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Can I Replace Saline Implants with Silicone Implants Through my Armpits?
I agree that except for very large implants it should be possible for an experienced surgeon to replace your saline implants through an axillary incision. As the other physicians have noted the challenge come from your capsule. To get the capsule out completely you may require an areolar (below the nipple) incision or an inframammary incision (in the breast fold).
Clinical Context
Axillary (armpit) breast augmentation uses a small incision to create a pocket for the implant, often with an endoscope and a funnel to protect the implant surface. When replacing implants, surgeons must also address the existing scar capsule around the old implant. Capsule work is harder to do well through the armpit because the angle and visibility are limited. This is why many surgeons prefer an incision at the fold or around the areola when capsule removal or revision is needed.
