Endoscopic Breast Augmentation

Boca Raton, Palm Beach Florida.


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

To book a consultation click here or call 561-405-9020.

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.

Advantages of the Endoscopic Breast Augmentation technique:

  1. Natural looking results
  2. No scar on the breast
  3. Incision scars are well hidden in the underarm
  4. Option of either saline or silicone implants
  5. Quick recovery
  6. Ability to place either large or small implants through a very small incision

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

Candidate for endoscopic breast augmentation is someone who is looking to:

  • Increase the size and projection of the breasts
  • Enhance the breasts without any scar on the breast
  • Enhance the breast with natural looking results and breast shape
  • Minimize recovery and downtime
  • Is of any complexion – Especially women of medium or dark color as their scars often do not fade well. The under arm scar typically heals very well in all skin complexions.

For some women with adequate breast volume, a breast lift alone can be sufficient for restoring breast shape and contours. For women with a small amount of breast volume, a breast lift with augmentation is an excellent option to restore breast shape. The majority of women with breast sagging and low breast volume require a combination of breast lift and augmentation for optimal results. The implant restores or enhances lost volume and fullness, while the breast lift is done to reshape the breast, removing excess skin and elevating the areola.

Women who choose to have a breast lift with augmentation will have the opportunity to “try on” breast implant sizes using the Vectra 3D imaging system. This advanced technology gives the patient a realistic idea of expected outcomes after a breast augmentation procedure.

It is recommended that women wait to undergo a breast lift until they are done having children. Although a breast lift will not negatively impact a woman’s ability to get pregnant, pregnancy will likely stretch the breasts again and can undo the results of the breast lift procedure.

Experience a Breast Consultation with Plastic Surgeon, Dr. Ennis

To book a consultation click here or call 561-405-9020.

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.

To book a consultation click here or call 561-405-9020.

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

To book a consultation click here or call 561-405-9020.

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

To book a consultation click here or call 561-405-9020.

The Ennis Plastic Surgery Difference

When choosing Dr. Ennis, you can be sure that your surgeon is a trained expert in the field of cosmetic surgery. Dr. Ennis is highly specialized in endoscopic minimal incision breast and body surgery, which allows him to deliver beautiful and dramatic results while minimizing the visibility of scarring. He has performed thousands and thousands of endoscopic breast augmentations in his career and that number continues to grow as more and more women come from all over the country and all over the world to undergo his skilled endoscopic breast augmentation technique.

Dr. Ennis has spoken internationally to other surgeons about the artistic element, surgical complexities and skillful technique of the endoscopic approach. Additionally, he is known as a leader in the field of cosmetic surgery.

Actual Patient of Dr. Ennis