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Endoscopic / Transaxillary Breast Augmentation
Some women naturally have smaller breasts due to genetics, and while this is completely normal, others may seek to enhance their breast size for personal reasons or to achieve a more balanced body proportion. Additionally, factors such as weight loss, pregnancy, and breastfeeding can have an impact on breast volume and firmness, leading to changes in their overall appearance.
For those considering breast augmentation, achieving a natural-looking result is often a priority. Many women explore breast augmentation procedures to enhance their confidence while maintaining subtle, balanced contours that align with their body’s natural appearance.
Endoscopic / Transaxillary breast augmentation, which a small percentage of Plastic Surgeons are skilled in, is a surgical breast enlargement technique that involves placing breast implants through a small incision in the natural crease in the armpit with the aid of an endoscope (a camera like device that can be placed through small incisions to give visibility of small enclosed spaces). As a result, visible scarring on the breastis avoided.
During breast augmentation, there are four incision points through which breast implants can be placed. These include periareolar, transumbilical, inframammary, and transaxillary. The approach that the Plastic Surgeon decides to use depends on factors such as your aesthetic goals, your body type (including breast shape and size) and whether you are planning to breastfeed children at some point in the future.
Types of Implants Used in Transaxillary Breast Augmentation
There are two types of breast implants which can be used during the Transaxillary breast augmentation and they are:
– Saline implants
– Silicone implants
Saline implants come deflated which allows the Plastic Surgeon to make a smaller incision in the armpit for placing them. Once they are in place, they are filled appropriately with sterile saline water so as to achieve the desired size, firmness, and fullness. The fluid within the saline implant does not possess any threat to the body. In the event that it leaks or ruptures, it is absorbed by the body.
Silicone implants offer the most natural appearance and feel. They are filled with gel and produce quality aesthetic results.
Selecting a breast implant that is proportional to your body will deliver the best results. That is why your Plastic Surgeon works with you to determine the ideal implant for your body type.
The type of profile of the breast implant that you choose will determine the projection of your breasts. There are three breast implant profile types namely:
- The low profile, ibreast implants which ensure that the breasts hardly project too far out from the body thereby providing the most subtle and natural results. Although the increase in size is significant, it would be hard to tell if the patient had a breast augmentation.
- Medium profile breast implants usually provide more fullness while creating a natural appearance. Other individuals would only wonder if you had breast augmentation but they wouldn’t be sure.
- High profile breast implants provide a lot more projection and look more augmented but are ablce to maintain a narrower base. These types of implants are suited for women who prefer a fuller look with more projection.
Our Commitment To You
Our highly trained and experienced staff will guide you smoothly and comfortably along the entire process to allow you to make the best decision. At Al Shunnar Plastic Surgery, our experts have more than 20 years of experience in plastic and cosmetic surgery and have helped more than 10,000 patients safely achieve their dream of beauty and confidence including a significant number of Transaxillary Breast Augmentation surgeries in Dubai. We will identify the most suitable expert for you, who will listen to you, understand and identify your individual and detailed requirements in a tailor-made consultation. He/she will also advise you on what you should expect from the Transaxillary Breast Augmentation procedure and ultimately develop the most suitable treatment plan for you.
Transaxillary Breast Augmentation Process
a) The Consultation
The first step of a Transaxillary Breast Augmentation is having a detailed consultation and examination in the clinic with our Board-Certified Plastic Surgeon, to determine a tailor-made plan for each candidate.
The Plastic Surgeon will assist you in choosing the right implant based on your goals and your existing proportions because they come in different types and shapes.
b) The Surgery
The second step is to schedule a Transaxillary Breast Augmentation surgery with the highly experienced Plastic Surgeon who is an expert in Transaxillary breast augmentation and other body contouring procedures. Prior to the procedure, each patient is screened to ensure that it is safe to proceed with the procedure. This includes a pre-anesthetic consultation, blood testing, and to ensure the patient is a fit candidate for the transaxillary breast augmentation procedure.
The transaxillary breast augmentation procedure is often done on an outpatient basis. It usually takes 1-2 hours under general anesthesia. Sometimes local anesthesia combined with intravenous sedation is used.
During the surgery, the surgeon makes a 1 -inch incision high in the natural crease of the armpit. Through this incision, he/she can approach the pectoralis from the side without having to cut through it as it happens with the other breast augmentation techniques. The surgeon then creates a space under the muscle itself (submuscular) or under the lining of the muscle (subfacial), known as the breast pocket. He/she then places the implant samples’ sizers in order to confirm the best size, shape, and position. When the best breast implant is selected, it is placed in the breast pocket and the axillary incision is then closed using dissolvable sutures and bandaged.
The expert Plastic Surgeon accompanies the patient throughout the entire process of recovery and healing, through scheduled follow-ups.
c) The Recovery
You will be required to wear a compression garment for a certain period of time to help with the healing. You will experience bruising and swelling but most of it will subside within 2 weeks. You may return to work after 4-5 days and other light duties. Strenuous activities should be avoided for about 4-6 week following the surgery. Over a period of 4 weeks, the patient would have several post-operation visits to the clinic to monitor the healing process. In general with breast implants, ensure that you maintain breast screening to rule out any ruptures, which are rare.
Before And After Results
At Al Shunnar Plastic Surgery Dubai, we do our best to protect our patients’ confidentiality. That is why all the Before & After results are not available online, however, they will be shown during a consultation in The Clinic only.
Meet Our Team
Our Board-Certified expert surgeons have over 20 years’ surgical experience and are trained at some of the world’s best medical schools with a proven track record in UAE, the USA and Brazil.
Consultant Plastic Surgeon
Dr. Buthainah Al Shunnar is an Emirati American Board Certified Plastic Surgeon with extensive experience in breast surgery, body contouring, aesthetic facial surgery, hand surgery, post-cancer reconstruction and microsurgery, as well as non-invasive cosmetic procedures such as Botox, Dermal Fillers and PRP.
Dr. Buthainah Al-Shunnar
Consultant Plastic Surgeon
Consultant Plastic Surgeon
Dr Kamal is an American Board Certified Plastic Surgeon with extensive experience in aesthetic facial surgery, breast surgery, reconstructive surgery, body contouring, fat transfer and non-invasive cosmetic procedures such as Botox, Dermal Fillers and PRP.
Dr. Kamal Sawan
Consultant Plastic Surgeon
Specialist Plastic Surgeon
Dr. Claudia Machado is a Brazilian Board Certified Plastic Surgeon with extensive experience in aesthetic facial surgery, breast surgery, body contouring, fat transfer and minimal and non-invasive cosmetic procedures such as Botox, Dermal Fillers, PRP, Chemical peels, CO2 therapy and others.
Dr. Claudia Alves Silva Machado
Specialist Plastic Surgeon
Precautions
Although Transaxillary breast augmentation procedure is straightforward, it is important that the right level of intervention for treatment is determined and the procedure be performed by a qualified and expert Plastic Surgeon. Furthermore, the choice of implant shape, size and brand is a highly individual component that requires a Plastic Surgeon experienced in transaxillary breast augmentation. A potential candidate has to fit into certain criteria to be eligible for the procedure and should:
- Be 18 years or older
- Be dissatisfied with her breast size.
- Have realistic expectations regarding the expected results
- Be in good health both physically and psychologically
- request a procedure which avoids an incision directly on the breasts
What to Expect From A Transaxillary Breast Augmentation
The main benefit of transaxillary breast augmentation is the correction of noticeable breast deformities like volume loss and asymmetry without leaving any visible scarring on the breast. Since everyone is different, the expected results of a transaxillary breast augmentation might vary from person to person, but benefits typically include:
- No visible scarring on the breasts
- Enhanced self-image
- Symmetrical breasts
- Increased breast volume
- A boost in self-confidence
Frequently Asked Questions
What is the minimal incision in transaxillary breast augmentation?
Transaxillary breast augmentation is a technique that involves placing breast implants through a small incision in the armpit. The Plastic Surgeon creates a small incision that is about an inch long in the armpit meaning the breasts will be scar-free after the procedure.
A skilled Plastic Surgeon performs this procedure using an endoscope, which displays images on a monitor. This provides complete and precise visualization of the surgical space. This minimally invasive approach ensures precise creation of the implant pocket thus an accurate positioning of the breast implant under direct vision.
What can I expect during my consultation for transaxillary breast augmentation?
Any person thinking about undergoing a breast augmentation procedure should first go through an individualized consultation with a breast augmentation Plastic Surgeon. During the consultation, you will be able to talk to your Plastic Surgeon about your goals, the size, shape, and appearance you desire.
You will also try on different types and sizes of breast implants to have a more realistic expectation of what your appearance will look like after the procedure.
How do I know that the underarm incision is right for me?
During your consultation, you and your Plastic Surgeon will go through various breast augmentation techniques and opt for the approach that best suits your needs. If the underarm incision is most appropriate for you, your Plastic Surgeon will take you through what it entails including the recovery period.
During this time, you can ask any questions that you might be having or ask the Plastic Surgeon to explain something that you may not have understood. It is important to leave the consultation room feeling confident about your surgical decisions.
Why is the underarm incision preferred during breast augmentation?
Women prefer the transaxillary incision because it eliminates the need for scars on the breasts. In addition to this, the use of the endoscopic camera during the procedure ensures that there is no need to cut through the breast tissue and that the breast implants are carefully and accurately positioned.
The full visualization of the surgical space during the transaxillary endoscopic procedure allows for meticulous control of bleeding. This translates to virtually no bruising and minimal swelling during the recovery.
What is the recovery like for transaxillary breast augmentation?
The transaxillary breast augmentation takes about one to two hours to complete. Once the Plastic Surgeon is pleased with the appearance of the breasts, he/she closes the incisions with sutures. To protect the healing tissues, the breasts are wrapped in a gauze dressing and the women are dressed in a surgical support bra.
Pain, swelling, and discomfort are expected but they decrease rapidly in the first few weeks. The pain and discomfort are usually controlled with prescribed pain relief medication.
The first few days should be reserved for full and proper healing of the tissues in the treatment area. You will be provided with post-op guidelines that you should follow to ensure optimal results are achieved.
Heavy lifting and strenuous exercises should be avoided for about four to six weeks or until you have been cleared by your Plastic Surgeon. Most women can return to work after about a week.
What happens if the breast implants need to be adjusted after transaxillary breast augmentation?
Breast augmentation comes with risks such as implant leakage or capsular contracture. Such cases require correction and the implant has to be replaced meaning a second procedure has to be done. During the second procedure, the correction is done through the original underarm incision.
However, in severe cases, a separate incision has to be created on the breast.
How do I choose an expert Plastic Surgeon for transaxillary breast augmentation?
- Your Plastic Surgeon is certified by a recognized board of Plastic Surgeons in your region
- Performs the procedure frequently
- Offers multiple options regarding the procedure
- Shows you before and after photos of other patients that he has performed the same procedure on
- Ensure that you are comfortable with him/her
Patient Reviews
I had breast cancer and go for a mastectomy, dr Boutheina was there to save the situation with a perfect immediate reconstruction, I am so happy with the result.Beside this she a very caring person she made me feel safe and happy, the atmosphere is amazing, clinic is very clean with the beautiful soul around especially Leila.I am so thankful to dr hourya and dr Boutheina as they turn out my surgery to a bundle of joy and happiness.
Next Steps
Meet one of our experts at Al Shunnar Plastic Surgery for a personal consultation and to develop a tailor-made plan for you. Contact us or book an appointment and our patient care coordinators will identify the most suitable expert for you.
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