Transaxillary Breast Augmentation
Transaxillary Breast Augmentation
Transaxillary Breast Augmentation
Some women want breast augmentation, but not the visible signs that often come with it. For those seeking subtle enhancement without scars on the chest, transaxillary breast augmentation offers a highly specialized option.
This technique places implants through a small incision hidden in the natural fold of the underarm. It requires exceptional control, a deep understanding of anatomy, and surgical tools that allow for internal shaping without external disruption.
Dr. Jacqueline Rose Makerewich is one of the few surgeons in Toronto offering this advanced approach. With an endoscopic-assisted technique, she delivers precise, balanced results while preserving the natural look and feel of the breast skin, because for many women, the absence of visible scars is as important as the presence of volume.
Transaxillary augmentation is a form of breast implant surgery where the implant is inserted through an incision in the armpit, rather than the breast fold or around the areola.
This method creates no visible scars on the breast. Instead, the incision is tucked into the axillary crease (where the upper arm meets the chest). Through this pathway, Dr. Rose gently tunnels to the breast pocket and places the implant with endoscopic guidance, ensuring symmetry, soft contouring, and accurate positioning.
This approach is ideal for patients seeking small to moderate volume enhancement and value discretion and scar-conscious healing.
Transaxillary augmentation is performed under general anesthesia in a fully accredited surgical setting.
Dr. Rose makes a 2 to 3 cm incision in the underarm crease and uses an endoscope (a small camera and light) to guide the creation of the breast pocket. The implant is inserted using a sterile, no-touch technique, often with the aid of a Keller Funnel to minimize friction and preserve implant integrity.
This method avoids disruption to the nipple and breast tissue. The result: a smooth contour, minimal trauma, and a breast that looks untouched—because it was.
Surgery typically takes 1.5 to 2 hours. You’ll return home the same day with a supportive post-op garment and a detailed recovery plan.
Revision for patients with previous visible scars who want hidden placement
No Scars on the Breast All visible incisions are avoided on the front of the body. The armpit incision heals discreetly and is easily concealed.
Natural Look and Feel The breast skin and tissue remain undisturbed, allowing implants to settle smoothly without distortion.
Endoscopic Precision Dr. Rose uses camera guidance to ensure accurate implant placement with minimal risk to nerves or glands.
Less Interference with Nipple Sensation Because the nipple and areola are untouched, the risk of sensation loss is reduced compared to other methods.
Ideal for Active Lifestyles Scar placement works well for those who wear minimal clothing or are frequently in swimwear.
You may be a good candidate for transaxillary augmentation if:
During consultation, Dr. Rose will evaluate your anatomy, tissue quality, and goals to determine whether this technique is right for you or whether another approach would be more suitable.
Most patients return to light activity within 3 to 5 days, with full recovery occurring over 4 to 6 weeks.
You’ll be asked to avoid heavy lifting and excessive arm movement early on to allow the underarm incision to heal properly. A supportive bra will help maintain the implant position and ease swelling.
Dr. Rose will provide:
Most patients find the recovery process smooth, with minimal pain and no limitations once they have healed.
You’ll notice enhanced volume and shape immediately, with full results taking 2 to 3 months to settle. Because the incision is made off the breast, your skin maintains a natural look and feel, with no visible scars, changes to pigmentation, or alterations to nipple texture.
Implants placed through this method are long-lasting and may be saline or silicone, depending on your preference and anatomy.
With the right plan, care, and surgical technique, the result is elegantly enhanced but virtually undetectable.
Transaxillary augmentation is not a standard technique. It requires more precision, meticulous planning, and advanced technical skill. Very few plastic surgeons in Canada offer it. Even fewer do it well.
Dr. Rose brings a rare combination of technical control and aesthetic restraint. She utilizes tools such as endoscopic guidance, careful implant sizing, and scar management to achieve seamless results, and she does so with an approach that centers on you, not an ideal.
You’ll never be pushed. You’ll be informed, supported, and empowered to make choices that feel right for your body and life.
Yes, but you’ll be asked to limit overhead motion for the first 1 to 2 weeks. Full range of motion returns as healing progresses.
This is typically done under general anesthesia for safety and precision, but Dr. Rose will assess if a lighter sedation is possible based on your needs.
The scar sits in the underarm fold and typically fades well over time. It’s not visible unless your arms are fully raised.
Both saline and silicone implants can be placed through this method. Dr. Rose will help you choose based on feel, appearance, and goals.
Yes, in some cases. If your original incision is visible and you’re seeking a more discreet option, transaxillary placement may be a possibility.
