Advanced Art of Cosmetic Surgery     Thomas M. DeWire, Sr., MD, FACS    Specializing in Cosmetic Plastic Surgery     Richmond, Virginia, USA





       Advanced Art of Cosmetic Surgery     Thomas M. DeWire, Sr., MD, FACS   Specializing in Cosmetic Plastic Surgery  Richmond, Virginia, USA

Breast  Surgery Procedures

Trans-Axillary Breast Augmentation with

No Breast Scars in Richmond, VA



Please Visit the New Version of this page on my New  Website--Dr. DeWire  



No-Scar Breast Augmentation by Trans-axillary Technique:

Transaxillary Breast Augmentation involves surgical placement of Silicone or Saline Breast Implants in a submuscular space to enhance breast size  and shape while creating no scar on the breast.  I prefer  to place saline or silicone breast  implants beneath the pectoralis muscles, in most  cases  to  limit implant edge  visibility, and the tendency of subglandular implants to show visible  wrinkling or rippling of the  breast  implant if it is closer  to the skin  surface.  Further, placement  beneath the muscle moves the implants to  a  position where there is minimal interference with  future mammography and breast diagnostics.  I usually accomplish sub-muscular placement  of  breast implants via the axillary (arm-pit) approach, thus avoiding the potential for heavy scarring on the  breasts,  and  further, limiting the potential for injury to nerves to  the skin and nipples, or damage to the breast ducts that could impact future breast-feeding.  This  approach  provides a very natural  contour,  while allowing a substantial breast size increase  and  an earlier return to full activity  with  no dependent breast  incisions to protect.   Apart  from just  achieving enlargement  of the breasts,  Breast Augmentation Mammaplasty can  also be used to adjust the shape, size and volume of uneven sized breasts (asymmetry),  and as  an adjunct to correct certain breast shape or form  anomalies  or deformities,  as  well  as  to  facilitate reconstruction of  the breast  after  mastectomy. 


Photos Before and After Surgery:


Pre-op photos  Post-op photos                  
Case 1:      Six  month result Transaxillary  Sub-pectoral   Augmentation Mammaplasty   with  375cc  smooth  saline implants in a 33  year old  woman  with  chest wall  and    breast size asymmetry.  This  achieved  large   "C"   to  "D"    cup  size with no visible scars and no breast scars.         Trans - Axillary Augmentation Mammaplasty Breast enlargement    Age:  33 
  Ht: 5'7"   Wt:  130 lbs. 
  Implants:  Mentor 
  Type: Smooth Saline 
  Volume:  375cc 
  Size: 36C/D 



Case 2:     At right are pre-op and  6  week  post-op  photos   of  a  24 year old  woman with slight     asymmetry.     At  six  weeks,   there  is  still  some  early   fullness   of   the  upper  breast  which    will  fade  with  time, as  the skin and  muscle  stretches,   and  the  implants settle   into  position.  Implant  volumes of  350cc  right,  and  325cc   left    were    used  to improve   volume  symmetry.  The next photos below show this   patient's   axillary  scars. Breast Implants, Saline, Augmentation, Increase Size   Age:   24 
  Ht:  5'5"    Wt: 125 lbs. 
  Implants:  Mentor 
  Type:  Smooth Saline 
  Volume:  325/350cc 
  Size:  34D
Breast Augmentation, Size, Shape, Axillary Breast Enlargement, Breast Augmentation, Photos, 34 D, 36D, D cup, C cup Trans-Axillary Breast Augmentation.  Right and  left  axillary views at  6wks show   almost complete disappearance of the scars in the  natural  folds beneath the arms.              
(See links below to learn more about axillary scars)


Case 3:     31-year old woman   3   months  after  Trans-axillary   Breast   Augmentation  A  "D"  cup   size   was  achieved  with  425cc saline  breast   implants.     This patient's  axillary  incision scars  are shown at  the top  of the next  page.    Breast Augmentation Mammaplasty Age:  31 
Ht:  5'4"  Wt: 120 lbs 
Implants:  Mentor 
Type:  Smooth Saline 
Volume:  425cc 
Size:  34D


Pre-op photos  Post-op photos 
Case 4:   Results at  7  years after  Trans-axillary   silicone breast augmentation in a  19  year old woman shows stability  of  the  sub-muscular  result  with  none of  the   long-term  sag   which   tends  to  occur with     implants   above   the  muscle.   Breast Implants Photo, Augmentation, Enlargement Breast Size Increase, Enlargement   Age:  19  (at surgery) 
  Ht:  5'6"    Wt:  125 lbs 
  Implants:  Mentor 
  Type:  Textured Silicone 
  Volume:  350cc 
  Size:  34C
Before and  after (7 yr) views  of   the  same  patient as well as a view of  the axillary scar at  7 years  (hidden in  a fold) oz-aug-pre-lat-a.jpg (4232 bytes) oz-aug-Rlat-post-7yr.jpg (4391 bytes) oz-aug-ax-post-7yr-a.jpg (4845 bytes)

The  same patient seen  at 12.5  years after trans-axillary augmentation, at age 31, and   after a recent  pregnancy, shows the  stability of the  augmentation result  using  the  trans-axillary  technique and sub-muscular implant  placement.


Case 5:    Six  week post-op Augmentation  result  in  a  43 year old  woman with loss  of   volume  after 2  pregnancies.   Implants  are  375cc  smooth   saline -filled  placed  via  the Trans-axillary  sub-muscular mammaplasty  technique.    34C, 36C, 34 D, 34D, 36D, 36 D, 34 C, 36 C, C cup, D cup   Age:  43 
  Ht:  5'3    Wt:  123 lbs 
  Implants:  Mentor 
  Type:  Smooth Saline 
  Volume:  375cc 
  Size:  34D
Related  Breast Augmentation Links:   To Other photo Illustrated Procedures:

Important  Information  About  Implant  Breast  Enlargement

Trans-Axillary Breast Augmentation
Trans-Axillary Breast Incisions Scars
Breast Augmentation Shape Evolution
Breast Augmentation Shape Determination
Cleavage Determinants
Post-Op Implant Massage Technique
Implants Over versus Under the Muscle
Special Considerations in Augmentation
Breast Surgery in African American Women
Breast Augmentation FAQs
Breast Augmentation with Mastopexy or Breast Lift
Revision Surgery for Augmentation Problems
Important Information about Silicone Breast Implant Use
Nipple Reduction/Shaping
Mastopexy or Breast Lift

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Thomas M. DeWire, Sr., MD, FACS
Advanced Art of Cosmetic Surgery
3974 Springfield Road
Glen Allen, VA 23060
Richmond, Virginia, USA
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ęCopyright 1997-2013  Advanced Art of Cosmetic Surgery:  Thomas M. DeWire, Sr, MD, FACS   Revised:   September 09, 2014 07:07 PM