Dr. Hobar's Procedure of the Month

P. Craig Hobar M.D.

Dallas Plastic Surgery Institute
Tom Landry Center
411 N. Washington Ave.
Suite 6000
Dallas, TX 75246
Phone: 214-823-8423

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Where the Spirit
does not work
with the hands,
there is no art.
- Leonardo Da Vinci -

Breast Augmentation (Implants)

ENDOSCOPIC BREAST AUGMENTATION
-No breast scar
-Natural shape

Dr. Hobar specializes in endoscopic breast augmentation in which breast implants are placed through an inconspicuous incision in the armpit. The endoscopic technique allows precise dissection of the pocket and lowering the fold where the breast attaches to the chest wall to produce a natural result. If the fold is not lowered appropriately, there may be excess fullness superiorly and the nipple may not be optimally situated on the middle of the breast mound, explains Hobar. I place the implant behind the muscle because: 1) I think it provides a more natural look. The top of the implant is not directly under the skin where it can be more easily seen and felt, and, the pressure of the muscle on the top of the implant may prevent excessive fullness or that ‘bubble’ appearance, 2) the constant massaging of the implant by the muscle may help prevent build-up of thick scar tissue or ‘capsular contracture’, and 3) it is easier for the radiologist to get a more accurate mammogram when the majority of the implant is separated from the breast tissue by the muscle."

I do not approach breast augmentation with a set recipe. Each woman is unique in her build and her goals. Only by evaluating where she is starting from in regards to her current size, shape, nipple position, skin elasticity, and chest width, and, where she wants to end up, i.e., full figured but totally natural, noticeably large, or modest sized but improved shape, can the optimal result be most consistently achieved.

I consider the optimal result as a figure that gets noticed but looks totally natural and has no telltale signs of being operated upon. I have been extremely happy with the inconspicuous scar in the armpit. The thin skin and natural creases of this area are ideal for hiding a scar. While scars on the breast can turn out very well, they are permanent and if they do not turn out well, are a constant reminder of surgically altered breasts. Most surgeons who perform breast augmentation place the scar on the breast, either within the nipple areolar complex or on the bottom of the breast. It is my personal feeling that it is best to avoid a scar on the breast if at all possible. If there is excessive dropping of the nipples, usually below (but sometimes at) the inframammary fold, a lift is indicated. If a lift is indicated, scars will have to be placed on the breast, but many times can be confined to the area around the nipple or extended just below it.

Before and After Photos


Age: 32 Ht.: 5’4” Wt.: 112 lbs. Implant: 270 cc Anatomic Incision: Armpit Technique: Endoscopic, transaxillary Pre-Op Size: A Post-Op Size: C


Age: 19 Ht.: 5’7” Wt.: 115 lbs. Implant: 300 cc Anatomic Incision: Armpit Technique: Endoscopic, transaxillary Pre-Op Size: A Post-Op size: C


Age: 28 Ht.: 5’8” Wt.: 133 lbs. Implant: 300 cc Anatomic Incision: Armpit Technique: Endoscopic, transaxillary Pre-Op Size: A Post-Op size: C


Age: 33 Ht.: 5’4” Wt.: 120 lbs. Implant: 325 cc Round Incision: Armpit Technique: Endoscopic, transaxillary Pre-Op Size: B Post-Op size: C


Age: 37 Ht.: 5’1” Wt.: 106 lbs. Implant: 300 cc Anatomic Incision: Armpit Technique: Endoscopic, transaxillary Pre-Op Size: B Post-Op size: C

Pic 10.jpg (7448 bytes)

Example of inconspicuous scar in armpit after transaxillary augmentation.

"A situation where the transaxillary approach would not be ideal is the patient who has excessive sagging, or ptosis as we call it. This patient usually requires lifting and tightening of the skin in addition to augmentation, but this is the minority of patients," explains Dr. Hobar.

Our staff members would love to discuss any procedure you are
considering, and perhaps schedule a consultation with Dr. Hobar. (214) 823-8423

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Our staff members would love to discuss any procedure you are
considering, and perhaps schedule a consultation with Dr. Hobar. (214) 823-8423

Information Request Form (if preferred)

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Our staff members would love to discuss any procedure you are considering, and perhaps schedule a consultation with Dr. Hobar. (214) 823-8423

Information Request Form (if preferred)

Back to Top

Our staff members would love to discuss any procedure you are
considering, and perhaps schedule a consultation with Dr. Hobar. (214) 823-8423