Contact Us
Breast Procedures

Breast Augmentation

No Scar

on the Breast® Technique

Most women considering breast augmentation are concerned about being left with obvious scars. A scar around the nipple or in the breast crease is a sure sign of breast augmentation, even on the prettiest breasts. Dr. Burden pioneered and perfected the "No Scar on the Breasts®" technique that leaves a tiny scar in each underarm, far removed from the breasts. Dr. Burden and Dr. Ennis have performed thousands of these procedures and are known nationally and internationally for this procedure. Miss USA & Miss America contestants, Playboy models, country music performers, and bathing suit models to mention a few, have had their procedures performed by Dr. Burden and Dr. Ennis. Women travel from across the country and around the world to have our surgeons perform this innovative breast augmentation technique.

Image courtesy of Canfield Scientific

If you wish you had fuller, shapelier breasts, you are not alone. Women across the country and all over the world have made breast augmentation one of the most popular procedures performed at Destin Plastic Surgery in Florida. Our internationally renowned, board-certified plastic surgeons, Dr. William R. Burden and Dr. L. Scott Ennis, are known for the beautiful, natural-looking results they provide through Dr. Burden's innovative No Scar on the Breast® technique. Individually, they have performed thousands of these procedures using the latest fiber-optic technology. Their patients appreciate the confidence that comes from attaining their unique vision of breast beauty.

Dr. Burden and Dr. Ennis are known for their experience and dedication to staying at the forefront of breast enhancement techniques and technology. To learn more about breast augmentation, request a consultationrequest a consultation or call (850) 654-1194. Women visit our surgeons for breast augmentation from Pensacola, Panama City, and other surrounding cities, as well as neighboring states and international locations.

Your Personalized Breast Augmentation Consultation

Your breast augmentation consultation is one of the biggest steps toward attaining the attractive shape you've likely been thinking about for quite some time. You will meet with Dr. Burden or Dr. Ennis to determine whether you are a good candidate for the procedure. If so, your surgeon will explain your available options for breast implants and how the procedure is performed.

Using Canfield VECTRA® 3-D and Breast Sculptor software, your doctor will show you a simulation of what you might look like after surgery. This state-of-the-art 3-D imaging system enables you to compare implants of different sizes and types and see the potential new you in 3-D before surgery!

At right, see the animation of simulated breast augmentation results with the VECTRA system.

At Destin Plastic Surgery, our surgeons and staff strive to make the breast augmentation consultation positive, productive, and exciting, so each patient leaves our center feeling empowered with information and confident about her choices.

Why Breast Augmentation?

Every woman is unique and beautiful in her own way, so reasons for breast augmentation are varied and diverse. In general, this procedure is performed to increase breast size and improve breast shape. Breast augmentation may be right for you if you want to:

  • Increase the size of naturally small breasts
  • Return breasts to the size they were before weight loss, pregnancy, or breastfeeding
  • Balance breasts that are different sizes
  • Attain a full, curvy bustline
  • Balance proportion between the upper body and the hips

Our Breast Augmentation Specialists

If you are evaluating breast augmentation surgeons, it is critical to assess their aesthetic judgment, surgical skill, and experience. Both Drs. Burden and Ennis have taught other breast augmentation surgeons at symposia across the country and have been recognized year after year as 2 of the top breast augmentation surgeons in the country.

They currently sit on the International Physician's Advisory Board for Mentor Corporation, one of the largest breast implant manufacturers in the world. Their selection was based on experience and volume in breast enhancement surgery. This elite group advises Mentor Corporation on its latest product development and practice management systems.

Incision Options

While the vast majority of our patients choose the No Scar on the Breast underarm incision, our surgeons have significant experience performing augmentations through the inframammary fold (IMF) incision (which is placed in the crease beneath the breast) and the periareolar incision (which runs along the lower border of the areola).

Choosing Your Incision

While the vast majority of our patients choose the No Scar on the Breast underarm incision, our surgeons have significant experience performing augmentations through the inframammary fold (IMF) incision (which is placed in the crease beneath the breast) and the periareolar incision (which runs along the lower border of the areola).

  • If you wear a 2-piece bathing suit, the IMF incision will be visible when you raise your arms and your bathing suit top rises slightly. This incision is also visible when your bathing suit top does not completely cover the inframammary fold area.
  • The most visually prominent area of the breast is the nipple-areola complex. The periareolar incision is visible when topless. If you form a poor scar or a hypertrophic scar, the scar would be in a very noticeable position. Also, this approach is often associated with loss of sensation in the nipple area around the scar and a slightly higher risk of infection.
  • The transaxillary No Scar on the Breast incision is placed in the armpit, not on the breast. In the unlikelihood that a bad scar should form, it is in a well-hidden place. The underarm area has natural creases, so the incision can be well hidden in a crease. Rarely does anyone look under your arm. In addition, the infection rate is lowest using this incision.
  • If you require a breast lift with your augmentation, your surgeon will likely use an incision that combines the IMF and periareolar incisions to remove stretched skin and renew the breast shape.

Breast Implant Placement

Once your surgeon makes the incision, he creates a space behind the breast for the implant. This space, called the pocket, can be made directly behind the breast tissue, called a subglandular placement, or behind the chest muscle, called submuscular placement. The table below compares the 2 techniques:

Technique Implant Placement Advantages Disadvantages

Dual-Plane Submuscular

Under the chest muscle

Results look more natural because implant is covered by the chest muscle

Risk of future breast sagging is diminished because implant is supported by chest muscle

Mammograms are easier to read

May reduce risk of capsular contracture

Longer recovery

Possibly more postoperative discomfort

Implant may move more with forceful contraction of the chest muscle


Under the breast tissue but on top of the chest muscle

Shorter recovery

Implants more noticeable

Breasts more likely to droop in the future because breast tissue is not well supported

Complicates future breast lift procedures because blood supply is removed from beneath the breast tissue

Photo Gallery

View Before & After Photos

This patient underwent a subglandular breast augmentation and several subsequent revisions by an outside surgeon (see photos in left column). She came to Destin Plastic Surgery and underwent endoscopic breast implant revision surgery to move the implants under the muscle. The photos in the right column show the tremendous improvement in the shape and contour of her breasts after surgery.

Recovery After Breast Augmentation

You may feel stiff and sore in the chest region for the first 2 to 5 days after your breast augmentation procedure. Any dressings will be removed within a week. Your breasts may feel tight and sensitive to the touch, and your skin may feel warm or itchy. You may experience difficulty raising your arms.

You should not lift, push, or pull anything or engage in any strenuous activity or twisting of the upper body. If you have young children at home, it is important to discuss some of your limitations with your doctor so proper instruction can be given to help you during recovery.

After 2 to 3 days, most patients do not require pain medication other than an occasional dose at night. Some bruising and swelling occur initially and then fade over the course of 1 to 2 weeks. Most residual swelling resolves within a month.

Dr. Burden

Dr. Burden is the plastic surgeon to plastic surgeons and physician specialists. He pioneered the No Scar on the Breast technique and has performed over 4,500 of these procedures – more than any other plastic surgeon in the Southeast. He has published papers on the No Scar on the Breast technique and has lectured to plastic surgeons on his technique both nationally and internationally.

Dr. Burden founded Destin Plastic Surgery in 1995 and directed its development into a world-class facility that is consistently on the forefront of innovation in plastic surgery and non-surgical treatments. He has held the rare distinction of dual board certification in plastic surgery and general surgery. Dr. Burden is known internationally and throughout the Southeast as a specialist in breast surgery and for developing the No Scar on the Breast technique for breast augmentation. Other plastic surgeons and doctors seek out his care and refer their spouses, families, and patients to him.

"Dr. Burden did my breast augmentation after my first child. They were so natural and fit my body type so well, that no one ever suspected I'd had them done. They went from deflated after breastfeeding to the breasts I had in high school."
– Breast augmentation patient on

Dr. Ennis

Dr. Ennis is an internationally recognized and renowned plastic surgeon specializing in breast surgery and complex breast revision procedures who is devoted to achieving the optimal outcome for every patient. Dr. Ennis has earned the distinction of membership in the International Society of Aesthetic Plastic Surgery, which required nomination by at least 2 other internationally recognized surgeons. ISAPS membership is drawn from some of the most elite surgeons in 73 countries on every continent.

"Dr. Ennis was fantastic! Great bedside manner. Always had a smile on his face. He answered all of my questions throughout the process. He took time to take measurements to ensure my breasts would be proportionate to my body. As I said before, I am about 3 months post-op and pleased with the larger, yet natural look!"
– Breast augmentation patient on

Back to Top