Top Breast Augmentation Options in 2026

If you are researching the top breast augmentation options in Boca Raton, you are likely looking for more than just larger breasts. Most patients today want a result that looks natural, feels balanced, fits their body, and is performed by a surgeon with proven expertise. At Ennis Plastic Surgery, Dr. L. Scott Ennis offers advanced breast augmentation options designed around elegance, precision, and a more personalized surgical plan. Many people come to see Dr Ennis for small implants they have termed Ballerina Breast. 

Dr. Ennis is known for his expertise in transaxillary breast augmentation, a specialized underarm approach that avoids visible scars on the breast, as well as his use of advanced implant technologies such as Motiva® SmoothSilk Ergonomix® implants. He is also among the surgeons offering Preservé® breast augmentation, a modern tissue-preserving approach designed to reduce disruption of the natural structures of the breast. 

"In 2026, patients are seeking a more natural and balanced look that fits their body. Understanding your options is the first step toward making a confident decision."

1. Traditional Breast Augmentation

Traditional breast augmentation remains one of the most common cosmetic surgeries performed today. In a traditional augmentation, implants are placed to increase breast volume and improve shape. This approach can produce beautiful results, but the exact technique, incision location, implant type, and degree of tissue disruption can vary.

For some patients, traditional augmentation is still a strong option. However, newer methods may offer added benefits in terms of scar placement, tissue preservation, and recovery.

2. Transaxillary Breast Augmentation

One of the most sought-after options for patients who want to avoid breast scars is transaxillary breast augmentation. In this technique, the implant is inserted through a small incision hidden in the underarm rather than on the breast itself.

Dr. Ennis is especially known for this approach. Because transaxillary breast augmentation is technically demanding, patients often seek out a surgeon who has specific expertise in minimally invasive and endoscopic breast surgery. Ennis Plastic Surgery highlights Dr. Ennis’s experience in highly specialized minimal-incision techniques, which makes this a defining part of his breast surgery practice.

Unlike many surgeons who say they perform this technique but only use it to get the patient int he office and tell them they are not a candidate, Dr Ennis has performed thousands and thousands of transaxillary breast augmentations with silicone implants. 

For the right candidate, transaxillary breast augmentation offers several advantages:

• No visible scar on the breast
• A more discreet surgical approach
• Preservation of the natural appearance of the breast skin envelope
• An elegant option for patients who prioritize scar concealment

3. Preservé® Breast Augmentation

Preservé® breast augmentation is one of the newest and most advanced options now available in Boca Raton. This technique is designed around a tissue-preserving philosophy. Rather than aggressively cutting through natural structures, it uses specialized tools to gently create space for the implant in a more controlled way.

The Preservé® materials describe the technique as a less invasive approach intended to preserve native breast tissue functionality, including nipple sensation and chest muscle integrity.

For many patients, this makes Preservé® appealing because it aligns with a more modern view of breast augmentation: create beautiful enhancement while respecting the natural anatomy of the breast. Preserve’ is unfortunately not for everyone. It is best for women with small breast and tighter skin who seek small implants. 

Breast Augmentation Before & After

4. Motiva® SmoothSilk Ergonomix® Implants

Implant choice is just as important as surgical technique. At Ennis Plastic Surgery, Preservé® is paired with Motiva SmoothSilk Ergonomix® implants, which are designed to mimic the look, feel, and movement of a natural breast. The product materials describe these implants as adaptive, with a soft and responsive feel intended to create more natural movement in different body positions.

Patients researching the top breast augmentation options in Boca Raton often ask about the difference between implant brands. Motiva® stands out for patients who prioritize:

• Natural movement
• A soft, natural feel
• Advanced implant design
• Compatibility with minimally invasive techniques

Available in three projections: Mini, Demi, and Full

5. Preservé® with Transaxillary Technique

For the right patient, one of the most advanced combinations available today is Preservé® breast augmentation performed using the transaxillary technique. This approach combines tissue preservation with hidden underarm scar placement, offering a refined alternative to traditional augmentation methods.

This option is particularly attractive to women who want:

• No scar on the breast itself
• A natural-looking result
• A modern, minimally invasive approach
• Advanced implant technology
• Surgery performed by a specialist in transaxillary breast augmentation
• Perfect for women with small breast, tighter skin who seek small implants.

Preservé® vs Traditional Breast Augmentation

Patients comparing options often want to know whether Preservé® is truly different from traditional augmentation. The answer is yes. While both aim to improve breast size and shape, Preservé® is designed to reduce tissue disruption and preserve more of the natural internal anatomy of the breast. Traditional augmentation can still deliver excellent results, but it more commonly involves direct dissection and often uses incisions placed on or near the breast.

With Dr. Ennis’s transaxillary approach, patients may also avoid visible breast scars entirely. For someone seeking a more discreet and tissue-conscious procedure, this can be a significant advantage.