Some people feel that having small breasts not only limits their choice of clothing but can also cause dissatisfaction with their overall body image. To that end, breast augmentation can help increase the fullness and projection of the breasts to improve the silhouette of a woman’s figure and enhance their self-confidence.


Breast augmentation is a procedure that can dramatically enhance the appearance of a female’s breasts. Augmentation is one of the most frequently performed plastic surgical procedures and may also have a very positive effect on the individual’s comfort level, confidence, and self-image.

This procedure is far from a one-size-fits-all technique, as there are many options to be had when considering your goals and anatomy. Consulting with a board-certified plastic surgeon such as Dr. Andrés Sárraga is the best way to know how to achieve the most natural yet enhanced look from your breast enhancement surgery.

MINIMAL INCISION ENDOSCOPIC ASSISTED BREAST AUGMENTATION (S.I.M.P.L.E. breast augmentation) (Single Incision Mammary Prosthetic Lift Enhancement)

At the ARTIS Institute we are proud to offer an option for breast augmentation using minimal incisions through the axilla. Through a small incision in your axilla (armpit) Dr. Sarraga is able to augment your breasts using gel or saline implants. He uses special instruments and a small camera (endoscope) to precisely create the pocket and skillfully place your new implant to enhance your breast. The result looks and feels natural and the recovery is easier; best of all you have no visible incisions on or around your breasts.


Anyone looking to increase the volume and fullness of their breasts may be a good candidate for this Miami plastic surgery procedure. In addition, Dr. Sárraga may recommend eligible breast augmentation patients be:

  • At or near their ideal body weight
  • Non-smokers
  • Generally healthy with no underlying health concerns



Dr. Sárraga was born and raised in Puerto Rico, where he spent most of his life. He decided at a very early age to follow in his grandfather’s footsteps and pursue a career in the art of medicine and surgery. Dr. Sárraga has been featured in several publications including Aventura Magazine™ and Healthy Valley® Magazine where he has discussed procedures including Facial Rejuvenation and Breast Surgery. Dr. Sárraga has been awarded one of Castle Connolly’s top doctors in Miami for the last 5 years. He has also been featured with his friend and mentor Dr. Storch. Since Dr. Storch’s retirement, Dr. Sárraga now runs ARTIS Institute Plastic Surgery as a single practitioner.



To ensure the safety and comfort of patients, Dr. Sárraga usually performs breast augmentations under general anesthesia administered by a board-certified anesthesiologist. After you are sedated, he will make the pre-determined incision and insert your chosen implants to the desired location. After closing your incisions, you will be taken to a post-op recovery room where you will be monitored until you are cleared to leave. You will need to have a caregiver drive you to and from our surgery center on the day of the procedure and stay with you for the first 24 hours after surgery.


Breast implants utilize several different materials to provide a customizable look and feel from breast augmentation surgery. In addition to filler material, you can also take advantage of different shapes, sizes, and even textures for the most personal results.

Saline Breast Implants

Saline implants provide an increased breast size with a sterile saltwater solution. These have the advantage of being able to be inserted before being filled, meaning the incision is shorter for these implants. However, patients have noted that these do not feel as much like natural breast tissue as silicone implants, and they can cause visible rippling in some cases.

Silicone Breast Implants (Gummy Bear)

Pre-filled with a safe, sterile silicone gel, silicone breast implants feel more like breast tissue than saline; most can be inserted through a small incision (4cm). In the rare event that the implant ruptures it  won’t be as obvious if a rupture or leak occurs with these implants, as the gel cannot be absorbed by the body. In any implant, these complications need to be corrected by removing and replacing the implant.

These so-called “gummy bear” implants or cohesive breast implants are made with a form-stable silicone that won’t leak gel the same way that older silicone implants do. These implants provide the natural tissue benefits of silicone gel with a lower risk of rupture and leakage. We will recommend routine imaging when indicated to monitor the implant.


Breast augmentation patients may have multiple options for incision placement, including under the breast fold, around the areola, or even under the arm (armpit) depending on their unique surgical plan with Dr. Sárraga.

Inframammary Incision

The most common incision that provides Dr. Sárraga with the most visibility and access to the placement site is the inframammary incision. The resulting scar can be concealed in most clothing, underwear, and swimwear.

Periareolar Incision

In some cases, a periareolar incision can be used to place the implants. This leaves a scar that is easily concealable as it is hidden in the natural transition from the areolar skin pigment to the breast skin.

Transaxillary Incision

We are proud to offer this minimally invasive and concealed approach using the SIMPLE breast augmentation. Some patients may opt for or be recommended this alternate incision, which leaves no visible scarring on the breasts, rather using the underarm as the opening for breast implant insertion.


There are three placement options that plastic surgeons have for breast implant surgery in Miami, FL. One option is the subglandular placement, which places the implant above the pectoralis muscle in the chest. Another option is to insert it under this muscle, called submuscular placement.

The third technique is called dual plane augmentation. The implant is placed partly under the muscle and partly under the gland. Dr. Sárraga feels that this positioning gives the breast the most natural implant enhancement result as the breast tissue, muscle, and implant are all in synchrony.


The SIMPLE Breast augmentation (Transaxillary Endoscopic Breast Augmentation), commonly known as a scarless breast augmentation, is a surgical procedure used to enhance the breasts without having to worry about any visible scarring on the breasts. An incision is made in the underarm area and an endoscope is inserted through that incision. With the help of the endoscope, Dr. Sarraga will place a saline or silicone breast implant into the breast pocket.

Because the incision is placed in the crease under the arm, it’s almost invisible. Additionally, the incision doesn’t interfere with your ability to breastfeed.


Fat transfer breast augmentation, also known as natural breast augmentation, uses liposuction to remove unwanted fat from one area of the body and injecting it into the breasts. This is the perfect option for those looking for a relatively small increase (one or 2 sizes)in their breast size and a natura look and feel result.


Dr. Sárraga is able to perform multiple surgeries at the same time for increased breast enhancement if desired. The most common combination procedure is the breast lift, which may be recommended for women with sagging breasts, whether due to age, weight loss, or excess volume. A breast lift surgically lifts and tightens the breasts while removing sagging tissue; when paired with augmentation, can provide a dramatic change in breast appearance.

Women who only desire a slight increase in breast volume may consider the fat transfer breast augmentation option as opposed to implants. This surgery uses liposuction to harvest fat from other areas of the body, most commonly the hips or belly, and re-inject it into the breasts for subtle but permanent breast enlargement; it can be done with a breast lift at the same time for optimal results when indicated.


Breast augmentation is the most popular cosmetic surgery in America year after year. Find out why this procedure generates so much interest by scheduling a consultation with board-certified plastic surgeon Dr. Sárraga today. Call us at (305) 932-3200 or contact us through our website to get the shape and figure you’ve always wanted.

Wondering how you would look with breast implants? Try the Natrelle breast augmentation visualization app by downloading via the links below!

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“Dr. Sárraga is the best plastic surgeon that you can find.”

He listens, provides great advice and the end results are impeccable. His nurses and staff are truly helpful and always there for you as well. I highly recommend him to anyone considering surgery. You won’t regret it!




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