Trans-Axillary Breast Augmentation with Silicone Implants

Patients with a small areola (less than 4 cm.) are advised to have silicone implants placed through incisions in the armpits. This option is also good for those who want to reduce scarring. According to the International Society of Aesthetic Plastic Surgery (ISAPS), nearly 166,500 breast augmentation procedures were performed in Brazil in 2015. Rio de Janeiro is responsible for a significant amount of Brazil’s plastic surgery operations. Since this is one of Dr. Alexandre Charão’s most common procedures, receiving a silicone breast implant procedure under his care is very safe. He has a proven high success rate among patients and works hard to understand each patient’s individual needs and aesthetic goals.

Once the silicone implant is inserted through the patient’s armpit (trans axillary), it may be placed in the following three areas:

  • Below the mammary gland (subglandular)
  • Below the pectoral muscle (subfascial)
  • Below the muscle (submuscular or retropectoral)

Most silicone implants can pass through the trans axillary. However, it is recommended to use silicone implants which are smaller than 400ml. Each case is different and will be assessed during your initial consultation with Dr. Alexandre Charão.

High Cohesion Silicone Gel

To eliminate the possibility of any complications, Dr. Alexandre Charão only uses breast implants filled with a high cohesion silicone gel. Since these are not linked to health concerns and problems like breast cancer or arthritis and do not affect routine exams such as radiology, he can guarantee a low-risk procedure. Also, breastfeeding is not impacted by high cohesion silicone breast implants. Dr. Alexandre Charão advises his patients to avoid liquid silicone breast implants. The brands he uses were evaluated by ANVISA, INMETRO, the FDA (US), and the European Safety Commission.

Low-Risk Procedure

As silicone breast implants continue to evolve, the risk of any complications is extremely low. Based on United States data, there were approximately 2,322,500 breast implant procedures performed from 2011-2017. 270 (.02% of the total number) caused ACLC (anaplastic large cell lymphoma). Offering increased safety protection are silicone breast implants with microchips. Provided by Dr. Alexandre Charão, these implants store data which makes it easy for doctors to check for potential problems.

Your Initial Consultation


As you are researching breast augmentation procedures involving silicone breast implants, it is important for you to define your expectations. During your initial consultation, you can discuss various options which will work for your goals and current situation. To help give Dr. Alexandre Charão a clear idea of your desired results, you should send him photos of how you would like your breasts to look.

Better Looking Results

When you discuss your goals, you will be shown various models, shapes, sizes, and brands. Based on Dr. Alexandre Charão’s expertise, you will receive recommendations on the best implants for your body. A detailed physical examination and consultation are essential for determining the appropriate size, shape, and implant placement. Silicone breast implants are capable of producing a natural ratio between your chest and desired breast size. This proportion will be thoroughly discussed during your initial consultation. Some patients seek large implants with a big projection, while others desire a medium-sized tear drop shape. It is all up to what you want for your body.

Breast Implants

Enhancing Your Bust Line

Liposuction and abdominoplasty are often performed in conjunction with breast implant procedures to improve the results. Also, other issues like sagging skin and ptosis (drooping breasts) are often corrected with silicone breast implants. Scarring is usually barely visible as it is easy to disguise the incision lines. After your breasts have fully recovered, you will discover a firmer and fuller bust line.

Placement Options

Submammary / Subglandular (Over the Muscle)

Placing silicone breast implants over the chest muscles is very common because of the minimized impact. During surgery, it is easy to remove a patient’s skin and control bleeding. Also, pain and discomfort experienced during the postoperative recovery period is minimal and lasts a little less than a week. However, this method requires preexisting breast tissue to perform. For patients with a small starting cup size, placing a silicone implant over the muscle is not recommended. The silicone implant could become highly visible or create small skin folds.

Subpectoral / Submuscular (Under the Muscle)

This silicone implant placement method is the second most popular solution. A subpectoral placement is suitable for very lean patients who need a barrier between the silicone implant and skin. Also, patients who experienced a capsular contracture or have a strong family history of breast and prostate cancer are advised to go with a subpectoral/submuscular silicone implant placement. During a biopsy, the silicone implant is protected by the surrounding muscle.Additionally, although it is more invasive than over the muscle placement, this option creates more natural looking results and is better for securing the silicone implant in place.


The third option, subfascial placement, places the silicone implant within the membrane that surrounds the pectoral muscle. Since this placement requires meticulous attention to detail, the operation time is much longer. However, since the fascia provides additional support, results usually last longer than the other two placements. This is also good for thin patients who need another barrier between their skin and the silicone implant.

Breast Cancer and Breastfeeding

With silicone breast implants, patients are often concerned about breastfeeding and the potential risk of breast cancer. During your procedure, the Sentinel Lymph Node (SLN), which is examined for breast cancer evaluation, will not be affected. It is also worth mentioning that the SLN is not used for detection. The silicone breast implants recommended by Dr. Alexandre Charão’s do not impact breast cancer detection. They are not recognized by mammogram x-rays, which pass through silicone breast implants in the mammary gland to detect benign or malignant changes. Also, breastfeeding is not affected.

Breast Implants

Hospitalization Time and Information

Patients are usually hospitalized for 8-10 hours. With over 20 years of experience, Dr. Alexandre Charão can safely begin a surgery at 7AM and discharge patients at 4PM. His partner facilities in Rio de Janeiro are equipped with the necessary equipment, including a CTI (Intensive Treatment Center), to perform this procedure without requiring an overnight stay. Silicone implant procedures usually only need local anesthesia which further reduces hospitalization time.

Postoperative Recovery

After surgery, patients are advised to keep their arms close to their body for the first 7-10 days. This avoids any stretching and tension on the incision lines. Patients are usually able to return to work after 11-13 days and should avoid any physical labor, exercise, or heavy lifting (10lbs/5kg) for 3-4 weeks. Dr. Alexandre Charão will provide you with more detailed instructions during your initial consultation.

If you follow the postoperative recovery instructions, the process will be as quick, comfortable, and painless as possible. Patients who received silicone breast implants under the muscle will experience more discomfort. Due to swelling, it will take 6-12 months for your new breasts to reach their final form. Since silicone breast implants do not expire, they do not need to be changed. However, it is important that you monitor your breasts with routine checkups. A mammogram may be necessary if the implant appears to weaken.

Total Cost and Before & After Photos

Congratulations, if you have read this far, then you are really committed to receiving a silicone breast implant procedure. Your next step should be to schedule an initial consultation with Dr. Alexandre Charão. During this 1 hour meeting, he will disclose further details, including total cost. Most international patients can save 50-70% by traveling to Brazil for surgery.

You can contact Dr. Alexandre Charão at Whatsapp, click here.

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