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Breast Augmentation

Do you feel that your breasts don’t create the attractive, feminine curves you desire? Are you unhappy with the fit of your clothing because you feel as though your breasts are too small? Having breasts that aren’t in proportion to your frame can be a source of embarrassment for some women. At Grotting & Cohn Plastic Surgery located in Birmingham, Alabama we provide women with customized breast augmentation procedures that enhance the size and shape of your bustline.


Who Can Benefit From a Breast Augmentation?

Small Breasts

A lack of breast volume can prevent you from having the full, shapely bustline you desire. You may have always had naturally smaller breasts, or recent changes could have robbed you of your attractive size. By using implants, we can enhance the size of your breasts, so they create the beautiful look you want.

Asymmetrical Breasts

You may consider a breast augmentation if one of your breasts is smaller than the other. This unbalanced asymmetry can appear as size or placement discrepancies between your breasts. Your surgeon can choose subtly different sized implants and specifically place them in the pocket to treat asymmetry and restore a balanced look.

Breast Defects

Congenital breast conditions, like tuberous breast deformities, can affect the overall shape of your breasts, creating an unattractive look. We can use implants to treat your breast defects. By enhancing the shape of your breasts, we can provide a more pleasing contour and natural appearance.

Breast Augmentation Options

Implant Type

Silicone implants
These are considered the more “natural” looking and feeling implant option. The cohesive material of silicone implants minimizes surface irregularities. However, silicone implants do come pre-filled, and their volume cannot be adjusted.

Saline implants
These implants are filled with a saltwater solution and have a slightly higher likelihood of visible rippling. They do provide more customized sizing and can be placed with smaller incisions.

Incision Location

Within the crease of the lower breast tissue

Around the outer border of the areola

Placed within the armpit

Implant Placement

The implant is placed below the glandular tissue but over the pectoral muscle. This can create a more prominent upper pole of the breast.

The implant is placed below the pectoral muscle, which can lead to a more natural slope of the upper pole of the breast.

Breast Lift

If you are experiencing laxity of the breasts, in addition to volume loss, then combining a breast lift with your augmentation may be necessary.

A breast lift will reposition sagging tissue and provide additional support for the implant.

Combining a breast lift with your augmentation can help minimize potential complications in the future such as double bubble deformity or implants that bottom out.



In the first week, your breasts will feel sore, and you will experience some bruising and swelling. A specialty support bra should be worn throughout your recovery.

Over the next three weeks, you will slowly introduce new levels of physical activity into your daily routine. By the fourth week, you should be back to most regular exercise routines.

After six weeks, most major swelling should have subsided, and your implants will begin to settle into their final position.


The extent of your scarring varies depending on the incision technique used for your surgery.

Genetic factors can affect the severity of your scars, including size and darkness.

Your surgeon will perform scar-sparing techniques when possible, and most major scarring will fade over time.


The cost of breast augmentation surgery varies between patients and is dependent on a number of factors, such as:

  • Implant type
  • Anesthesia fees
  • Facility fees
  • Extent of correction


You may feel some initial tightness in the chest, which should subside within the first week.

Discomfort is typically controlled by pain medication that has been prescribed by your surgeon.


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.”

Birmingham Breast Augmentation Patient

Frequently Asked Questions

Most patients choose general anesthesia for their procedure, but we also offer local anesthesia.

We perform all breast augmentation surgeries in our fully accredited operating facility in Birmingham, Alabama.

As with any surgery, bleeding and infection are a possible risk. Other complications that may occur include capsular contracture or implant displacement.

We provide CosmetAssure at no additional cost, which protects you financially if a complication does arise. If you are experiencing a complication, you should see your surgeon to determine if revision surgery is necessary.

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