Transaxillary Breast Augmentation

Breast implants through the underarm in Boca Raton.


Transaxillary breast augmentation consultations and implant surgery is 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 and want to learn about the underam incision technique for breast implants.

To learn about transaxillary breast augmentation, please read the guide below or contact Ennis Plastic Surgery at 561-405-9020. We are here to help you get the look you desire.

Quick Guide Links:

VIDEO: Transaxillary Breast Augmentation with Plastic Surgeon, Dr. Ennis

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

What is Transaxillary Breast Augmentation

Breast augmentation surgery is an excellent option to enhance the shape and size of the breasts. However, many women are understandably concerned about maintaining a natural breast appearance, primarily apprehensive about scarring. With the periareolar and inframammary approaches to breast augmentation surgery, women are left with a scar around the nipple or in the breast fold. Even if these scars are small and well healed, it is an obvious sign of a breast augmentation surgery.

With the periareolar and inframammary approaches to breast augmentation surgery, women are left with a scar around the nipple or in the breast fold.

Fortunately, at Ennis Plastic Surgery, we are pleased to offer another an endoscopic approach to breast augmentation surgery: the transaxillary breast augmentation. The transaxillary breast augmentation is performed in an endoscopic manner in which there is no incision (thus no scar) over any region of the breast tissue. The technique is performed through a small incision in each underarm, leaving only a small scar that is hard to detect.

Like other type of breast augmentation surgery, breast augmentation with the transaxillary approach, improves the breast shape by increasing breast volume with implants. This procedure works to enhance a woman’s figure. In addition, the implants work to improve the breast appearance after pregnancy and weight loss. The difference with a transaxillary underarm breast augmentation vs a traditional breast augmentation is in the location of the incision and route in which the implants are inserted.

Transaxillary Breast Augmentation Photos (before & after)

Actual Patients of Dr. Ennis

Before and After transaxillary breast augmentation Ennis Plastic Surgery Palm Beach Boca Raton Destin Miami Fort Lauderdale Florida
Before and After transaxillary breast augmentation Ennis Plastic Surgery Palm Beach Boca Raton Destin Miami Fort Lauderdale Florida
Endoscopic Transaxillary Breast Augmentation Mentor Smooth Moderate Plus Gel L350 R375 Before and After Ennis Plastic Surgery Palm Beach Boca Raton Destin Miami Fort Lauderdale
Before and After Ennis Plastic Surgery Palm Beach Boca Raton Destin Miami Fort Lauderdale Florida
Before and After Ennis Plastic Surgery Palm Beach Boca Raton Destin Miami Fort Lauderdale Florida

Click here to view all transaxillary breast augmentation before and after photos.

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

Advantages of a Transaxillary Breast Augmentation

  • No scarring on the breast tissue: There is no incision made on the breast, therefore no scarring is left. With other breast augmentation procedures, scars are visible when topless, either around the areola or beneath the breast.
  • Well-hidden scars: The incisions are placed in the underarms, within a natural skin crease. Therefore, the scars are undetectable with the arms down and difficult to detect with the arms raised overhead.
  • Natural results: The surgeon is able to place the implant behind the chest muscle for a full and soft result.
  • Optimal healing at incision site: The incisions in the underarm are not under any unnecessary stress or tension, so are able to heal more rapidly. Rates of infection are lowest at this incision site.
  • Easier recovery: With this technique, there is no need to cut the chest muscle or the breast tissue, allowing for easier recovery.

Transaxillary Breast Aug Consultation to Select the Size, Shape & Appearance

All breast augmentation procedures begin with a thorough and individualized consultation with a breast augmentation surgeon. During your consultation, you will view before and after photos to help identify the size, shape and appearance you desire. You will have the opportunity to “try on” different breast implants and sizes using the Vectra XT imaging system.

This modern technology gives you a 3 dimensional visual indication of the expected surgical outcomes. This way, you will have a more realistic expectation of how your implant will enhance your appearance, after the breasts are healed and you are recovered.

As you select the size and shape of your breast implants you can see exactly how they will look on your own body. You can change them out for different sizes and “try on” as many as you need to help you make a confident decision.

Experience a Breast Consultation with Plastic Surgeon, Dr. Ennis

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

Is the Transaxillary / Underam Incision Right for You?

During the consultation, you and the surgeon will determine which breast augmentation approach best suits your needs. If the transaxillary approach is most appropriate, the surgeon will review the procedure and expected recovery period. For women requiring a breast lift in addition to a breast augmentation, the transaxillary approach will not be best suited. This is because the breast lift requires an incision on the breast tissue, so the implant can be inserted in an existing incision created for the breast lift.

At Ennis Plastic Surgery, our surgeons highly value the consultation, utilizing it as an opportunity to clearly identify a woman’s goals and needs. Our surgeons strive to make the consultation positive, productive and motivating, ensuring that all questions are asked and each woman leaves feeling confident about her surgical decisions.

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

About the Transaxillary Surgical procedure

The surgeon begins by creating an incision in the armpit, along the area of a natural skin fold. This way, the scar can be well hidden after healing. The surgeon inserts an endoscope, which is a narrow fiber-optic camera through the incision site. This endoscope allows for viewing of the internal anatomical structures and guides the surgeon during the surgical procedure. The endoscope allows for viewing and monitoring, while minimizing bleeding and scarring.

Next, the plastic surgeon creates an implant pocket, typically behind the muscle of the chest wall. The implant pocket is the space in which the implant is positioned. The breast tissue and skin are stretched in order to create this pocket and accommodate the implant.

Then, the implant is inserted through the underarm incision and into the created implant pocket. The surgeon evaluates the size, symmetry and shape of the breasts and ensures that the implant is positioned properly. Once the surgeon is satisfied with the breast implant location and breast appearance, the incisions are closed with sutures, taking great care to create sutures that result in minimal scarring.

No scar on the breast with Transaxillary Augmentation

Endoscopic Transaxillary Breast Augmentation Recovery

Breast augmentation surgery takes approximately one to two hours to complete. The transaxillary breast augmentation is performed under general anesthesia in order to ensure patient safety and patient comfort. Once the surgical procedure is completed and the surgeon is pleased with the breast appearance, the incisions are closed with sutures and the breasts are wrapped in a gauze dressing to protect the healing tissues. Many women are also dressed with a surgical bra for support.

Swelling should be expected, but will rapidly decrease over the first several weeks after surgery. There will be some surgical pain, as the skin over the breasts and the breast tissues have been stretched. However, this discomfort will rapidly subside and can be controlled with pain medications.

Most women can expect to return home after several hours in recovery. Patients are educated in proper care of the breasts and follow up instructions. It is important that patients rest for a few days to allow for full and proper healing of the tissues involved. Exercise and heavy lifting should be avoided for four to six weeks, but patients may return to work and household tasks after one week.

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

The Results from Transaxillary

The transaxillary augmentation creates a small scar in a fold of the armpit.

transaxillary breast augmentaiton scar Miami, Boca Raton, Fort Lauderdale

The Ennis Plastic Surgery Difference

Ennis Plastic Surgery is proud to offer the advanced transaxillary breast augmentation procedure. Dr. L. Scott Ennis specializes in this advanced technique and has perfected this approach over several years. He has extensive experience in the transaxillary approach, having performed more than 3,000 endoscopic breast augmentations and enhancing the breast shape for women from all over the world. He has spoken to international audiences of plastic surgeons, discussing strategies of improving the surgical and aesthetic outcomes utilizing this technique.

If you are interested in discussing how a breast enhancement surgery can impact your physical appearance, please contact us to set up a consultation.

Actual Patient of Dr. Ennis