Summary: As much as we try, sometimes traditional breast augmentations leave behind a visible scar. A newer technique, called a transaxillary breast augmentation, creates an incision in the armpit rather than under the breast. This incision leaves a much smaller scar, so you can continue to have an air of mystery after your augmentation procedure. No one will ever know. Unless you want them to.



On some level, a breast augmentation procedure is designed to create an air of mystery: are they real or fake? Under the best conditions, it’s difficult to tell, and therein lies the mystery. So most women seeking a breast augmentation are going to want to avoid any overly visible scars. Often, this means hiding scars under the breasts themselves. But this can occasionally still be visible.

What is Transaxillary?

Another solution is something called a transaxillary breast augmentation implant procedure. It’s a fancy name, but essentially what it means is that the implant is inserted through a small incision in the armpit rather than any type of incision on the breast itself. Dr. John A. McFate, an Austin breast augmentation expert and surgeon says of the procedure, “With the transaxillary approach, the evidence of surgery can be hidden even more discreetly.”

To See or Not to See

Because it is minimally invasive, surgeons will sometimes use an endoscrope—that is, a small camera—to help them place the implant in the proper position. But this isn’t always the case, and often it depends on the size and shape of the implant and the desired end results. For this reason, among others, it’s important to select a surgeon who is an expert in the procedure, as the implant can be especially difficult to place.

Some Minor Limitations

You should also keep in mind that there are limitations with the procedure. Dr. McFate says, “By utilizing this site for the incision, there are limitations on the size of silicone gel implants as compared to using the inframammary (below the breast) for insertion.” This means if you’re looking to get larger implants, you might want to consider traditional methods. If your heart is set on hiding those scars, you might have be comfortable with a more modest augmentation.

A Great Option for Smaller Scars

If you can handle these slight cons, however, a transaxillary breast augmentation procedure is definitely worth looking into. The absence of any scarring below the breast will definitely heighten the air of mystery that already comes with a breast augmentation. So even under the most private or intimate of circumstances, no one will be able to figure out if they’re real or fake. Unless you tell them, of course.

To get started on your breast augmentation, transaxillary or otherwise, contact your plastic surgeon today.