Scarless Breast Surgery
Scarless Breast Surgery
Scarless Breast Surgery
Not every patient seeking breast enhancement wants, or needs, an obvious change. For many women, the goal is to create a result that is so natural that it is imperceptible. With goals of restoring balance, adding elegant fullness, and leaving the breast completely scarless, special surgical techniques can be utilized.
At Dr. Rose Plastic Surgery, scarless breast surgery refers to advanced breast augmentation and shaping techniques that avoid visible scars on the breast. This includes transaxillary breast augmentation (implants placed through the underarm) and fat grafting (using your own fat for a subtle volume enhancement). Very few surgeons in Canada are trained and experience in transaxillary breast augmentation, and not many surgeons have experience with a high volume of fat grafting cases with great success. Dr. Rose is highly experienced with both of these specialized techniques, and she performs each method with attention to detail, and a recovery plan tailored to your body for the best possible results.
Scarless breast surgery includes two primary options:
Transaxillary Breast Augmentation
This technique places a breast implant through a small incision hidden in the natural crease of the underarm (axilla). There is no scar on the breast itself, and Dr. Rose places the implant in the submuscular plane for a natural look and feel. This option is best suited for patients who desire a small to moderate enhancement without visible signs of surgery on the chest.
Breast Fat Grafting
This involves using liposuction to harvest small amounts of fat (from the abdomen, thighs, or flanks), purifying it, and injecting it into the breast for gentle volume enhancement or reshaping. No large incision is required, and results are soft, subtle, and entirely from your own tissue.
Both procedures prioritize hidden scarring, minimal trauma to breast tissue, and an aesthetic outcome that feels like your own.
Transaxillary Augmentation: This is typically performed under general anesthesia. A small incision is made in the underarm, and an implant is inserted through a tunnel created to the breast pocket. Patients can safely go home the same day.
Fat Grafting: Performed under general or local anesthesia, fat is first harvested via liposuction, then processed and injected into the breast through tiny incisions. The goal is a smooth, natural contour with subtle fullness.
Desire to avoid visible changes on the breast itself
Whether hidden in the underarm or avoided entirely (with fat transfer), these methods help you feel confident, whether you're wearing clothing or not.
Both fat grafting and properly placed implants allow for results that blend seamlessly with your body.
This is not about dramatic size changes—it’s for those who want balance, shape, and subtle volume.
Fat is removed from areas such as the love handles, abdomen or thighs, providing additional contouring.
Dr. Rose provides post-op care tailored to scar prevention, including placement, closure, and follow-up.
You may be a good candidate if you:
Dr. Rose will help you weigh the options honestly, based on your anatomy and your preferences. There’s no “right” choice, only what feels aligned with you.
Your personalized recovery plan includes:
Transaxillary Breast Augmentation: Most patients return to light activity within a few days and resume full activity in 6 weeks. Underarm swelling and chest tightness is common initially. You’ll wear a support bra and follow specific arm movement restrictions and implant massage techniques to protect the healing area and allow the implants to settle.
Fat Grafting: Recovery includes both the donor site (where the fat was taken) and the breasts. Mild swelling and bruising are expected in both areas. You’ll avoid pressure on the breasts for 2–3 months to support graft survival.
Transaxillary Results: You’ll notice a visible change right away, with swelling typically settling within 2 to 3 months. Because the incision is away from the breast, there are no visible chest scars, and the breast shape matures gradually into a soft, natural curve.
Fat Grafting Results: Initial volume may decrease slightly as some fat is naturally reabsorbed. Final results are seen around 3–6 months. The fat that “takes” is permanent and behaves like your own breast tissue.
Both approaches offer natural-looking, long-lasting enhancement, with a quiet aesthetic that doesn’t reveal how it was done.
Dr. Rose’s approach to breast surgery is rooted in precision and restraint. She offers advanced surgical techniques—like transaxillary placement and fat grafting—not because they’re trendy, but because they serve real patients with real priorities: comfort, subtlety, and natural, imperceptible results.
From incision placement to scar care and long-term follow-up, her focus is always on delivering refined results that feel in tune with your body, not imposed on it. Her practice is a place where you can ask questions, take your time, and never feel rushed.
All surgery involves incisions, but with transaxillary or fat grafting, there are no visible scars on the breast. Scars are either hidden in the underarm or placed in discreet areas used for liposuction.
Yes, especially with fat grafting or carefully placed implants. Dr. Rose takes steps to preserve glandular and nerve function whenever possible.
Most patients see a ½ to 1 cup size increase with fat grafting. It’s ideal for subtle shaping rather than dramatic enlargement.
Scarless techniques don’t replace a full breast lift. If lifting is needed, Dr. Rose will discuss whether combining procedures is appropriate.
Fat grafting results are permanent but may require refinement if some fat doesn’t “take.” Dr. Rose will review this with you honestly during your consultation.
