Published: July 2, 2025 | Last Medically Reviewed: April 28, 2026 | By Dr. Malcolm Lesavoy, MD
Breast augmentation through the armpit offers an alternative incision site for enhancing breast size & shape.
Key Takeaways
- Breast augmentation through the armpit (transaxillary approach) uses a small incision hidden in the natural crease of the underarm, resulting in no visible scarring on the breasts themselves.
- Both saline and silicone implants can be placed above or below the chest muscle with precision using specialized instruments.
- Primary benefit: excellent scar concealment compared to traditional incisions made directly on or around the breast.
- This technique may reduce potential interference with nipple sensation and breastfeeding ability.
- Recovery is typically quick and comfortable, with most patients returning to work within approximately one week.
- Ideal for patients who prioritize discreet scarring and have realistic expectations; however, it is not suitable for every anatomy, implant size, or case.
- A personalized consultation with board-certified plastic surgeon Dr. Malcolm Lesavoy is essential to determine if the armpit incision is the best option for your goals.
The armpit, or transaxillary approach, involves making an incision in the natural fold of the armpit, allowing for the insertion of breast implants with minimal scarring on the breast itself. The technique is sought after for its discreet incision placement and potential advantages in certain cases. Top plastic surgeon Dr. Malcolm Lesavoy performs breast augmentation through the armpit in Beverly Hills and will help you understand the complexities and benefits associated with the process.
Understanding Breast Augmentation
During transaxillary breast augmentation, Dr. Lesavoy creates a small incision in the armpit, carefully avoiding any direct scarring on the breasts. Using specialized techniques and instruments, a pathway is created to insert saline or silicone implants behind the breast tissue or beneath the chest muscle (submuscular placement). Dr. Lesavoy then precisely positions the implants to achieve the desired size and symmetry.
Other Names for Transaxillary Breast Augmentation:
- Armpit Incision
- Scarless Breast Augmentation
- Transaxillary Endoscopic Breast Augmentation
Benefits of Armpit Incision
One of the primary benefits of transaxillary breast augmentation is the inconspicuous scar placement. The incision made in the armpit fold minimizes visible scarring on the breasts, offering a more discreet approach compared to incisions made directly on the breast tissue. Additionally, the avoidance of breast incisions might lead to reduced risk of interference with breastfeeding or nipple sensation.
Ideal Candidates for Transaxillary Breast Augmentation
Candidates seeking transaxillary breast augmentation are often individuals concerned about visible scarring on their breasts post-surgery. They may desire an incision site that allows for discreet scar placement and are willing to accept the limitations and considerations associated with the armpit incision approach. Ideal candidates should have realistic expectations and discuss their aesthetic goals with Dr. Lesavoy at their breast augmentation consultation.
Recovery and Post-Procedure Considerations
Recovery from transaxillary breast augmentation typically involves minimal discomfort and a shorter healing process compared to traditional breast incisions. Patients may experience some soreness in the armpit area initially, which subsides within a few days. Post-operative care instructions provided by Dr. Lesavoy should be diligently followed to promote optimal healing and reduce the risk of complications. Most patients can expect to be out of work for approximately one week and resume to most regular activities in a few weeks.
Consultation and Choosing a Surgeon
Selecting a skilled and experienced plastic surgeon like Dr. Malcolm Lesavoy specializing in transaxillary breast augmentation is crucial. During the consultation, Dr. Lesavoy will evaluate your breast surgery goals, discuss the procedure, and assess your candidacy. As part of the consultation, Dr. Lesavoy will review your current size and your cosmetic goals.
Considerations and Limitations
While transaxillary breast augmentation offers discreet scar placement, it may not be suitable for everyone. Certain factors, such as implant size and placement, breast anatomy, and the need for additional procedures, can influence the feasibility of the armpit incision approach. Some complex cases might require alternative incision sites. You can discuss your specific cosmetic breast surgery goals with Dr. Lesavoy during your consultation.
Breast augmentation through the armpit in Los Angeles by Dr Malcolm Lesavoy, an American Board of Plastic Surgery board certified surgeon presents a viable option for individuals seeking breast enhancement with minimal scarring on the breasts. While it offers discretion and potential advantages, it’s essential to consult with a qualified plastic surgeon like Dr. Malcolm Lesavoy to determine candidacy and discuss individual goals and expectations. Understanding the procedure, its benefits, limitations, and post-operative care guidelines ensures a well-informed decision for achieving desired breast enhancement goals through the armpit incision approach. Get in touch with Dr. Lesavoy today if you are looking for natural looking breast augmentation in Beverly Hills!
Malcolm Lesavoy, MD
Author
Dr. Malcolm A. Lesavoy, MD, FACS, is a board-certified plastic surgeon with over 50 years of experience in cosmetic and reconstructive surgery. He served as Chief of Plastic & Reconstructive Surgery at Harbor-UCLA Medical Center for more than 25 years and is currently a Clinical Professor of Plastic Surgery at the UCLA School of Medicine, where he has trained hundreds of today’s leading plastic surgeons. A prolific author and educator, Dr. Lesavoy has published three books on plastic surgery techniques, nearly 100 peer-reviewed articles, and over 30 book chapters. His work has been featured on national media including Oprah, Extreme Makeover, and the Discovery Channel. He maintains a private practice in Beverly Hills, California.