Endoscopic Transaxillary Breast Augmentation

Traditional Transaxillary Breast Augmentation

Transaxillary breast augmentation is nothing new. This method entails a small incision in the deepest crease of the armpit through which the breast implant will be inserted. One advantage of this technique is that the resulting scars are not cosmetically obvious. Instead, they are well-hidden within the crease of the armpit and will eventually fade.

Unfortunately, transaxillary breast augmentation carries complications, one of which is bleeding problems, causing hematoma formation. There is also a chance of implant malposition that may lead to laterally displaced implants. Both are essentially due to the fact that previously, transaxillary breast augmentation was a “blind” procedure performed without direct visualization.

Endoscopic Transaxillary Breast Augmentation

With this in mind, Dr Leo has adopted a new technique to greatly reduce such complications. This method, called endoscopic transaxillary breast augmentation uses a custom-made endoscope for the procedure.

After the incision is made in the armpit, the endoscope is inserted. The endoscope allows for accurate visualization of the dissection pocket. Further, it allows visualization of the pectoralis major muscles. This muscle can now be accurately separated, minimizing the incidences of laterally displaced implants of the past. It also allows visualization of any blood vessels, hence, accurate hemostasis can be carried out. This results in a safer procedure with better cosmetic outcomes.

Endoscopic transaxillary breast augmentation is performed under sedation and takes around 1.5 to 2 hours to complete. This is a day surgery procedure. Absorbable sutures are used to close the wound hence no suture removal is necessary.

Patients can expect bruising and swelling to last for around 1 week. Special pressure garment will be prescribed for the patients post-procedure. This will be worn for around 6 weeks.

Patients should refrain from physical activities for around 3-4 weeks post-procedure. Scar management including the use of scar and lightening creams will be prescribed post-procedure. Laser scar removal can be started 1 month post-procedure, if necessary, for optimal scar management.

Dr Leo Aesthetic Plastic & Reconstructive Surgery is led by Dr Leo Kah Woon, a plastic surgeon who is experienced and well-equipped to perform Endoscopic Transaxillary Breast Augmentation in Singapore. You may also learn more about other services we offer here.