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Transaxillary Breast Augmentation

Breast Augmentation Photo Gallery Transaxillary breast augmentation is a State-of-the-Art technique for placing breast implants that avoids any visible scar on the breast. The procedure involves a short incision in a natural crease in the armpit so there are no signs that surgery was performed. This is Dr. Bernard Shuster's specialty.

While Dr. Shuster is fluent in all of the methods for breast augmentation, his preferred approach is via the axillary (through the armpit) incision.

With years of experience in breast augmentation he does this for the following reasons:

Breast augmentation with the transaxillary route starts with a short incision placed in a natural crease high in the armpit. Dr. Shuster limits the incision to only 1 to 2 inches in length. Through this incision, he creates a space under the pectoralis major muscle for the implant. Dr. Shuster then inserts sample implants called 'sizers' to assure proper implant selection. Once the appropriate implant size is confirmed, the sample implants are removed and the permanent breast implants placed. The incision is closed with sutures that dissolve under the skin.

The result is beautiful and proportional breast augmentation with no obvious scar or signs that surgery was done. While fewer than 9% of plastic surgeons offer this approach to their patients, Dr. Shuster has over 15 years of experience with this method and believes it brings his patients the best breast augmentation results.



Types of Implants used in Transaxillary Breast Augmentation

Dr. Shuster can insert either silicone or saline breast implants using the transaxillary method. Some believe that silicone gel implants cannot be inserted in this way, but it is a misconception. In fact, silicone implants via the transaxillary method is a specialty of Dr. Shuster's.



Contact Dr. Shuster

If you would like to learn more about transaxillary breast augmentation, we welcome you to schedule a consultation with Dr. Shuster in our South Florida Office. We are conveniently located between Miami and Fort Lauderdale. You can contact our office at 954.961.5500 or via our contact form. For patients outside of the South Florida area, we can accommodate you with an online consultation.



Myths of Transaxillary Breast Augmentation

Transaxillary Breast Augmentation is more painful.

Not true. The transaxillary approach to breast augmentation is no more, or less, painful than any other methods. Discomfort from submuscular breast augmentation is a result of creating the space for the breast implant.


Transaxillary Breast Augmentation leaves the implants too far apart.

Not true. Transaxillary breast augmentation allows a plastic surgeon experienced with the technique to place the implants in the perfect position. Breast implants should be placed along the very inner aspect of the breasts. Breasts have a natural separation and a properly performed breast augmentation will take this into account. The distance between a woman’s breast should be a reflection of her anatomy and how widely, or closely, spaced her breasts were prior to surgery. When properly performed the transaxillary approach to breast augmentation is as good as any other method for achieving this goal.


With Transaxillary Breast Augmentation the implants sit too high.

Not true. Transaxillary breast augmentation allows breast implants to settle properly and does not commit them to being too high. The pictures in our breast augmentation gallery are of women with breast implants that have been placed through the armpit and show how well they can be positioned.

It is common for implants that are placed under the Pectoralis muscle, to temporarily appear high on the chest wall right after surgery. This is typical and expected. The implants fall into a more natural position over the course of several weeks. One breast implant may even settle faster than the other. The fact that it takes several weeks for the implants to settle is due to swelling and the tissue relaxing. It is not a result of where the incision is placed. In experienced hands, the transaxillary approach does not lead to implants riding too high.


Silicone Breast Implants cannot be placed through an axillary (arm pit) incision.

Not true. There has been a misconception that silicone gel implants could not be placed through an incision in the armpit. In fact, Dr. Shuster routinely places silicone gel breast implants through the axillary route.


Transaxillary Breast Augmentation leaves a noticeable scar.

Not true. One of the main advantages of the transaxillary approach to breast augmentation is that it leaves no visible scars on the breasts. The scar from a transaxillary breast augmentation is concealed within the armpit and is exceedingly inconspicuous. As with any scar it takes time to fade. The scar in the armpit is one of the least detectable of any plastic surgery procedure. The reason for this is that the incision can be as short as 1.5 inches in length. What is even more important is that the incision is placed right in one of the natural skin creases so when it heals it blends into the natural appearance of the armpit. All of the images to the right of the page show women who have had breast implants placed via the armpit and are typical of the results achieved.


Transaxillary Breast Augmentation is more complicated

This is why a patient should consider a plastic surgeon experienced specifically in this approach. While many surgeons still place breast implants through incision under the breast or around the nipple, Dr. Shuster's expertise is in avoiding scars in these locations and precisely placing the implants via the transaxillary route.