01Overview

What is Endoscopic Axillary Breast Augmentation (Mammoplasty)?

EABA is an advanced surgical technique for breast enlargement that uses a small incision hidden in the natural crease of the armpit

EABA utilises an endoscope, which is a tiny camera attached to a slender instrument, allowing the surgeon to perform the procedure with enhanced precision and no scarring on the breast itself

This method allows implants to be placed with greater accuracy, either above or below the chest muscle, and reduces disruption to breast tissue
Dr Layt has extensive experience with this technique and with changes in implant technologies and techniques is excited to be reintroducing this into the options for appropriate patients

Endoscopic Axillary Breast Augmentation Mammoplasty (EABA) is an advanced surgical technique for breast enlargement that uses a small incision hidden in the natural crease of the armpit. Unlike traditional methods that involve incisions under the breast or around the nipple, EABA utilises an endoscope, which is a tiny camera attached to a slender instrument, allowing the surgeon to perform the procedure with enhanced precision and no scarring on the breast itself. Dr Layt has extensive experience with this technique and with changes in implant technologies and techniques is excited to be reintroducing this into the options for appropriate patients.

This method allows implants to be placed with greater accuracy, either above or below the chest muscle, and reduces disruption to breast tissue. It is particularly suitable for women seeking an alternative approach to traditional breast surgery, who may be suitable to the use of this technique. Dr Craig Layt at The Layt Clinic provides this surgical approach to suitable patients who desire this form of augmentation mammoplasty, creating bespoke, patient-focused treatment plans.

02Reasons

Reasons for Endoscopic Axillary Breast Augmentation Mammoplasty

Although patient motivations may differ, the following are some common reasons for seeking this type of augmentation mammoplasty. You may seek the procedure if you :

Have concerns about visible scars on the breast: The incision is located in the armpit, eliminating the need for scarring on the breast itself.
A desire for surgical precision: The endoscope allows direct visualisation of the surgical area, enhancing surgical accuracy.
Want to minimise tissue trauma: Less invasive access leads to less disruption of breast tissue, potentially reducing postoperative pain and bruising.
Recovery time: Many patients experience a shorter recovery compared to traditional methods (although a recovery period is still necessary).
Desire preservation of breast function: Because there is less interference with the breast gland and ducts, this technique may help preserve breastfeeding ability and nipple sensation.

Although the procedure may have a reduced risk of tissue trauma, breast function issues, and scarring, please note that all surgeries come with risks. This method does not eliminate risks but may be preferable to certain patients after weighing the risks and benefits of different surgical methods. Our team can help you weigh your options at your consultation.

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03Contraindications

Contraindications

While EABA is a suitable procedure for many, it may not be the right choice for everyone. Contraindications include:

Excessively loose or ptotic (sagging) breasts: These cases may require a different technique or additional procedures, such as a breast lift (mastopexy).
Previous axillary surgery or scarring: Past trauma or surgery in the armpit area may complicate the approach.
Very muscular or athletic patients: In highly muscular patients, submuscular placement via this route may be more challenging.
Certain health conditions: Patients with uncontrolled diabetes, clotting disorders, or compromised immune systems may not be candidates for surgery.
Unrealistic expectations or body dysmorphia: Psychological readiness and appropriate expectations are essential for a successful outcome.

04Consultation

Your consultation at The Layt Clinic

Consultation

Discuss your suitability for surgery and ask questions about your medical history to determine if your desired EABA surgery is right for you

Implant options

Discuss your options about breast implants, which come in different shapes and sizes; the appropriate size implant will depend on your aesthetic vision, natural body frame, breast size

Surgery

Your surgery will be performed according to the details discussed during your consultation

Aftercare

Sent home with instructions, accompanied home as you cannot drive, maintain good hydration and a healthy diet, rest plus gentle walking, avoid smoking/alcohol/strenuous activity

We will discuss your suitability for surgery during your private, supportive consultation with our team. During your appointment, we will prioritise your needs and preferences, guiding you to a suitable treatment plan that satisfies your goals. We may ask you questions about your medical history to determine if your desired EABA surgery is right for you.

If you are a good candidate for the procedure, we can proceed to discuss your options about breast implants. Breast implants come in different shapes and sizes. The appropriate size implant will depend on your aesthetic vision, natural body frame, breast size, and other details. If you have further questions about implant options, we can address these in your appointment.

05The Team

Meet Our Surgeons

Dr Craig Layt

Specialist Plastic Surgeon

Dr Layt is highly credentialed in many areas of Plastic, Cosmetic, and Reconstructive Surgery, as well as a variety of non-surgical cosmetic enhancements.

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Dr Paul Cheng, Specialist Plastic, Aesthetic and Reconstructive Surgeon at The Layt Clinic (MED0002720769)

Dr Paul Ting-Yuan Cheng

Specialist Plastic Surgeon

Dr Cheng is a New Zealand trained Specialist Plastic, Aesthetic and Reconstructive Surgeon.

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06Aftercare

Aftercare and Recovery

Your surgery will be performed according to the details discussed during your consultation, and recovery begins after surgery is complete. After being cleared to leave the hospital, you will need to have somebody accompany you home, as you will not be able to drive. At-home aftercare is a vital part of recovery, and therefore, your surgeon at The Layt Clinic will send you home with instructions on how to care for your healing breasts.

You may be advised to maintain good hydration and a healthy diet. While getting rest is necessary, you may also be encouraged to get up and walk as soon as you feel able to. Gentle physical activity (such as walking around the house) can help encourage blood flow and reduce risks. Additionally, ensure that you avoid smoking, alcohol, and strenuous physical activity for the duration of your recovery.

07Complications

Potential Complications

As with any surgical procedure, EABA carries risks. While uncommon, complications may include:

Bleeding or haematoma: Accumulation of blood in the surgical area.
Infection: Though rare, infections may require antibiotics or surgical intervention.
Implant malposition or asymmetry: Despite careful placement, minor irregularities may occur.
Capsular contracture: A condition where scar tissue tightens around the implant, causing firmness or distortion.
Changes in sensation: Temporary or permanent numbness or sensitivity changes in the nipple, breast or axilla.
Arm movement limitation or nerve irritation: Due to the incision location, some patients may temporarily experience discomfort with arm elevation.
Need for revision surgery: Occasionally, further procedures are required to achieve or maintain desired results.

The 14 Point Plan

Dr Craig Layt adheres to the 14 point plan which reduces infection risk and is a technique to minimise the incidence of BIA-ALCL.

The 14 Point Plan has been the technique Dr Layt, and other Plastic Surgeons use to minimise risk of any infection, performed in accredited theatre complexes. Read about it here

08Is It Right For You

Is EABA Right for You?

Choosing the appropriate technique for breast augmentation mammoplasty depends on your goals, anatomy, lifestyle, and personal preferences. During your consultation at The Layt Clinic, we will discuss your options in detail, assess your suitability for EABA, and tailor a treatment plan that aligns with your vision. Our team will be able to answer any concerns or questions you may have about surgery and recovery.

Book your consultation for a discussion with our friendly team about your bespoke EABA mammoplasty surgery.

09FAQs

Frequently Asked Questions

01 What are the potential complications?

Bleeding or haematoma; infection; implant malposition or asymmetry; capsular contracture; changes in sensation; arm movement limitation or nerve irritation; need for revision surgery

02 Is EABA right for you?

Choosing the appropriate technique depends on your goals, anatomy, lifestyle, and personal preferences, assessed during your consultation at The Layt Clinic

03 When might EABA not be suitable?

Excessively loose or ptotic (sagging) breasts; previous axillary surgery or scarring; very muscular or athletic patients; uncontrolled diabetes, clotting disorders or compromised immune systems; unrealistic expectations or body dysmorphia

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Endoscopic Axillary Breast Augmentation