Ennis Plastic Surgery · Beautiful Medicine™
Endoscopic Breast Augmentation in Florida
Explore camera-guided breast augmentation through the underarm with Dr. L. Scott Ennis.
View Actual Patient ResultsDr. L. Scott Ennis · Credentials & practice recognition
International Society of Aesthetic Plastic Surgery
American Society for Aesthetic Plastic Surgery
Castle Connolly
American Institute of Plastic Surgeons
National Academy of Plastic Surgeons
Palm Beach Illustrated
America’s Most Honored Doctors
RealSelf
Dr. Ennis · Your consultation
A small camera. A clear view.
Endoscopic breast augmentation uses a small camera to guide the surgeon’s view of the internal anatomy. Dr. Ennis uses this approach for transaxillary augmentation, working through an incision in an underarm crease.
The camera displays the operative area on a screen while the implant pocket is prepared. This is a technique for visualizing and performing surgery; the implant material, size and pocket position still require individual planning.
Watch Dr. Ennis explainPatients of Dr. Ennis
Personal experiences.
In their own words.
Individual experiences and results vary.
Watch patient experiencePatient of Dr. Ennis
Breast augmentation with Dr. Ennis.
Watch patient experiencePatient of Dr. Ennis
Her breast augmentation experience.
Watch patient experiencePatients of Dr. Ennis
Patients share their perspectives on breast augmentation.
Actual patients of Dr. Scott Ennis
Breast augmentation.
Before & after.
Breast augmentation · Case 01
Sientra implants. Original patient comparison from Dr. Ennis’s underarm augmentation gallery.
Actual patient of Dr. Scott Ennis
Breast augmentation · Case 02
Mentor implants. Original patient comparison from Dr. Ennis’s underarm augmentation gallery.
Actual patient of Dr. Scott Ennis
Breast augmentation · Case 03
Sientra implants. Original patient comparison from Dr. Ennis’s underarm augmentation gallery.
Actual patient of Dr. Scott Ennis
Breast augmentation · Case 04
Silicone implants. Original patient comparison from Dr. Ennis’s underarm augmentation gallery.
Actual patient of Dr. Scott Ennis
A closer look
What the endoscopic approach changes.
An endoscopic underarm approach avoids an incision on the breast and can accommodate saline or silicone implants in suitable patients. Small and larger implants each require an appropriate route, pocket and tissue assessment.
An underarm scar can be discreet after healing but is still permanent. A camera-assisted approach does not eliminate the risks of breast augmentation or guarantee a faster recovery.
Periareolar and inframammary approaches place incisions on or near the breast. Read the incision comparison to understand the locations and tradeoffs.
Understanding where an implant sits
Endoscopic breast augmentation uses visualization to help create the implant pocket. The illustration shows one possible position above the chest muscle; placement can also be beneath or partly beneath muscle.
An implant adds volume beneath breast tissue.
Placement and revision plans depend on individual anatomy.
One implant position is illustrated. Placement may be above, below or partly below the chest muscle.
A closer look
Is an underarm approach appropriate?
Patients may consider the approach when they want augmentation while avoiding an incision directly on the breast. Your natural breast volume, skin quality, nipple position, implant choice, health and goals all influence the plan.
If sagging or a low nipple position calls for a breast lift, that operation creates breast incisions and may offer a route for implant placement. A lift alone can sometimes meet shape goals when enough volume is already present.
Future pregnancy and breastfeeding can alter breast volume and skin support. Discuss timing, scar behavior and sensation rather than assuming one incision will produce the same result for every complexion or body.
A closer look
A consultation built around your proportions.
Bring the changes you hope to make, your medical and surgical history, questions about implants and any photographs that help explain your preferences. Dr. Ennis evaluates chest width, existing breast tissue, skin elasticity, nipple position and symmetry before discussing a plan.
The practice uses Vectra 3D imaging to help patients compare sizes and proportions. A simulation supports the conversation; it cannot predict or guarantee a surgical result. Discuss how implant volume, base width and projection fit your frame and activity level.
In-office and virtual consultations are available with Dr. Ennis. An in-person assessment is part of final surgical planning. If you are traveling to Boca Raton, allow time for examination, surgery, recovery support and follow-up.
A closer look
Understand the implant choices.
Dr. Ennis offers Mentor and Motiva implant options. Dr. Ennis helps compare the specific device, gel or saline filling, base width, projection, surface, labeling and fit for your tissues.
Mentor
Mentor’s product designs include saline-filled implants, MemoryGel silicone gel implants and form-stable MemoryShape implants. Saline and silicone implants both have a silicone outer shell; the filling, feel, available dimensions and behavior after rupture differ.
Motiva
Motiva SmoothSilk Round and SmoothSilk Round Ergonomix silicone gel-filled implants are listed in FDA-approved patient labeling. The Ergonomix design is intended to respond to movement and posture. Ask Dr. Ennis which device and placement are appropriate for your goals.
Gel cohesiveness, shell surface and barrier technology are additional considerations. These are device characteristics, not a guarantee against rupture, capsular contracture or other complications. Confirm the exact model and its current patient labeling rather than assuming all products from one brand are interchangeable.
Explore the full breast implant guide for shape, profile, size, material and long-term care, or learn about Preservé breast augmentation.
A closer look
Over or under the muscle.
The implant pocket may be above the chest muscle, beneath the muscle or in a planned combination of tissue planes. Incision location and pocket location are separate decisions.
Above the muscle — subglandular
The implant sits beneath breast tissue and above the pectoral muscle. Existing tissue must provide enough coverage; thin tissue can make implant edges or rippling more apparent. Discuss recovery, tissue support and imaging implications.
Below the muscle — submuscular
Muscle coverage can be useful when natural breast tissue is limited. Dr. Ennis often considers this approach when additional tissue coverage is useful. It also has tradeoffs, including recovery discomfort and possible movement of the implant when the muscle contracts.
The pocket should suit your anatomy and implant, rather than be chosen from a general promise of a safer or longer-lasting result. Preservé with Motiva implants has its own tissue and pocket-planning considerations.
A closer look
What happens during surgery?
Breast augmentation generally takes approximately one to two hours under general anesthesia; combined procedures may take longer. The anesthesia and surgical plans are discussed before your operation.
Plan and prepare the pocket
Dr. Ennis makes the planned incision and creates a pocket suited to the implant and your tissues. With an endoscopic underarm approach, a small camera helps him view the internal anatomy while working through the incision.
Place and assess the implant
The implant is placed in the pocket. Position, size, shape and symmetry are assessed, including how the breast contour relates to the chest and the other breast.
Close and support
The incisions are closed carefully, and dressings or a support bra are applied as appropriate. You receive instructions for incision care, activity, medicines and follow-up before returning home.
A closer look
Your breast augmentation recovery.
Breasts may be supported with dressings and a surgical bra after surgery. Temporary drains are used when the surgical plan calls for them. Many patients return home the same day after a period of observation, with an adult to drive them and help during early recovery.
Swelling, tightness, bruising and discomfort are expected initially. Dr. Ennis will explain medicines, incision care, sleeping position, support garments and follow-up. Breast shape and softness continue to change as swelling resolves and the tissues settle.
Many patients plan approximately one week before returning to desk work or light household activity, with four to six weeks before strenuous exercise or heavy lifting. These are planning estimates, not a fixed clearance date; your procedure, work demands and healing determine the schedule.
Contact the surgical team promptly about an unexpected change or worsening symptoms, and follow your discharge instructions. Keep follow-up appointments even when you feel well.
Watch filmA closer look
Implants require long-term care.
Breast implants are not lifetime devices. Complications can require further surgery, and the chance of needing another operation increases over time. Review the specific implant’s patient labeling and decision checklist with Dr. Ennis before deciding.
Risks include infection, bleeding, scarring, pain, changes in sensation, asymmetry, implant displacement, rippling, rupture and capsular contracture. Surgery can affect breastfeeding and breast imaging. Discuss your health, medicines, smoking, future pregnancy and previous breast procedures during consultation.
The FDA identifies breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which occurs more often with textured implants, and reports of other cancers in the capsule. Some patients report systemic symptoms such as fatigue and joint pain. Ask how these considerations relate to your implant choice and follow-up plan.
Silicone implant rupture can be silent. Follow the implant labeling and your clinician’s imaging recommendations; routine breast cancer screening remains a separate responsibility. New swelling, pain, firmness, a lump or a change in shape warrants medical evaluation.
Read the FDA’s breast implant safety information and approved patient labeling. You can also learn about breast implant screening with Dr. Riccelli.
Meet your surgeon
Dr. L. Scott Ennis, MD, FACS.
Dr. Ennis is a board-certified plastic surgeon and the founder of Ennis Plastic Surgery in Boca Raton. Breast augmentation through the underarm is a particular focus of his practice.
His approach considers proportion, the patient’s existing anatomy and the changes she wants to make. Discuss experience with your proposed procedure, review comparable patient photographs and ask about the limitations of each option.
Meet Dr. Ennis and review his credentials and selected recognition.
Meet the SurgeonQuestions worth asking
Breast augmentation questions.
Does underarm augmentation leave a scar?
Yes. Transaxillary augmentation leaves a scar in an underarm crease while avoiding an incision on the breast itself. Scar visibility varies with healing.
Do I need a breast lift as well?
Implants add volume; a lift addresses skin excess and nipple position. Your examination determines whether one procedure or a combined plan fits your anatomy.
Can I have a virtual consultation?
Dr. Ennis offers in-office and virtual consultations. An in-person assessment is needed for final surgical planning.
How do I choose the best breast augmentation surgeon for me?
Review relevant board certification, experience with the proposed approach, comparable patient photographs and the plan for follow-up. Ask about risks and alternatives, including choosing not to have surgery.
Learn with Dr. Ennis
More detail.
At your own pace.
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