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)
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Incision
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Pros
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Cons
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Inflammatory fold
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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
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Incision on the cosmetic part of the breast
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Armpit
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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
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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
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Areola
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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
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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
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Bellybutton
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Incision line is far away from the breast
No important nerves of blood vessels
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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
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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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