Palo Alto & San Jose
We understand that the decision to undergo breast augmentation is a deeply personal journey. Endoscopic Breast Augmentation is unique in that it offers natural-looking results without the visible scarring one may experience with traditional methods. This procedure also provides a significantly easier recovery with much less downtime.
At Illuminate Plastic Surgery, we combine surgical innovation with compassionate care, guiding each patient through an understanding and supportive experience. Dr. Michael Berkowitz developed this unique surgical procedure, using an endoscope to perform the surgery through a transaxillary incision in the underarm. This approach minimizes trauma to breast tissue, reduces the risk of complications such as capsular contracture, and allows for a faster recovery with no scars on the breasts themselves.
Both Dr. Berkowitz and Dr. Boudreault bring extensive experience in performing breast augmentation surgery, ensuring that each patient receives excellent results tailored to their individual goals.
Endoscopic Breast Augmentation is a modern, minimally invasive approach to breast enlargement using a tiny camera (endoscope) inserted through a small incision in the underarm. The camera provides direct visualization during implant placement, allowing the surgeon to form the implant pocket with extreme precision behind the breast tissue or under the chest wall.
This procedure can use either saline implants, which are ideal for this approach, or smaller silicone implants, including gummy bear options. The implants are placed without touching the skin, minimizing the risk of infection, scar tissue, or capsular contracture. This technique also reduces the likelihood of any silent ruptures or shifting. The result is a refined breast shape with a smooth contour and natural feel.
This technique allows women to enjoy the benefits of traditional breast augmentation surgery with a more discreet incision and less downtime. Benefits of endoscopic breast augmentation include:
Endoscopic Breast Augmentation is best suited for women who want subtle breast enhancement and prefer to avoid visible scarring on the breasts. Many of our patients have previously delayed surgery because they didn't want scars on their chest, and this approach solves that concern beautifully. You may be a candidate if:
This technique may not be ideal for women who require a breast lift, need revision surgery, or are seeking a larger implant size than the axillary approach allows. During your initial consultation, we'll determine the best approach to align with your goals.
Your journey begins with a thorough initial consultation at our office in Palo Alto. We'll review your medical history, discuss your goals, and evaluate your anatomy. Before your surgery, we will:
You'll receive a customized surgical plan tailored to your vision, lifestyle, and optimal recovery.
Performed under general anesthesia, this surgical procedure typically takes between 60 and 90 minutes. A small incision (less than one inch) is made in the natural crease of the armpit area. Using a high-resolution endoscope, our board-certified plastic surgeon will guide the formation of the implant pocket, ensuring symmetrical and accurate placement behind the breast tissue or chest wall. The selected breast implants, either saline or silicone gel, are then inserted. Because the endoscope enhances visibility, you can expect less bleeding, trauma, and overall risk than traditional breast augmentation procedures.
Most patients return to light activities and desk work within three to five days. Complete healing and return to strenuous exercise or heavy lifting typically occur within four to six weeks. Post surgery:
Our team will guide you every step of the way, ensuring a smooth, safe, and supported healing process.
Patients immediately notice a more youthful contour and improved breast shape, although swelling may temporarily obscure the final results. Your implants will settle over time, with the final positioning typically reached within two to three months. Your results will:
Implants are long-lasting but not considered lifetime devices. We encourage patients to reach out to us at any time with questions or concerns, even after the initial recovery process is complete.
The cost of endoscopic breast augmentation varies based on the implant type, surgical complexity, and any combination of procedures (like fat grafting or breast lift) that may be included. Your total fee may include:
We offer support at every step of your journey. This includes convenient financing options and transparent pricing.
From your initial consultation through all of your follow-up appointments, you'll be supported by one of the most experienced and results-focused plastic surgery teams in the San Francisco Bay Area. At Illuminate Plastic Surgery, we care deeply about your unique aesthetic goals and helping you feel more confident every day. We take the time to listen to your concerns and pride ourselves on patient satisfaction. We combine advanced surgical techniques with a truly personalized experience. Whether it's plastic surgery, skin care, or wellness services, we can design a comprehensive program to help you look and feel your best.
Ready to explore a better way to enhance your curves and feel more confident? We're here to guide you with kindness, clarity, and expert care. Call us at (408) 369-9300 or book your consultation online to get started.
Discomfort is typically mild and easily managed with oral medications.
Yes, our surgeons, Dr. Berkowitz and Dr. Boudreault are have decades of experience and put safety first with every procedure.
One of the major benefits of endoscopic breast augmentation is that it is less invasive than traditional methods. As a result, recovery is much easier. Most patients resume daily tasks within a few days and return to full activity within a few weeks.
Implants typically last 10 to 20 years, though individual results may vary.
Yes. The procedure avoids the breast ducts, preserving your ability to breastfeed in most cases.
At Illuminate we’re with you during every step of your journey toward greater self-confidence. Schedule a consultation with us today and let Illuminate’s expert team listen to your concerns and guide you through treatments and procedures to help you reach your individual goals. We look forward to seeing you and celebrating your renewed appearance and realized potential.