Breast augmentation is achieved by placing implants behind the muscle in our ultra sophisticated cosmetic breast surgery practice using the most modern approach, through an incision in the armpit using a surgical camera (transaxillary endoscopic submuscular dual plane breast augmentation). Using this approach the pocket is meticulously created under direct vision giving precise control over the shape and direct vision so there is no bleeding or bruising. Either saline or silicone implants can be placed using this approach because of our vast experience with procedure over more than 20 years. The surgery is an outpatient surgery performed in our private AAAASF (QUAD-A) certified surgery center under general anesthesia administered by our own board certified anesthesiologists.