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Breast augmentation is one of the most popular procedures at Ocean Plastic Surgery Center. Patients from Los Alamitos, Long Beach, Huntington Beach, Newport Beach, and across Orange County often ask whether scarless transaxillary augmentation or a traditional inframammary approach is the better choice. The answer depends on your anatomy, implant type, and long-term goals.
What is scarless breast augmentation?
Scarless breast augmentation places implants through a small incision hidden in the armpit (transaxillary approach), often with endoscopic assistance. No incision sits on the breast itself. A subtle scar may remain in the underarm crease, but the breast skin stays untouched.
This technique appeals to patients who want augmentation without a visible breast crease scar and who are good candidates for a straightforward size increase without significant lifting needs.
What is traditional breast augmentation?
Traditional augmentation typically uses an inframammary incision placed in the fold beneath the breast. This approach offers maximum surgical control for implant selection, pocket creation, asymmetry correction, and combination procedures such as a breast lift.
When healed, the scar is hidden in the natural breast fold and is difficult to see in bras, bikinis, or daily clothing.
Comparing candidacy
Scarless augmentation works best for patients with mild or no breast sagging who want a primary size increase and have tissue that supports the chosen implant. Traditional augmentation is often preferred when patients need a lift, have significant asymmetry, want very large implants, or may need revision surgery in the future.
Implant options and incision size
Both silicone and saline implants can be placed through the armpit with experienced endoscopic technique. Saline implants are filled after placement and may require a slightly smaller incision. Silicone implants may need a longer axillary opening but still avoid a breast scar.
Recovery comparison
Both approaches involve similar chest tightness and swelling. Transaxillary patients also notice mild underarm tenderness and should avoid deodorant and shaving over the incision early in healing. Most patients return to desk work within about one week and resume full workouts after surgeon clearance, usually around 6 to 8 weeks.
Which should you choose?
There is no universal best option. The right approach is the one that delivers safe, natural, long-lasting results for your body. Dr. Raman Mehrzad evaluates chest width, tissue thickness, nipple position, and lifestyle goals before recommending scarless or traditional augmentation.
Explore our detailed procedure pages: Scarless Breast Augmentation and Breast Augmentation. To schedule a consultation in Los Alamitos, call 424-355-4581.
Serving patients from Los Alamitos, Long Beach, Seal Beach, Orange County, Cypress, Cerritos, Lakewood, Huntington Beach, Newport Beach, and the greater Los Angeles area.