My Plastic Surgery Group

Hidden Scar Breast Augmentation

About Breast Augmentation Surgery

Breast Augmentation and Breast Implants in Carmel and Indianapolis

Among the array of cosmetic enhancements available, breast augmentation remains a foremost choice for clients in Carmel and Indianapolis. It is consistently remarkable to witness the profound boost in self-confidence experienced by women following the insertion of breast implants. This procedure facilitates a more desired fit and appearance in swimwear and tank tops, often enhancing one’s sense of femininity to unprecedented levels. Whatever your motivations may be for considering breast augmentation, we are confident in its ability to provide a positive and transformative experience.

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Breast Augmentation Procedure Information

Dr. Aker is your Indianapolis breast augmentation specialist. We offer our Hidden Scar breast augmentation procedure that leaves absolutely no scar on your breasts! My Plastic Surgery Group has done over 3,000 breast augmentation procedures in Indianapolis and Carmel in the past 16 years and we would like to be a part of this journey with you.

More and more each year, women, both in Indiana and elsewhere, choose breast enlargement surgery. Annually, over 400,000 breast surgeries are performed nationally. At My Plastic Surgery Group we know that choosing to give yourself the curves you desire is not always about vanity. Often, it is about fulfilling a reasonable, logical desire to be satisfied with the way you look. It is not uncommon to want to look as good as you feel and it is also not impossible thanks to breast augmentation surgery.

Breast Implant Options

Patients have a number of options when it comes to getting the best breast implants for their aesthetic goals. In terms of type, patients can choose between saline breast implants and silicone gel breast implants. Each filler material provides its own benefits and drawbacks in terms of feel, safety, and several other factors.
Implant size is a common concern. It’s less about choosing large breast implants or small breast implants and more about choosing the best option to fit your frame. This helps in creating a natural look. Low, moderate, or high-profile breast implants are available, and these also affect the overall appearance of the results.
Smooth and textured implants are available, as are round and teardrop-shaped implants. These implant qualities will all be discussed during your consultation in Carmel.
There are several choices in breast augmentation procedures to enhance your breast shape and size.
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Hidden Scar Breast Augmentation or Endoscopic Breast Augmentation (endo aug)

Hidden Scar Breast Augmentation, also known as Endoscopic Breast Augmentation, surgery is a brief surgical procedure done under general anesthesia. During this breast augmentation procedure, a small incision is made in a fold in the armpit area. Then, an endoscope, which is a lighted tube that has a video camera attached, is used to create a pocket for the implant underneath the chest muscles. The endoscope allows our surgeons to see better so that the pocket is created more accurately. This pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker all prefer to place the implant behind the pectoral muscle to give you the most natural look possible. The upper breast will then have a more natural slope and graceful appearance. What you are left with is a round breast that looks very natural. Most of the time it is extremely difficult to see the armpit scar after it is healed and faded. Because the implant was inserted through the armpit there is no scar left on the breasts at all. This procedure was brought to Indiana and the Indianapolis and Carmel region by Dr. Aker in 1996. Our practice has performed over 2,000 endoscopic breast augmentations. Although practiced frequently on the east and west coasts, we have the most experience with this technique in the Midwest.

Peri-areolar and Inframammary Breast Augmentation

In Indiana, the most common incision sites for breast augmentation are around the lower edge of the areola (peri-areolar) and in the fold below the breast (infra-mammary fold). These locations work well for most surgeons, allowing direct access to the breast tissue and muscle. These techniques also place the implants directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Again, the surgeons at My Plastic Surgery Group prefer to place the implant behind the pectoral muscle to give the most natural-looking breasts possible.


Quick Recovery Breast Augmentation

We also offer a quick recovery program for breast augmentation. Local anesthesia (numbing medicine) is injected into the breast immediately before surgery to prevent discomfort from the beginning of the procedure. After the pocket is developed, a long-lasting numbing medicine is placed into the pocket to provide pain relief in the early recovery period. Very strong Motrin-like medicine is used instead of narcotics so you are able to be more alert and active on the day of your surgery.
There is a lot of buzz in the media these days about things such as the “super quick” breast augmentation procedure. “Have breast augmentation surgery in the morning and go out dancing that night”, “no recovery time breast augmentation“, etc. are some examples of this buzz. As a general rule, the larger the breast implant, the more painful and longer the recovery will be. In general, when a smaller implant is placed in a pocket above the muscle, the recovery will be very quick and discomfort will be minimal, but remember that the above-muscle positioning of an implant may compromise mammography. Feel free to discuss this option with Dr. Aker at your personal consultation appointment in Carmel. They will be happy to address any of your concerns regarding recovery time and more.
All of the above-mentioned breast augmentation surgeries will take about an hour and a half. After surgery, you will be watched carefully by nurses until a decision is made as to when you are capable of going home. Stitches will be internal and will not need to be removed. You will be wearing an elastic band that goes above the breasts and under the arms to help hold the implant in position in the early recovery period. Patients are often surprised by how little discomfort they experience after surgery. You’ll be able to quickly resume your normal activities and can resume light exercise within a few days.

TUBA-Trans-umbilical breast augmentation is a breast augmentation procedure where the incision is placed in the belly button. And, although this is a safe and controlled procedure, we don’t feel it is as controlled because it is a blind blunt procedure so we do not offer this technique as an option at My Plastic Surgery Group. We have seen several women with track marks on their tummy from this technique and noticeable scars around the belly button.

We invite you to view our before and after breast augmentation pictures on our website.

Breast Augmentation Before & After


Real Results

View before-and-after pictures of real patients of Dr. John Aker.

Frequently Asked Questions

Absolutely. Depending on absence of significant medical problems, breast augmentation surgery is frequently combined with tummy tuck surgery or a breast lift surgery for a “mommy makeover”. A breast lift and implants can be combined for a procedure called a breast augmentation with lift. This results in greater size and reduced sag. In cases where additional volume is not desired, a breast lift without implants is the most ideal choice.
Failure rate over time is about the same.
It is very unlikely to permanently lose sensation. It is common to have temporary increased or decreased sensation.
This varies from woman to woman. Some have significant change in breast size with weight fluctuations while others have very little change.
Shortly after surgery, the implants tend to “ride high” due to spasm of the muscle. Over the weeks following surgery, the muscle and breast tissue relax allowing the implant to descend into a more natural position. This process is called “settling”.
Actually we frequently have patients come see us from our sister states of Illinois, Ohio, Kentucky and Michigan as well as states that are further away.
A Board Certified Plastic Surgeon has completed 6-7 or more years of surgical training after medical school. This is one of the longest and most rigorous training programs of any medical or surgical specialty. Board Certification ensures patients that the training is of the highest quality.
The price of breast augmentation varies based on the specifics of the procedure. When determining total cost, we factor in the cost of breast implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery.
For less physical job requirements, 3-5 days, and for more physical job requirements, 5-7 days.
It has never been shown that having implants delays the diagnosis of breast cancer. However, a mammographer can lose the ability to see a small amount of breast tissue more often when the implant is on top of the muscle. It may require additional views to be taken.
If the endoscopic technique is used, there will be no scar on the breast at all. Over time, the armpit scar fades and is typically not very noticeable. With standard breast augmentation, there would be scars visible on the breast but these would fade over time.
Yes, it is safe to breast feed. Having surgery does not prevent or reduce the ability to breast feed. However, if you’ve never nursed before surgery, we are unable to know if you are biologically endowed to breast feed.
It is common to feel a slight “crinkly” sensation along the breast fold where the implant comes closest to the surface. In very slender women there may be visible wrinkling on the skin surface, more commonly observed with saline than with gel implants, and variable in location.

Limited breast sagging is frequently corrected by breast augmentation. A breast lift may be required for greater degrees of sagging.

Common short term problems include temporary changes in nipple sensation. A very temporary tight sensation in the armpit sometimes occurs when the endoscopic technique is performed. The most common long-term problem is failure, or rupture, of the implant with an average device lifespan ranging from 10-15 years. This occurrence is not in any way painful or harmful to a woman´s health.
Denise Reister
Denise Reister
18 January 2024
I saw Nate for laser hair removal today for the third time. I’ve also seen him for Botox injections. He carefully explains everything he is doing. He is such a kind & caring human. I will definitely use him again & again.
Peggy Brennan
Peggy Brennan
18 January 2024
Samantha was wonderful. She definitely knew what she was doing and was also friendly & personable.
jennifer foltz
jennifer foltz
17 January 2024
The staff is always friendly, professional, and accommodating. Dr. Akers is to the point but listens intently to any concerns (as does the PA!)
15 January 2024
I recently went for a consultation and the staff was very friendly. Dr. Akers was very nice, polite, professional, and respectful. He explained everything really well of what to expect with the procedure I’m interested in. I was very pleased.
Angie Duzan
Angie Duzan
12 January 2024
I had my consultation with Dr Akers. The office staff and the doctor are all so very friendly. They made me feel very comfortable..I have never felt so welcome in a doctor office as I do with Myplastic surgery group. They are all friendly,knowledgeable on procedures and helpful! Dr. Akers is just the most down to earth doctor I have ever met. I travel from Bloomington and will do it every time.I highly recommend this place. They offer a variety of services! Angie Duzan
Amanda Westfall
Amanda Westfall
11 January 2024
Samantha is an incredible injector. She did my Botox for forehead and crows feet- it was a very positive experience with very little discomfort - thank you so much for keeping me young!
Cheryl OBrien
Cheryl OBrien
10 January 2024
I am very pleased with my results of having a tummy tuck with Dr Aker. I am 4 months post op. The before and after pics are astounding! His office staff are always friendly and make sure that I have all my questions answered. I'm so glad that I chose this doctor. I had a great experience overall.
marisol Goodan
marisol Goodan
9 January 2024
Great overall first experience with my consultation. Dr Reddy and the staff were very professional, knowledgeable and answered all my questions thoroughly.

Arrange Your Breast Augmentation Consultation

Schedule your informative consultation for breast augmentation in Carmel – contact our office today to get started. Our skilled board-certified plastic surgeons have the years of experience needed to get you the results you deserve.

Meet Dr. Aker

Dr. Aker, an Indianapolis plastic surgeon affiliated with several area hospitals, has lectured and is published widely on a variety of plastic surgery topics. Dr. Aker brought several new techniques in cosmetic surgery to Indianapolis and Carmel including the endoscopic breast augmentation (“endo aug”) and Asian eyelid surgery.

Meet Dr. Reddy

After completing her undergraduate degree at Lehigh University, Dr. Reddy earned her medical doctorate degree from Drexel University College of Medicine in Philadelphia. She went on to complete an accredited transitional year internship and ophthalmology residency at the highly regarded Emory University, where she distinguished herself as a highly skilled surgeon, having received her surgical training from world-renowned mentors at the Emory Eye Center, one of the top training programs institutions in the country.

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