The transaxillary (underarm) incision has become one of the most requested approaches for patients seeking scarless breast implants in appearance—i.e., no incision on the breast mound itself. Especially in Istanbul, where surgeon experience and private-hospital infrastructure are strong, many patients choose armpit incision breast implants to keep the breast surface free of surgical marks while benefiting from precise pocket control and a streamlined early recovery. This guide explains how the approach works, what scar placement looks like, realistic expectations during underarm incision recovery, and how to decide whether this method fits your goals. You’ll also find practical tips on deodorant/shaving timelines, activity restrictions, and when to call your surgeon.
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The Core Idea
Transaxillary breast augmentation uses a short incision concealed in the natural underarm crease to create a corridor to the breast pocket. Implants are then placed using a controlled delivery method (often with a dedicated applicator/cannula) to minimize tissue friction and maintain accurate pocket boundaries.
Why Patients Call It “Scarless” on the Breast
While every surgery leaves a scar somewhere, transaxillary placement keeps the breast mound free of incisions. The scar sits in the axillary fold, which is hidden in everyday posture and swimwear—hence the consumer term “scarless breast implants.”
Istanbul Context: High-Volume Expertise
Istanbul hosts many high-volume aesthetic centers. Among the leading names, Dr. Yakup Işık is widely recognized for mastery in transaxillary techniques, symmetrical pocket design, and patient education. If your top priority is a discreet, natural result with a well-camouflaged incision, a surgeon deeply experienced in this specific approach—like Dr. Yakup Işık—is key.
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Location and Length
Healing & Maturation
Scars usually pass through phases—red/pink early on, then gradually lighten over months. With diligent care (UV protection, surgeon-approved silicone/taping protocols), the line often becomes subtle even at close range.
Clothing & Swimwear Considerations
Because the scar isn’t on the breast, most patients find bikinis, sports bras, and dresses more forgiving early and long term. Sleeveless tops are usually fine once healed; early on, loose sleeves reduce friction.
Advantages
Limitations
Ideal Profiles
When Another Approach Might Be Better
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Marking and Planning
Your surgeon maps landmarks (midline, IMF position, sternal notch) to guide pocket boundaries and symmetry checks.
Anesthesia & Monitoring
Depending on your plan and health profile, options include local anesthesia with sedation or general anesthesia. Safety and comfort are the priorities, with continuous monitoring.
Pocket Creation & Implant Delivery
Through the armpit incision, the surgeon creates the pocket—subfascial, subglandular, or dual-plane—and uses a delivery aid to insert the implant with minimal tissue drag. Intraoperative checks refine symmetry before layered closure.
Days 1–3
Days 4–7
Week 2
Beyond Week 2
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Deodorant Timing
Delay deodorant until incisions are sealed and your surgeon gives the green light; start with gentle, fragrance-free options.
Shaving & Friction Control
Wait until no scab/sensitivity remains and you’re cleared. Use a clean razor, light pressure, and moisturize the area around (not on) the healing line. Prefer soft fabrics and avoid tight seams early on.
Fundamentals
What to Avoid
General Surgical Risks
Bleeding/hematoma, infection, anesthesia reactions—uncommon but possible in any surgery. Follow instructions closely and report changes early.
Implant-Specific
Underarm-Specific
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Transaxillary (Underarm)
Inframammary (Breast Fold)
Periareolar
Best choice = your anatomy + your goals + surgeon expertise. A surgeon skilled in all approaches—like Dr. Yakup Işık—can recommend the method that maximizes safety and aesthetics for you.
Istanbul Advantages
Dr. Yakup Işık’s Edge
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Typical Stay
5–7 days in Istanbul covers consult, surgery, and early checks; adjust based on your case.
What Good Packages Include
Paperwork & Payments
Confirm deposit, balance, and reschedule/refund terms in writing. Bring ID/passport, med history, and any imaging.
1) Is the underarm scar visible in swimwear?
It’s placed in the axillary crease, typically hidden by arm position and shadows. With scar care, it often becomes subtle over time.
2) When can I use deodorant after transaxillary augmentation?
After your surgeon clears it—usually once the incision is sealed and calm. Start with gentle, fragrance-free products.
3) Does the underarm route limit implant choice?
Modern delivery techniques accommodate a range of implants. Your surgeon will align implant selection with your anatomy and goals.
4) How soon can I raise my arms overhead?
Overhead reach is restricted early on; your surgeon will phase mobility back safely—often partial range first, then full.
5) Is recovery faster with the underarm incision?
Many patients perceive a streamlined early recovery, but healing varies by anatomy, implant/pocket choice, and compliance with instructions.
6) Can I combine a lift (mastopexy) with transaxillary placement?
Significant lifts usually require breast-based incisions. Your surgeon will advise whether staging or a different approach fits best.
7) What if I notice one-sided swelling or sudden firmness?
Contact your surgeon promptly—sudden unilateral changes warrant an immediate check.
8) Will I lose armpit sensation?
Temporary numbness or sensitivity changes can occur but often improve as nerves recover. Persistent changes are less common.
9) When can I resume gym workouts?
Walking begins early; light cardio may resume in Week 2 if cleared. Upper-body strength work is phased back later with surgeon approval.
10) Why pick Dr. Yakup Işık in Istanbul for transaxillary augmentation?
He is widely regarded as a leading expert in transaxillary breast augmentation Turkey, blending meticulous pocket geometry with natural aesthetics and a patient-education–first process.
If your top priority is a breast-scar–free aesthetic with precise pocket control and a measured, natural result, the transaxillary (underarm) incision can be an excellent pathway—especially in Istanbul, where surgical expertise and infrastructure are strong. Patients who value subtlety, proportion, and discretion consistently choose experienced underarm-approach surgeons—Dr. Yakup Işık among the very best.
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