Dr Dominik Boligłowa
Dr Dominik BoligłowaSpecialist plastic surgeon

Powiększanie piersi przez pachę - innowacyjna technika chirurgiczna bez blizn na biuście

March 21, 20266 min read

Powiększanie piersi przez pachę - innowacyjna technika chirurgiczna bez blizn na biuście

Powiększanie piersi przez pachę - innowacyjna technika chirurgiczna bez blizn na biuście

Transaxillary breast augmentation - an innovative surgical technique without scars on the breasts

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The decision to undergo breast plastic surgery is a pivotal moment for many women, often being the culmination of many years of dreaming of a proportional and harmonious figure. Modern aesthetic medicine and plastic surgery provide us with powerful tools for body sculpting, however, one of the main concerns for patients remains the issue of visible post-operative scars. Fear of permanent scars in exposed areas often deters them from taking the final step.

The answer to these concerns is advanced breast augmentation via an axillary approach. It is an innovative surgical technique that elevates the art of body contouring to a completely new level. It allows for precise implant placement without the need to disturb the delicate skin of the breast itself. In the following article, we will examine in detail what this innovative procedure entails, how endoscopic technology enhances its safety, and why this solution is gaining the reputation of the gold standard among the most discerning patients.

Evolution in plastic surgery - why is an axillary incision a breakthrough?

Historically, the most common incision site for implant placement surgery was the inframammary fold or the areola. Although in the hands of an experienced specialist these scars become very discreet over time, they nevertheless remain directly on the chest. These marks may be noticeable when wearing low-cut swimsuits or in intimate situations.

Traditional methods versus endoscopic approach

Breast augmentation through the armpit eliminates this problem at its source. An incision only a few centimeters long is made in the natural skin fold of the armpit. When the patient lowers her arms, the scar is completely invisible, and with the passage of time and the fading process, it blends into the natural structure of the skin.

The key to the success of this method is the use of a visual pathway, i.e., an endoscope. The use of a miniature camera allows the surgeon excellent visualisation of the operating field on a monitor at high magnification. As a result, the operator does not work "blindly", but with microscopic precision prepares the pocket (space) for the implant under the pectoralis major muscle. The endoscopic technique minimizes tissue trauma, limits bleeding, and significantly reduces the risk of complications.

Intact mammary gland and full safety

One of the most important medical advantages of the axillary approach is the fact that the path the implant takes to its submuscular pocket completely bypasses the mammary gland. Surgical instruments pass underneath the glandular tissue. This means that the milk ducts and the innervation of the nipple remain 100% intact. This is a fundamental advantage over a periareolar incision, where there is always some risk of damaging structures responsible for lactation or sensation.

Who is the ideal candidate for breast augmentation through the armpit?

Despite its numerous advantages, the axillary approach is a procedure requiring exceptional skill and excellent spatial orientation from the surgeon. Not every patient and not every type of anatomy will be ideally suited for this method. Qualification must always be performed based on a thorough medical assessment.

Women planning motherhood and breastfeeding

As it completely bypasses the gland, this technique is highly recommended for young women, referred to in medical terminology as nulliparous women, who are planning future pregnancies and want absolute certainty that the operation will not negatively impact their ability to breastfeed. No interference with glandular tissue provides peace of mind for years to come.

Active lifestyle and highest aesthetic requirements

The absence of a visible scar on the breast is also a huge advantage for physically active women, people involved in modeling or sports, or simply for those patients whose main goal is to maintain maximum discretion. Furthermore, women with a tendency to develop hypertrophic scars (keloids) on the chest often opt for this method, because the skin in the armpit usually heals much better, with a lower risk of pathological scarring.

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How is the qualification and planning for surgery carried out?

The key to a predictable, satisfying result is a thorough consultation. In a renowned clinic, such as our facility located in Krakow, the preparatory process is based on advanced diagnostics and a deep understanding of the patient's needs.

Surgical consultation and implant selection

During the consultation with the doctor, the chest anatomy, skin elasticity, volume of the native gland, and the structure of the axillary region are assessed. It is important to understand that the transaxillary approach is best suited for the insertion of latest-generation round or ergonomic silicone implants. The shape, profile, and volume of the implants are individually chosen, considering the body's mathematical proportions, to ensure the final result is highly aesthetic yet natural.

To ensure full transparency of the decision-making process, the costs of the procedure along with the necessary perioperative care can be verified in advance by checking our price list. Understanding all stages of cooperation allows the patient to experience complete psychological comfort.

Recovery after an axillary approach procedure – facts and myths

The healing process after surgery performed through the armpit has its own specifics, which every patient should be aware of before making a decision. The use of precise endoscopic tools minimizes internal trauma, however, the location of the incision itself requires specific management.

Return to form and hidden scars

In the first few days after the operation, the patient may experience some discomfort in the armpit area and restricted arm movement. This is a completely natural reaction of the body. It is usually recommended to avoid raising the arms high above the head for the first few weeks, to avoid stretching the fresh scar and ensure proper healing. It is essential to wear a special compression bra that stabilizes the implants in their new pocket.

Due to the sharp dissection of the fascia and muscles using techniques that seal small blood vessels, swelling and the risk of hematoma formation are significantly reduced. Most patients return to office work and daily, light activities after about 10-14 days. Full integration of the implant with the tissues and the final formation of the scar in the armpit takes from several to a dozen months. We invite you to our photo gallery to see for yourself the spectacular and clean results that this innovative surgical approach allows us to achieve.

Breast augmentation via the armpit, assisted by the most modern endoscopic equipment, is a breakthrough in the pursuit of surgical perfection. This method not only hides the scar in a natural skin fold, away from the breast itself, but above all maximizes the safety of the procedure by completely bypassing the mammary gland and protecting the milk ducts. Although this procedure requires the plastic surgeon to have the highest qualifications and extensive experience, for the patient it means an uncompromising, natural-looking result without visible signs of surgical intervention. This is an ideal path for women who value discretion, modern solutions, and wish to enjoy their dream figure while maintaining full comfort.

If you are considering a procedure for yourself, schedule a consultation – Dr. Boligłowa will recommend the best solution to help you achieve confidence and satisfaction with your appearance.
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