Breast augmentation

Breast augmentation with underarm breast implant - no breast scars

We are the first clinic in Romania and one of the few in Europe to use state-of-the-art full HD endoscopic technique for underarm implant insertion, without affecting nerves or nodes, ensuring impeccable clarity and magnification of the operating field image for maximum precision.

Intervenția de mărire a sânilor prin abord transaxilar nu afectează mișcarea brațelor sau alăptarea. The main advantages of this technique are faster recovery and, most importantly, the complete absence of breast scarring.

In 2002, Dr Porumb Serban performed the first transaxillary breast augmentation surgery in Los Angeles, where he learned the first steps with this technique, continuously perfecting it, and currently has over 1000 such surgeries.
As a result of the recognition of his performance with this technique he was invited to give a lecture at the renowned congress in Las Vegas, USA, Vegas Cosmetic Sugery 2023 on this topic entitled "TEBA - Transaxillary Endoscopic Breast Augmentation - the future of breast augmentation" being the first time that a plastic surgeon from Romania is invited to give a lecture at this world renowned congress.

Scar at 6 months
Cicatrice după un an
Scar after one year
Implant prin axilă
Underarm implant

There is also another approach option, called the pseudoaxillary approach, in which the scar is placed next to the armpit, on the inner edge of the pectoral muscle (as shown in red). However, we do not recommend this incision as it can become visible when the arm is lowered. In contrast, the correct approach/cut that we practice for endoscopic axillary breast augmentation is completely under the arm (as shown in the blue drawing), is completely hidden, and looks like a natural fold under the arm when healing. Translated with (free version)

We consider this detail to be extremely important and recommend that you discuss this option with your surgeon beforehand.

Pseudoaxillary' intervention

Breast augmentation with implant inserted through the submammary groove

I reduced the scar by half - only 3 cm!

In the case of implant insertion through the sub-mammary groove, we managed to reduce the scar by half, to only 3 cm! Usually 5-6 cm!

We use CABIC (Computer Assisted Best Implant Choice), the most powerful program in the selection of the most suitable breast implants! Specially designed by Dr. Porumb Șerban, presented for the first time in Paris in 2008, it allows to choose the most suitable breast implants according to the possibilities, but also to the patient's wishes! The results are not long in coming: see in the References section, the opinion of the renowned Professor James L. Baker, Jr., with the world's greatest experience in this surgery.

Breast hypoplasia is defined by an underdeveloped breast volume in relation to the patient's morphology. It can exist either 'per primam' (small breasts from puberty onwards) or as a result of significant weight loss or pregnancy followed by breastfeeding.

It can occur either in isolation or in association with a ptosis, which is a drooping of the mammary gland accompanied by skin distention.

Possible incisions for implant placement

Implant positioning:

In front of the pectoral muscle
Behind the pectoral muscle


For a more in-depth evaluation and understanding of breast surgery, Dr Porumb Șerban developed his expertise by obtaining a Master's degree in oncological surgery and breast reconstruction in Paris. This master's degree, entitled "Surgical Techniques in Reconstructive and Carcinological Breast Surgery", was organised by the prestigious Institut Oncologique Gustave Roussy, under the auspices of the University of Paris XI.

For further information on these interventions, please do not hesitate to contact us. Thank you!

In the References section, you will find reviews from world-renowned surgeons about Dr. Porumb's reputation in this field, as well as the opinion of operated patients who have not experienced post-operative pain.

Surgical Techniques in Reconstructive and Carcinological Breast Surgery - Paris

Patient recommendations

The operation and the result of the operation are for me a miracle

After more than 15 years, since I wanted to look like any woman with two normal breasts, because I had only one, after visiting other doctors in other clinics and in other places, I finally reached Mr. Doctor Porumb, who from the first consultation was very kind, open with me, inspired the confidence I needed, and so I chose to have surgery at Estetis Clinic. Mr. Dr. Porumb and the whole team here are more than kind and nice, they helped and supported me before the surgery and then whenever I needed it. The operation and the result of the operation is for me a miracle, my dream come true, better and more beautiful than I expected. I finally feel whole and confident. My heartfelt thanks to Dr. Porumb and the Estetis Clinic team. I pray daily that you can help other people.

I'm a completely different person

As for Dr. Porumb I have only words of praise, professionalism, calm, patience. I am very satisfied with the result, it is not only a change in appearance but also in morals, I have regained my self-confidence, I am a totally different person. Thank you

I highly recommend this clinic

From the first meeting with Dr. Porumb I had a feeling of security about the surgery I wanted to have. All my questions were answered to my satisfaction. During the surgery, all the staff behaved with great professionalism and the result was as good as my expectations, which is why I have confidently recommended this clinic to other acquaintances. I am very proud of what I have achieved and feel much more of a woman than I was before. Thanks to everyone who contributed to my surgery, and good luck in what they will undertake from now on.
F. R.Patient



    Closed, open, primary and secondary rhinoplasty, septoplasty (deviated septum correction), congenital cases.

    Breast enlargement

    Transaxillary approach breast augmentation – breast implant inserted through the armpit without breast scars!

    Breast lift

    Breast lift (mastopexy), with breast reduction or enlargement, ptosis and breast hypertrophy, tuberous breast.

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