Asian Breast Augmentation using Armpit Incisions

2/15 Cross Street, Double Bay NSW 2028

Asian Breast Augmentation – Transaxillary Breast Surgery Option by Sydney Specialist Plastic Surgeon

What is the Difference between Transaxillary Breast Surgery and traditional Breast Implant Surgery?

Transaxillary Breast Augmentation vs Inframmary Incision Methods

Some skin types scar more easily and visibly than others. One form of scarring that tends to stand out more than others is keloid scarring. It’s an extreme form of scar formation that leads to raised, crooked, large or wide scars that become quite noticeable.

Who gets very visible scars after breast augmentation surgery?

Most post-operation scars after breast implant surgery are relatively small. They typically remain hidden by placing incisions under the breast crease. As a result the breast tissues cover them when the patient is standing.

But some people will have more prominent scars after Breast Augmentation procedures. Asian patients may be of higher risk for Keloid scars.

Although it occurs relatively infrequently, some people will have very visible scars after having breast augmentation surgery. This may relate to:

  • actions such as exercising too soon after your procedure
  • complications such as an incision line infections
  • genetics such as a tendency to develop elevated, crooked, raised or angry-looking scars. These remain that way even after time has passed. However if you have an angry looking scar, be sure you check to be sure it’s not an infection.

Ask your Plastic Surgeon, Dr Richard Sackelariou, for his advice on managing your scar risks after having breast augmentation surgery.

  • For example, it’s best to avoid sun exposure on fresh surgery scars for at least 12 months. This allows the scar to mature (a mature scar has settled in colour, depth or texture).
  • Sun exposure or early engagement in strenuous activities such as lifting and exercising, can increase your chances of having a poor scar result.

Surgery complications including wound healing infections, genetic tendencies or premature activities and sun exposure. These may lead you to have a more visible, wider-looking or elevated, crooked scar.

  • Be sure you do NOT smoke before or after breast implant surgery.
  • Smoking greatly increases your risks of complications including poor skin healing responses that lead to more visible scars.

Melanin or skin pigment impacts scar tendencies. Melanin is higher in people of Asian descent.

  • Pigment levels tend to be higher in people of Asian heritage than other less-melanin rich skin types such as Caucasian.
  • People who have higher melanin are usually a Type III or IV or higher on the Fitzpatrick skin tone scale.
  • They are also known to be more likely to get Keloid scars.
special-breast-augmentation-techniques-asian-women

Special Asian Breast Augmentation Surgery Techniques for Asian Patients: The Armpit Incisions

Not all Asians or melanin-rich skin types are prone to Keloid scar development. However some people are, so if you’re having breast augmentation, it’s something to consider. And one potential solution is the armpit or transaxillary incision breast augmentation technique for breast implant placement.

  • Keloid scars are a type of scarring where fibrous tissue grows excessively to protect the wound. As a result large, hard but smooth growths occur.
  • These are often larger than the original incision line or wound.
  • They can range in texture and in tone.
  • Scars may be extremely dark compared to surrounding skin to lighter than surrounding skin in colour.

Keloid scars below the breasts after having breast implants can lead the breast area to look less attractive. So scar formations are a particular concern for many Asian breast surgery patients.
Hence, the Asian Breast Surgery option of a transaxillary incision method (through the armpit area breast implant insertion techniques) is worth exploring as an option. Dr Sackelariou specialises in this advanced and complex breast enlargement surgical technique.

Asian-Breast-Aug-Surgeon-Dr-Richard-Sackelariou

Keloid scars after breast procedures occur more commonly in individuals who have Asian, Pacific Island, Mediterranean, Middle Eastern, Indian and Fijian heritage.

If you’re concerned about the scars you’ll have after getting breast implants, phone to arrange an appointment today.


However, keloid scars are also not uncommon in Caucasians and in individuals with poor wound healing responses.

  • By the age of 25 to 30 you’ll probably have an idea of your normal scar formation tendencies .
  • However, keloid scars can sometimes form unexpectedly, even months after surgery, with no indications you were prone to developing them.

What can be done to prevent highly visible Keloid scars for Asian women who want Breast Surgery?

  • Not all Asian patients are at risk of developing keloid scars.
  • If you have Melanin rich skin, your surgeon will need to assess your risks of very visible or raised scars.
  • For Asian patients wishing to continue with Breast Surgery, the armpit incision method has become increasingly popular for some women.
  • Officially, it’s known as the Transaxillary Breast Augmentation method.

Asian Breast Surgery – the Transaxillary method of armpit area incisions – is only available for a primary breast surgery.

That means it’s available for some patients for their first-time breast procedure vs a revision or removal/replacement.

Secondary augmentation surgery or breast implant removals/replacements, and other corrective surgeries of the breast area, will require under-breast crease incision(s).

While it cannot be used for revision surgery or breast implant removal/replacement, the “TA Breast Augmentation” method remains one of the best options available to patients who want breast implants, but who are prone to keloid scars. It can help minimise the appearance of Breast Augmentation scarring on the front of the body.
Asian breast implants

You’ll still have a scar but it will be under the armpit. This potentially hides it in the armpit skin folds rather than beneath the breast on the front of your body.

  • Your surgeon makes an incision along the armpit area.
  • He takes care to avoid the lymphatics under the armpits.
  • The surgeon inserts the implant through the transaxillary/armpit area incision.
  • Your surgeon places the implant either under or over the pectoral muscle in the chest area.
  • Saline and silicone implants are available for this surgery, depending on the desired results of the patient.

Trans-Axillary Incisions aren’t widely known as many surgeons believe it’s impossible to get good results from implants inserted through the armpit.
However, skilled and dedicated surgeons like Dr. Sackelariou have years of experience in this complicated surgery. This style of surgery remains the best and most attractive option for Asian Breast Augmentation surgery.
It is important to know that Trans-Axilliary incisions can only be used once for Breast Augmentation Surgery.
Some Asian Breast Augmentation surgery patients may feel this is a drawback. Especially if they choose to have further procedures formed later in life. For other procedures, including implant removal/replacement, you will have to use inframmary or periareolar incisions.

Phone our offices to find out more.

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