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For the lucky few, a healthy lifestyle, diet, and exercise routine can produce ideal results in terms of how you look and feel when you step in front of a mirror. Unfortunately for most people, even the strictest diets and most rigorous exercise regimens fall short of eliminating stubborn pockets of fat throughout the body.

For many women seeking liposuction in Birmingham, the most problematic areas tend to be the abdomen, hips, buttocks, and outer thighs. For men, liposuction usually entails correcting the most resistant fat found in the chest, abdomen, and sides of the waist (love handles). Liposuction helps to manually rid the body of these stubborn, frustrating pockets of fat that keep many men and women from achieving their ideal body types.


What Liposuction Method Will Be Used?

We offer 2 liposuction techniques to meet the specific needs and goals of each patient:

Tumescent Liposuction

The tumescent technique is an ideal option for patients looking to avoid going under general anesthesia. A solution of saline, lidocaine (a local anesthetic), and epinephrine (a drug used to contract blood vessels) is injected into the target areas before the surgery begins. This mixture of fluid helps to remove the fat from the body more efficiently and reduces blood loss. We also use the tumescent technique in combination with SAFE liposuction, which is designed to produce a smooth result.

Ultrasound-Assisted Liposuction

This method uses ultrasonic energy to liquefy the fat in problematic areas. The tip of the cannula (the wand used to remove fat during the surgery) is outfitted with a device that emits ultrasonic waves to break apart the walls of fat cells. The degraded fat is then able to be removed with much less difficulty than the traditional liposuction method. This method is particularly useful for male gynecomastia (chest contouring) or in areas that have been previously suctioned.

Common Liposuction Treatment Areas

Thighs and Buttocks

For even the most active men and women, thigh and hip liposuction can be among the most helpful areas to target when working with stubborn fat deposits. Sculpting the ideal thigh gap or perfectly shaped buttocks often requires more than a diet or exercise regimen. Saddlebags, or large deposits of fat on the outside of the thighs, are a common problem among women that can be easily solved with liposuction treatment.

Hips and Waist

For some women, achieving the perfect hourglass figure marks the completion of their weight loss or fitness journey. Unfortunately, even for naturally slim women, this figure may be unattainable without the help of plastic surgery. Liposuction has helped women of all body shapes and sizes achieve an hourglass figure by sculpting waistlines inward and shaping the hips with the right amount of curvature.

Chest and Abdomen

Achieving the ideal hourglass figure for women also means having a chest area that fits well with their body type. By removing excess fat in undesirable areas like the sides of the breasts near the armpits and directly beneath the breasts, a more defined bust can be achieved. For men, having any excess fat in the chest area can be considered problematic or unattractive. Liposuction is a great option for men who are looking to flatten and define this region of their body.

One of the most common places for men and women to store excess fat is in the stomach area. Many women attempt to conceal these stores of fat by wearing loose clothing. Men who struggle with the same type of belly fat often find that their abdomen hangs below their beltline. Liposuction can remove this fat to provide a more flat and sculpted abdominal contour.

Upper Arms and Back

Flabby arms, often referred to as “bat wings,” are a common problem. Exercising the arms can result in additional muscle mass, which may actually make the arms bigger rather than producing taut, slim arms. Arm liposuction allows for the removal of fat without the growth of any additional muscle mass.

The area directly beneath the bra line is also notorious for storing fat deposits. Many men and women face difficulty when they attempt to wear accentuating clothing. They are often met with lumps, folds, or bulges in the tighter parts of their outfits. By removing fat through back liposuction, the patient will be more comfortable wearing tailored or slim clothing.

Calves and Ankles

For many people, disproportionate calves can feel like a problem without a solution. Similar to fat deposits in the arms, many of the traditional methods of fat loss, like running and weight training, can add mass to the calf area. Sometimes, this issue can travel even further down an individual’s leg, resulting in what is colloquially referred to as “cankles,” or ankles that are surrounded by noticeable fat deposits. Liposuction can solve both of these issues by reducing the overall mass of someone’s calves and removing excess fat from the ankles to restore definition and shape to the lower leg.

Cheeks, Chin, and Neck

The face is the first area that people tend to notice weight gain. Even the smallest amount of excess fat can produce a double chin, chubby cheeks, and unwanted neck fat. For many people, these features are genetic and have little to do with weight fluctuation. Since there is no way to exercise the face the same way you could exercise the abdomen or chest muscles, these facial features can often only be solved through precision liposuction techniques.



You will be placed in a compression garment immediately following your surgery which will remain in place for the first 1 to 2 days. The garment can then be removed and cleaned while you shower. You will be checked in the office in 5 to 8 days.

In the initial 48 hours following the surgery, you should expect to experience varying levels of swelling and bruising. Wearing the compression garments can help reduce swelling.

For 6 weeks after the surgery, a surgical compression garment is typically worn while additional support is needed. You may transition from the surgical garment to “Spanx”-type garments after 2 weeks.

We prefer the garments for 3 weeks day and night and an additional 3 weeks of daytime only.


Since the procedure only requires small incisions (2-4 mm), liposuction scarring will be minimal and typically unnoticeable. Whenever possible, liposuction incisions are made under the bikini line to further hide any visible scarring. Since the recovery process is gradual, patients can expect to see their final liposuction results by 3 months.


Liposuction costs in Birmingham, Alabama, vary depending on a number of factors. For example, the amount of fat being removed, the number of areas being shaped, and the operating room and anesthesia can affect the cost of liposuction. During your consultation, you will be given more personalized answers to your questions concerning how much liposuction costs. You will be given an exact quote for your procedure.


Liposuction patients can expect minimal to moderate pain, but this can be managed with oral medication. Antibiotics may also be prescribed to lessen the likelihood of infection. Liposuction allows for most patients to be back to work within a few days of the surgery.


Birmingham, AL

“The entire team was fabulous and Dr Grotting is the best! I am extremely satisfied with the results. Additionally, the office staff treats you like family.”

Liposuction Patient

Before & After Photos

before actual client after actual client
before after female actual client
before after

Frequently Asked Questions

Pain will begin to subside after the first couple of days. After that, any remaining pain will gradually subside over the course of a few weeks. Scarring will continue to fade and blend for the next 3 months.

The incisions made for liposuction are 2-4 mm long and become virtually invisible given enough healing time. The incisions can also be made within the bikini line to further hide any scarring.

Pain is minimal to moderate, and most patients can return back to work within a few days. For most patients, the 2 days following the procedure will be the most intense in terms of soreness. The pain gradually subsides for the next few weeks as the incisions and bruising begin to heal. Many patients compare the discomfort of liposuction to that after an intense workout.

Ideally, candidates for this procedure are within 30 percent of their ideal body weight and will maintain their results with a healthy lifestyle. Skin elasticity and muscle tone are also factors in how successful liposuction will be in achieving the desired results.

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