Understanding Axillary Incision Breast Augmentation in New York City

Breast augmentation is a highly popular cosmetic procedure that has helped countless women achieve their desired breast shape and size. In New York City, various incision options are available for breast augmentation, and axillary incision is one that has gained significant attention. In this article, we will delve into the details of axillary incision breast augmentation, including its new ranking in NYC, the associated surgeons, and all the crucial aspects you need to know.

What is Axillary Incision Breast Augmentation?

Axillary incision breast augmentation, also known as transaxillary breast augmentation, involves making an incision in the armpit area. Through this incision, the surgeon creates a pathway to the breast tissue to insert the breast implants. This approach aims to avoid leaving any visible scars on the breast itself, providing a more aesthetically pleasing outcome for many patients.

Advantages of Axillary Incision Breast Augmentation

• No visible scars on the breast: One of the most significant advantages of axillary incision is that it keeps the breast free from any scarring. This is particularly appealing to patients who are concerned about the appearance of scars on their breasts.
• Well - hidden scars: The scar in the armpit is usually well - concealed within the natural skin creases of the underarm. As the incision is made along these creases, the scar tends to blend in better over time, becoming less noticeable.
• Natural results: Surgeons can place the implant behind the chest muscle, which can result in a full and soft breast appearance. This placement can mimic the natural feel and look of the breast, providing a more realistic outcome.
• Optimal healing at the incision site: The incisions in the underarms are not under excessive stress or tension. This allows for better blood circulation and reduces the risk of complications during the healing process. Additionally, the rate of infection at this incision site is relatively low.
• Easier recovery: With the use of endoscopic techniques, there is minimal blood loss during the surgery. The endoscopic approach also provides better visualization and precision, leading to quicker recovery and less post - operative discomfort.

Disadvantages of Axillary Incision Breast Augmentation

• Noticeable scar when the arm is raised: Although the scar is well - hidden when the arm is at rest, it may become visible when the patient raises their arm. This can be a concern for some patients, especially those who wear sleeveless clothing frequently.
• Higher risk of bad positioning: If the surgery is performed without proper endoscopic visualization, there is a greater chance of the implant being placed incorrectly. This can lead to asymmetry, improper shape, or other aesthetic issues.
• Difficulty in controlling bleeding: Accessing the breast tissue through the armpit can make it challenging to gain control of potential bleeding sources. This requires the surgeon to have a high level of skill and experience to manage any bleeding effectively.
• Challenging for silicone implant placement: Placing silicone breast implants through an axillary incision can be more difficult compared to other types of incisions. Silicone implants are pre - filled, and maneuvering them through the narrow tunnel from the armpit to the breast pocket can be a delicate process.
• Scar camouflage may be needed: In some cases, tattooing or other scar - camouflaging techniques may be necessary to make the scar less noticeable.

The New Ranking of Axillary Incision Breast Augmentation in New York City

New York City is a hub for plastic surgery, and the ranking of axillary incision breast augmentation is influenced by several factors. These include the expertise of the surgeons, patient satisfaction rates, success rates of the procedures, and the latest techniques and technologies being used.

Factors Affecting the Ranking

1. Surgeon Expertise: Surgeons who are highly skilled and experienced in performing axillary incision breast augmentation are more likely to achieve better results. Their ability to handle the complexities of the procedure, such as implant placement and controlling bleeding, can significantly impact the ranking. For example, surgeons who have dedicated a large part of their practice to breast augmentation and have a proven track record of successful axillary incisions are often ranked higher.
2. Patient Satisfaction: Feedback from patients is crucial in determining the ranking. Satisfied patients are more likely to recommend the surgeon and the procedure to others. Factors that contribute to patient satisfaction include the final aesthetic outcome, the level of post - operative care, and the overall experience during the surgical process. Surgeons who prioritize patient satisfaction and go the extra mile to ensure a positive experience are likely to see an improvement in their ranking.
3. Success Rates: The success rate of axillary incision breast augmentation, including the rate of complication - free surgeries and the achievement of desired aesthetic results, plays a major role in the ranking. Surgeons with high success rates are more likely to be ranked favorably.
4. Technological Advancements: Surgeons who stay updated with the latest technologies and techniques in axillary incision breast augmentation are more likely to provide better outcomes. For example, the use of advanced endoscopic equipment can enhance visualization and precision during the surgery, leading to better results. Surgeons who adopt these new technologies early are often ranked higher in the list.

Notable Surgeons Performing Axillary Incision Breast Augmentation in NYC

In 2024, several surgeons in New York City made a mark in the field of breast augmentation, especially in axillary incision procedures. These surgeons are known for their expertise, innovative techniques, and high success rates.

Dr. Lisa Johnson

Dr. Lisa Johnson specialized in transaxillary incision in 2024. Her technique not only hid the scar well but also resulted in less post - operative pain for patients. She was celebrated for her patient - centric approach and her commitment to improving the patient experience. Her work in perfecting the axillary incision technique has contributed to her high ranking among surgeons performing this procedure in NYC.

Surgeons in America's Best Plastic Surgeons 2024 Ranking

While the America's Best Plastic Surgeons 2024 ranking focused on overall breast augmentation, some of the surgeons in New York listed in this ranking may also be proficient in axillary incision breast augmentation. Surgeons such as David Hidalgo, MD, FACS; Adam R. Kolker, MD, FACS; and Alan Matarasso, MD, FACS, who are based in New York, are recognized for their excellence in breast augmentation. It's possible that they have experience and skills in performing axillary incision procedures, which could influence their standing in the local axillary incision breast augmentation ranking.

Choosing the Right Surgeon for Axillary Incision Breast Augmentation

Selecting the right surgeon is crucial for a successful axillary incision breast augmentation. Here are some factors to consider when making your decision:

Credentials and Experience

Ensure that the surgeon is board - certified and has extensive experience in performing axillary incision breast augmentation. Check their educational background, training, and the number of similar procedures they have completed. A surgeon with a high volume of successful axillary incisions is more likely to provide a positive outcome.

Patient Reviews and Testimonials

Read patient reviews and testimonials to get an idea of the surgeon's reputation and the experiences of their previous patients. Look for reviews that specifically mention axillary incision breast augmentation and pay attention to details such as patient satisfaction, scar appearance, and post - operative recovery.

Portfolio of Before and After Photos

Ask the surgeon to show you a portfolio of before and after photos of their axillary incision breast augmentation patients. This will give you an idea of their aesthetic style and the quality of their work. Look for natural - looking results and patients with similar body types and goals to yours.

Consultation Experience

During the consultation, pay attention to how the surgeon communicates with you. They should listen to your concerns, answer your questions thoroughly, and provide you with a detailed treatment plan. A good surgeon will also discuss the potential risks and benefits of the procedure and help you make an informed decision.

Axillary Incision Breast Augmentation Procedure

The axillary incision breast augmentation procedure typically involves the following steps:

Pre - operative Consultation

During the pre - operative consultation, you will meet with the surgeon to discuss your goals, medical history, and expectations. The surgeon will examine your breasts, take measurements, and determine the appropriate implant size, type, and placement. You will also have the opportunity to ask questions and address any concerns you may have.

Pre - operative Preparation

Before the surgery, you will be given specific instructions on how to prepare. This may include quitting smoking, avoiding certain medications that can increase bleeding, and arranging for someone to drive you to and from the surgery and stay with you during the initial recovery period.

Anesthesia

On the day of the surgery, you will be given either general anesthesia or intravenous sedation anesthesia, depending on your preferences and the surgeon's recommendation. This will ensure that you are comfortable and pain - free during the procedure.

Making the Incision

The surgeon will make an incision in the armpit, typically along a natural skin fold. This helps to conceal the scar once it has healed. The length of the incision may vary depending on the size and type of implant being used.

Creating the Implant Pocket

Using endoscopic instruments, the surgeon will create a pocket for the implant. This pocket is usually located behind the chest muscle (submuscular placement) or in front of the muscle (subglandular placement), depending on your anatomy and the desired outcome.

Inserting the Implant

The implant is then inserted through the axillary incision and placed into the created pocket. The surgeon will carefully position the implant to ensure symmetry and a natural appearance.

Closing the Incision

Once the implant is in place, the surgeon will close the incision with sutures. Special care is taken to minimize scarring and ensure proper healing.

Recovery and Aftercare

Recovery from axillary incision breast augmentation takes time, and proper aftercare is essential for a successful outcome.

Immediate Post - operative Period

After the surgery, you will be monitored in a recovery area until you wake up from the anesthesia. You may experience some swelling, bruising, and discomfort in the breast and armpit area. Pain medication will be prescribed to help manage the pain.

First Few Days at Home

You will need to rest at home for a few days. It is important to follow the surgeon's instructions regarding arm movement and avoiding strenuous activities. You may also need to wear a surgical bra or compression garment to support the breasts and aid in the healing process.

Longer - term Recovery

Exercise and heavy lifting should be avoided for four to six weeks. You may be able to return to work and light household tasks after one week, depending on your job and individual recovery. You will need to attend follow - up appointments with the surgeon to monitor your progress and ensure proper healing.

Scar Care

Your surgeon may recommend using silicone cream or vitamin E oil on the incision to help the scar heal flat and soft. Over time, the scar will fade, but it may take several months to a year for it to become less noticeable.

Cost of Axillary Incision Breast Augmentation in New York City

The cost of axillary incision breast augmentation in New York City can vary depending on several factors. These include the complexity of the surgery, the type and size of the implant, the surgeon's fee, the facility fee, and any additional costs such as anesthesia and post - operative care.

Factors Affecting the Cost

• Surgeon's Reputation and Experience: Surgeons with a high reputation and extensive experience may charge more for their services. However, it's important to remember that a higher fee may also reflect a higher level of skill and expertise.
• Type of Implant: Silicone implants are generally more expensive than saline implants. Additionally, different brands and models of implants may have different costs.
• Facility Fee: The cost of using a surgical facility can vary depending on its location, reputation, and the level of services provided.
• Anesthesia Fee: The type of anesthesia used and the anesthesiologist's fee can also contribute to the overall cost of the procedure.
• Post - operative Care: This may include follow - up appointments, medications, and any necessary scar - care products.

It's important to discuss the cost with your surgeon during the consultation and to inquire about any financing options that may be available to make the procedure more affordable.

Comparing Axillary Incision with Other Breast Augmentation Incision Options

There are several other incision options available for breast augmentation, and it's important to understand how axillary incision compares to them.

Inframammary Incision

Periareolar Incision

Conclusion

Axillary incision breast augmentation offers a unique option for women in New York City who desire breast enhancement without visible scars on their breasts. With the new ranking shedding light on the leading surgeons and the latest advancements in the procedure, patients have more information at their disposal to make an informed decision. However, it's important to carefully consider the advantages and disadvantages of axillary incision, choose a highly qualified surgeon, and follow the recommended recovery and aftercare guidelines. If you're considering axillary incision breast augmentation, we encourage you to schedule a consultation with a reputable surgeon in New York City to discuss your goals and learn more about the procedure.