An American mother claims she came out of surgery with "essentially four breasts."

After a 2003 visit to Dr. Keith Berman for an operation intended to enlarge her breasts to a full 36C cup, Maria Alaimo wound up with "double-bubble" deformities that, according to a lawsuit she filed, caused "pain ... disability, loss of self-esteem, humiliation and embarrassment."

"Maria came out of that operation with essentially four breasts," her attorney, Michael J. Kuharski, told jurors during Monday's opening arguments in Staten Island Supreme Court.

Post-operative photos showed heavy scars on Alaimo's breasts, which appear flattened on the bottom with "severe swells the size of a softball on top," reported the New York Post.

The surgery also subsequently led to Alaimo's divorce from her husband, due in part to her refusal to undress because of embarrassment, Kuharski told the court.

The 47-year-old is now seeking $5 million in damages.

Berman said he "absolutely" reviewed all the risks with Alaimo before the procedure.

"She was only concerned with the glamour part," Berman's attorney Jerry Giardina told the jurors