Our Summary

This research paper discusses a method of breast augmentation where the implants are inserted through the armpit, which means no cuts are made on the breasts themselves. This is called the transaxillary approach. The paper suggests that this method can be just as precise as the more common method where the incision is made under the breast (inframammary approach), especially when an endoscope is used. An endoscope is a medical device with a light and a camera that allows doctors to look inside the body. The paper also talks about techniques to ensure the implants stay in the right place after the surgery, leading to reliable and predictable results.

FAQs

  1. What is the transaxillary approach to breast augmentation?
  2. How does the use of an endoscope improve the precision of the transaxillary approach?
  3. What techniques are discussed in the paper to ensure the implants stay in the right place after surgery?

Doctor’s Tip

One tip a doctor might give a patient considering breast augmentation is to carefully consider the placement of the incision. The transaxillary approach may be a good option for those who want to minimize scarring on the breasts themselves. Additionally, it’s important to follow post-operative care instructions closely to ensure proper healing and optimal results. It’s also important to discuss any concerns or questions with your surgeon before undergoing the procedure.

Suitable For

Patients who are typically recommended for breast augmentation include those who are looking to enhance the size and shape of their breasts, correct asymmetry or unevenness, or restore breast volume lost after weight loss, pregnancy, or aging. Additionally, patients who have undergone mastectomy or have a congenital breast deformity may also be candidates for breast augmentation.

The transaxillary approach may be recommended for patients who prefer to avoid visible scarring on the breasts or those who have a history of keloid scarring. This approach may also be recommended for patients who are concerned about potential complications associated with the inframammary approach, such as capsular contracture (scar tissue around the implant) or changes in nipple sensation.

Overall, candidates for breast augmentation should be in good physical health, have realistic expectations about the outcome of the surgery, and be willing to follow post-operative care instructions to ensure optimal results. It is important for patients to consult with a board-certified plastic surgeon to determine the best approach for their individual needs and goals.

Timeline

Before breast augmentation:

  1. Initial consultation with a plastic surgeon to discuss goals, expectations, and options for breast implants.
  2. Pre-operative appointments to discuss medical history, take measurements, and choose the appropriate size and shape of implants.
  3. Surgical consent forms signed and instructions provided for pre-operative care, such as avoiding certain medications and fasting before surgery.

Day of surgery:

  1. Patient arrives at the surgical facility and meets with the surgical team.
  2. Anesthesia is administered, and the surgical procedure begins.
  3. Implants are inserted through the armpit using the transaxillary approach, with the assistance of an endoscope for precision.
  4. Surgery typically takes 1-2 hours, and the patient is monitored in the recovery room before being discharged.

After breast augmentation:

  1. Recovery period of 1-2 weeks, during which the patient may experience swelling, bruising, and discomfort.
  2. Follow-up appointments with the plastic surgeon to monitor healing and address any concerns.
  3. Restrictions on physical activity, lifting, and sleeping positions for the first few weeks post-surgery.
  4. Gradual return to normal activities and exercise as the breasts heal and settle into their final shape.
  5. Long-term follow-up appointments to ensure the implants are in the right place and there are no complications.

Overall, the transaxillary approach to breast augmentation offers a minimally invasive option with precise results and reliable outcomes for patients seeking to enhance their breast size and shape.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with breast augmentation using the transaxillary approach?

  2. How long is the recovery time expected to be for breast augmentation using the transaxillary approach?

  3. Will there be any scarring visible on the breasts or armpits after undergoing breast augmentation through the transaxillary approach?

  4. How will the size and shape of the implants be determined for my body during the transaxillary breast augmentation procedure?

  5. Are there any specific instructions or precautions I should follow before and after the surgery to optimize the results of breast augmentation using the transaxillary approach?

  6. How long do the results of breast augmentation through the transaxillary approach typically last? Will I need additional surgeries or maintenance in the future?

  7. Are there any lifestyle changes or restrictions I should be aware of after undergoing breast augmentation using the transaxillary approach?

  8. How experienced are you in performing breast augmentation procedures through the transaxillary approach? Can I see before and after photos of previous patients who have undergone this procedure?

  9. What type of implants will be used for breast augmentation through the transaxillary approach? Are there any specific advantages or disadvantages of these implants compared to other options?

  10. How will post-operative care and follow-up appointments be handled after undergoing breast augmentation using the transaxillary approach?

Reference

Authors: Strock LL. Journal: Clin Plast Surg. 2015 Oct;42(4):585-93. doi: 10.1016/j.cps.2015.06.014. Epub 2015 Aug 11. PMID: 26408445