Experience the MPSG difference

Hidden Scar Breast Augmentation in Carmel, IN

Enhance breast volume and proportion with personalized implant selection and surgical options, including an endoscopic approach that avoids placing an incision on the breast.

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Unique Approach

Why Choose MPSG for Your Breast Augmentation

“One of the first questions I ask during a breast augmentation consultation is what the patient hopes to achieve. We discuss their goals for size, shape, proportion, and overall appearance. Many patients bring photos of results they find attractive, which can be very helpful in understanding their vision and expectations. Those images allow us to have a more detailed conversation about what is realistic for their body frame and anatomy. My goal is not simply to choose an implant size, but to create a result that looks balanced, natural and fits their lifestyle.”

- Dr. John Aker

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“One of my favorite parts of a breast augmentation consultation is helping patients navigate their options. From implant size to incision placement, every decision plays a role in creating a result that feels right for you. My approach is centered on education, communication, and developing a surgical plan that aligns with your anatomy.”

- Dr. Di Beckman

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Combination Procedures

Breast Augmentation Before & After Results

Browse breast augmentation before-and-after photos showing individualized differences in implant size, profile, projection, breast volume, symmetry, and overall balance with each patient's frame.

Questions & Answers with Dr. Aker

The Specifics

Breast Augmentation Procedure Details

Types of Breast Augmentation We Offer

Dr. Aker and Dr. Beckman are your Indianapolis breast augmentation specialist. We offer two techniques: our Hidden Scar Breast Augmentation procedure that leaves absolutely no scar on your breasts or Inframammary Fold (IMF) Technique! My Plastic Surgery Group has done over thousands of breast augmentation procedures in Indianapolis and Carmel in the past 20+ years and we would like to be a part of this journey with you.

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.
There are several choices in breast augmentation procedures to enhance your breast shape and size.

Hidden Scar Breast Augmentation

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 thousands of 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. 

Inframammary Breast Augmentation

The inframammary fold (IMF) technique is one of the most common and trusted approaches for breast augmentation. In this method, the implant is placed through a small incision made in the natural crease beneath the breast—called the inframammary fold.

This technique allows for excellent control over implant placement and symmetry, often leading to more precise and natural-looking results. It’s suitable for both saline and silicone implants and provides the surgeon direct access to the breast pocket, minimizing trauma to surrounding tissues.

The IMF incision typically heals well and is easily concealed beneath the breast, even in swimwear or lingerie. Many patients appreciate the balance of a discreet scar with the ability to achieve a smooth, elegant contour.

Get Started with MPSG

Explore Breast Augmentation Options at Our Carmel, IN Practice

Meet with Dr. John Aker or Dr. Di Beckman at My Plastic Surgery Group's Carmel office to discuss implant type, size, profile, placement, and incision options for your goals. We welcome patients from Indianapolis, Westfield, Fishers, Zionsville, and across Central Indiana.