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Your Trusted Partner for Plastic Surgery Solutions in Birmingham, AL
Grotting Plastic Surgery has been a leader in innovative cosmetic and reconstructive procedures for decades, combining advanced techniques with personalized care. Our mission is to provide patients with natural-looking results that enhance their confidence and quality of life. With a focus on privacy, comfort, and excellence, we offer a range of surgical and non-surgical treatments tailored to individual goals. Dr. James Grotting, a board-certified plastic surgeon, brings over 35 years of expertise to every procedure, ensuring safety, precision, and artistry.

Our accredited private operating room and medspa reflect our commitment to delivering the highest standards of care. Patients from diverse backgrounds trust us for our reputation, compassionate approach, and dedication to staying at the forefront of plastic surgery advancements. We prioritize transparency, education, and long-term relationships, ensuring each patient feels informed and supported throughout their journey.
Services
Facelifts Breast Augmentation Liposuction Tummy Tucks Neck Lifts Injectables CoolSculpting Medspa Services Breast Revision Facial Fat Grafting
Highlights and features
  • Listed in The Best Doctors in America for 25 consecutive years.
  • Personalized care tailored to individual aesthetic goals.
  • Pioneered advanced techniques like the Delta Facelift for natural outcomes.
  • Accredited private operating room with hospital-level standards.
  • Compassionate, patient-first approach with no hidden fees.
What people say
True artist Perfect results Professional and qualified Treated like family Confidence restored
Services
Facelifts
Facelift surgery repositions sagging facial skin and tissue to create a bright, youthful appearance. Ideal for addressing aging signs along the jawline or jowls, this procedure helps patients feel more confident in their skin. Recovery typically requires two to three weeks before resuming work and other obligations. Results are long-lasting, though natural aging will continue.
Breast Augmentation
Breast augmentation increases breast size and fullness using implants or fat grafting. Patients can choose implant material, size, and placement options. Recovery spans four to six weeks, with final results settling over time. The procedure emphasizes natural shape and proportion rather than excessive size, ensuring a balanced, aesthetically pleasing outcome.
Liposuction
Liposuction removes stubborn fat from areas like the abdomen, hips, and thighs to create a more sculpted appearance. It can be performed standalone or with other procedures like tummy tucks. Most patients return to work within a week but must avoid strenuous activity for up to six weeks. Results are long-lasting with proper lifestyle maintenance.
Injectables
Injectables combat wrinkles, fine lines, and facial volume loss using BOTOX, fillers, or fat grafting. Administered by Dr. Grotting himself, these treatments offer immediate results with minimal downtime. Effects last from months to years depending on the product, with no scarring due to the non-invasive nature of the procedure.
Medspa Services
Medspa treatments like chemical peels, laser resurfacing, and HydraFacials refresh and refine skin texture. Directed by Dr. Grotting, these services use advanced techniques to address aging, sun damage, and uneven tone. Procedures are safe, customizable, and suitable for standalone use or to complement surgical results, ensuring comprehensive skincare solutions.
People
James C. Grotting
Board-Certified Plastic Surgeon
Dr. James Grotting is a globally recognized plastic surgeon with over 35 years of experience. A Clinical Professor at the University of Alabama at Birmingham, he has authored six textbooks, trained surgeons worldwide, and served as President of The Aesthetic Society. His expertise spans facial and body procedures, with a focus on natural, elegant outcomes.
Questions
Should I lose weight before surgery?
Patients planning to lose more than 20 pounds should wait, as significant weight loss can alter surgical outcomes. Crash diets are discouraged to maintain essential nutrients needed for recovery.
Will my facelift results look stretched?
Dr. Grotting avoids the 'wind-tunnel' look by repositioning tissues naturally, ensuring results appear youthful without over-tightening or unnatural contours.
How long do injectable results last?
Results vary: fillers last 6-18 months, BOTOX lasts 3-4 months, and fat grafting offers permanent volume once the transferred fat stabilizes.
Can liposuction replace weight loss?
Liposuction targets localized fat deposits, not overall weight loss. Ideal candidates are near their target weight but struggle with stubborn fat areas resistant to diet and exercise.
What is the recovery for a tummy tuck?
Recovery typically takes 6 weeks to 3 months, depending on the procedure's extent. Patients should avoid strenuous activity initially to ensure proper healing and optimal results.
Are breast implants safe?
Modern implants are FDA-approved and safe, with options for saline, silicone, or fat grafting. Dr. Grotting prioritizes patient education to ensure informed decisions about implant type and placement.
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