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Endoscopic Breast Augmentation

During a traditional breast augmentation procedure, a plastic surgeon typically creates incisions around the nipples or within the breast crease to place the implants, depending on the type of implant the patient has requested. Board-certified plastic surgeon Dr. Goretti Ho Taghva is proud to offer endoscopic breast augmentation in Orange County & Newport Beach, CA, at LEA Plastic Surgery.

Experience the Lasting Benefits of Endoscopic Breast Augmentation

Endoscopic Breast Augmentation offers an innovative approach to enhancing your figure while minimizing surgical impact. With this advanced technique, you get the transformation you desire, coupled with benefits like quicker recovery and reduced scarring, making it a top choice for modern aesthetic surgery.

Modern Breast Augmentation

Many women are dissatisfied with the size, shape, and contour of their breasts. Breast augmentation can help women with small breasts enhance the size and shape of their breasts or restore volume lost after weight loss, pregnancy, or breastfeeding. Traditionally, breast augmentation has been an invasive procedure, often requiring large incisions and an extended recovery period. Today, however, women can undergo breast implant surgery with smaller discreet incisions, lessening trauma to the tissue, and a shorter recovery period using endoscopic technology.

What is Endoscopic Breast Augmentation?

In a regular breast augmentation, the plastic surgeon typically makes incisions around or beneath the breasts based on the kind of implant chosen. However, board-certified plastic surgeon Dr. Ho Taghva opts for an endoscopic approach which involves an endoscope (camera) to view beneath the skin.

By making a single incision in the patient’s underarm, Dr. Ho Taghva inserts an endoscopic tube to visualize the tunnel and breast pocket before executing the procedure. This method brings about less harm to nearby tissues and invisible openings. Despite being a normal practice for Dr. Ho Taghva, many other board-certified plastic surgeons do not currently provide endoscopic breast surgery.

Breast augmentation surgery is the most popular plastic surgery performed in the U.S.

Ideal Candidates for Endoscopic Breast Enhancement

The best candidates for endoscopic breast enhancement at our Newport Beach practice are women seeking breast enlargement options interested in a less-invasive plastic surgery procedure. Any prospective patient must have good physical health to gain approval for surgery.

Women seeking to alter or restore their breast shape, fix asymmetry or reinstate their breasts post-mastectomy are considered ideal candidates for this procedure.

Suitable candidates must also be realistic in their aesthetic goals and willing to follow post-care instructions for the best results. Women may need to postpone their endoscopic breast implant surgery if they:

  • Plan to have more children
  • Are not at a stable weight
  • Have certain health conditions

Each prospective patient must attend an endoscopic breast implant consultation in Orange County at LEA Plastic Surgery. Dr. Goretti Ho Tagva will meet with you to determine candidacy and establish goals for the procedure.

Your Endoscopic Breast Surgery Consultation

In the consultation with Dr. Ho Taghva, the patient’s medical history will be reviewed, the breasts will be examined, and an idea of size and shape will be discussed. Depending on the woman’s wishes, either natural-looking results or dramatic volume/cleavage may be achieved.

During the consultation, Dr. Ho Tagva will explain the procedure in full so patients can learn how she performs this endoscopic procedure including the pros and cons of this method. Patients are encouraged to address any questions or concerns they may have.

Breast Implant Types

Two types of breast implants have received FDA approval: saline and silicone. Different implant types have pros and cons, and patients should discuss their options for breast implants in Orange County with Dr. Ho Taghva before deciding.

Preparing for Endoscopic Breast Enhancement

Patients can prepare for their upcoming endoscopic breast surgery in Orange County by booking their travel plans well in advance, if applicable.

Preparing for breast augmentation surgery is important for patients to ensure a safe and successful procedure. Women will need to lessen the dosage or stop taking any anti-inflammatory drugs and herbal supplements at least a week or two before the surgery. Patients who smoke will need to quit beforehand as smoking can impair the healing process.

Patients should also ask a family member or friend to remain at the facility during the surgery and drive them home or to their hotel. It is best to stay at least the first night after surgery in case the patient needs assistance.

Dr. Ho Tagva typically recommends that women rest up for a week after surgery before returning to work and avoid certain physical activities for up to 6 weeks. You may need to schedule in advance to prepare for the time away from normal activities.

Exceptional results

The Endoscopic Breast Enhancement Procedure

Dr. Taghva performs endoscopic breast enhancement on an outpatient basis at GALEA Center for Advanced Surgery, located directly adjacent to LEA Plastic Surgery in Orange County. The facility is Medicare Accredited (the highest level of certification) with a surgical team that ensures patients feel comfortable and receive excellent quality care.

When the patient arrives at the plastic surgery center, they will change into a hospital gown and meet with Dr. Ho Taghva before the procedure. The surgeon will create surgical markings on the breasts and go over the specific goals of the surgery.

If add-on procedures like a scarless breast lift or a mommy makeover had been requested, the surgeon will explain the plan for those too. The surgeon covers this during the consultation and before the surgery to keep the patient confident and informed.

The patient will be anesthetized and asleep from the beginning to the end of the breast enhancement and other elected procedures. The team will prep the skin, creating incisions in the transaxillary region of the underarm, and an endoscope or small camera is inserted through a tube to guide Dr. Ho Taghva during the surgery.

Implant placement may be above or under the chest muscle and closer to the chest wall; it depends on the type of breast appearance the patient wishes to achieve. Saline implants are inserted empty and filled once in place, while silicone implants are pre-filled. The doctor may need to stretch the overlying tissue and skin with expanders before placing silicone breast implants.

The breast augmentation procedure may include the placement of surgical drains so the patient can release fluid build-up once home. The small incision sites are sutured shut. We then take the patient into recovery.

Recovery Process after Endoscopic Breast Surgery

Immediate Post-Operative Care

After your endoscopic breast augmentation, it’s crucial to follow specific care procedures to ensure a smooth and comfortable recovery. Initially, you might experience mild to moderate discomfort, which can be effectively managed with prescribed pain relievers. Here’s what you need to know:

  • Post-Surgery Garments: You will be fitted with a special surgical bra immediately after the procedure. It’s designed to support your breasts and reduce swelling by applying gentle pressure. You should wear this garment according to the timeline suggested by Dr. Ho Taghva.
  • Activity Restrictions: Rest is crucial for the first 24 to 48 hours. Avoid strenuous activities or lifting heavy objects. For the first few days, you may need assistance at home for tasks like cooking, shopping, and even moving around the house.

The First Week

  • Pain Management: Continue taking your medication as prescribed to manage any pain. If you notice an increase in pain or any signs of infection (excessive redness, discharge from incisions), contact LEA Plastic Surgery immediately.
  • Care for Incisions: Keep the incision area clean and dry. You will be given specific instructions on how to care for your stitches and when to come in for a follow-up to possibly remove them or check on your healing.
  • Mobility: Gradually increase your daily activities as per the guidelines provided during your discharge. Avoid any jerky, rapid, or extensive movements that might strain your chest area.

Weeks 2 to 6

  • Returning to Work: Depending on the nature of your job, you might be able to return to work within a week. If your job involves physical exertion, you may need more time off or adjustments to your work responsibilities.
  • Physical Activity: Light walks can help circulation and aid in your recovery. However, avoid jogging, running, or aerobics for at least the first six weeks.
  • Follow-up Appointments: Attend all scheduled appointments so that Dr. Ho Taghva can monitor your progress and advise when you can resume all normal activities.
In breast augmentation surgery, small incision sites are closed with sutures, and surgical drains help the patient expel fluids at home

Long-Term Care

Understanding the Risks and Safety Measures of Endoscopic Breast Augmentation

Potential Risks

While endoscopic breast augmentation is generally safe and effective, as with any surgical procedure, there are potential risks that patients should be aware of:

  • Infection: Although rare, there is a small risk of infection at the incision site or around the implant.
  • Capsular Contracture: This occurs when the scar tissue around the implant tightens and compresses the implant, making it feel firmer than normal.
  • Implant Leakage or Rupture: Breast implants, whether saline or silicone, can potentially leak or rupture.
  • Sensory Changes: Some patients may experience changes in nipple or breast sensation, which usually improve over time.
  • Asymmetry: There can be a risk of asymmetry where one breast may appear different from the other in terms of size or position.

Mitigation Strategies

At LEA Plastic Surgery, we prioritize patient safety and actively implement strategies to minimize these risks:

  • Preventive Antibiotics: We administer antibiotics before, during, and after the procedure to reduce the risk of infection.
  • Advanced Surgical Techniques: Our board-certified surgeons use precise surgical techniques to minimize tissue disruption, which helps prevent capsular contracture and ensures symmetry.
  • High-Quality Implants: We use only the highest-quality, FDA-approved implants, which reduces the chances of leakage or rupture.
  • Detailed Pre-Surgical Planning: Every surgical plan is customized based on detailed imaging and measurements to ensure balance and symmetry.
  • Regular Monitoring: Post-operative care includes regular monitoring to swiftly address any complications such as sensory changes or implant issues.

“I love doctor Ho! She is the best! She did my eyes ~ and my fat transfer ~ after the surgery she follows me every week ~ she always give me good advice!~ I am loving my new face now~ thanks and millions of thanks for her! ”


“I was born with left eye ptosis and always had one eye monolid and the other has double crease. It is very difficult for me to do makeup everyday. It bothered me very long time. Now I have even double eyelid and am happy with it. Thank you Dr. Taghva who has amazing skills for the beauty which brings happiness for women.”


Dr. Goretti Ho Taghva
Dr. Goretti Ho Taghva

Frequently Asked Questions About Endoscopic Breast Augmentation

What is the preferred breast implant type used in endoscopic breast augmentation?

At LEA Plastic Surgery, Dr. Ho Taghva offers her patients an assortment of breast enlargement choices, including the SIENTRA gummy-bear silicone implant and the IDEAL implant, a modern saline implant. The gummy-bear implant contains compacted silicone gel. The IDEAL implant is a sophisticated saline breast implant that tries to imitate the feel of silicone women’s breast implants, which are normally a more subtle selection. We will decide which brand and type of implant are best for you during the appointment.

How long does it take to see results?

Breast implants will “settle” over time so women can enjoy a beautiful, natural shape. While the complete result of a breast augmentation is typically evident by the three-month mark, scars will continue to improve as time goes on.

How long do breast implants last?

Over the last several years, there have been many improvements in the design and performance of breast implants. In the past, breast implants required a replacement every ten years. Now they last for far longer, especially when placed by a highly-skilled breast augmentation surgeon in Newport Beach like Dr. Ho Taghva.

Are there risks and side effects of endoscopic breast augmentation?

Endoscopic breast surgery is associated with some side effects and risks. They include bleeding, nerve damage, infection, undesired shape or size, capsular contracture, and rippling.

Who is an ideal candidate for endoscopic breast augmentation?

Ideal candidates for this procedure are individuals who are looking for a less invasive option for breast augmentation but still desire significant improvements in breast size and shape. Candidates should be in good health, non-smokers, and have realistic expectations about the outcomes of the surgery.

What are the advantages of choosing endoscopic breast augmentation over traditional methods?

Endoscopic breast augmentation offers several advantages including smaller incisions, minimal scarring (as incisions are usually made in the armpit), and a shorter recovery period. This technique also allows for precise placement of implants, reducing the risk of complications.

Can endoscopic breast augmentation correct asymmetrical breasts?

Yes, this procedure can improve breast symmetry. The precise placement of implants using endoscopic techniques allows surgeons to make detailed adjustments to breast shape and size, which can effectively correct asymmetry.

What should I expect during the recovery period after endoscopic breast augmentation?

Recovery typically involves mild to moderate discomfort for the first few days, which can be managed with medication. Most patients can return to work within a week and resume strenuous activities within six weeks. Detailed post-operative instructions will be provided to ensure a smooth recovery.

How do I prepare for an endoscopic breast augmentation procedure?

Preparation for surgery generally includes guidelines such as avoiding certain medications that can increase bleeding, stopping smoking, and arranging for someone to drive you home post-surgery. A detailed consultation with your surgeon will provide you with a comprehensive preparation checklist.

What follow-up care is required after endoscopic breast augmentation?

Follow-up care typically includes several post-operative visits to ensure proper healing and monitor the condition of the implants. It’s important to follow all post-op instructions and attend all scheduled appointments to achieve the best results and prevent complications.

How do you ensure safety during endoscopic breast augmentation?

Safety during surgery is ensured through the use of advanced imaging technology and meticulous surgical techniques. Our surgical team is highly experienced and performs the procedure in a fully equipped, accredited facility to adhere to the highest standards of safety and care.

What measures are taken to minimize scarring after surgery?

In endoscopic breast augmentation, incisions are typically made in discreet areas, such as under the armpit, to minimize visible scarring. Additionally, advanced suturing techniques are used to ensure that scars are as inconspicuous as possible.

What is capsular contracture?

Once a breast implant is in place, scar tissue forms around it and creates a tissue capsule. Capsular contracture is a common risk of breast augmentation. It arises when the scar tissue around the breast implant hardens and changes in appearance.

How is cup size selected?

There are various cup-size options for women undergoing breast augmentation. Dr. Ho Taghva helps her patients make the best size implant choice for their build and personal preferences. She recommends that women find pictures of anyone with their ideal breast size and share them during their consultation.

What is done to monitor the condition of breast implants?

Dr. Goretti Ho Taghva encourages patients who have undergone breast enhancement to visit her Orange County office yearly. During the visit, she examines the implants to ensure they are in good shape and answer patient concerns. Since detecting ruptures is more of a challenge with cohesive gel implants than it is with saline implants, patients who have them must monitor them very carefully.

Do breast implants affect the results of a mammogram?

A mammogram can detect breast cancer early and is crucial for women who are middle-aged or older. Women who get a mammogram and have had breast augmentation in Newport Beach surgery should inform their technicians to ensure accurate results.

Can endoscopic breast augmentation be performed in an incision through the belly button?

Newport Beach endoscopic breast augmentation is typically considered a safer alternative to implant placement through the belly button (transumbilical or TUBA surgery). Because Dr. Ho Taghva feels that the TUBA approach is risky and provides less consistent results, she offers endoscopic breast augmentation only using the transaxillary approach through the armpit.

How common is capsular contracture with the transaxillary approach vs. other incision patterns?

Many women are understandably concerned about the risk of capsular contracture after breast augmentation (scar tissue squeezing the breast implant). While this complication can occur with any incision pattern, it is most common with the periareolar approach. Dr. Ho Taghva minimizes the risk for capsular contracture in several ways, including her use of the “no-touch” technique with the help of a Keller funnel to place the implants. The reduced bleeding and trauma involved with the endoscopic technique also helps to keep complication rates low.

Is endoscopic breast augmentation painful?

While some pain and discomfort are to be expected during recovery, Dr. Ho Taghva utilizes the endoscope to guide her around sensitive tissues that would otherwise be cut or disrupted during surgery. Patients will be anesthetized during the procedure and will be prescribed a pain management regimen. Positioning, cold compresses, and at-home breast massages will help to control post-surgical discomfort.

Will my breast implants feel natural?

There have been many recent advancements in breast implant design, including the introduction of IDEAL IMPLANTS, which provide women with safer, more natural-looking augmentation. Implant placement also influences the final appearance of the breasts. Dr. Ho Taghva inserts the implants beneath breast tissue for a better aesthetic. Once healed, women will usually look and feel as though they have naturally larger breasts.

What endoscopic breast augmentation office is near me?

If you live near Newport Beach, CA, LEA Plastic Surgery offers endoscopic breast augmentation among its services, and is conveniently located at 20360 SW Birch Street Suite 180 Newport Beach, CA 92660

Contact us

Call 949-945-2168 today or submit the form below. We look forward to helping you reach your cosmetic surgery goals.

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