Frequently asked questions

The advantages of the endoscopically assisted axillary technique are:

• NO breast scars; the scar is located in a fold of the armpit, making it difficult to see even with arms raised, even to an experienced eye

Consider that scars are FOR LIFE! They cannot be erased by laser or any other surgical or medical technique, so once done they will be PERMANENT. For this reason, it is very important that the scar is hidden in a fold under the arm, away from the breasts. For example, when you lie on your back, the scar is not visible (because there is no scar on your breasts), but this is not the same when the scar is present under your breasts, it stands out even more. In the armpit the scar is hidden in a fold, is very hard to detect and does not attract the eye.

• The scar located in a fold in the armpit always heals much better than in other areas because the area is mobile and folded, where the scar can easily be hidden.
• The risk of loss of nipple tenderness and breast skin from the nipple down to the inframammary fold is much reduced as the scar is placed away from the breast, under the arm.
• In the long term, there is much better stability of the implant in the breast as there is no severing of the inframammary groove ligament, as there is with the under-breast technique.
• Dissection is performed using state-of-the-art nanotechnology instruments, similar to atraumatic robotic surgery, so recovery is much faster and safer, reducing operating time and hospitalization.
• The precision with which the operation is performed is much greater than in traditional surgery under the breasts, as the operation is visualized on a monitor that enlarges the operating field approximately 7 times, similar to robotic surgery.
• The risk of the scar splitting with the exposure or exit of the implant, which is present with the under-breast technique due to the tension (pressure) created by the breast implant in the breast, is practically non-existent with the underarm technique, as there is no tension (pressure) in the armpit, which is present in the breast.
• Any kind of bra can be worn, including those with braces (whalebones), as they do not press or embarrass the scar (as can happen when the scar is under the breast).
• The implant can be positioned either in front or behind the pectoralis muscle. If you later wish to change the implant for a larger or smaller one, the procedure can be performed through the same scar under the arm.
• There is no risk of deforming the lower pole of the breast as can happen in some cases due to scarring under the breasts which can alter the appearance of the breasts at the bottom (scar retraction).
• The nodes under the arm, the sentinel node and the nerves under the arm are not affected in any way.

Today, endoscopic-assisted underarm breast implantation is the most advanced breast augmentation technique using state-of-the-art technology in the field. This procedure is our main recommendation and today we are consider one of the world leaders in this field. Bellow you may find some of the frequently asked questions:

So, first of all, NO BREAST SCARS!

Other advantages are that the accuracy with which the procedure is performed is greater, as it is performed on a monitor that increases the operating field by approximately 7 times.

Special nanotechnology instruments are used, the most atraumatic and similar to robotic surgery.

Recovery is faster and the risk of desensitisation (loss of sensitivity or numbness) of the breast and nipple skin is much lower than with the traditional technique.

On top of that, the risk of the implant coming out or being exposed through the cut under the breasts (existing with the classic technique under the breasts) is practically ZERO! In the case of the under breast cut, due to the high pressure on the scar, sometimes the scar can open and the implant can be exposed through the under breast cut.

But with placing the scar in a fold at the top of the armpit, there are very good chances that nobody knows that you have breast implants, thus avoiding a potential unpleasant situation.

So, this technique does not influence the milk function in any way. We have had countless cases where patients have breastfed after this technique without any problems, even after several pregnancies.

Your plastic surgeon should have very good experience with all implant insertion techniques, either under the arm (through the armpit), under the breast or periareolar (around the nipple), to give you the best options and the best choice for your particular case.

Dr. Porumb Șerban has a great experience with all techniques, including transaxillary endoscopic, which he learned and practiced in America (USA) since 2002, being the first to introduce in Romania the full HD transaxillary endoscopic technique. But of course, over the past 22 years, Dr Porumb improved his technique, now having his own best technique, being invited to hold conference about his technique, to one of the best shows of cosmetic surgery in Las Vegas, USA, back in 2023, when he presented his conference entitled “TEBA- the future of breast augmentation”, that was really well appreciated. He also holds a master's degree from the University of Paris XI (France), under the auspices of the Gustave Roussy Institute, entitled "Surgical Techniques in Carcinological and Reconstructive Breast Surgery", having a complete and complex experience in breast surgery.

La ce să te aștepți după operația de Rinoplastie

• Stuffy nose - It is normal after rhinoplasty surgery for the nose to be stuffy due to post-operative oedema (swelling), which occurs both on the outside and inside of the nose. However, the swelling will gradually disappear over time.
• Secretions - In a day the nose normally secretes about 230 ml of mucus that runs down the throat without us being aware of it. After a nose job, due to the sensation of a stuffy nose, you may become aware of this normal discharge. You do not need to worry because of this. The combination of "normal mucus drainage" and "oedema-swelling inside the nose" may cause the drainage of secreted mucus to be on the nostrils and not posterior to the throat.
• Headaches - Unfortunately, headaches are common after general anaesthesia and surgery. Please take only the painkillers prescribed by your doctor, and if necessary you may also be prescribed medication to improve your sleep.
• Strange or unpleasant smell - A few weeks after surgery, you may notice a strange or unpleasant smell inside your nose as a result of mucus buildup inside. This is due to the reduced mobility of the "mucous blanket" inside the nose. As mentioned above, the nose secretes about 230 ml of mucus per day, which is pushed back by the mucus cells. After surgery, it will take between 4 and 6 weeks for the physiology of the nose to return to normal. During this period, you can clean the nasal mucosa by flushing with saline.
• Bruises and swelling - Typically, swelling (oedema) and bruising peaks two days postoperatively. The good news is that a week after surgery, when the splint is removed, they will be much reduced so you can resume your social life.
• Weaker smell - it is normal in the first week when you have the splints in your nose to smell weaker. It will return after the splints are removed, and so will the taste, as there is a connection between the two senses.
• Swollen or numb upper lip- if your upper lip also swells a little and feels a little numb, this is normal after septoplasty. These symptoms are normal and will generally go away gradually in about 2-3 weeks after the procedure.

Daca vi se umfla un pic si buza superioara si o simtiti un pic amortita , e ceva normal dupa interventia de septoplastie. Aceste simptome vor disparea in general progresiv in aproximativ 2-3 saptamani dupa interventie. Deci aceste simptome sunt normale si vor disparea progresiv.

Yes, it's normal in the first week when you have the splints on your nose. Smell will return after the splints are removed, and taste will return as there is a connection between the two senses. that I can't smell and the taste is gone?