to negatively impact a woman’s ability to breastfeed and poses no risk of scarring on the breasts. In this approach, a small incision is made within the armpit through which the implant is carefully inserted using an endoscopic camera to ensure optimal placement. This approach is preferable because not only are armpit incisions easily camouflaged within the natural armpit crease, they also tend to heal very quickly. As they fade, the resulting scars will become almost invisible and in the unlikely event that they are spotted, they will not be associated with a breast augmentation.

It Does Not Involve Cutting The Muscles

Another advantage of the trans-axillary technique is that it does not involve cutting the muscles, as the natural tissue planes are opened up to place the implant part way below the muscles. Sub-muscular breast implants appear more natural and result in a quicker recovery time since the muscle is lifted rather than cut, and breast tissue is not injured.

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There Is A Reduced Risk Of Capsular Contracture

Capsular contracture is the irregular thickening or tightening of the capsule that forms around the breast implant, which results in the displacement or deformity of an implant. One of the benefits of the trans-axillary approach is that it poses a reduced risk of capsular contracture, particularly when the implants are placed below the muscles.

There Is A Reduced Risk Of Bottoming Out

Unfortunately, in some cases, breast implants can begin to sink down or “bottom out” as they lose their internal support. This is particularly common amongst patients with poor skin elasticity. Luckily, when patients choose sub-muscular placement using the trans-axillary approach, the risk of bottoming out is greatly reduced as the implant is placed below the muscle and an incision is not made below the breasts.

While the trans-axillary approach has several advantages to the alternative techniques, it is important to do your research when selecting your New York plastic surgeon in order to ensure that you choose a highly qualified and experienced surgeon who specializes in this technique.

Dr. Michael Gartner is a leading double-board certified plastic surgeon, practicing in Manhattan and New Jersey with extensive experience performing virtually scarless breast augmentations using the armpit incision approach. To learn more and to determine your candidacy for this procedure, please contact our clinic today to schedule a consultation.

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