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Breast Augmentation Articles 6

Incisions and Approaches to Breast Augmentation: Transaxillary and Transumbilical

Transaxillary Breast Augmentation (implant through the armpit)

The transaxillary approach involves making an incision in the armpit. The pocket for the implant can be dissected blindly and bluntly with special instruments. It can also be dissected with an endoscope and electrocautery under direct vision. The endoscope allows visualization of bleeding vessels that can be directly controlled. Reported disadvantages include poor pocket visualization and control, which is largely dependent upon surgeon comfort with the procedure and the number of procedures performed through this approach. The scar in the hairbearing area of the axilla may cause shaving difficulties. If removal of the implant is necessary in the future due to implant rupture or capsular contracture, an incision on the breast mound, either periareolar or inframammary, may be necessary.

The advantages include a scar in a remote area without great visibility.

Transumbilical Breast Augmentation (implant through the belly button)

The transumbilical approach to breast augmentation involves placing an incision in the hood of the belly button. The dissection if performed with a special set of instruments. The procedure requires extensive training and experience for reliable dissection.

The benefits include an augmentation that involves no visible scar as the scar is hidden in the hood of the belly button. Some umbilical hernias or other anatomic issues may be contraindications to the procedure. However, almost everyone is a good candidate.