Can the anatomical(tear drop) Implant Be Done with Transaxillary Incision?

10:11 PM

Breast augmentation Korea KIES-U


Anatomical(tear drop) breast implant has a thin upper body and a thick lower body. This shape makes it easy to put the implant in from the bottom to the top but difficult in putting it in from the axillary crease (armpit)
Let’s summarize the pros and cons of different incision parts. (I have summarized this in the past as well)

Inflammatory fold
Most widely applied globally

Applicable to any shape of the breasts

Least skin damage during the surgery

Least possibility of damaging important nerves and blood vessels

Same location for reconstruction

Applicable to all types of implants

Quickest surgery time
Incision on the cosmetic part of the breast

Incision is rarely visible

Applicable on both above and below the pectoralis muscle

Applicable for all types of implants but one needs to know a special know-how for anatomical implant
Directly visible when conducting the breast augmentation

Need endoscope in order to see the axillary crease

Can damage important nerves and blood vessels

Possibility of lymph complication and bands

Different incision part for reconstruction
Good visual for the augmentation

Low possibility of damaging important nerves and blood vessels

Applicable to all planes

Applicable to all types of implants but require a large sized areola for anatomical implant
Very visible spot for the incision

Possibility of tissue damage and bleeding exist

Can be exposed to bacteria within the breast

Not applicable to large sized implant (if areola is small)

Difficult to apply if the areola color is dark
Incision line is far away from the breast

No important nerves of blood vessels
Directly visible to the eyes

Low accuracy of desquamation, high possibility of tissue damage

Only applicable for saline bag type

Different incision spot for reconstruction

In conclusion, one can put in the anatomical implant from the armpit. 

But, as you can see in the table above, one needs to use the endoscope to get the right position and the direction of the implant therefore it requires more time than incision on the inflammatory fold or the areola. The discomfort after the surgery lasts longer as well.

If you are one who are concerned about the wound or scar on the breast (i.e. areola or inflammatory fold), then you need the armpit incision.

There is one thing that worries both the doctor and the patient when using the anatomical implant on the armpit. The concerning point is if the anatomical implant would turn around the not fit into the correct position. An anatomical implant has a mark on the center of the implant therefore, one can check if the position is correct with the endoscope but this is more dependent on one’s senses. You can touch the bottom to feel if the position is correct.

This is the most concerning part of putting in the implant through the armpit. Thinking that you have put in the implant correctly and completing the surgery. Also, there is no data on as to how often the anatomical implant turns or changes location when put in from the armpit.

An accurate desquamation and an experienced surgeon of anatomical implant would lead to good sense of touch and shape even though the incision is on the armpit. But, this should not be the first choice. The first choice for the anatomical implant should be the inflammatory fold.  The implant is shaped different from the round type therefore; it is more advantageous to be put in through the inflammatory fold. Also, you should meet the doctor and get enough information before deciding on the augmentation. Inflammatory fold may be disadvantageous according to the shape of the original breasts. 

Thank you.

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