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Reader Question: Through the Armpit and Belly Button Breast Implants?

Posted Oct 09 2009 12:00am

Reader Question:

I like the idea of having my breast implants put in through the armpit, but the opinions on the internet about it are split. No scar on the breast is best right? Is it safe to have them put in this way? Why do so few doctors do it that way?

Transaxillary (or through the armpit) breast implant surgery is difficult to get right at the lower breast fold due to lack of visualization. Your surgeon can’t see and often does this surgery mostly by feel with blunt instruments. The careful work to free the Pectoral muscle from attachments to certain areas while preserving others is kinda “hit and miss” when done without seeing. Due to these facts, these “transax” cases have a higher rate of the implants not settling, settling unevenly, or bottoming out. That means the redo rate is much larger than with other approaches.


These are amongst the reasons that surgeons like myself shy away from the trans-ax approach and other methods through which poor visualization and control is a problem (like through the belly button.) I like to see what I am doing and it looks much better when I do.

Best Regards,

John Di Saia MD

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