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Endoscopic Transaxillary Breast Augmentation New York City

Also known as transax breast augmentation, transaxillary breast augmentation, and armpit breast augmentation, this procedure involves the insertion of the breast implant through a small incision at the top of the armpit. The implant may be placed either below the pectoralis muscle or above the muscle in the subglandular position. Either a saline implant or a silicone implant may be used through this incision.

While transaxillary breast augmentation is not a new procedure, the use of the endoscope is a relatively new technique. The advantage is that the breast augmentation surgeon has total control of the placement of the implant, and creation of the fold below the breast, and release of the pectoralis muscle. This way the cleavage is precisely created, and a minimal amount of bleeding results with fast healing.

Endoscopic Transaxillary Breast Augmentation leverages instruments that use fiberoptics and endoscopic remote manipulation combined with advances in technique. As a result, patients have consistently good results in the hands of skilled surgeons like Dr. John E. Sherman. Reticulating endoscopes and high-definition cameras offer new visualization capabilities. These advances continue to bolster enthusiasm for these endoscopic approaches.

Be sure to check out our before and after breast implant photo gallery!

The Procedure

The endoscopic transaxillary breast augmentation procedure usually takes 2 hours. It is performed in our fully accredited office-based surgery center in Manhattan. Patients remain in the recovery area for about one hour after surgery.


Like of our all breast augmentation procedures, the operation may be performed under general anesthesia or intravenous sedation anesthesia. Our anesthesiologists are highly experienced, fully trained, and board certified.


Patients should allow a full week to 10 days to resume a full schedule without difficulty. While the rate of return to work depends on the patient, patients who have a sub muscular implant take longer to recover than those have subglandular breast augmentation.


The rate of capsular contracture, infection, and nipple sensation diminishment is the same as in all approaches for breast augmentation.

In addition, some patients experience a temporary numbness of the nipple for several weeks after surgery. This may last longer or may be permanent in a very small group of breast augmentation patients.

Patient selection is extremely important in minimizing complications and optimizing the results of endoscopic-assisted transaxillary breast augmentation. We will go over any health issues and do a thorough examination for candidacy.

Benefits of endoscopic transaxillary breast augmentations

A transaxillary breast augmentation is generally used in patients who do not desire to have a scar on the breast, even if the scar is inconspicuous. In addition, patients who have not had a pregnancy or whose areola is small may not be able to have a periareolar approach for the breast augmentation operation. Endoscopic transaxillary breast augmentation is ideal for this patient.

The following is a list of further advantages to those who decide to move forward with the transaxillary breast augmentation procedure:

  • The skin in the armpit in the area is known to heal much more effectively than other areas, and tends to leave a scar that is next to invisible. The incision is made in one of the natural creases in the armpit, thus hiding it very well.
  • Though transaxillary breast augmentations are known for its inherent asymmetry of the inframammary fold, the use of the endoscope significantly diminishes this possibility. Furthermore, even if a scar is noticeable, most people generally will not associate it with breast augmentation surgery. This type of breast augmentation is not well known.
  • As such, there are no scars on the breasts, which are a much more visible area.
  • When the breast implants are placed beneath the muscle, no incisions or cuts into the muscle are required.
  • Because it uses the armpit as a point of entry, breast implants can therefore be placed in any plane, including over the muscle, partially under the muscle, completely under the muscle, or subfascial.
  • In addition, breast implants do not come into contact with the milk ducts, which harbor bacteria when using endoscopic transaxillary breast augmentation.
  • Because muscle can be lifted with this type of procedure, and thus does not need to be cut, recovery is known to be faster. As such, larger implants can be placed much easier since there is no incision on the breast; this also means that the larger implant won’t cause any tension on the incision.

Contact New York’s Top Plastic Surgeon

Dr. John Sherman utilizes his extensive surgical expertise and years of experience to produce optimal results for each patient and every procedure. If you’d like more information about transaxillary breast augmentations, have any questions about the procedure, or would like to schedule a consultation, please feel free to contact our office today.

Schedule Your Consultation Today

If you would like to meet with Dr. John Sherman to discuss your options, please contact our practice today. Dr. Sherman will be happy to answer your questions and
talk with you about procedures that may be right for you.

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New York plastic surgeon John E. Sherman, MD, FACS offers breast augmentation, breast reduction, facelift, nose surgery (rhinoplasty), ear surgery (otoplasty), tummy tuck (abdominoplasty), and a wide range of other plastic surgery procedures and cosmetic treatments. Dr. Sherman treats patients in the New York area. Patients from other areas of the U.S. and throughout the world travel to New York for plastic surgery with Dr. Sherman. Photos of actual plastic surgery patients are available in the plastic surgery before and after photo gallery. Dr. Sherman is a top NY Breast Augmentation doctor on RealSelf.