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Transaxillary Breast Augmentation in Melbourne or Sydney

Transaxillary Breast Augmentation Surgery involves Breast Implant insertion through an armpit incision. It sometimes uses endoscopic equipment, to place the breast implants into the chest area. This means that there is no scar under the breast crease. The scar from this procedure is in the armpit area, rather than the inframammary area under the breast crease.

It is also called “Asian Breast Surgery” and is sometimes the preferred breast augmentation surgery method by individuals of Asian, Middle Eastern, African or Indian heritage. This is due to the fact that patients with pigment-rich skin tones can be subject to higher tendencies of keloid scarring.

Common Surgical approaches for Breast Implant Insertion for Breast Augmentation (Transaxillary Implants)

There are 2 common incision approaches for breast implant insertion in Australia.

  • The first and most common method is under the breast crease. The medical term is the inframammary fold.
  • Whilst the second and less common method is under the armpit in the transaxillary area.

There are/where other methods, including the areola-nipple incision approach, however, this is rarely used today, due to risks to nipple functions and lower patient satisfaction.

What’s 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.

The most common Breast Implant Surgery approach for inserting breast implants is the under breast or “breast crease insertion method”.

For this breast augmentation technique, the surgeon makes the incisions along the inframammary fold. The breast implant is then inserted either by hand or via an insertion implement, such as via a Keller Funnel.

  • Scars are often hidden under the breast tissues after augmentation as the breast tissues gently fall over the crease area and covers the scar.
  • Bras and swimsuits also tend to cover scars, although not all types of garments or fabrics will readily cover a breast surgery scar in the inframammary fold.
  • Furthermore, Breast Augmentation scars, may be more visible during dynamic body movements. For example when patients raise their arms or when they lay down.
  • Some patients have limited lower-pole breast volume even after augmentation. This means that the breast crease scar may remain visible in all positions.

There is an OPTION for the ARMPIT breast implant procedure or TRANSAXILLARY Implants or Armpit Area Breast Augmentation Method, that may suit Asian Breast Surgery patients and other individuals with pigment-rich skin tones.

Patients with pigment-rich skin tones, (individuals with Asian, Middle East or African heritage), may be more prone to developing thick, bumpy-looking scars. If scars under the breasts are a concern for you, then you may want to consider the armpit incision or Transaxillary Breast Augmentation Technique.

You can only use an Armpit Incision ONCE for a primary Breast Augmentation procedure. It can also be used for removal of implants for suitable patients.

  • Some patients feel this is it’s primary drawback but prefer to use it for their first breast implant procedure.
  • Althought there will be a scar, it is often located in the natural creases in the armpit. In other words, it’s not overly visible to others.
  • However, the armpit area breast implant scar might be visible when you raise your arms, or visible to a trained eye; but it all depends on how you scar.

Pros and Cons of Breast Implant Surgery using ARMPIT incisions (Transaxillary Method) – Asian Breast Surgery

There are PROS and CONS to using this method. Your surgeon will discuss the pros and cons with you during a consultation. During the consult, you and your surgeon will also determine what specific implant approach is going to suit your surgery goals, implant size choice, skin health and physique the best.

  • The Armpit Breast Implant approach is often best for PRIMARY surgery (your first breast augmentation procedure to insert your first pair of breast implants).
  • Revisional surgery (removal and replacement of your implants) at a later stage may need to be performed using the inframammary incision line approach (under-breast crease technique).

For Revisions and breast implant removal or replacements, your scars will typically be in the inframammary area or periareolar area.

  • If you require Revisional Breast Surgery, (including future breast implant removal or removal and replacement down the line_, you will incur new scars.
  • For some patients, removal of breast implants can be performed using the armpit incision method; but secondary implant surgery – such as replacement of existing implants with new implants – needs to be performed using the breast crease method.

Transaxillary breast augmentation can be performed with or without an endoscope – and there are advantages to both.

The main drawbacks of the Armpit  Breast Implant/Breast Augmentation procedure are that it can be MORE CHALLENGING to perform AND it is only suitable for primary breast implant insertions.

The reason it is more complex and challenging to perform Transaxillary Breast Augmentation is that the Specialist Plastic Surgeon is:

(a) operating further away from the incision and from the breast area and

(b) having to create a surgical channel to move the implant into its position, without overly disturbing other tissues.


Other common medical descriptions for this surgery procedure (armpit area breast implant insertion channels) include:

  • transax breast augmentation
  • transaxillary breast augmentation (sometimes misspelled transaxillary)
  • endoscopic transaxillary breast implant insertion method
  • armpit breast augmentation
  • armpit scars after breast implant insertion through the transaxillary area

Risks of Armpit Incisions for Breast Implants for Augmentation Surgery (Breast Enlargement)

  • In addition to the surgical challenges involved in getting a great result from augmentation using an armpit incision, there are some added risks to this incision choice. These risks include;
    • A potential for injury to the lymphatic system near the breasts
    • Or nerve damage that can lead to numbness in one or both arms or hands.
  • In Addition, wound care is particularly important as underarm sweating and increased bacteria levels might increase infection risks at the insertion line area.

Achieving breast symmetry with the armpit incision procedure can also be a greater challenge. Make sure you choose a qualified, experienced Plastic Surgeon who has experience performing this procedures.

Sometimes the inframammary incision method will be your best option for breast augmentation surgery. There are several reasons the transaxillary method may not be suitable for you. One of these reasons could be if you suffer from noticeable breast asymmetry.

If you’re wanting to explore your options for breast implants using the Armpit incision method phone and ask for a confidential consultation to see if you’re a suitable candidate.

asian-breast-implants-armpit- transaxillary breast implant method

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. However, some patients will have more prominent 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 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.

  • It’s best to avoid sun exposure on fresh surgery scars for at least 12 months.
    • This allows the scar to mature.
    • Sun exposure can cause poor scarring.
  • Early engagement in strenuous activities such as lifting and exercising, can also increase your chances of having a poor scar result.
  • 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.

  • 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.
  • Unfortuantely, people with higher malanin are at a higher risk of developing Keloid scars.

Keloid Scars

  • 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 either extremely dark or alot lighter in comparison to the surrounding skin

Keloid scars below the breasts after having breast implants can lead the breast area to look less attractive. This is why the transaxillary incision method is an option worth exploring for many people.

Dr Sackelariou specialises in this advanced and complex breast enlargement surgical technique.

Keloid scars after breast procedures occur more commonly in individuals who have Asian, Pacific Island, Mediterranean, Middle Eastern, Indian and Fijian heritage. However, keloid scars are also not uncommon in Caucasians and 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.

Trans-Axillary Incisions is not a very common surgical technique. 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.


Why Choose Dr Richard Sackelariou?

The first step to chin augmentation surgery or cosmetic injections is to arrange a confidential appointment with Dr Richard Sackelariou in either his Melbourne 1300 264 811 or Sydney 1300 661 362  location.

During this consultation, you’ll be asked about your medical history, prior facial surgeries, and which concerns have led you to seek a surgical solution.  There is no obligation to proceed with surgery but you’ll have a far better idea about what’s involved with chin implant procedures.

An expert Plastic Surgeon in Chin Augmentation procedures, via plastic surgery and/or dermal filler volumisers, can give you details not only about the PROS but also the CONS of chin injections vs Medpor chin implants for enhancing your chin proportions.

Dr Richard Sackelariou is a renowned plastic surgeon with over 20 years of experience. He is highly skilled and has worked in England, Paris, and Sydney, learning and improving his techniques as he went along. Dr Sackelariou specialises in face, nose, breast and body surgery for women and men.

Recommendation: Choose a FRACS recognised Specialist Plastic Surgeon who has expertise in your chosen procedure.

Abdominoplasty-Surgery-Dr Richard Sackelariou

Where to Start

Achieving the body image you want is not always as easy as having a procedure, it is often just the part of the journey.

It is also important to ensure you are well aware of what each procedure involves, and whether or not it is the treatment for you.

Do your research, read the website pages and look at the Before and After Photo Gallery. Check and consider the qualifications and experience of your chosen surgeon or doctor.


About Dr Richard Sackelariou Plastic Surgeon

Dr Richard Sackelariou MBBS FRACS(Plas) is a Specialist Plastic, Cosmetic and Reconstructive  Surgeon in Melbourne, Victoria and Sydney, Australia.

Dr Sackelariou is a highly sought-after Plastic Surgeon for precision procedures like nose reshaping, tummy tucks, breast surgery including transaxillary incision methods, implant removal/replacement and Breast Lift procedures.

He is particularly known for his signature surgeries – neck lift, facelift and eyelid rejuvenation procedures. He also performs expert cosmetic injections for facial rejuvenation.

Patients love his caring manner, his dedication to excellence and his extensive expertise in surgical planning for a natural-looking, harmonious result.

What’s Next

Book a Consultation with Dr Sackelariou in Melbourne or Sydney. A caring discussion with a Plastic Surgeon about all your options can really help. The best thing is to start with a phone enquiry and consider having a Consultation with Dr Sackelariou. Try the Free Nose Simulation Tool.


If you are considering cosmetic plastic surgery then Dr Richard Sackelariou is the specialist plastic surgeon for you.

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Dr Sackelariou can assist you in achieving your desired body image, helping restore you to a more youthful and confident self.

Your First Consult

1300 264 811

1300 661 362