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The transaxillary breast augmentation Miami surgery, also known as the armpit augmentation mammoplasty, is a surgical procedure that aims to enhance the size and appearance of the breasts to achieve symmetry through the patient’s armpit.

The transaxillary breast augmentation Miami surgery, also known as the armpit augmentation mammoplasty, is a surgical procedure that aims to enhance the size and appearance of the breasts to achieve symmetry through the patient’s armpit.

Within this article, we will touch upon the technique of this unique surgery, benefits, ideal candidates, highly reviewed plastic surgeons, pricing and so much more about the transaxillary breast augmentation procedure.

The Transaxillary breast augmentation at Blue Lagoon Plastic Surgery

As most people know, the Breast augmentation surgery also known as augmentation mammoplasty is a surgical procedure used to improve the size and shape of the breasts using implants, for either cosmetic or medical reasons. Transaxillary breast augmentation involves a specific incision created in the armpit. From this incision, the implants can be pressed into the breast area.

This innovative and unique technique produces a breast augmentation without scarring. However, it does require some adjustments and special training to perfect the outcome.

Blue Lagoon Plastic Surgery Miami has a team of certified plastic surgeons who uphold the highest standards of practice when performing any treatment or procedure. Among them we have Dr. Anthony Hasan, double Board certified in maxillofacial surgery and plastic surgery breast augmentation specialist.

Dr. Fisher has performed and perfected the transaxillary breast augmentation surgery procedures for women all over the United States, with full understanding all techniques. He has worked with hundreds of patients who choose the transaxillary method of breast augmentation surgery utilizing the fold on the patient’s armpit.

For patients who wish to avoid scars completely, Dr. Hasan recommends choosing the Transaxillary breast augmentation incisions.

Understanding the transaxillary breast augmentation procedure

On the day of the operation, the doctor will give the patient a mild sedative. Once the patient is relaxed, attendees will take the patient to the operating room. At the beginning of the operation, the surgeon makes a small incision in the back of the axillary dome to begin the process of breast augmentation, and then hits a vertical access tunnel which perpendicularly crosses all nerve fibers.

By placing the implants under the muscle, the doctor then examines the pectoral muscles to accommodate the breast. In some cases, puts on the muscles. In both cases, the doctor then manually places the implants in their respective locations.

Since the surgery does not take a long time, about a one hour, local anesthesia with sedation is generally used. The patient can go home a few hours after surgery. Ask a friend to drive you home, as anesthesia can leave you a bit groggy.

Benefits of breast augmentation through armpit

Over the last decade, the number of Transaxillary breast augmentation performed has been increasing at an astonishing rate, and for good reason. According to the American Society of Plastic Surgeons, the breast enhancement or “boob job” procedure has ranked number as one of most frequently performed cosmetic procedures since 2006.

An Transaxillary breast augmentation is done for several reasons which can vary depending on the woman and her goals. One of the main benefits of this procedure is to enlarge women’s naturally small breasts and restore symmetry while leaving virtually no scar!

Others seek this procedure in order to restore the shape and size of their breasts after pregnancy, breastfeeding or weight loss. Additionally, it can serve as a reconstructive surgery after a mastectomy. Regardless of your reason for undergoing a breast cosmetic procedure, the certified plastic surgeons at Blue Lagoon Plastic Surgery can give you results that will undoubtedly boost your self-esteem and confidence.

Below you will find a summary of the benefits of Transaxillary breast augmentation procedure:

  • No scars are near the breast. The scar is well hidden. You can see the scar only if the woman raises her arms.
  • It’s a much faster and natural healing process.
  • There is no bleeding complications.
  • There is no size limit for the implants. They can be easily exchanged, extended or removed.
  • Suffer less pain after the operation.
  • Do not require any special support.
  • You can go to the beach and no one will notice that you recently made a Transaxillary surgery.
  • The patient can shower and resume most normal activities the day after surgery.
  • Capsular contractures can vary between 1% to 2 %.
  • The underarm has good skin which facilitates a more pleasing scar.
  • Very low risk of scarring complications
  • There is no scaring in the breast.
  • No anatomical limitation.
  • Suitable for some specific cases.
  • Allows women to continue breast feeding and their regular activities.

Your initial consultation with a breast augmentation surgeon

At Blue Lagoon Plastic Surgery, we understand that preparing for your breast procedure can be overwhelming and nerve-wrecking. At the initial consultation, your surgeon will perform a physical exam and run through your complete medical history to ensure that you are an ideal candidate.

To be an ideal candidate for this procedure, the patient must have a fold in their armpit area in order to make the perfect incision.

The Doctor may also recommend a mammogram to track any possible changes in breast tissue. Your surgeon will provide you with a list of pre-operative breast augmentation safety instructions that you must follow.

Some of these may include:

  • Blood work or nicotine testing laboratory weeks prior to surgery
  • Stop intake of blood thinners or anti-inflammatory medications such as ibuprofen, aspirin, and Vitamin E two weeks prior to surgery
  • Stop smoking all nicotine products one month prior to surgery
  • Stop drinking alcohol a week before and a week after your surgery
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Preparation for transaxillary breast augmentation Miami

  • Dr. Hasan recommends that patients are psychologically prepared for change before undergoing breast augmentation surgery.
  • You need to have a realistic expectation of the final results.
  • Need to make medical and laboratory screening before undergoing transaxillary breast augmentation surgery.
  • You should talk to Dr. Hasan about the breast size you feel comfortable with before surgery.
  • To prevent infection, flush skin and hair with antibacterial liquid soap.
  • You must stop taking aspirin or other anti -inflammatory drugs, for at least two weeks before going into surgery. Have your doctor give you a list of all medications to avoid before surgery.
  • Patients should stop smoking for at least two weeks before surgery. Cigars can produce a delay in healing.
  • Patients who have high blood pressure problems, diabetes or heart problems should avoid this type of surgery. Once your health is restored, your breast augmentation armpit procedure can be performed.
  • Do not take aspirin or other medications containing salicylates for two weeks before and after Transaxillary breast augmentation.

How is transaxillary breast augmentation surgery done?


A breast enhancement surgery is considered a major cosmetic procedure due to the incisions and extraction of breast tissue. Therefore, this surgery must be performed under general anesthesia to ensure comfort and painless procedure.

While receiving general anesthesia, the patient is intubated by way of a certified anesthesiologist who inserts a breathing tube through your throat. Throughout the procedure, the anesthesiologist will administer intravenous medication to ensure you stay sedated throughout the procedure.

At first you will feel at ease and calmed at the intravenous medication begins. After you are relaxed, the general anesthesia will be administered. This is the moment in which you will not remember feeling or consciousness throughout the procedure. Your blood pressure and pulse will remained at a low level and monitored during the entire process.

Rest assured that Blue Lagoon Plastic Surgery provides the highest trained anesthesiologists in the South Florida Area. Our anesthesiologist team constantly overlooks the patient’s vital functions such as heart rate, blood pressure, and rate of breathing at the time of the procedure.

Breast Implant Incisions

There are various types of breast incisions when performing an enlargement: periareolar, inframammary, and transaxillary breast augmentation. Most plastic surgeons prefer one method over the other, while some may recommend a certain incision that suits the individual best.

Below are the advantage and disadvantages of each incision type:

Breast Implant Incisions

Periareolar (around the areola) incision

  • Minimizes visibility of scarring
  • Allows direct access and control over the placement of implant
  • Small percentage of patients experience loss of nipple sensation

Inframammary (below breast) incision:

  • Allows surgeon to create a pocket to place the implant behind the nipple
  • This incision is easily concealed under the bra or swimsuit.

Transaxillary breast augmentation Miami (armpit incision) incision:

  • Surface breast tissue is not touched
  • Gives better access to the chest muscle
  • Non-visible scarring
  • Patient must be a candidate for this procedure

Although incisions are dependent on certain patient factors and ideal characteristics, the certified breast plastic surgeons at Blue Lagoon suggest the transaxillary incisions for the most natural breast results. This is because the scar produced after the inframmamry and periareolar approach is more noticeable to the human eye.

What to expect after Transaxillary breast augmentation through armpit?

  • The recovery period varies from 1 to 2 weeks. After the first two days, the patient can resume normal activities.
  • The patient should avoid putting pressure on the breasts.
  • The stitches under the arms are removed two weeks after breast augmentation surgery.
  • During those two weeks, the patient should attend regular checkups. It has been reported that after six days some patients can experience severe pain. Patients should receive analgesics before Transaxillary breast augmentation surgery.
  • At home, you can resume your daily routine and return to work after the first week. Have a friend checking up on you from time to time. While recovering, you should eat a healthy diet and avoid smoking.
  • Dr. Hasan recommends a postoperative massage to help speed up recovery and eliminate bruising
  • Avoid heavy lifting or raising your arms as much as you can 7 to 15 days after the operation. Armpits Breast implants are generally resistant to minor trauma. At least during the first month after the operation, patients should not sleep with their face down.
  • There may be risks of loss of sensation in the nipple and areola. Sensory nerves of the breast are the dorsal anterior branches known as intercostal nerves that travel the space between the ribs to emerge at the level of the serratus muscle, and penetrating the breast from the outside. Dr. Hasan explains that this situation makes it likely that surgeons who are not experienced in this procedure may damage or cut these sensory nerves.
  • There may be a risk that the implant is slightly higher than desired due to the distance between the axillary incision and breast.
  • As with any surgery there is a moderate risk of infection in the incision if the patient doesn’t follow all directions on Dr. Hasan.

Transaxillary breast augmentation cost and financing

The axillary breast augmentation surgery costs can vary depending on the size and type of breast implant. Saline implants can cost up to $4,700. Silicone implants can be around $5,700. In general, prices can range from $4,000 to $7,000. Insurance does not cover axillary breast augmentation surgery because these are performed for cosmetic reasons.

The ASPS states that:

“The average cost of breast augmentation surgery is $3,719, according to 2016 statistics from the American Society of Plastic Surgeons. The average cost for removal of breast implants was $2,506 in 2016. If you are a breast enlargement candidate, please remember that costs can vary. The average fees referenced above do not include anesthesia, operating room facilities or other related expenses. A surgeon's fee for breast augmentation surgery may vary based on his or her experience, the type and cost of breast implants used, as well as geographic office location.”

American Society of Plastic Surgery

Cost of the Transaxillary Breast Augmentation at Blue Lagoon Plastic Surgery includes:

  • Surgical facility costs
  • Anesthesia fees
  • Medical/laboratory tests
  • Prescriptions for medications
  • Post-op garments
  • Surgeon's fee


At Blue Lagoon, we understand that paying for an Transaxillary breast augmentation procedure may not be a possible option for many of our patients. This is why we offer a variety financing plans through systems like Care Credit in which the patient would need to be pre-approved.

Patients can also take advantage of Our “Lay Away Plan” which requires a minimum deposit of $500 at a 0% interest rate! This plan includes the benefit of “locking” the price for up to TWO years by way of low monthly payments.

Armpit breast augmentation FAQ:

Can I travel after a breast implant surgery?

You should wait for at least 2 weeks before traveling after your breast surgery. A good rule of thumb is once you are out of the strongest pain medication and can able to get up without help, then you are ready to go for a short drive that will not involve the effort of your arms.

When can I return to work?

Most people return to work after a week or two. If your job involves a lot of lifting or physical activity, you may have to wait 5-6 weeks until you are ready for work.

Are there any possibilities of having asymmetrical breasts after surgery?

No need to worry, Dr. Hasan has a lot experience with this procedure and he has never had any asymmetric problem. Moreover, most patients naturally have asymmetric breasts. During the operation, the doctor can easily correct the asymmetry by matching the size of the implants.

Does the warranty still apply to transaxillary breast augmentation implants?

The implant is simply rolled up and placed on the chest. No objects can pinch off the implant. As such, the warranty still applies to manufactured implants for axillary procedures.

Is the transaxillary breast augmentation surgery more expensive than a regular breast augmentation procedure?

Some doctors may charge more for it. Blue Lagoon Plastic Surgery’s prices are very affordable, and this procedure uses techniques that cost much less than the usual techniques of breast augmentation implants. The main reason is that it takes less time and it uses only local anesthesia.

Who is a good candidate for breast augmentation surgery via the armpit?

This procedure is aimed for women who wish to enhance the size and shape of their breasts, correct uneven breasts, or women who simply want to improve their breasts after pregnancy or an excessive weight loss. Some women may also be dissatisfied with the original size of their breasts and perhaps wish to correct a unilateral or bilateral congenital deformity of the breasts.

How big are the scars under the armpits after breast augmentation surgery?

They are very small scars located at armpit level and nothing shows

Can I breastfeed after undergoing breast augmentation surgery?

The place where the implants are placed will not prevent breast milk since it occurs at glandular level and it will not hinder milk flow from the nipple, nor alter the breast milk quality.

Is there any age limit for an axillary breast augmentation?

There is no minimum age for this operation. Once the breasts have developed, about 16 or 17 years of age, and the full development of secondary sexual characteristics has been completed, the patient is ready for this procedure.

What are the Financing options for the Transax breast enlargement procedure?

At Blue Lagoon, we understand that paying for an Transaxillary breast augmentation procedure may not be a possible option for many of our patients. This is why we offer a variety financing plans through systems like Care Credit in which the patient would need to be pre-approved. Patients can also take advantage of Our “Lay Away Plan” which requires a minimum deposit of $500 at a 0% interest rate! This plan includes the benefit of “locking” the price for up to TWO years by way of low monthly payments.

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