Dr. Lawrence Shaw shares what an endoscopic transaxillary breast augmentation is.
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Question: What is endoscopic transaxillary breast augmentation? Dr. Lawrence Shaw: An endoscopic transaxillary breast augmentation is one of the methods of doing breast surgery. There are at least three or four methods or routes of getting the implant in either going inframammary or under the breast, around the nipple or through the underarm. Back in 1984, I decided after training that if I could perform a breast augmentation without scarring the breast and obtain the same or better results with the same or lower complication rate that it would be a great procedure. So in 1984, I started performing the transaxillary route and in the early 90s endoscopic equipment became available. So, I started using endoscopes, which is a way to actually visualize everything that's done during the surgery. The incision for the axillary augmentation is right in a fold in the underarm. It's barely perceptible, even with normal healing and within six months it's hard to find. The implant is placed under the muscle usually, though implants can be over the muscle or under the muscle, but the transaxillary endoscopic breast augmentation is routinely performed under the muscle with the silicon or saline implant.