Endoscopic breast augmentation at Ennis Plastic Surgery utilizes one of the most technologically advanced approaches to breast augmentation, combined with the expert surgical precision of Dr. L. Scott Ennis, a double board certified plastic surgeon.

Endoscopic breast augmentation is the only breast augmentation approach that creates beautiful and natural looking enhanced breasts without any scarring on the breast. With this approach, patients are left with only a very small scar in the crease of the underarm which is nearly invisible within several months.

About Transaxillary Breast Augmentation with Dr. Ennis

Endoscopic Breast Augmentation consultations in Palm Beach are available with Dr. Ennis at his luxury private practice in Boca Raton. Virtual consults via FaceTime or Skype are a popular option for out-of-town patients and even local residents that do not have the time in their busy schedule to come in for an appointment right away.

To learn about Endoscopic Breast Augmentation, please read the guide below or contact Ennis Plastic Surgery at 561-405-9020 to book a consultation or ask us a question.

A Specialized Technique for Minimal Scarring

There are very few surgeons who offer breast augmentation using the underarm (transaxillary) technique and even fewer who perform the surgery endoscopically using the latest high definition cameras. This approach requires a surgeon with extensive specialized training and the most up to date endoscopic equipment as it is performed using tiny camera while the surgeon views the inside of the breast on a high definition television screen.

Minimal Scar with Endoscopic Technique

One of the biggest hesitations that people have about undergoing a breast augmentation is their fear of the scars that can be left on the breast. Typical scar locations are found around the areola or in the crease or fold of the  breast. Scars around the areola are can be visualized when topless and often can affect the sensation of the nipples. Scars in the lower breast crease can be seen in a bikini if it rides up or without a shirt on. With the endoscopic technique, there is literally no scar left on the breast. The only scar is found in the crease of each underarm.

Endoscopic Breast Aug Photos (before & after)

Actual Patients of Dr. Ennis

Endoscopic augmentation photos above.. View all breast augmentation before and after photos.

Experience a Breast Consultation with Plastic Surgeon, Dr. Ennis

About the Endoscopic Breast Augmentation Procedure

Each breast augmentation begins with an individualized one on one consultation with the cosmetic surgeon. The patient will meet with Dr. Ennis to discuss their desired outcomes including size and projection of the breasts. The patient will have the opportunity to utilize the Vectra 3D Imaging system in order to virtually “try on” different breast sizes on the body and see themselves with the implant they choose in 3D!. This way, the patient is able to visualize how various breast sizes may fit on the body. Additionally, all questions can be answered as well as goals and concerns discussed with the surgeon. The surgeon will help the patient decide on the size and type of breast implant to be inserted as well.

Either saline or silicone implants can be placed through the underarm with the endoscopic technique breast augmentation. Some patients know which type of implant they want, while others are unsure. An individualized consultation will help to clarify this decision. Based on age, anatomy, and desired outcomes, the surgeon and patient will be able to choose which type is best suited in each case.  Most patients are now choosing the new cohesive silicone gel breast implant which is often referred to as the “gummy bear” implants.

During the procedure, Dr. Ennis utilizes high definition cameras to make a very precise pocket for the implant. Fiber optic endoscopic technology is a recent advancement in cosmetic surgery and requires specialized training and clinical skill. When performing the endoscopic breast augmentation, Dr. Ennis inserts the tiny high definition, fiber-optic camera (the endoscope) through a small incision in the underarm. The incision is placed in the natural crease of the underarm, utilizing this incision for positioning the endoscope and for inserting the implant.

The endoscope allows the surgeon to see inside the surgical area to examine the anatomy more thoroughly. The image is portrayed on a high definition monitor in real time. By monitoring the procedure endoscopically, the surgeon is able to create a very precise pocket with a less invasive approach.

Once the implant pocket has been created, the area is ready to place the breast implant. The implant is placed through this small incision and  positioned beneath the chest muscle, in order to deliver the most natural results.The surgeon utilizes a specialized, medical grade funnel called the Keller funnel™  to insert the implant into the pocket. The funnel allows safe placement through the smallest possible incision and also minimizes bleeding and risk of infection. The funnel allows for even very large cohesive gel silicone implants to be placed through these small incisions. The patient is then sat up in the upright position allowing the surgeon to ensure that the implants are positioned appropriately and symmetrically before closing the incisions.

Natural looking results are obtained by positioning the breast implant beneath the chest muscle. The placement is such that it allows for a full, soft and natural breast shape. This is because the upper portion of the implant is hidden beneath the chest muscle and the lower portion of the implant is positioned directly under the natural breast tissue. This orientation gives an enhanced and naturally beautiful breast shape.

Endoscopic Breast Augmentation Patient Testimonial

Endoscopic Breast Augmentation Recovery

After the surgery, the incisions will be dressed  with a small plastic dressing and a bandeau strap is placed across the top of the breast to hold them down in the correct position. There may be some bruising and discomfort, as well as some swelling. Generally, any discomfort can be controlled with pain medication. Most patients describe the discomfort after surgery much like waking up after a hard workout and being sore. The surgeon will encourage you to move your arms straight up and stretch out the muscle to help with the soreness.

This approach has a very low risk of infection- one of the lowest of any breast augmentation technique. The reason for low infection is multifactorial. First, there is only a small incision placed in the underarm. The less of the body tissue that needs to be opened, the less risk of infection. Second, there is no undue pressure on the incision, as it is positioned in the underarm well away from the implant. When incisions are placed on the breast, the implant can create tension and pressure, making it more difficult for healing and often leads to a less desirable scar.  Additionally, the breast glands are not disturbed with the endoscopic technique. Breast glands can contain bacteria and cause an infection if disrupted.

Breast Augmentation Post-Operative Exercises Video