ABOUT Scarless Breast Augmentation

Breast augmentation is changing the shape of the world. Also known as augmentation mammoplasty, breast augmentation has been a growing area of plastic surgery every year for the past decade. It is one of the most common plastic surgery procedures performed today. Breast augmentation is popularly done through the inframammary (breast fold) / peri areolar (along the junction of the black portion of the nipple with the skin) approach which leave scars on the breast. Many patients therefore prefer the Transaxillary (armpit) incision because it does not leave any scars on the breast.

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The surgery may last approximately 2 – 3 hours and is carried out under general anaesthesia. It is done as day care and you can go home the same evening following the procedure

However, a successful abdominal liposuction may be determined by the patient’s satisfaction with the results. But to get satisfactory results it is important for the patients to keep realistic expectations and to be in a good mental and physical health with no serious physical complications.

Transaxillary Endoscopic breast augmentation is a technique of breast enlargement where breast implants are placed through an armpit incision. The incision is about 5-5.5 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.

The post op recovery is the same as that following a conventional breast augmentation. Compression garments / or a band might be given which needs to be worn to provide support and comfort, minimize swelling, and help to maintain the position of the implants.


Q 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.

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

The armpit incision is about 5-5.5 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.

Q 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.

Sameer Karkhanis, MD

Board-Certified Mumbai Plastic Surgeon

Chief Plastic Surgeon & the Director at CCRS is a qualified Aesthetic Plastic and Reconstructive Surgeon. He is Board Certified, with the qualification of DNB Plastic Surgery (Diplomate of National Board). He is an active member of the International Society of Aesthetic Plastic Surgery.


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