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Scarless Boob Job With Under The Arm Incision (TransAxillary Implants)

25th May 2026

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Scarless Boob Job With Under The Arm Incision (TransAxillary Implants) by Dr Anca Breahna

The New Era Of Scarless Breast Augmentation

In modern aesthetic surgery, the desire for natural-looking enhancements without visible signs of surgery has led to the rise of the scarless boob job. This technique, known clinically as transaxillary breast augmentation, involves placing breast implants through a small incision hidden in the armpit. It offers a sophisticated solution for patients who want beautifully enhanced breasts without any scars on the breast tissue itself.

Miss Anca Breahna, a Consultant Plastic & Reconstructive Surgeon in Chester, has become one of the trusted names for patients seeking this discreet, advanced procedure. Her expertise in meticulous surgical technique and personalised planning makes her a leading choice for patients in Chester, Wirral, and surrounding areas who value both form and subtlety. The transaxillary approach is an ideal match for those looking to enhance their shape while maintaining privacy and a natural aesthetic.

As trends move towards softer, more refined results, this approach aligns perfectly with what today’s patients are asking for: confidence, minimal downtime, and virtually invisible surgical evidence. For those who are ready to enhance their body without sacrificing discretion, the scarless boob job is a compelling option.

Take our Plastic Surgery Quiz to find out if you’d be a good candidate for cosmetic surgery.

What Is A TransAxillary Breast Augmentation?

Transaxillary breast augmentation is a surgical procedure that places breast implants through a small incision made in the natural crease of the underarm. Unlike more traditional approaches that involve incisions on the breast itself, this method leaves the breast area entirely free of scars. The surgeon creates a tunnel from the armpit to the breast pocket using an endoscope – a high-definition camera – ensuring precise placement and minimal tissue trauma.

The advantage of using an endoscope in this procedure is that it provides a magnified view of the internal structures. This enables Miss Breahna to position the implant with exceptional accuracy, reducing the risks of asymmetry and complications. The method also ensures that there is less bleeding, less trauma, and a shorter recovery time for most patients.

Patients who choose this method often do so because they want to avoid visible scars on their breast skin. Whether for personal, aesthetic, or professional reasons, keeping the surgical evidence hidden within the armpit offers peace of mind and long-term satisfaction. With skilled hands, this approach yields natural, balanced, and symmetrical results.

Download Miss Anca Breahna’s Breast Augmentation Surgery Guide

Breast Augmentation Guide

 

Why Patients Choose The Scarless Boob Job Look

For many patients, one of the main concerns about undergoing breast augmentation is the possibility of visible scarring. Even though modern techniques aim to minimise scarring as much as possible, traditional incisions such as those made along the inframammary fold or around the nipple can still leave faint marks. The transaxillary approach eliminates this concern by placing the scar far from the breast area.

Women who frequently wear swimwear, low-cut tops, or lingerie often feel more confident knowing there are no scars on the breast surface. The visual freedom to wear what you want, whenever you want, without thinking about visible surgery marks, is incredibly empowering. This is particularly appealing for younger women or professionals in industries where appearance plays a key role.

Beyond the aesthetic benefit, patients also appreciate the psychological comfort that comes with the scarless approach. Many individuals associate body image with self-esteem and confidence. Knowing that your surgical enhancement leaves no mark on your femininity can support a stronger emotional connection with your body and your decision.

How Miss Anca Breahna Performs TransAxillary Augmentation In Chester

Miss Anca Breahna brings years of specialist surgical training and technical refinement to every transaxillary procedure. Her approach begins with an in-depth consultation where she evaluates your goals, body proportions, and lifestyle needs. This personalised planning ensures that your surgical journey is smooth, informed, and aligned with your expectations.

During surgery, Miss Breahna creates a 3–4 cm incision in the natural crease of the armpit, which becomes nearly invisible as it heals. She uses endoscopic tools to develop a precise pocket for the implant, whether under or over the muscle, depending on what suits your anatomy. This method allows her to preserve muscle structure and maintain optimal control over symmetry and position.

The procedure is typically performed under general anaesthesia at one of Miss Breahna’s trusted private hospitals in Chester. Post-operative care includes monitoring for any swelling or discomfort and a personalised recovery plan tailored to ensure minimal downtime. With her meticulous technique and supportive team, patients can expect excellent care from consultation through to aftercare.

What Kind Of Implants Can Be Used With This Technique?Scarless Boob Job With Under The Arm Incision (TransAxillary Implants) Infographic by Dr Anca Breahna

One of the common questions about the scarless boob job is whether all types of implants can be used with the underarm incision. The good news is that many advanced implants, including Motiva® Preserve and Ergonomix 2, are well-suited to the transaxillary approach. These implants are designed to offer soft, natural feel with long-term shape retention and minimal risk of complications.

Motiva® implants are particularly ideal due to their flexible yet cohesive gel composition. This allows them to be inserted through the smaller incision while still maintaining their shape and feel once inside the breast pocket. Their smooth nano-textured surface also reduces the risk of inflammation and capsular contracture, making them a popular choice among patients who prioritise both aesthetics and safety.

Miss Breahna selects implants based on your individual anatomy, skin quality, and desired result. Factors such as base width, profile, and projection are carefully reviewed to ensure harmony with your frame. Whether you’re seeking subtle enhancement or a moderate volume increase, implant selection is always tailored to your goals.

Breast Augmentation Before and After Photos

Who Is A Good Candidate For Scarless Boob Job Surgery?

Not every patient is an ideal candidate for transaxillary augmentation, but for many, it is a great fit. Those who benefit most tend to have smaller to moderate natural breast volume and are looking for modest to moderate enhancement. Skin quality, muscle tone, and personal expectations all play a role in determining suitability.

You may be a good candidate if you:

  • Have a petite or athletic frame
  • Prefer not to have visible scars on your breast tissue
  • Are undergoing primary breast augmentation (not revision)
  • Have firm, elastic skin and minimal ptosis (sagging)
  • Desire a natural look with minimal downtime

Miss Breahna will conduct a thorough clinical assessment to confirm if the scarless approach is right for you. She will also discuss alternative techniques if your anatomy or goals suggest another incision might offer better results. Her priority is always your safety, satisfaction, and long-term outcome.

Does Scarless Really Mean No Scar At All?

Scarless Boob Job With Under The Arm Incision Infographics - Anca Breahna

While “scarless” is a popular term, it is important to clarify that every surgery involving an incision will produce a scar. In the case of transaxillary augmentation, the scar is hidden discreetly in the armpit crease. It typically fades well over time and is barely noticeable, especially when placed with precision and closed with fine sutures.

Miss Breahna uses meticulous surgical techniques to minimise scarring and promote the best possible healing. Patients are also given detailed post-operative care instructions to support scar fading, including skincare protocols and sun protection. In most cases, the scar becomes virtually invisible within several months.

The key distinction of this technique is that the breast itself remains untouched in terms of visible marks. This is why many patients refer to it as a scarless boob job – even though the incision exists, it’s cleverly hidden away from view.

Comparing Underarm Vs Inframammary Vs Periareolar Incisions

Each incision type used in breast augmentation has its own benefits and considerations. The inframammary fold incision (beneath the breast) is the most common and allows for very precise implant placement. The periareolar approach (around the nipple) can offer good visibility but carries a higher risk of nipple sensitivity changes and visible scarring.

The transaxillary or underarm incision avoids any scar on the breast itself, which is its major advantage. However, it does require a high degree of surgical skill and may not be suitable for very large implants or complex revisions. Some surgeons may also be less experienced with this approach, which is why it’s crucial to choose a specialist like Miss Breahna.

Ultimately, the best incision site depends on your anatomy, goals, and surgical history. During your consultation, you’ll discuss each option in detail and decide on the approach that aligns with your preferences and priorities.

FAQs Anca Breahna

FAQs About Scarless Boob Job

Can I still shave my underarms after transaxillary breast augmentation?

Yes, but you’ll need to wait until the incision has fully healed – usually around two to three weeks post-op. Miss Breahna will provide personalised guidance on when and how to resume shaving without irritating the scar site.

Will people notice if I raise my arms in sleeveless clothing?

In most cases, no. The incision is placed in a natural skin crease and becomes nearly invisible with proper healing. Unless someone is actively looking for it, it’s unlikely to be noticed.

Does sweating from exercise or heat affect the underarm scar?

Sweat alone doesn’t affect healing, but early moisture buildup can irritate fresh incisions. That’s why Miss Breahna recommends light activity initially and careful hygiene to support healing.

Is there a difference in implant sensation with the underarm approach?

No significant difference in sensation has been reported when the procedure is performed correctly. In fact, some patients experience fewer issues with nipple sensitivity compared to other approaches.

Can I combine a scarless boob job with another procedure like liposuction?

Yes, it’s possible to combine procedures, especially in fit, healthy patients. However, Miss Breahna will assess your safety and healing capacity before combining any surgical treatments.

Do transaxillary implants feel different from those placed through the breast?

Not at all. The final feel depends on the implant type and placement, not the incision site. Motiva® implants placed transaxillary still offer the same soft, natural feel when healing is complete.

Will I be able to do push-ups or lift weights after this kind of surgery?

Yes, though you’ll need to pause upper-body workouts during initial recovery. Once healed, you can return to full physical activity – often with more confidence and comfort than before.

Does the underarm incision affect sweat glands or odour?

The incision is carefully placed to avoid sweat glands and nerve structures. It does not change your body’s natural sweating or scent after healing.

What if I need a revision or implant replacement later – can I use the same incision?

In some cases, yes, but not always. Depending on your anatomy and the surgical need, Miss Breahna may recommend a different approach for optimal safety and access.

Is the underarm technique used in other types of cosmetic surgery?

Yes, the transaxillary route is also used in select cases of endoscopic surgery, such as certain face or chest procedures. Its discreet access point makes it a useful option when cosmetic concealment is a priority.

Medical References

Your Next Step Toward Natural Results Without Visible Scars

If you’re looking for a way to enhance your breasts without leaving behind visible scars, the transaxillary scarless boob job may be your ideal solution. With refined tools, advanced implants, and expert technique, this method allows for discreet, elegant results that honour your natural beauty.

Miss Anca Breahna is one of the few Consultant Plastic & Reconstructive Surgeons in Chester offering this advanced technique with a commitment to excellence and patient satisfaction. Whether you are considering breast augmentation for the first time or simply value subtlety and precision, she will guide you through the process with honesty and personalised care.

Miss Breahna’s clinic website is easily accessible, informative and convenient to navigate. When you book your private consultation with Miss Anca Breahna, you discover whether the scarless boob job is the right choice for your transformation. Subtle, confident, and expertly performed – your journey starts here.

Further Reading

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About Anca Breahna – Consultant Plastic Surgeon

Anca-Breahna-Cheshire-Cosmetic-Surgery

Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of breast, body and face surgery and minor skin procedures.

As one of the very few female Plastic Surgeons in her region, she is able to offer that unique female perspective, with empathy, attention to detail and personalised care.

Anca Breahna’s surgical training has been largely undertaken within the United Kingdom. She began a rigorous training programme in Plastic and Reconstructive Surgery in 1999, after achieving her medical degree from the University of Bucharest. Miss Breahna attained her PhD degree at the same university in 2007 for her medical research. She then relocated to the UK to further extend her qualifications and training.

Anca’s NHS practice is now focused on Breast Reconstructive Surgery, Skin Cancer Surgery, Hand Surgery and soft tissue reconstruction. Over the last 15 years, through her pursuit of further training and education, Anca has developed a special interest and expert practical experience in a range of Aesthetic Breast and Body Surgery.

It is Anca’s true dedication and commitment to her field, that sets her aside from her peers. Her extensive surgical training means that you are in safe hands. She is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.

Anca will treat you in a straightforward manner, with respect, consideration and empathy to ensure you are comfortable with your choice.

Your Next Steps

Do your Research

  • Please read our website pages and blogs to learn more about your intended procedure.
  • All Surgery has risks and potential complications. Please read more about the risks of your surgery.

Making The Most Of Your Consultation

  • A Medical Referral from your Doctor before your consultation is not compulsory however  it is recommended.
  • Please arrive slightly early for your in-person consultation with Anca – Car parking is available on-site at all hospitals.
  • You are welcome to bring a friend or relative to help consider the information and discuss your options.
  • Please be aware you may need to undress for a physical exam so wear simple clothes.
  • Ensure you also take a lot of notes during the consultation and thoroughly read all the documents provided.

Want more information before scheduling your consultation?

Please call to find out more about availability, pricing and medical payment plans or to request more information about the procedure, contact us.

How to Book your Consultation with Anca Breahna – Plastic Surgeon

You can book your consultation with Anca by paying the £150 cosmetic consultation fee when you make your appointment. This fee covers further consultations about the same concern.

Contact Anca’s Team

Call Claire on 0800 080 6026 or Chloe on 07538 012918 to arrange your consultation or email us for more information.

We look forward to hearing from you soon.

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