Transaxillary Breast Augmentation: Selection of the Incision, Pocket, and Surgical Technique

Transaxillary breast augmentation has been long misunderstood, perceived as being more technically difficult, taking longer to perform, and having higher risk of contracture and other complications. This chapter focuses on the nuances of incision location and design, pocket choice, and issues with device placement. The author has a long experience with endoscopic assistance, which adds a level of precision that allows for specific tissue preservation or release under direct vision. The theme of the chapter is that technical precision can be routinely accomplished with endoscopic assistance, that allows for outcomes with the transaxillary approach that can match outcomes seen with inframammary breast augmentation.