Underarm Breast Implant - Scar Free Breast Surgery

Content

• What is the Transaxillary Endoscopic Breast Implant Surgery?
• What are the advantages over the classical technique?
• Why is the Transaxillary Endoscopic Technique not so well known in Romania?
• Frequently Asked Questions about Transaxillary Endoscopic Technique
• Who is Dr. Șerban Porumb and what recommends him?

În multe situații, pacientele care doresc sâni mai voluminoși renunță la ideea de implant mamar din cauza cicatricilor care apar la nivelul sânilor. Aceste cicatrici apar însă numai prin tehnica clasică de implant mamar. În cazul tehnicii transaxilare endoscopice – #TEBA – Transaxillary Endoscopic Breast Augmentation, nu există nicio cicatrice la nivelul sânului, deoarece intervenția se efectuează printr-un pliu în vârful axilei. Astfel, singura cicatrice va fi una minusculă, aproape invizibilă, situată sub braț, unde se ascunde perfect în pliurile pielii.

We are the only clinic in Romania that, at the moment, performs this type of intervention, as it requires advanced surgeon experience and state-of-the-art medical equipment.

To find out more about this innovative technique, which is performed by Dr. Șerban Porumb, who performed the first transaxillary approach breast implant surgery in 2002 in Los Angeles, we invite you to read the article below.

What is the Transaxillary Endoscopic Breast Implant Surgery?

As the name suggests, in short, the transaxillary endoscopic technique is the placement of implants in the armpit using an endoscope. Breast implants can be placed either under the mammary gland (subglandular) or under the pectoral muscle (submuscular) through a minimal incision of about 3-4 cm. This incision is strategically positioned in a natural crease at the tip of the armpit, known as the transaxillary approach, to minimize the visibility of scarring and allow for faster recovery.

For precise implant placement, an endoscope, a thin instrument equipped with a camera and a light, connected to a video monitor, is used. It transmits high-definition 3D images of the internal structures, allowing the surgeon to clearly visualize the operative field and perform the dissection with maximum precision and clarity.

Breast Implant by Transaxillary Endoscopic Technique - Advantages over the Classic Technique

1. Absence of breast scars

The great and one of the most important advantages of transaxillary endoscopic breast implant surgery over the traditional technique is the absence of scars on the breasts. Why is this important?

The scars, once formed, are permanent; they cannot be removed with an eraser. By any method, laser or otherwise, scars cannot be completely removed. What's more, by trying to remove one scar, you run the risk of a new, perhaps even more annoying one appearing. The image below shows the appearance of scars 3 years after the traditional sub-mammary breast implant procedure.

In addition, scars from the classic technique stand out when you lie on your back, easily visible to your partner or when the patient wants to go topless.

And here's a case 10 years after a transaxillary endoscopic breast implant surgery, where the scar under the arm is virtually invisible.

2. No risk of scar opening

Because there is no scarring in the breast after underarm breast implant surgery, we virtually completely eliminate the risk of the scar coming undone, as there is no pressure on it.

This does not apply in the classic technique. With the under-breast breast implant method, there are situations (as in the case below) where the scar under the breast is loosened due to the tension of the breast implant.

3. Faster recovery and easier healing

Another great advantage of the transaxillary endoscopic technique is that the scar heals much better in a fold located in the armpit. In this area, the skin is as mobile as in the eyelids, and there is lax connective tissue which ensures much better healing than in other areas.

Scars under the breasts after traditional surgery are more difficult to heal; quite often, hypertrophic or even keloid scars appear.

There have been situations where patients, although they had keloid scars in other areas of the body, such as those resulting from caesarean section, after underarm breast implant surgery, the scar healed normally without any problems.

Notice in the picture below how beautifully the scar under her arm has healed, it's almost unnoticeable.

4. Significantly reduced risk of nipple sensitivity loss

Another equally important aspect is that the risk of loss of nipple and skin sensitivity from the nipple down to the inframammary fossa is much lower with the endoscopic axillary technique than with the classic submammary technique.

This is possible because the procedure is performed remotely, using a minimally-invasive technique and ultra-modern medical equipment that offers maximum precision.

At Estetis Clinic, we perform this procedure using atraumatic tweezers, similar to those used in robotic surgery. We are the only clinic in Romania that applies this technique, giving patients the possibility to achieve the desired change.

5. Long-term stability of the intervention

Breast implant surgery using the transaxillary endoscopic technique does not sever the inframammary groove ligament. This is particularly important, as has been shown in numerous specialized studies. The inframammary ligament plays an essential role in maintaining the long-term stability of the breast implant.

As can be seen in the photos above, in the case of implants inserted transaxillary endoscopically, even 10 years after the intervention, the result is stable, informs Dr. Șerban Porumb, a surgeon who has performed over 1000 interventions using the transaxillary endoscopic technique and has over 20 years of experience in the use of this technique.

6. You can wear any type of bra

You probably already know that, following a traditional breast implant operation, you should wear a certain type of bustier for a good while after the operation, but under no circumstances a bra with padding to avoid pressure on the scars.

Following the transaxillary endoscopic breast implant surgery, you can wear any type of bra, including those with "whale" / "whale" bra cups, because, having no scars under the breasts, it will not create any problems.

7. The implant can be placed either in front of or behind the pectoral muscle

Using the transaxillary endoscopic technique, the breast implant can be positioned both in front of and behind the pectoralis muscle, which sometimes allows us to perform an internal breast lift in the same operation. The prerequisite for this is that the degree of breast ptosis is small. In this way we are able to lift the breasts without those extra scars on the breasts.

For more information and curiosities about the transaxillary endoscopic technique, see the answers section.

Why is the Transaxillary Endoscopic Technique not so well known in Romania?

The transaxillary endoscopic technique can achieve remarkable results, but it is not an easy technique to perform, requiring complex expertise and special training on the part of the surgeon who performs it. Hence the relatively small number of doctors practicing this technique. Less than 1% of plastic surgeons worldwide practice underarm breast implants.

In Romania, Dr. Șerban Porumb is the only one who performs this technique, he is the one who performed it for the first time in Romania in 2006. He has over 24 years of experience with this technique, including 6 years spent in top hospitals and clinics in Portugal, USA and France.

Underarm breast implants require state-of-the-art equipment. At Estetis Clinic, the procedure is performed using state-of-the-art, nano-technology forceps, similar to robotic, atraumatic surgery, so recovery is much faster and safer, reducing the duration of the operation and hospitalization.

Conform studiilor de specialitate, acest tip de intervenție nu este cu nimic inferioară tehnicii clasice; dimpotrivă, vine cu chiar mai multe avantaje.

Frequently Asked Questions about Transaxillary Endoscopic Technique

For more curiosities, go to the answers section

Who is Dr. Șerban Porumb and what recommends him?

With over 24 years of experience in plastic and aesthetic surgery and more than 12,000 surgeries, Dr. Porumb Șerban is a world leader in breast and rhinoplasty surgery. His results, recognized for their beauty and naturalness, have earned him the appreciation of Professor James L. Baker of the USA - the world's most experienced breast implant surgeon - as the « lider și star în Europa prin rezultatele obținute în rinoplastie și augmentarea mamară ».

Dr. Porumb is the first plastic surgeon from Romania invited to present at the American Society of Rhinoplasty and Vegas Cosmetic Surgery Congress, where he spoke about endoscopic transaxillary endoscopic breast augmentation, a technique he introduced in Romania.