Dr. Goretti Ho Taghva founded LEA Plastic Surgery in Newport Beach about eight years ago, after training at Brown and USC and fifteen years in Orange County deliberately offering a quieter result than the one the area is known for. LEA is her three daughters’ initials, so despite what half her patients call her, she is not Dr. Leah.

An endoscopic breast augmentation puts the incision in the crease of the armpit instead of under the breast, which means no scar on the breast at all. Hers run about three to three and a half centimeters, and because the armpit sits well away from the breast, she works through a camera on a narrow tube and places the implant with a funnel rather than by hand. She can still put the implant above or below the muscle, so the route in doesn’t decide the result.

Surgeons who don’t perform it tell patients it hurts more, scars more and carries more risk. She performs all three incisions and finds the opposite, and she explains why: the armpit incision heals away from the skin the implant is stretching, so there is no tension on it. She also thinks the camera is the reason, and that the equipment being expensive is why some practices still do this blind, which she would not accept in 2026.

We also cover how big an implant can go in this way, why almost everyone picks silicone in a blind feel test and why one of her patients still chose saline, why the ten‑year replacement rule is outdated, whether implants can come back out the same way, breastfeeding and nipple sensation, who should use the standard incision instead, the four questions to ask a surgeon before booking, the practical things nobody warns you about like shaving days ahead and skipping deodorant, and the price: around $15,000 all in, about twenty percent more than the standard incision.

Find Dr. Taghva:

Website: https://leaplasticsurgery.com
Instagram: https://www.instagram.com/leaplasticsurgery
Facebook: https://www.facebook.com/leaplasticsurgery

Newport Beach, California
Find a breast augmentation provider near you: https://getclearbeauty.com/breast-augmentation/?utm_source=podcast