Endoscopic Breast Augmentation for Patient Safety: A Modern Approach to EnhancementBy Dr. Ferrari | July 01, 2025 | Premier Plastic Surgery Center

What Is Endoscopic Breast Augmentation?

Many people want the benefits of breast augmentation and enhancement without the drawbacks of traditional surgery. Conveniently, endoscopic breast augmentation exists. Using the endoscopic technique for this procedure makes it perfect for anyone looking to improve the appearance of their breasts while keeping safety, precision, and quick recovery at the top of their priorities.

So, what makes this technique different? Why are more surgeons and patients opting for it? Premier Plastic Surgery Center is here to bring you everything you need to know.

How Is It Done?

Endoscopic breast augmentation is an alternative technique for breast enhancement that uses a camera called an endoscope. It can be used for either saline or silicone implants. Small incisions are made in less visible areas, such as the armpit, instead of making large cuts directly on the breast that leave unsightly scars.

The camera shows a clear, magnified view of the inside of the chest, allowing for precise implant placement with significantly less tissue trauma. This causes less bruising, scarring, and discomfort after your procedure is over. Using an endoscope is like having an internal GPS during your surgery, the surgeon is able to navigate with accuracy while avoiding unnecessary damage.

Here's the breakdown of how it is done:

1. Incision Placement: Instead of the traditional incisions under the breast fold or around the nipple, a small incision is made in the natural crease of the armpit.
2. Camera Insertion: An endoscope is inserted through the incision to give the surgeon a clear and detailed view of the breast tissue and muscle.
3. Pocket Creation: Using the visuals from the endoscope, the surgeon carefully creates a pocket for the implant.
4. Implant Placement: The breast implant is then inserted and positioned without the need for excessive pulling or stretching of the tissue. The implant can be placed either under or over the pectoral muscle.
5. Incision Closure: The small incision in the armpit is closed with dissolvable sutures, and the recovery process begins.

If you have significant breast sagging (ptosis), a breast lift (mastopexy) may be necessary alongside augmentation to achieve optimal results. Your plastic surgeon will assess your anatomy to determine the best approach for reaching your ideal goals.

Why Endoscopic Breast Augmentation Is Safer Than Traditional Methods

One of the biggest concerns with any surgery is safety, and endoscopic breast augmentation offers several advantages that make it a safer option. Since the incision is placed in the armpit, scarring is discreet enough to go almost completely unnoticed in many cases, unlike the more visible scars often left by traditional breast augmentation.

Because the endoscopic technique allows for more precise implant pocket creation, your chances of developing capsular contracture (a condition where the implant is surrounded by tightened scar tissue, causing hardness and discomfort) are significantly reduced. You can also expect shorter recovery time and lower infection risk thanks to the smaller incisions that limit exposure to contaminants. Less swelling and discomfort mean a faster return to daily activities, ideal for those who like to stay busy and don't like sitting around recovering for a long time.

Having done thousands of endoscopic breast augmentations for over 25 years, Dr. Ferrari has consistently observed that implants placed using the endoscopic method tend to stay in position better and are less likely to sag over time. This is a significant advantage for patients seeking long-lasting, natural-looking results.

Who Is a Good Candidate for Endoscopic Breast Augmentation?

If you are looking into endoscopic breast augmentation, it is important to know if you are a good candidate. Ideal candidates for the procedure include:

• Adults who want natural-looking breast augmentation with minimal scarring
• Patients who would prefer a minimally invasive approach with a quicker recovery time
• Individuals looking to reduce the risk of complications like capsular contracture
• Women with good skin elasticity, as this can help the implant settle smoothly
• Those who haven't had prior breast augmentation (since revision surgeries may require a different approach)

You should not get a breast augmentation procedure if you are pregnant or breastfeeding, plan to lose a significant amount of weight soon or have any medical conditions that could interfere with your body's ability to heal properly. If you're not sure if this is the procedure for you, speak with a certified plastic surgeon or your primary care doctor first.

Recovery: What to Expect After Surgery

The recovery process for endoscopic breast augmentation is generally smoother than traditional breast augmentation, but there are still a few things to keep in mind that you should be aware of:

• First Few Days: Expect some mild swelling, tightness, and discomfort that is manageable with prescribed medications.
• Back to Work: Most patients can return to non-strenuous work within a week.
• Exercise & Heavy Lifting: You'll need to avoid strenuous activity for about three weeks and upper-body workouts for about four to six weeks (depending on if your implants are over or under the muscle).
• Final Results: While you'll see an immediate improvement, implants typically take a few months to fully settle into the most natural position. Following your surgeon's aftercare instructions is also incredibly important for the best possible healing and recovery.

Why Choose a Surgeon Experienced in Endoscopic Techniques?

The most important part of undergoing breast enhancement is choosing a trusted, board-certified surgeon who is deeply experienced in endoscopic breast augmentation. Dr. Ferrari was one of the early adopters of this advanced technique and has performed thousands of successful endoscopic procedures. In fact, he taught courses to other plastic surgeons on how to master this approach.

Because this technique requires advanced training and technical precision, not all surgeons offer endoscopic breast augmentation. Choosing someone with specialized expertise, like Dr. Ferrari, helps safeguard your results and your well-being.

Is Endoscopic Breast Augmentation Right for You?

Endoscopic breast augmentation could be the solution for you if you're considering breast enhancement that is all-around safer and less invasive with minimal scarring. The best way to determine if endoscopic breast augmentation is the right procedure for you is to book a consultation with a qualified surgeon. They'll assess your goals, explain the details of the procedure, and help you decide whether this innovative approach is the best fit for your body and lifestyle.