Trans-Axillary Breast Augmentation
An incision is made in the armpit and a tunnel is then created into the space (the breast pocket) under the chest muscle. This approach is the best way to hide the scars; there are no scars on or under the breasts, and the scar in the armpit heals beautifully to a point where it is undetectable to the naked eye. For this reason, the Trans-Axillary technique can be described as a virtually scarless Breast Augmentation and is the preferred approach of Dr. Jugenburg.
- No scar on or under the breast.
- Scar often blends into the armpit crease and is very hard to detect.
- Usually the least visible of augmentation scars.
- No muscle is cut; only natural tissue planes are opened up to insert the implant
- No breast tissue is injured and there is therefore no possible effect on breastfeeding.
- Implants can be inserted under the chest muscle (sub-muscular or sub-pectoral), which is associated with a lower risk of Capsular Contracture, bottoming out and visible implant rippling/wrinkling.
- Going over the muscle (sub-glandular or sub-mammary) is not an option.
- Saline implants of any size can be used, but silicone implants only up to a certain size can be gently tunnelled into the pocket below the muscle.
- The longer (2 – 2.5 inches) scar needed for placement of silicone implants can be difficult to hide in small underarms.
- Additional surgery, such as removal of excess scar tissue from around the implant (Capsulectomy), may be difficult with this approach. (This should not be a determining factor as the risk of a Capsular Contracture forming that requires surgery is very rare).
- Very small risk of numbness of the skin around the underarm and upper arm.