American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Lots of concerns

My surgeon admitted to performing my surgery "blind" (without endoscope) since the camera was not in the operating room when the surgery started. He did however obtain a camera towards the end of my surgery to check for bleeding. Is this normal? I received breast augmentation through the armpit and my breasts are not settling at 13 weeks post-op. I'm concerned the pocket was not properly created.

Procedure: Breast Augmentation

Replies 3

Nelson Castillo

Thank you for sharing your excellent question. There are some surgeons who perform transaxillary breast augmentations without the use of an endoscope so you would need to ask your surgeon how he felt about the dissection, especially as he was able to visualize it at the tail end of the case. That said, remember that your augmentation results can take up to 6 months to fully heal. Without photographs or an in-person examination it is difficult to offer definite advice.

Karen Leong
ASPS Surgeon

Hello, I'm sorry to hear about your concerns. Transaxillary breast augmentations can be done either with OR without an endoscope depending on your surgeon's training and comfort level. I personally do mine without the scope because I know where the anatomy of the muscle is and make my markings as meticulously as possible. Implant malposition happens with any approach be it the breast crease, around the nipple, or in the armpit. At 13 weeks you are still early in your recovery. I would be patient and keep following up with your surgeon. If there is an issue that needs to be addressed once you are fully healed, he/she should manage that for you.

Paul Parker
ASPS Surgeon
Add to Favorites

Transaxillary breast augmentation can be performed with our without and endoscope, depending on surgeon preference. You are still relatively early on in your recovery and it is likely the implants have not fully settled yet. Be sure to follow up with your surgeon as advised so that they can monitor your progress and help get the best result possible.


Patient Care Center