Aesthetic Plastic Surgery

, Volume 31, Issue 4, pp 317–319 | Cite as

Implications of Transaxillary Breast Augmentation: Lifetime Probability of Breast Cancer Development and Sentinel Node Mapping Interference

  • Arturo PradoEmail author
  • Patricio Andrades
  • Patricio Leniz


After the “fifth-generation” breast implants with ultracohesive silicone gel technology are introduced, the Food and Drug Administration (FDA) will sooner or later retire the ban on the use of these devices in the United States. When this happens, the plastic surgery community must be prepared to face a massive demand for reoperations to change saline-filled breast implants because cohesive gel devices have the potential to provide a more natural breast shape, to minimize the risk of postoperative rippling, and to provide a greater degree of safety if the implant loses its integrity. Despite these advantages and extensive use throughout the rest of the world during the ban in the United States, silicone implants also have disadvantages. One drawback is that transaxillary breast augmentation with more “rigid” gel-filled implants may produce trauma to the armpit, may interfere with sentinel node mapping for breast cancer treatment, and may have future medicolegal implications.


Breast implants Cohesive gel devices Sentinel node mapping Silicone implants Transaxillary breast augmentation Ultracohesive silicone gel technology 



Dr. Osvaldo Jury and Dr. Susana Benitez were participants in the research and anatomy, and we acknowledge their assistance.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Arturo Prado
    • 1
    • 2
    Email author
  • Patricio Andrades
    • 1
  • Patricio Leniz
    • 1
  1. 1.Division of Plastic SurgerySchool of Medicine, Clinical Hospital JJ Aguirre, University of ChileChile
  2. 2.Manquehue Norte 1707SantiagoChile

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