Endoscopic Breast Augmentation: The Perfect Method to Getting Bikini Ready Without the Under Breast ScarBy Dr. Ferrari | April 14, 2025 | Premier Plastic Surgery Center

Have you been considering getting breast implants, but the thought of having a visible scar keeps holding you back? After all, what's the point of investing in the perfect beach body if you have to worry about hiding an unsightly scar every time you slip into a low-cut top? We completely understand, and thankfully, there is a solution to that very concern. Endoscopic breast augmentation is a high-tech, minimally invasive way to get the look you want without the under-breast scar. At Premier Plastic Surgery, we're here to discuss the perfect method to getting bikini-ready without the unsightly scarring. 

What Exactly is Endoscopic Breast Augmentation?

Endoscopic breast augmentation is a modern, scar-minimizing technique that uses a tiny camera called an endoscope to guide implant placement.

Instead of making a traditional incision under the breast (where a scar can sometimes be noticeable), your surgeon makes a tiny incision in the natural crease of your armpit. This means no visible scars on your breasts—just smooth, natural-looking curves!

The endoscope gives the surgeon a clear, high-definition view underneath the tissue in your chest without having to make huge incisions. This allows for precise implant placement with less trauma to the surrounding tissue. In the end, you're left with more symmetrical, natural-looking breasts and a quicker recovery period than a traditional breast augmentation. 

How Does The Procedure Work?

So, how exactly do they get those implants in place without an under-breast incision? It is actually a much simpler, less invasive technique than you would get with a regular breast augmentation.

1. Tiny incision in the armpit – A small, 1 to 1.5-inch incision is made in your natural armpit crease. (Bye-bye, visible scars!)
2. Endoscope insertion – A thin, tube-like camera is inserted to provide a detailed, real-time view of the breast pocket.
3. Creating the implant pocket – The surgeon uses the camera to carefully and precisely create the space where your implant will sit.
4. Implant placement – Your saline or silicone implant is placed with pinpoint accuracy—no guesswork, no unnecessary poking around.
5. Incision closure – The small armpit incision is closed, and boom—you’re done!

No breast scars. No guessing. Just beautifully placed implants that look and feel natural.

Why Women Prefer This Method For Breast Implants

It is no secret that less scarring is desirable for just about any cosmetic surgery. Traditional breast augmentations leave a scar under the breast fold, which can sometimes be noticeable when lying down, wearing a swimsuit, or rocking a strapless dress. With endoscopic augmentation, your tiny scar is hidden in your armpit crease, meaning you can confidently show off your new curves—without worrying about visible marks.

In addition to less scarring, endoscopic breast augmentation also allows for better precision while your breasts are in a more natural resting position. Because the endoscopic camera magnifies everything, the surgeon can place your implants with extreme accuracy. This means you are left with better symmetry, less risk of complications (like implant malposition), and a more natural, seamless look.

Since this method is less invasive than traditional breast augmentation, your body goes through less trauma, meaning less swelling and bruising, less discomfort during recovery, and a quicker bounce-back to normal activities. Many women return to their regular, non-strenuous activities within a few days. And honestly, the sooner you can show off your new curves, the better!

Am I a Good Candidate For Endoscopic Breast Augmentation?

While this scar-free technique is great for many women, it’s not a one-size-fits-all procedure. You’re likely a great candidate if:

• You want breast implants but don’t want visible scars on your breasts.
• You have good skin elasticity and overall good health.
• You’re looking for a natural-looking enhancement with minimal downtime.
• You’re okay with saline or moderate-size silicone implants (very large implants may not be ideal for this method).

If this sounds like you, it might be time to book a consultation with a board-certified plastic surgeon to see if endoscopic breast augmentation is your perfect match!

Recovery: What to Expect

When it comes to recovery time, we know no one wants to be stuck in bed for weeks. Luckily, with endoscopic breast augmentation, most patients find themselves going back to light activities right away. We encourage our patients to resume basic light activity the day of surgery to help with recovery (just be sure to take it slow and listen to your body). You can expect to see some swelling and minor bruising, but it fades pretty fast over the course of the first week or so. Most surgeons recommend no intense workouts or heavy lifting for three weeks (sorry, gym lovers). After that, you should be ready to return to your everyday routine, gym and sauna included!

Your armpit incision heals quickly and fades over time—most people won’t even notice it! If you still do not favor the appearance of the small scar, there are several other cosmetic options, such as laser treatments, that can help to further eliminate any visible scarring. 

Dr. Ferrari’s Expertise in Endoscopic Breast Augmentation

At Premier Plastic Surgery Center, you’re not just getting a scar-minimizing procedure, you’re getting world-class expertise. Dr. Victor Ferrari has performed thousands of breast augmentations through the armpit using endoscopic techniques. His extensive experience with this advanced approach allows him to consistently deliver beautiful, natural-looking results with minimal visible scarring.

In fact, Dr. Ferrari was one of the early adopters of the transaxillary (armpit) method and even taught this technique to other plastic surgeons across the country. You’re in the hands of a trusted expert who understands both the science and artistry behind this cutting-edge technique.

So, What’s Next?

Endoscopic breast augmentation might be your new best friend if you are looking for bigger, perkier breasts without the unsightly scarring. 

Ready to get started? Do some research, book a consultation with a trustworthy, board-certified plastic surgeon like Dr. Ferrari at Premier Plastic Surgery Center, and start planning for the beach body you've been dreaming of.