Breast augmentation is one of the most commonly performed plastic surgery procedures worldwide. Beyond increasing breast volume, patients are increasingly seeking a natural-looking aesthetic result while minimizing—or even eliminating—any visible scarring on the breasts.
Thanks to technical advances in breast surgery, it is now possible to offer breast augmentation without visible scarring on the breasts by using a specific approach: the endoscopic-assisted axillary technique.
This article outlines the anatomical and technical foundations of this approach, its indications, its advantages, and the conditions required for optimal outcomes.
Definition of the “No Visible Scars on the Breasts” Concept
It is important to clarify that no surgical procedure is completely free of incisions. In the context of breast augmentation without visible scars on the breasts, however, the incision is not made on the breast itself, the areola, or the inframammary fold.
Instead, the surgical approach involves a discreet incision in the axillary crease (armpit). This technique fully preserves the breast skin and areola, thereby avoiding any visible scarring on the chest. The axillary scar, located within a natural skin fold, typically fades over time and becomes minimally noticeable.
The Endoscopic Axillary Approach: Technical Principles
The axillary approach relies on the use of surgical endoscopy, which allows direct and precise visualization of the anatomical structures throughout the procedure. The endoscope provides the surgeon with optimal control during dissection and during the creation of the pocket intended to receive the breast implant.
This approach allows for:
- precise and atraumatic dissection;
- symmetrical and stable placement of the implants;
- the creation of an internal bra;
- enhanced preservation of breast tissues and neurovascular structures.
Contrary to some common perceptions, the endoscopic axillary approach does not impose any limitation on implant volume. It allows for both moderate augmentations and larger volume enhancements, depending on the patient’s anatomy and aesthetic goals.
This versatility is what makes scarless breast augmentation via the axillary approach a particularly attractive surgical option.
Implant Selection: A Safety-Based Approach
With this technique, saline implants are preferred over silicone gel implants. This choice is based on a surgical philosophy focused on safety, predictability of outcomes, and long-term durability.
Saline implants allow for:
- safe insertion via the axillary approach;
- a natural appearance;
- a reduced risk of capsular contracture;
- enhanced safety in the event of rupture (saline solution);
- excellent longevity (15–20 years);
- harmonious integration with the breast tissue.
Endoscopic axillary breast augmentation makes it possible to offer scarless breast augmentation to all patients, regardless of the desired volume, while maintaining high standards of safety.
Indications and Patient Selection
This approach is suitable for a wide range of patients seeking breast augmentation with no visible scars on the breasts. It is particularly indicated for:
- women who have never undergone breast surgery;
- patients wishing to preserve intact breast skin;
- those seeking a natural and symmetrical result;
- patients concerned about scar discretion.
A personalized clinical evaluation remains essential to confirm candidacy, assess breast anatomy, and define the optimal surgical strategy.
Clinical Advantages of Axillary Breast Augmentation
Axillary breast augmentation offers several well-documented advantages:
- complete absence of scars on the breasts;
- a discreet axillary scar, often barely visible after one year;
- enhanced surgical precision through the use of endoscopy;
- preservation of breast anatomy;
- reduced risk of certain complications (hematoma, sensory changes of the breast);
- generally faster postoperative recovery;
- ability to begin breast massage as early as the day after surgery;
- access to the full range of augmentation volumes.
This technique is particularly appreciated by active patients and those wishing to wear low-cut clothing or swimwear without any visible surgical scars.
Importance of Surgical Expertise
The endoscopic axillary approach is an advanced technique that requires extensive surgical expertise as well as a precise understanding of breast anatomy. When performed by an experienced surgeon, it provides reliable, natural, and long-lasting aesthetic results.
Dr. Mario F. Bernier, plastic surgeon, has been practicing this technique for over 30 years. A specialized consultation allows for an assessment of aesthetic goals, discussion of implant selection, and a detailed explanation of the procedure to ensure safe and personalized care.
Conclusion
Thanks to the endoscopically assisted axillary approach, it is now possible to offer breast augmentation with no visible scars on the breasts to patients wishing to increase breast volume, without compromising safety, aesthetic outcomes, or implant size.
This modern approach, grounded in rigorous surgical principles, makes it possible to achieve harmonious results while preserving the integrity and natural appearance of the breasts. A personalized consultation remains the most important step in determining whether this technique is suited to each patient’s expectations and anatomy.
For more information, you may contact the clinic of Dr. Mario F. Bernier at 450-686-4755.
Content reviewed by Dr. Mario F. Bernier, Plastic Surgery Certificate #13322, Collège des médecins du Québec