Enhance your breasts with Scarless Breast Augmentation in Los Angeles

Serving Los Alamitos, Newport Beach, Beverly Hills, Los Angeles, Seal Beach, Long Beach, Cypress, Cerritos, Lakewood, Huntington Beach, Irvine & Costa Mesa

1) What Is “Scarless” Breast Augmentation?

“Scarless” breast augmentation refers to placing implants through a hidden incision in the armpit (transaxillary)—often with endoscopic assistance—so no scar sits on the breast itself. While the nickname says “scarless,” a small underarm scar is present; it’s simply concealed within the natural axillary crease. This approach can deliver beautiful, natural results for the right patient, particularly those from Los Alamitos, Seal Beach, Rossmoor, Cypress, Cerritos, Lakewood, Long Beach, Huntington Beach, and the greater Orange County area who prefer to avoid a breast crease or periareolar scar.

2) Who Benefits (Key Advantages)

Avoiding a breast scar is the primary advantage. The underarm location can be especially appealing for patients whose breasts are small or whose crease/areola scars would be more visible. The endoscope provides magnified visualization, helping with hemostasis and pocket precision. Because the incision is remote, many patients feel the breast itself looks “untouched,” which can be a psychological benefit during recovery.

3) Am I a Good Candidate?

Ideal candidates have minimal or no sagging (ptosis), desire a straightforward size increase, and are not planning complex pocket changes. Patients with mild asymmetry or thin tissues can be candidates, but those needing a lift, plane change, or significant revisions often do better with an inframammary approach for maximum control. We’ll guide you after assessing tissue thickness, chest width, and your goals.

4) Endoscopic Technique (How It Works)

Through a small axillary incision, we insert an endoscope—a slender camera—to visualize the pocket creation under the gland (subglandular), beneath the fascia (subfascial), or partial under muscle (dual-plane). The endoscope allows meticulous bleeding control and pocket precision. Once the pocket is prepared, the implant is inserted using a no-touch technique to reduce contamination risk, then symmetry is checked and fine adjustments are made.

5) Implant Choices & Limitations

Both silicone and saline implants can be placed transaxillary with endoscopic support. Saline implants are filled afterplacement and can use a smaller incision; silicone implants may require a slightly longer axillary incision. In very complex cases (revisions, severe asymmetry, large implants), an inframammary approach can provide more predictability.

6) The Procedure – Step by Step

1. Pre-op markings and measurements; 2) Anesthesia; 3) Axillary incision and endoscope insertion; 4) Pocket creation (dual-plane/subfascial/subglandular); 5) Implant placement; 6) Hemostasis and symmetry check; 7) Fine layered closure and steri-strips; 8) Support bra. Most cases are ~1–2 hours and outpatient.

7) Recovery & Aftercare

Expect underarm tenderness and some arm-movement caution the first week. Most return to desk work in ~1 week. Keep incisions dry, avoid deodorant and shaving over the incision until cleared, and wear a supportive bra. Light cardio resumes at 2–3 weeks; upper-body workouts typically resume at 6–8 weeks.

8) Risks & Safety

Risks include infection, bleeding, asymmetry, implant malposition, capsular contracture, sensory changes, and hypertrophic scarring of the axillary incision. Revisions can sometimes be more complex through the armpit and may require a different incision on the breast crease for best control.

9) Alternatives to Consider

If you need a lift, pocket change, or future revisions are likely, an inframammary incision may serve you better. Periareolar incisions are an option for qualified candidates who want scar camouflage at the areola border.

10) Cost & Financing

Costs reflect endoscopic equipment and operative time. You’ll receive a transparent quote and financing options during consultation.

11) FAQs (Full-Paragraph Answers)

Is “scarless” truly scarless?
Not literally—there is a small scar in the underarm. The advantage is that the breast itself has no scar, which many patients prefer. With careful placement and good healing, the axillary scar is often discreet in the crease and not visible in tops or bikinis.

Can silicone implants be placed through the armpit?
Yes—endoscopic assistance makes axillary silicone placement feasible. The incision may be a bit longer than with saline, but we can still achieve excellent pocket control and symmetry in properly selected candidates.

Will I have more pain in the armpit?
Early discomfort is typically felt in both the chest (tightness) and the underarm (tenderness). Most patients manage well with oral medication and find that discomfort rapidly improves over the first week.

Is transaxillary better than the crease incision?
“Better” depends on goals. Axillary avoids a breast scar and is great for primary augmentations with straightforward pocket needs. Inframammary offers the most control for complex anatomy, lifts, and revisions. We’ll recommend the approach that supports your long-term results.

What if I need a revision later?
Some revisions can be done through the axilla, but many benefit from an inframammary incision for precision. We’ll discuss long-term maintenance so you can make an informed choice.

Can I wear deodorant and shave normally after surgery?
Yes—after the incision seals and you’re cleared at follow-up. In the first 1–2 weeks, avoid deodorant and shaving directly over the incision to reduce irritation and contamination risk.