I’m having mine done through the armpit (transaxillary) two weeks from today (not MYA) – pros and cons to all options but my surgeon specializes in this so some of the cons for this approach are minimalized. pros are that you dont have to actually lift up the muscle (since when you go in through the armpit, you are already under the chest muscle), so a bit of an easier recovery. and also no scarring on the breasts themselves – your underarm scar just looks like a natural crease in your skin.