Most cosmetic procedures leave a scar somewhere — the real question is where, and how visible it remains. Endoscopic plastic surgery changes that equation. Using slender lenses, cameras, and specialized instruments passed through tiny, well-hidden incisions, it allows a surgeon to reshape the breasts, body, and face while leaving little to no visible trace on the areas patients most want to keep unmarked.
Few surgeons are as deeply rooted in these techniques as Dr. David N. Sayah. A board-certified plastic surgeon and Fellow of the American College of Surgeons with more than 26 years of experience, he completed his residency at UCLA Medical Center and then spent an additional year training under Dr. Nicanor Isse — one of the pioneers of endoscopic plastic surgery. Together, the two co-authored the seminal chapter on endoscopic facelift and brow lift in The Art of Aesthetic Surgery, one of the field’s premier textbooks, and Dr. Sayah has taught these methods to other surgeons in courses across the country.
That depth of training lets Dr. Sayah offer endoscopic alternatives to procedures that traditionally required larger, more conspicuous incisions — relocating the necessary scars to places no one will see. For the right candidate, it means the results of surgery without the visible reminders of it.
I had my 2nd procedure with the Sayah Institute and it was nothing short of amazing 🤩. Dr.Sayah is one of the most knowledgeable, respectful, caring and gifted surgeons I’ve ever met!! He cares about what’s best for his patients and then he execute the procedure. I am so glad I reached out to The Sayah institute because the entire staff are very supportive, caring , and helpful. Natalie basically held my hand through the entire process and made sure all my needs were met. They not only take care of me as a patient but they let me know that I’m family as well. Now, that’s the best feeling ever coming from your provider and his staff!!!
What Is Endoscopic Surgery?
Endoscopic surgery uses a thin, telescope-like camera and fine instruments inserted through small incisions, projecting a magnified, high-definition view of the anatomy onto a monitor. The surgeon operates through these miniature openings rather than one long incision, which means less disruption to surrounding tissue and far smaller scars placed in discreet, easily concealed locations. It demands specialized training and equipment — and the experience to know which procedures it genuinely suits.
Endoscopic Procedures Dr. Sayah Performs
Over his career, Dr. Sayah has refined a range of endoscopic techniques, including:
Endoscopic Breast Augmentation: Implants are placed through incisions hidden in the underarm, leaving no scars on the breasts themselves — so even topless, no surgical marks are visible.
Endoscopic Implant Exchange: Existing implants are replaced through the same discreet underarm approach, avoiding new scars on the breast.
Endoscopic Capsulotomy and Capsulectomy: The scar capsule surrounding an implant is released or removed using hidden-incision techniques.
Endoscopic Implant Removal: Implants are removed with minimal scarring through concealed access points, detailed further on the breast implant removal page.
Endoscopic Abdominoplasty: For suitable candidates, the abdomen is tightened through incisions inside the navel and a small hidden pubic-line incision, leaving no visible scar even in a bikini.
Who Is a Candidate?
Endoscopic techniques are especially well suited to younger patients with good skin elasticity — for example, those addressing a post-pregnancy abdominal bulge or men seeking a tighter, flatter midsection. Patients with more advanced skin laxity may achieve better results with a traditional approach, and Dr. Sayah will advise honestly on which method fits your anatomy and goals during your consultation.
Frequently Asked Questions About Endoscopic Surgery
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It allows surgery through tiny, hidden incisions, which means smaller scars in discreet locations and, often, less disruption to the surrounding tissue.
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They are placed in concealed areas such as the underarm, the navel, or the pubic line, depending on the procedure — not on the breasts or across the abdomen.
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No. It works best for patients with good skin elasticity; those with significant loose skin may achieve better results with a traditional technique.
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Yes. He trained for a year under endoscopic-surgery pioneer Dr. Nicanor Isse and co-authored a leading textbook chapter on endoscopic facelift and brow lift.
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The incisions are hidden in the underarm, so there are no scars on the breasts themselves.
Why Choose Dr. Sayah for Endoscopic Surgery
- Pioneer-Trained Expertise: Dr. Sayah trained directly under Dr. Nicanor Isse, a founder of modern endoscopic plastic surgery.
- Published Authority: He co-wrote the definitive textbook chapter on endoscopic facelift and brow lift used to teach other surgeons.
- Hidden-Scar Philosophy: Every endoscopic technique is designed to relocate scars to discreet, easily concealed areas.
- Honest Candidacy Guidance: Dr. Sayah recommends endoscopic surgery only when it genuinely serves the patient’s goals.
Meet Dr. David Sayah
Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.
A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.
Schedule an Endoscopic Surgery Consultation in Beverly Hills
If the idea of meaningful results without visible scars appeals to you, endoscopic surgery may be worth exploring. Serving Beverly Hills and the greater Los Angeles area, Dr. Sayah brings rare, pioneer-trained expertise to every procedure and will help you determine whether an endoscopic approach is right for you. Contact the office today to schedule your consultation.
