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Key Points You Must Know Before Undergoing Axillary Incision Breast Revision Surgery

WOOA Plastic Surgery · 우아성형외과의원 · April 21, 2025

Key Points You Must Know Before Undergoing Axillary Incision Breast Revision Surgery ​ ​ Breast surgery is one of the representative cosmetic procedures chosen by many people to re...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: WOOA Plastic Surgery

Original post date: April 21, 2025

Translated at: May 1, 2026 at 11:35 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Key Points You Must Know Before Undergoing Axillary Incision Breast Revision Surgery image 1

Key Points You Must Know Before Undergoing Axillary Incision Breast Revision Surgery

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Breast surgery is one of the representative cosmetic procedures chosen by many people to relieve physical complexes and live a more confident life. However, as with any surgery, nothing can be perfect from the start, and over time it is not uncommon to consider breast revision surgery for various reasons.

Some people are satisfied immediately after surgery, but as time passes they may consider revision surgery because the implant position changes or because capsular contracture, one of the major side effects, occurs. When deciding on breast revision surgery for such various reasons, one of the first things to consider is the incision site.

Among these, one question many people have is whether breast revision surgery can also be performed through an axillary incision. An axillary incision is one of the preferred methods for the initial surgery because it leaves no scar on the breast area. For revision surgery as well, many people wonder whether this breast revision axillary incision method can be maintained or whether it must be changed to a different incision method. Through today's post, we will help answer those questions.

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What if capsular contracture occurs after breast surgery?

If you are considering breast surgery or have already experienced it, you have probably heard this term at least once: capsular contracture. Even if you were satisfied with the result after the initial surgery, if the breast becomes hard or the shape becomes unnatural over time, you may suspect capsular contracture.

Capsular contracture refers to a condition in which the capsule surrounding the implant gradually becomes harder, compresses the implant, and causes the breast to become progressively firmer and its shape to become distorted. In particular, the more severe capsular contracture becomes, the more it can cause pain, discomfort, and in severe cases, breast asymmetry and deformation, so it is important to receive prompt treatment through breast revision axillary incision surgery.

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The key cause of capsular contracture: what is the capsule?

When breast surgery is performed, the body recognizes the implant as a foreign object and naturally forms a fibrous membrane around it. This is called a capsule, and it is a normal physiological response that in most cases does not cause major problems.

However, if this capsule thickens and contracts over time, or if an inflammatory reaction occurs inside it, it begins to tighten the implant, leading to capsular contracture. In such cases, simply replacing the implant is not enough, and breast revision axillary incision surgery that partially or completely removes the problematic capsule itself is necessary.

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Can breast revision also be performed through an axillary incision?

An axillary incision means making an incision along the inner fold of the armpit to insert the implant. Since there is no direct incision in the breast area, one major advantage is that the scar is not noticeable and the breast itself can maintain a natural appearance without visible scarring after surgery.

Breast revision surgery can also be performed through an axillary incision, but when performing breast revision axillary incision surgery, the surgeon's skill is more important than anything else. By securing the surgical field with HD endoscopy and performing the surgery while directly viewing the internal tissues, the possibility of tissue damage is reduced and the procedure can be carried out more precisely.

In many cases, breast revision can be sufficiently performed through an axillary incision, but rather than making an unconditional choice, an accurate diagnosis and a customized surgical plan are necessary.

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Triple-plane method: why it is suitable for breast revision surgery

As the name suggests, the triple-plane method is a way of inserting the implant while considering three anatomical planes. It is a more advanced technique than the existing dual-plane method, allowing more precise adjustment of the characteristics of breast tissue and the implant position, and it is drawing attention as a method that can achieve a natural shape, soft feel, and volume all at once.

When used properly in breast revision surgery, the triple-plane method can make up for the shortcomings of the previous surgery and create a more natural and beautiful result. However, because it is a complex procedure, you must carefully check the incision method, hospital selection, and the medical team's experience, and it is also important to receive a preoperative diagnosis to confirm whether the triple-plane method can actually be performed through breast revision axillary incision surgery.

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Breast revision surgery must be approached with much more caution than the first surgery. In particular, the choice of incision site affects not only the outcome but also many factors such as recovery, scarring, and pain, so it is most important to receive an accurate consultation from a specialist with extensive revision surgery experience and skill in axillary incisions.

If breast revision axillary incision surgery is possible, it can be a good option for reducing scar concerns, so please make sure to discuss 충분히 and then decide which surgical method is right for you.

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