Breast Enlargement With No Visible Scar

Dr. Marc Leventhal, M.D.

by Dr. Marc Leventhal, M.D. | August 16, 2010 @ 10:00AM

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Endoscopic surgery has been embraced by surgeons and patients alike as a less invasive surgery that reduces scarring and allows more rapid recovery, cosmetic surgeon Marc Leventhal, M.D. explains.

Traditionally, breast augmentation was performed through incisions made in the fold under the breast, around the lower portion of the areola, or in the armpit. Recently, however, with the advent of the endoscopic techniques, it is now possible to insert a saline implant through an incision made in the belly button, resulting in one small inconspicuous scar.

What is endoscopic surgery?

Surgery utilizing telescopes and cameras that are inserted through tiny incisions (producing the so-called "Band-Aid" operations) are known for the lack of scarring produced. Arthroscopic knee surgery, tubal ligation, and endoscopic gallbladder removal are some of these well-known procedures. This technique is Now available for insertion of saline breast implants.

How is the procedure performed?

Transumbilical endoscopic breast augmentation is performed on as outpatient basis using general or local anesthesia. A small incision is made in the belly button. Through this incision, an endoscope is inserted and passed in the subcutaneous tissue upward behind the breast or behind the pectoral muscle forming a tunnel. Its position is monitored by a tiny camera attached to the endoscope. A balloon dissector is inserted up to the tunnel and inflated - producing the pocket that will later hold the implant. Since the pocket is formed by stretching and spreading the tissues, rather than by cutting them, no blood vessels or nerves are injured during the process. The balloon is removed, and the implant is inserted and inflated. The small incision in the belly button is then closed with self-dissolving sutures.

Who is a candidate?

Women who prefer the umbilical approach are those who especially desire no visible scar. However, those who have tubular shaped or sagging breasts are not candidates for this method.

What are the advantages of this procedure?

Besides no visible scar, other advantages of the belly button approach include less post-operative pain, faster recovery period, lower rate of infection, less bleeding, and quicker return to normal activity.

What if my breasts are sagging?

Sagging breasts can be corrected with lifting procedures performed through other incision approaches. The lift procedure may be accompanied with insertion of implants to enlarge the breasts, or removal of excess breast tissue to reduce the breast size.

This article provided by Dr. Marc Leventhal, M.D. For further information, please visit 

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