Asian Breast Augmentation | Dr Sackelariou | Plastic Surgery

Transaxillary Breast Augmentation using Armpit Incisions

Double Bay, Sydney & Hawthorn East, Melbourne
Sydney (02) 9362-0676    Melbourne (03) 8849 1444

Transaxillary Breast Augmentation by Melbourne Specialist Plastic Surgeon

What is the Difference between Asian Breast Surgery using armpit incisions and traditional or normal Breast Implant Surgery?

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.  In many aspects, it’s an extreme form of scar formation that can lead 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, so that the breast tissues cover them when the patient is standing.

But some people will have more prominent scars after Breast Augmentation procedures, and 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 that remain that way even after time has passed (but if you have an angry looking scar, be sure you check to be sure it’s not an infection).

Ask your Specialist 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 ideally at least 12 months until they have fully matured (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 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 a variety of complications including poor skin healing responses that lead to more visible scars.

Scar tendencies can be impacted to the level of pigment in the skin – known as melanin – which is higher in people of Asian descent.

  • Melanin 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 and hence, more pigmentation (richer or darker skin colours) 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 for Asian Patients

Not all Asians or melanin-rich skin types are prone to Keloid scar development, but some people are, so if you’re having breast augmentation, it’s something to consider.

  • Keloid scars are a type of scarring where fibrous tissue grows excessively to protect the wound resulting in large, hard but smooth growths.
  • These are often larger than the original incision line or wound.
  • They can range in texture and in tone.
  • They 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 after breast augmentation surgery. 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 is a Melbourne and Sydney Specialist Plastic Surgeon with expert knowledge of this advanced and complex breast enlargement surgical technique.


Keloid scars after breast augmentation procedures (or breast lifts and reductions) tend to 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 by phoning 03 8849 1444.

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, when there were no indications you were prone to developing thick raised scars.

What can be done to prevent highly visible Keloid scars for Asian women who want Breast Implant procedures or a breast lift?

  • Not all Asian patients are at risk of developing keloid scars.
  • If you have Melanin rich skin, you and Dr Sackelariou will need to assess your risks of having very visible or raised scars.
  • For Asian patients wishing to continue with Breast Augmentation Surgery using Motiva or Mentor implants, the armpit incision method has become an increasingly popular option 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 augmentation surgery.

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

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

Armpit Breast Implant incisions and insertion techniques are known as the Trans-Axillary Breast Augmentation procedure.

While it cannot be used for revision breast surgery or breast implant removal and 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.

You’ll still have a scar but it will be under the armpit, and potentially hidden in the armpit skin folds when at rest, rather than beneath the breast on the front of your body.

  • During Asian Breast Surgery, an incision is made along the armpit area, instead of under the breast (trans-axillary method vs the traditional inframmary area incision method).
  • Care is taken to avoid the lymphatics under the armpits.
  • The implant is then inserted through this trans-axillary/armpit area incision.
  • It is placed 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, but Mentor or Motiva Saline implants are often the most preferred.

The aim of Asian Breast Surgery is to get a natural-looking augmentation that suits the overall body and breast shape or size preferences, with as minimal visible scarring as is possible.

Trans-Axillary Incisions are not widely known about as many surgeons believe it impossible to get a good result from implants inserted through the armpit.

However, skilled and dedicated surgeons like Dr. Sackelariou have years of experience in this complicated surgery. With years of skill and a caring approach, Dr. Sackelariou will ensure that you leave with the best possible outcome from your Asian Breast 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 or replacement, you will have to use inframammary or periareolar incisions.

Phone our offices to find out more.

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Sydney: (02) 9362-0676
Melbourne: (03) 8849 1444


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  • 759 Burwood Road, Hawthorn East, Victoria 3123