Breast Augmentation in Birmingham, AL

When women are unsatisfied with the appearance or size of their breasts, they often seek the expertise of a qualified plastic surgeon. Women living in Birmingham, Mountain Brook and the surrounding communities, turn to board-certified plastic surgeon Grady Core, M.D., F.A.C.S., of Core Plastic Surgery for breast augmentation to enhance their appearance and boost a positive self-image.

What is Breast Augmentation?

Dr. Core is the only surgeon in the state of Alabama who performs the breast augmentation with a true minimally invasive technique. This leaves no scars at all on the breast and less than a 1″ scar under the arm, which fades quickly. In addition, Dr. Core’s TEAM technique (Transaxillary Endoscopic Augmentation Mammoplasty) provides total muscular coverage over the implant for a much more natural appearance after the breast implants settle. Breast augmentation, or informally called a “boob job,” is typically at the top of the list of cosmetic surgeries requested by women. It involves altering the size of the breasts whether larger or smaller. Breast augmentation can be performed using a traditional method or endoscopically to minimize incisions and recovery.

Endoscopic Breast Augmentation

Endoscopic breast augmentation is done to enlarge the breasts. The procedure is limited to enlargement using saline implants since the implants are placed in the breast pocket then filled with saline. It is done using an endoscope – a long tube with a camera at the end to ensure proper placement of the implant. The endoscopic breast augmentation technique has now been modified to include the ability to place silicone gel implants. A small T or Z-shaped incision within the hair-bearing portion of the armpit is utilized to place an implant up to approximately 325 CCs.

Benefits of Breast Augmentation

Breast augmentation techniques alter the size and shape of women’s breasts as well as provide the following benefits:

  • Increase or decrease breast size
  • Reshape the breasts
  • Increase self-confidence

Who is a Good Candidate for Breast Augmentation?

Anyone wanting to change the appearance of their breasts whether to larger or smaller may be a good candidate for breast augmentation. It is important to have a realistic attitude about the outcome and be in good overall health.

What is the Difference between Endoscopic Breast Augmentation, TUBA, and Transaxillary?

Endoscopic breast augmentation is a minimally invasive method of placing an implant in the breast through a very tiny incision located either under the arm or in the belly button. Potential patients should be aware of the difference between TUBA (transumbilical breast augmentation) and transaxillary breast augmentation, as these two methods are quite different, and only the transaxillary method is fully “endoscopic”.

The TUBA method is quite limited. Only a saline implant, not gel, can be placed through a long subcutaneous tunnel extending from the belly button to the breasts, and many patients are not good candidates for saline. If you do not have much breast tissue to camouflage the implant, you will be at higher risk for rippling and implant visibility. In addition, saline implants are firmer than silicone and, thus, if there is little tissue over them, then they will feel very resistant to compression. It is not possible to pass a silicone implant using TUBA.

The transaxillary endoscopic technique has several advantages. First of all, both saline and silicone gel implants can be placed. Most importantly, the portion of the muscle that needs to be divided is approached from above (from the armpit looking down toward the muscle origin). Once the scope is under the muscle, the origin of the muscle is fully visualized and, in fact, the field of view is even better than with the open method; therefore, precision is enhanced.

In short, the TUBA technique is a blunt and blind method of placing only saline implants. Dr. Core looked closely at TUBA over 10 years ago and felt that the transaxillary method offered patients much more flexibility, a more precise result, and still with no scar on the breast. That’s why Dr. Core has been using it now for over 20 years and has the longest experience with it in the world among active surgeons.

What Do I Do to Prepare for Breast Augmentation?

To prepare for breast augmentation, we recommend you schedule a consultation with Dr. Core to talk about what you want out of the procedure as well as let him evaluate your breasts to determine the type of breast augmentation to achieve your desired look. You may also be asked to undergo an overall health check-up to make sure you are healthy enough for surgery.

What is Involved with Breast Augmentation?

The breast augmentation procedure varies with each patient depending on the purpose of the procedure as well as the current size and shape of the breasts.

Most often, Dr. Core performs breast augmentation using his TEAM technique (transaxillary endoscopic augmentation mammoplasty). This procedure provides muscular coverage over the implant so that it looks more natural once the breast implants settle.

TEAM mammoplasty gives the plastic surgeon the ability to see the total operative as opposed to an open technique, which allows him to be more precise with the placement of the implants. As one of the developers of the TEAM technique, Dr. Core has used this technique since 1992.

What to Expect After Breast Augmentation

Dr. Core will see you at your bedside the following morning and review all home care instructions prior to discharge. A three to four-day recovery is all that is required in most patients as opposed to most other techniques. A full range of activity is encouraged immediately after endoscopic breast augmentation. The healing and recovery are based on the type of implant and the incision. You may return to work within a week following your surgery but must refrain from heavy lifting and strenuous activities for several weeks. Sutures are usually removed within a week or two following surgery with any scarring greatly diminishing within about six months.

When Will I See the Results from Breast Augmentation?

Although the results of breast augmentation are immediately noticeable, the full results take a few months to become visible after the incisions have fully healed and the appearance of scars are greatly diminished.

How Much Does Breast Augmentation Cost in Birmingham?

The charge for the breast augmentation procedure includes the physician fee, operating room fee, anesthesia fee, garment, implants, and overnight stay in a full-service hospital facility. We can go over the costs with you during your consultation as well as our payment options. We accept cash, checks, and credit cards, and offer financing through Prosper® Healthcare Lending and CareCredit®.

Grady Core, M.D., F.A.C.S., a board-certified plastic surgeon, offers plastic and reconstructive surgery to people living in and around Birmingham, Mountain Brook and the surrounding communities to look and feel younger. Contact Dr. Core’s office today to schedule your consultation!

Meet the Doctor
Grady Core, M.D.

"Dr. Core trained in plastic surgery at the world-renowned Mayo Clinic.”