Facelift Surgery for Men (It’s Not Just for Women! )

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All About Male Facelift Surgery – 

Facelift surgery is no longer just for women!  According to the American Society of Plastic Surgeons 18,024 men underwent facelift surgery in the United States 2020. Visible signs of facial aging caused by a loss of skin elasticity and muscle tone of the face and neck, are equally common among men and women. And, in fact, certain types of age-related facial issues – suck as “turkey neck” or “jowls” are even more prevalent among men than women.

The American Society for Aesthetic Plastic Surgery reports also indicates that face lifts for male patients increased by almost 20 percent from 2000 to 2020. One reason for this increase in male facelifts may be men’s heightened awareness of their appearance due to the recent surge in video conferencing – as well as selfies and social media posts. Seeing oneself on camera constantly can make it much harder to ignore the aging appearance created by saggy and drooping facial skin.

Additionally, many successful businessmen across a wide variety of professions are turning to facelift surgery so they can remain competitive in a youth-oriented job market. Still other middle-aged men may be re-entering the dating arena and don’t want to look like an “old man” when looking for new love.

Women’s vs. Men’s Facelifts

For women, loss of skin elasticity and muscle tone of the face and neck, can begin as early as age 35 – though it is more typical for lax facial skin to become problematic in the 40s. And while men’s skin generally ages about the same as women, they may not be bothered by a few lines or some laxity as early on as women are.

By age 50 drooping and lax skin typically becomes much more noticeable, and even the most expensive skin creams cannot prevent or correct the deepening skin folds, jowls and neck bands. This is often the age at which men decide to consider a facelift procedure. At AMAE plastic surgery in Birmingham, MI we have taken 10 years (or more!) off the faces of men in their 50s, 60s and even 70s.

The techniques of facelift procedure are typically the same for both sexes – and will depend more upon what the patient’s problem areas are, more than their gender. However, men’s skin and muscles are typically considerably thicker than women, thanks to Testosterone. So selecting a skilled plastic surgeon who has conducted hundreds of men’s facelifts, like Dr. Ali, will reveal the most spectacular results.

Facelift Techniques for Men

Men's Facelifts Birmingham MI
A “strong jaw” is associated with masculinity and male attractiveness. But loosening skin can cause jowls, or “turkey neck”, that make a man look old and tired rather than young and virile.

The good news is that facelifts are intended to target the mid and lower face – making it the perfect solution for restoring a man’s jaw to its strong, youthful shape. A neck lift can also be performed to tighten the loose skin in the neck, tighten the neck muscles, and help to better define the jawline. A facelift can also include tightening of the cheek and cheekbone area, if needed.

Years of stress and hard work can also result in a heavily furrowed or sagging brow, crow’s feet, and loose skin and bags around the eyes. A blepharoplasty surgery (eyelid lift) or a “brow lift” can be an effective component of a total facial rejuvenation to make a man’s eye area look young, rested and alive again!

Facelift Concerns of Men

Board certified plastic surgeon Dr. Ali has performed facelifts on hundreds of men in the Birmingham, Michigan area. He understands that while the techniques may be the same as a woman’s facelift – certain issue are unique importance to many men.

For starters, most male patients want to be sure that their facelift will look completely “natural” and will not look like they have had surgery. This is a valid concern – and one of the main reasons men should invest in finding a board certified plastic surgeon like Dr. Ali who has performed hundreds of facelifts on men.

Although surgeons with less training and less experience may offer cheaper surgery, they can leave men looking unnaturally stretched, uneven, or in worst-case scenarios with neurological or vision damage. Dr. Ali will leave you looking like a younger and more refreshed version of yourself – but no one will even know you had surgery.

Many male facelift patients are also extremely concerned about how much time they need to take off work – and how long it will take for them to look “normal” after surgery. Dr. Ali will carefully explain the recovery process for each facelift technique that is available, so that together you can select the procedure(s) that fit your aesthetic goals and your work schedule.

Mini or endoscopic facelift procedures, for example, may be a better option for men with only moderate laxity and less time to spare from work. However, men who are retired – but who have more severe facial drooping – may opt for a full facelift even though it requires a longer recovery time.

What Will My Facelift Look Like?

AMAE Plastic Surgery is among the first and only aesthetic practices in Michigan to offer state-of-the-art Vectra 3D imaging during the patient’s facelift consultation.  This revolutionary technology provides a three-dimensional, computerized image of the patient’s face from every angle that shows your surgical options – and the expected results – before your facelift. With Vectra 3D imaging you can literally see your facelift “before and after” before you commit to undergoing surgery!

Best Men’s Facelift Surgeon- Birmingham, MI

If you are considering a facelift, Birmingham, MI plastic surgeon Dr. Ali will offer you a discreet, no pressure consultation to explain your options, answer all of your questions, and help you select the facelift or other antiaging procedures that are right for you.

He is a board certified plastic surgeon, and one of the top facelift surgeons in Birmingham, MI and the entire Detroit area. Dr. Ali has helped hundreds of men i look younger and more attractive with facelift surgery. And, easy and convenient financing options are also available.

Birmingham Men’s Facelift Consultation: 248-335-7200

How Long Is Recovery After Rhinoplasty Surgery?

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Rhinoplasty Recovery FAQs

Rhinoplasty – more commonly called a “nose job” – is nasal reconstruction surgery that alters the shape of the nose. It is the most common facial plastic surgery procedure. – with more than 352,500 rhinoplasty surgeries performed in the United States every year.

Many people are unhappy with the appearance of their nose and would like to change the size, shape, wide or symmetry of it. When patients come to AMAE Plastic Surgery they have many questions – and the most frequent questions we are asked often center around the recovery period after rhinoplasty.

In this article, board-certified Birmingham, MI plastic surgeon Dr. Ali answers patients’ questions about what to expect during rhinoplasty recovery.

How long does recovery take after rhinoplasty?

Recovery after any surgery will vary depending on the patient’s age and health, as well as how complex or extensive the surgery is. Dr. Ali will discuss the specifics of your rhinoplasty surgery. But the general timeline of what to expect after rhinoplasty is typically 2 to 3 weeks for immediate recover – followed by a year or more of internal healing.

In most cases, Dr. Ali will recommend taking a week off from work or school and any other activity following rhinoplasty. During this time period, patients will wear tape and a splint on the nose. After the first week stitches and the splint are removed, and the bruises under the eyes should mostly be gone.

After a week, most people are able to return to work or school – but the recovery process will continue for two or three weeks before patients can return to regular normal activities, including mild exercise. Strenuous activities, including harder workouts, should not be resumed for at least six weeks to allow proper healing to “sit in.”

However, the nasal bones and cartilage will remain delicate while they heal internally for a year or more. During this time period rhinoplasty surgery, patients should be cautious with their activities to not accidentally bump the nose. A blow to the nose can disrupt bone that has not fully set or damage internal incisions that have not fully healed.

Does the type of rhinoplasty affect recovery?

Yes, the length of the recovery period does depend on the type or “technique” of rhinoplasty used. There are two primary methods of performing nose job surgery: open rhinoplasty and closed rhinoplasty.

During open rhinoplasty, the plastic surgeon makes an incision across the tissue that sits between the nostrils and connects the nasal tip to the nasal base (columella). During closed rhinoplasty, Dr. Ali uses an incision inside the nostril.

There will be more tip swelling in an open rhinoplasty than using the closed technique. However, the closed rhinoplasty is often necessary for tip refinement. Procedures performed on patients with thicker skin, those in need of cartilage graphs, or those requiring more extensive bone or cartilage work will also typically require a longer recovery period.

rhinoplasty surgery birmingham mi

Can patients do anything to speed up recovery time?

Preparing the body before undergoing rhinoplasty can help you heal faster. It is very important to stop taking medications that can contribute to bruising or bleeding, including blood-thinners, aspirin, Advil, Aleve, and fish oil.

Patients can also start taking arnica and bromelain a couple weeks before surgery through a couple week after rhinoplasty to decrease bruising and swelling.

And, of course, quitting smoking is essential. Smoking substantially increases the risk of complications after any surgery. Smoking compromises a patient’s immune system, delays healing, and increases the risk of infection at the surgical site.

When will I see my “new nose” after rhinoplasty surgery?

The most important thing to keep in mind when recovering from rhinoplasty surgery is patience. Patients will see changes in the nose immediately, and even more dramatic results will be seen after six weeks when about half of the swelling will be gone. But the final results typically take about a year, or more. As the swelling subsides, the nose may look a bit crooked or asymmetrical, but everything will completely even out after about a year.

Top Rhinoplasty Surgeon | Birmingham, MI

If you are considering rhinoplasty surgery, call Birmingham Board Certified Plastic Surgeon Dr. Ali for a nose job evaluation and consultation.  He will explain your surgical options for correcting imperfections in your nasal contours – and ensure that you achieve the best possible rhinoplasty results!

Birmingham, MI Rhinoplasty Surgeon: 248-335-7200

 

 

How To Get Rid Of Under-Eye Bags

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The Best Treatments for Under-Eye Bags

Sleepless nights and stress can bring about temporary under-eye bags, as can allergies and other types of sinus congestion. But people who are cursed with permanent eye-bags typically have them due to a combination of heredity and aging. Unfortunately, eye-bags are a cosmetic issue that concealers can hide – and home remedies such as putting teabags on the area rarely work.

Fortunately, there are a number of treatments available at AMAE Plastic Surgery and Med Spa in Birmingham, MI that can help get rid of under-eye bags for a younger, more rested and attractive appearance.

Causes of Under-Eye Bags

There are three pockets or “pads” of fat that exist around the eyes: one next to the nose, one in the center lower lid, and a lateral one on the outside of the undereye.  When the skin around the eyes weakens and sags with age, the skin relaxes and creates a pouch. The fat pads then “herniate” over time slipping down to fill the space created by the drooping skin. This then creates the appearance of puffy under-eye bags.

Additionally, excess fluid in the body can also pool in these pockets of sagging skin, making the lower eyelids look even more puffy and swollen. This is why many under-eye bags are more noticeable in the morning, as the fluid has had all night to settle in. And shadows or discolored skin under the eyes only accentuate the under-eye bags, making them look even more prominent.

Surgery for Under-Eye Bags

The most effective way to eliminate under-eye bags is with lower blepharoplasty surgery. This surgical procedure removes or repositions the fat and skin underneath the eyes to restore a smooth appearance.  There are two basic techniques for performing under-eye, lower eyelid blepharoplasty.

An external incision can be made just below the lash line (cutting through the skin and muscle) around the eye, removing the fat pockets and lifting the skin-muscle flap.

Another surgical approach to under-eye bags is called a “transconjunctival” technique removes the fat from the inside of the lower lid and is often preferred because it does not result in an external scar on the lower lid. A small amount of excess skin can also be removed while leaving the muscle intact – which keeps the shape of lower lid intact.

Top Birmingham, MI plastic surgeon Dr. Ali has performed several hundred blepharoplasty surgeries with stunning results that eliminate under-eye bags and take years off of patients’ appearance.

Nonsurgical Treatment for Under-eye Bags

While blepharoplasty surgery is the fastest and most dramatic way to remove under-eye bags, AMAE Plastic Surgery in Birmingham, MI also offers effective, minimally invasive treatments to reduce the appearance of under-eye bags.

These treatments can be ideal for under-eye bags that aren’t severe enough for surgery – or for patients who can’t incur the downtime or the expense of blepharoplasty surgery.

CO2RE laser utilizes both ablative and fractional laser technology to activates the body’s natural production of new elastin and collagen protein fibers – which are the building blocks, of thick, firm, elastic, youthful skin. As the skin thickens and tightens over time after treatment, it eliminates the saggy pockets where fat and fluid build up under the eyes.

Nordlys IPL (Intense Pulsed Light) delivers light energy that can reduce dark circles caused by both pigmentation and visible veins. This can help reduce the appearance of under-eye bags, as well.

Dermal Fillers such as Juvéderm can also reduce the appearance of undereye-bags, when injected to fill the hollows under the eyes. In February of this year the FDA approved Juvéderm® Volbella XC for injection into the tear troughs to treat under-eye circles and bags. The formula of facial filler has a soft, thinner, smooth consistency that makes it ideal for treating under eye hollows. It’s thin, pliable texture gives it a natural look and feel when used in the tear troughs.

Botox can also help some undereye bags. While Botox does not remove under- eye bags, injections into the “crow’s feet” area can help reduce tension around the eyes and relax wrinkles, which can also help improve the appearance of bags.

Regardless of which noninvasive treatment you opt for, though, be sure it’s with a board-certified plastic surgeon. “Particularly for laser treatments, you need to make sure you are going to a doctor who specializes in treating eyelids,” Dr. Shafer says. “Ultimately, none of the treatments are equivalent, and the plastic surgeon must determine which approach is best for you specifically.”

Under-Eye Bag Treatments | Birmingham, MI

Board Certified Plastic Surgeon Dr. Ali offers the best and most advanced technologies for reducing or eliminating under-eye bags. At AMAE Plastic Surgery & Med Spa he offers both surgical blepharoplasty and minimally invasive cosmetic treatments for under-eye bags – including Co2RE laser, IPL Photofacial, dermal fillers and Botox – so you can choose the option that is right for you.

Schedule a consultation and see which type of treatment is best for your under-eye issues and beauty goals – so you can look and feel younger and even more beautiful!

Under-Eye Bag Treatments | Birmingham, MI: 248-335-7200

 

Causes of and Treatment for “Droopy Eyes” (Ptosis)

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Droopy Eyelid (Ptosis) Repair Surgery

It’s long been said that “the eyes are the windows of the soul”. But drooping eyelids can make a person look sleepy, tired, older than are, and even angry or ornery. One or both eyelids can droop and if the drooping becomes severe it can interfere with vison.

There are also a number of causes of “droopy eyelids” (medically called “ptosis” or “blepharoptosis”) – from heredity and aging to underlying medical conditions.  Ptosis is a condition in which the drooping lid is caused by a lax eyelid muscle and not just excess or saggy eyelid skin.

The good news is that if you’re sick-and-tired tired of looking tired because of droopy eyelids, top board-certified Birmingham, MI plastic surgeon Dr. Ali can help. In this article he discusses the solution to droopy eyelids that help you look younger and see better.

What Causes Droopy Eyelids

The skin and muscles above the eye are very delicate – but are also subject to almost constant use: blinking, watching, reading, looking at screens and making facial expressions. And there are many factors that can cause this important but fragile area of the body to droop and sag over time.

Medical conditions including congenital defects, muscle disorders, nerve disorders, or diseases such as Myasthenia Gravis can cause the eyelids to droop. Drooping can also sometimes be associated with rubbing the eyelids or allergies.

In extremely rare cases, a droopy eyelid is the result of a more serious condition, such as a stroke, brain tumor, or cancer of the nerves or muscles.

Eyelid drooping can also be present at birth due to a condition called congenital ptosis. If this occurs during childhood, it is important to correct it as soon as possible to prevent problems with eyesight. But, in most case, eyelid ptosis develops later in life due to the stretching or weakening of the eyelid muscle.

Eyelid Ptosis vs Excess Skin

When the issue is simply excess, sagging eyelid skin that rests on their upper eyelashes, it can be remedies with an “eyelid lift” surgery – medically called blepharoplasty.

But ptosis is caused by weakness or stretching of the actual eyelid muscle, not sagging skin. Eyelid ptosis only refers to upper eyelid drooping and not that of the lower eyelids. Eyelid ptosis is usually more severe that sagging skin and can often cause the eyelid to cover the pupil of the eye, obstructing vision.

Treating Drooping Eyelids

The best treatment for a patient’s droopy eyelid will depends on the specific underlying cause and the severity of the ptosis. If the droopy eyelid is caused by an underlying medical condition, patients should be treated for that illness or disorder – which will often stop the eyelids from sagging.

And if the condition is the result of age or something you were born with, as long as it isn’t blocking vision, in many cases there is no medical necessity to do anything. However, many patients opt for plastic surgery to reduce the drooping caused by ptosis for cosmetic reasons.

And for children with ptosis, doctors sometimes recommend surgery to prevent the onset of a condition called amblyopia (lazy eye).

Eyelid ptosis repair surgery is typically performed with only local anesthesia and oral sedation. During surgery for ptosis, the plastic surgeon will make an extremely small incision and then tighten the levator muscle – lifting the eyelid up into the desired position.

It is essential to see a skilled and experience board-certified plastic surgeon like Dr. Ali for this procedure, to ensure that a natural expression is preserved and that the eyelid is not placed too high or too low.

After ptosis surgery, the upper eyelid will be swollen and bruised for a week or two. While you can resume normal activities within a day or two, it is crucial not to rub the eyelids at all during this time.

Droopy Eye (Ptosis) Plastic Surgeon | Birmingham, MI

Dr. Ali has performed several hundred eyelid repair surgeries, including ptosis repair for droopy eye muscles, eyelid lifts, upper or lower blepharoplasty, and brow lift surgery. He will thoroughly examine your eyelids to help identify the cause of the sagging or drooping and recommend the best procedure for your individual needs.

Droopy Eye Repair Surgery | Birmingham, MI: 248-335-7200

Ready for a Change? Breast Implant Exchange

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What is a Breast Implant Exchange?

The technology used in modern silicone gel and saline breast implants have improved significantly in the last decade. Not only are they much safer, but they are also now considerably longer lasting. However, nothing in life lasts forever – and breast implants are no exception.

There can be many reasons that a woman decides it is time to “exchange” her implants – from wear-and-tear, to medical reasons, or even a change-of-mind about size or shape.

While breast implant exchange is a fairly common surgical procedure, removing and replacing breast implants is always more complex than the initial breast augmentation surgery. This is because the skin and tissue has already been stretched, and scar tissue may have developed.

So, if you decide that a breast implant exchange is right for you, choosing a surgeon who is highly experienced in breast implant revision surgery is essential to ensuring excellent results. Top plastic surgeon Dr. Ali has provided breast exchange surgery for hundreds of patients across Oakland County and the greater Detroit area.

In this article, Dr. Ali explains the “ins-and-outs” of breast implant exchange surgery.

The “10 Year Myth” About Breast Implant Exchange

There’s a commonly held misconception that breast implants must be replacement every ten years. But breast implants do not automatically wear out at ten years. In fact, some women still have breast implants that they received back in the late 1960s or early 70s – and implant materials were much less durable back in those days.

And while breast implants – like any piece of medical equipment – do occasionally but rarely “wear out” or rupture, there are many other reasons for breast exchange revision surgery that have nothing to do with the condition of the implants themselves.

Aesthetic Reasons for Breast Implant Exchange

In the majority of breast implant exchange cases, women undergo the procedure due to a desire for an aesthetic change. And only a small number of patients develop a complication with their implants and/or the surrounding “capsule” that requires breast implant exchange surgery.

Some patients who received implants in their 20s, may no longer desire the same look in their 30s, 40s, or 50s. While natural looking breasts are much more in fashion now, in the past many twenty- and thirty-year-old women went for the “bigger is better” look. So, downsizing is a common reason for breast implant exchange.

For other women, pregnancy, breastfeeding, menopause, weight gain or aging may have changed the shape or size of their body. And while the implant itself does not change size, the skin and soft tissue around it the implant can thin and sag over time – leading to a desire for smaller implants.

Conversely, a small number of women do end up wishing that had “gone bigger” and decide to upsize their breasts implant.

Medical Reasons for Breast Implant Exchange

Rupture: Though rare with modern breast implants, both silicone and saline implants can rupture and leak out. A rupture in saline implants rapidly deflates but is less obvious in a silicone implant. This is why it is very important to see your plastic surgeon annually to check the health of your breast implants.

Capsular contracture can also warrant a breast implant exchange. This occurs is when the capsule of protective tissue that naturally develops around the breast implant hardens. This can be painful, as well as affect the shape of the breast.

Implant malposition occurs when the implant moves out of its original position – usually because the skin and tissue of the breasts have weakened – or because a women got implants that were too big for their anatomy to support. However, it can also be the result of improperly positioned implants by and inexperienced surgeon.

In malposition, the implant can drop below the “crease” under the breast (inframammary fold), or drift towards the armpit.

Breast Implant Exchange Consultation

If you want to change the look of your implants, or it is medically necessary to exchange them, it is critical to schedule an in-person consultation with a highly skilled and experienced board-certified plastic surgeon who specializes in breast implant exchange.

Excess skin or insufficient skin, scar tissue, nipple repositioning, etc. are just some of the issues that may need to be addressed during breast exchange surgery. The extent of these concerns will depend upon how large the removed implants were, and what underlying medical issues may be found.

A specialized breast revision surgeon can address these issues – as well as perform a breast lift, and/or other reconstructive procedures to ensure a beautiful, natural look with no drooping or sagging skin or muscles.

Remember breast implant exchange is more complex than the initial breast augmentation surgery. So, choosing a surgeon who is highly experienced in breast implant revision surgery is critical to ensuring great results.

Top Breast Implant Exchange Surgeon | Birmingham, MI

Top plastic surgeon Dr. Ali has provided breast implant exchange surgery for hundreds of patients across Oakland County and the greater Detroit area, including Birmingham, Bloomfield Hills, West Bloomfield, Troy, Southfield, and more.

Because of his expertise, high standard of care, and exceptional results in even the most difficult cases, he is the surgeon that other physicians refer their patients to for breast revision surgery. With his years of expertise, caring demeanor and modern techniques, Dr. Ali can fix almost any breast implant problem, including implant rupture, asymmetry, capsular contracture, implant size change, and more.

No matter what problems or issues you are having with your breast implants, board certified breast exchange specialist Dr. Ali will listen to your concerns and help you find the solution.

Birmingham, MI Breast Implant Exchange Surgeon: 248-335-7200

 

The Challenges of Breast Revision Surgery

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Why Breast Revision Surgery is More Challenging– 

With anything in life, it is almost always safer, better and easier to “do it right” the first time – rather than have to fix it “after the fact”. And breast augmentation surgery is no exception to this rule.

A second surgery to revise, correct, or “fix” a problematic breast implant surgery is almost always more difficult and complex than the first breast augmentation surgery, for several reasons. To begin with, there is often the presence of scar tissue that needs to be removed. Further, the breast surgeon is now working with skin, tissue and muscle that has already been “stretched” previously by the first breast implant surgery.

Top Birmingham board-certified plastic surgeon Dr. Ali has provided breast revision surgery for hundreds of women across Oakland County and the greater Detroit area, including: Birmingham, Bloomfield Hills, West Bloomfield, Troy, Southfield, and more. Because of his expertise, high standard of care, and exceptional results in even the most difficult cases, he is the surgeon that other physicians refer their patients to for breast revision surgery. With his unparalleled skill, years of expertise, and modern techniques, Dr. Ali can fix almost any breast implant problem, including: implant rupture, asymmetry, capsular contracture, implant size change, and more.

There are many reasons a woman may desire – or need – breast revision surgery. And the underlying reason or cause of the revision will determine the level of difficulty of the secondary revision surgery. In other words, certain other types of breast revision surgeries are easier than others.

Breast Revision Surgery for Capsular Contracture

The formation of a “capsule” of scar tissue around any kind of implant in the body – from a knee replacement to an artificial hip to breast implants – is a normal part of the healing process. However, when “capsular contracture” occurs, the body has produced scar tissue around a breast implant plant in a way that can distort the shape of the breast, result in “hardness” and cause pain.

Breast revision surgery for capsular contracture involves dealing with the formation of scar tissue that is impacting the implants – making it more complicated than the original surgery as well as more challenging than a simple breast implant replacement or repositioning.

Breast revision surgery for early stage capsular contracture, however, is less complicated and has a higher success rate than surgery for advanced capsular contracture where there is thickened scar tissue. So, if you have breast implants, it is important to see a breast revision specialist like Dr. Ali at the first sign of hardening, pain or distortion in shape in area of the breast implants.

Breast Revision Surgery for Implant Repositioning

Sometimes an unskilled surgeon my position breast implants too high, too far apart, or asymmetrically. In other cases breast implants may have “shifted” due to surgeon error, improper technique or trauma to the breast. Repositioning implants that have shifted or were poorly positioned originally may or may not involve scar tissue. However, even among repositioning surgeries, some are easier than others.

For example, breast revision surgery to lower breast implants is easier than surgery to raise implants. Similarly, moving implants outwards (toward the sides) is actually an easier surgery than moving the implants inward toward the center of the body.

And remember, any time breast implants are moved during breast revision surgery, the plastic surgeon is now working with skin that has already been stretched and sutured over the implant – and must be pulled and sewn up a second time.

Breast Revision Surgery for Leaks, “Pops” & Size Changes

Newer generations of implants are very unlikely to “pop” or “leak” thanks to advancements in breast implant materials. But some women may need to have older breast implants removed due to a leak or deflation (popping). In these cases, a skilled plastic surgeon is required to reopen the breast and “match” the new breast with the previously implanted breast on the other side. In these cases, precision, skill and accuracy are needed to maintain symmetry of size and positioning.

In a rare number of cases, a woman may simply no longer wish to have the larger breasts that she desired when she was younger for strictly personal aesthetic reasons. At AMAE Dr. Ali has also performed breast revision surgery on women who find that they “went too big” when they were younger and feel that the breast implants are now in the way or a little too ostentatious. In these cases Dr. Ali must remove the implant and replace it with a smaller one – or in some cases remove the implants entirely and return the breast to a natural pre-implant appearance.

Breast Revision Surgery Considerations

The location of the original breast implant incision can also affect the ease or difficulty of breast revision surgery. In many cases a breast revision surgeon will try to use the original incision, so that the patients does not end up with two scars.  If the original surgeon used a peri-areolar incision (around the outer edge of the lower areola) the new surgeon can reopen the scar and have a 360-degree view of tissues inside the breast. This technique enables more precision in releasing any scar tissue and modifying the original pocket.

But, in some case breast revision surgery requires placing the implant in a different plane than the first surgery in order to achieve the best results. For example, the old implants may have been placed over the muscle – while new ones need to be placed under the muscle (or vice-versa). This may enable the surgeon to place the replacement implants in an area where there is less scar tissue and less tissue damage or stretching from the first surgery.

As you can see from these many considerations, breast implant revision surgery is not a standard or routine procedure. Everyone’s breast revision surgery is different and must be tailored on an  individual case by case basis to safely and effectively meet the patient’s goals and desires. For this reason, breast revision surgery should ONLY be performed by a board-certified plastic surgeon like Birmingham, Mi’s Dr. Ali, who is highly-trained and experienced in all types of breast surgery techniques and procedures.

Dr. Ali will listen to each patient’s breast revision goals and desires and will develop a unique, customized surgical plan to specifically to address all of the issues and challenges of a second surgery.

Birmingham, MI Top Breast Revision Surgeon

Top plastic surgeon Dr. Ali has provided breast revision surgery for hundreds of patients across Oakland County and the greater Detroit area, including: Birmingham, Bloomfield Hills, West Bloomfield, Troy, Southfield, and more.

Because of his expertise and exceptional results Dr. Ali is the surgeon to whom other surgeons refer their most difficult breast revision cases. If you are suffering from any breast implant problem, including implant rupture or leak, asymmetry, improper positioning, pain, hardness, scar tissue, capsular contracture, or the “wrong size” implants, Dr. Ali is here to help you.

No matter what problems or issues you are having with your breast implants, board certified breast revision surgeon Dr. Ali will listen to your concerns and help you find the solution.

Top Birmingham, MI Breast Revision Surgeon: 248-335-7200

The Steps of Breast Implant Removal Surgery

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What is Involved in Breast Implant Removal Surgery

While breast implant surgery removal is uncommon, there are certain circumstances when a woman wants or needs to remove previous breast implants. In some cases, this may be simply an aesthetic or a lifestyle choice. In other cases there may be medical reason necessitating implant removal.

Whatever, the reason, it is important to have the procedure performed by a board-certified plastic surgeon with years of experience in breast implant removal, to avoid complications and achieve the most beautiful and natural looking reconstruction of the breast.

Why Patients Have Breast Implants Removed

In a rare number of cases, a woman may no longer wish to have the larger breasts that she desired when she was younger for strictly personal aesthetic reasons. We have seen women who find that they “went too big” when they were younger and that the breast implants are now in the way or a little too ostentatious.

More common are women who desire breast implant removal because a less-than-skilled surgeon previously did not do a good job with their breast augmentation surgery. At AMAE Plastic Surgery in Birmingham, MI we have seen breast implants by other (unskilled) doctors that were uneven, placed too high, asymmetrical, oddly shaped, dropped or otherwise malformed.

New generations of implants are very unlikely to “pop” or “leak.” But some women may need to have older breast implants removed due to leaking or deflation. Other women may be experiencing pain, discomfort or breast hardening due to breast capsule (capsular contraction), which is the scar tissue that forms after the placement of a breast implant.

Breast implant removal surgery may involve replacement with more attractive implants – but can also involve natural reconstruction of the breasts without implants. In either case, the key to successful results is going to a skilled and experienced plastic surgeon like Dr. Ali in Birmingham, MI.

Breast Implant Removal Step 1 – Anesthesia

Medications, intravenous sedation, and general anesthesia (putting the patient to sleep) are all administered for patient comfort during breast implant removal surgery. The selection of anesthetic will be discussed with you by Dr. Ali during your initial arm lift consultation.

Breast Implant Removal Step 2 – Incision

Typically a breast implant removal involves an incision to be placed along the lower fold of the breast (“inframammary fold”) or an incision around or below the areola.

Dr. Ali will select the best incision placement for optimal results with the least visible scar.

Breast Implant Removal Step 3 – Removal

The removal technique will depend on each patient’s unique needs. In cases of capsular contracture, scar tissue will need to be carefully removed and adhesions that hold tissue together released.

Breast Implant Removal Step 4 – Reconstruction

If the patient has chosen new implants, the breast augmentation procedure will begin. In other patients, Dr. Ali may be able to use their own tissue for breast reconstruction or reshaping of the area – to ensure a nature texture and appearance.

Breast Implant Removal Step 5 – Closing the Incisions

Sutures (stitches), skin adhesives, tapes and/or clips may be used to close the skin incisions. Gauze dressings or bandages will be applied – and thin drains may temporarily be inserted to remove excess blood and fluid in some cases. A support bra, surgical garment, or compression garment may be used to minimize swelling following breast implant removal surgery.

Dr. Ali will provide you with detailed instructions on caring for the incision, removal of the stitches (and drain if applicable), and medications to take for post-operative discomfort and to avoid infection.

It is extremely important that the incisions are not subjected to force, swelling, abrasion or excessive motion during the recovery – and Dr. Ali will explain what you can and can’t do and when you can return to your normal activities.

Most patients can resume work, school and less strenuous normal activities within two weeks. And by six weeks, the majority of patients are able to return to a completely normal activity level.

Remember: the fastest recovery, least pain and least visible scars all depend on following your plastic surgeon’s instructions after your arm lift surgery! Healing will continue for several weeks as swelling decreases – and it may take several months to see full results when all swelling has subsided. And, of course, continue to follow your plastic surgeon’s instructions and attend follow-up visits as scheduled.

Breast Implant Removal Surgery | Birmingham, MI

Top Birmingham board-certified plastic surgeon Dr. Ali has provided breast revision surgery for hundreds of women across Oakland County and the greater Detroit area, including: Birmingham, Bloomfield Hills, West Bloomfield, Troy, Southfield, and more.

Because of his expertise, high standard of care, and exceptional results in even the most difficult cases, he is the surgeon that other physicians refer their patients to for breast implant removal and breast revision surgery. With his years of expertise, caring demeanor and modern techniques, Dr. Ali can fix almost any breast implant problem, including: implant rupture, asymmetry, capsular contracture, implant size change, and more.

No matter what problems or issues you are having with your breast implants, board certified breast revision surgeon Dr. Ali will listen to your concerns and help you find the solution.

Breast Implant Removal Surgery | Birmingham, MI:  248-335-7200

The Steps of Arm Lift Surgery

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What Is Involved in Arm Lift Surgery

Unsightly loose skin that hangs down from the arms is one of the most common aesthetic concerns among both women and men. Sometimes loose arm skin is called bat wings, bingo wings, or simply flabby arms. But whatever you call it, it can be extremely frustrating, because it is not a condition that can be treated with exercise or dieting. In fact, weight loss often makes loose, hanging arm skin worse!

In addition to weight loss, flabby arms can be caused by age, heredity, gravity, and hormone loss. People who are physically inactive can lose as much as 3% to 5% of their muscle mass every decade after the age of 30. And, declining testosterone levels in men – and decreasing estrogen levels in women – also lead to muscle loss.

As a result, arm of any of these issues, arm tissue relaxes may become loose and saggy. Fortunately, arm lift surgery performed by renowned Birmingham, MI plastic surgeon Dr. Ali can turn loose, flabby arms into tight, toned, sexy limbs.

There are different approaches to arm lift (brachioplasty surgery), depending on the severity of the sagging, the amount of extra skin, the quality of the skin, and whether or not fat also needs to be removed.

An arm lift procedure includes the following steps:

Arm Lift Surgery Step 1 – Anesthesia

Medications, intravenous sedation, and general anesthesia (putting the patient to sleep) are all administered for patient comfort during arm lift surgery. The choice of anesthetic will be discussed with you by Dr. Ali during your initial arm lift consultation.

Arm Lift Surgery Step 2 – Incision

Incision length, location and pattern during arm lift surgery depends upon on the amount and the location of excess skin to be removed. Birmingham plastic surgeon Dr. Ali has performed hundreds of arm lift surgeries and is highly skilled in a variety of arm lift surgical techniques that can be customized to offer you the best results with the least visible scarring.

Arm lift incisions are typically placed on the inside of the arm (or sometimes on the back of the arm) where they are less visible. Depending on the patient’s unique needs the length of the incision may extend from the underarm (axilla) to just above the elbow – but in many cases are smaller and more limited.

Arm Lift Surgery Step 3 – Fat Removal & Shaping

Excess skin and fat that needs to be removed Dr. Ali is then excised (removed) surgically. Dr. Ali may also determine that liposuction is the best fat removal procedure for the patient’s individual situation.

The underlying supportive tissue is tightened and reshaped with internal sutures (stiches). Finally, the remaining skin is then placed back over the new contours and smoothed into position.

Arm Lift Surgery Step 4 – Closing the Incisions

The incisions will be closed either with stitches (sutures) that are absorbed by the body – or that will be removed within one to two weeks following arm lift surgery.

It is important to choose a skilled and highly experienced plastic surgeon like Dr. Ali in Birmingham, MI to ensure that scars for these incisions are as well-concealed and as least visible as possible.

Dressings / bandages will be applied to the arm lift incisions, and upper the arms will typically be wrapped in an elastic bandage or compression garment to minimize swelling following surgery. In some, but not all, cases a small, thin tube may be temporarily inserted to drain any excess blood or fluid.

Arm Lift Surgery Step 5 – Recovery

You will need someone to drive you home due to the anesthetic and the incisions on your upper arms.

While the smoother, tighter contours from arm lift surgery are apparent almost immediately, the results will become more visible once the swelling and bruising subsides.

You will be given specific instructions on how to care for the surgical site and drains, medications to apply or take orally to aid healing, specific concerns to look for and when to follow up with your plastic surgeon.

Dr. Ali will provide you with detailed instructions on caring for the incision, removal of the stitches (and drain if applicable), and medications you may take for post-operative discomfort. It is extremely important that the incisions are not subjected to force, swelling, abrasion or excessive motion during the recovery – and Dr. Ali will explain what you can and can’t do and when you can return to your normal activities.

Most patients can resume work, school and less strenuous normal activities within two weeks. And by six weeks, the majority of patients are able to return to a completely normal activity level.

Remember: the fastest recovery, least pain and least visible scars all depend on following your plastic surgeon’s instructions after your arm lift surgery!

Arm Lift Surgery | Birmingham, MI

Schedule an arm lift surgery consultation with Dr. Ali – and take the first step to looking and feeling fabulous and confident in sleeveless shirts, strapless dresses, swim suits, or even nothing at all!

Arm Lift Surgery Consultation | Birmingham, MI:  248-335-7200

The Different Types of Urinary Incontinence

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The Different Types of Urinary Incontinence

While sudden, unwanted bladder leaks affect up to 50% of females over the age of 50, urinary incontinence can affect women of all ages. Sadly, many of these women suffer in silence and don’t seek medical help because they are too embarrassed or because they assume it’s just an inevitable part of getting older.

At any age, bladder leaks can interfere with daily routines and seriously impact a woman’s quality of life. And the good news is that there are a variety of treatments that can reduce or eliminate bladder leaks.

Stress Urinary Incontinence

Stress incontinence is a conditions that occurs when the pelvic floor muscles are weakened due to pregnancy and delivery, hormonal changes, weigh gain or aging. When pressure or stress is put on the bladder and urethra during certain activities – like laughing, coughing, running, exercising, etc. – urine leaks can range from a few drops to much more.

Stress urinary incontinence is the most common cause of bladder leaks in women, especially women over the age of 50.

Urge Urinary Incontinence

Urge incontinence is also commonly known as “overactive bladder”.  With this condition, bladder leaks occur when the brain sends the wrong messages to your bladder at the wrong time. These nerve signals cause the bladder muscles to suddenly contract, creating a strong urge to urinate, even when the bladder is not full.

Because the sensation to urinate is so strong, the woman is often unable to hold the urine long enough to get to a bathroom. Urge incontinence can be its own separate condition, or it may be a side effect of an underlying medical issues such as an infection (UTI), diabetes, or neurological damage.

Mixed Urinary Incontinence

Mixed incontinence can be even more frustrating because it is a combination of both stress and urge urinary incontinence. As such it can result in involuntary bladder leaks due to sneezing, coughing, or exertion, as well as sudden urges to urinate unrelated to any activity.

Overflow Urinary Incontinence

Overflow incontinence occurs due to weak bladder muscles and/or a blockage in the urinary system. If the bladder muscles to weak to completely empty the bladder, it can retain urine and become too full – resulting in Involuntary urine leakage.

Causes of overflow urinary incontinence include: medications, tumors, bladder and kidney stones, loss of sensation, and other medical conditions.

Functional Urinary Incontinence

Functional incontinence is not a disease in and of itself. It refers to being unable to reach the bathroom in time due to cognitive or mobility issues that aren’t related to the urinary system.

For example, immobility, Parkinson’s, Alzheimer’s disease, traumatic brain injury (TBI), can cause of functional incontinence from preventing a person to reach a toilet when they have an urge to urinate.

Viveve Treatment for Urinary Incontinence

Women CAN get relief from urinary incontinence and improve their quality of life with appropriate treatment.

The Viveve System – available at AMAE in Birmingham, MI – is a treatment designed to restore the health the pelvic area WITHOUT surgery. Viveve uses gentle, non-invasive radiofrequency energy to tightening the lax muscles which may help regain bladder control.

In clinical studies, Viveve has proven successful in treating stress, urge and mixed urinary incontinence by strengthening weak pelvic floor muscles, improving blood flow, and supporting healthy nerve and tissue function in the pelvic floor.

Viveve is a simple one-time, in-office procedure that requires no incisions, no anesthetic, and no downtime.

In addition to treating urinary incontinence, Viveve tightens loose vaginal muscles, restores thickness and elasticity to vaginal walls, and can improve sexual desire and enjoyment!

Viveve Urinary Incontinence Treatment | Birmingham, MI:  248-335-7200

Buttock Augmentation Surgery vs. Butt Lift Surgery

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The Differences Between Buttock Augmentation & Butt Lift Surgery

It’s no secret that a full, shapely bottom is very in style right now! Kicked off by the Kardashian sisters in the early 2000s, the trend of a larger shapely behind is now en vogue with actresses, celebrities, and influencers, as well as everyday people.

For women born without a shapely behind, a variety of surgical treatments can give them the “butt” that nature and heredity did not. Buttock Augmentation (gluteal augmentation) and Butt Lift surgery can both be used to improve the contour, size, position and/or shape of the buttocks.

In this article board certified Birmingham, Mi plastic surgeon Dr. Ali discusses the differences between Buttock Augmentation and Butt Lift surgery to help you decide which is right for you.

Buttock Augmentation Surgery

Buttock Augmentation is a surgical procedure that enhances the “butt” through the use of buttock implants, fat grafting (transferring the patient’s own fat), or sometimes a combination of the two.

Butt implants are silicone-filled devices that are surgically placed deep within the tissues of the buttock. While butt implants can give a fuller and more rounded look, they are limited because they only deliver volume to one specific area of the behind –and cannot be sculpted and contoured. Buttocks implants also tend to feel less natural than when the body’s own fat is used.

Buttock augmentation with fat grafting involves the transfer of fat from one area of the patient’s body into the the buttocks. This is sometimes referred to as a Brazilian Butt Lift. Buttock fat transfer can increase fullness, roundness and the projection of the butt. Typically fat is obtained by the plastic surgeon via liposuction from unwanted areas (such as the belly or thighs).

It is essential that any buttock augmentation – whether implants or a Brazilian Butt Lift fat transfer – be performed by a very skilled and experienced board certified plastic surgeon. Improperly performed butt augmentation surgery has potential for complications such as infection, capsular contracture (scar tissue formation), and wound healing problems. Butt implants can also become displaced or cause worse sagging over time.

Butt Lift Surgery

For the above reasons, many board certified plastic surgeons prefer butt lift surgery to buttock augmentation or Brazilian Butt Lift surgery.

Butt lift surgery (gluteal lift) improves the shape and tone of the underlying tissue that supports skin and fat in the buttock area. In many cases sufficient enhancement of the buttocks can be achieved with butt lift surgery – without the need for implants of fat grafting.

Aging, pregnancy, weight gain or loss, and hereditary factors can contribute to poor tissue elasticity that can result in sagging of the “butt cheeks”. Similarly, estrogen decline in women and testosterone decline in men can result in a loss of muscle mass that can also cause the buttocks to lose volume and tone that results in sagging and dropping.

During butt lift surgery, excess sagging skin is removed – and a higher, smoother and more pleasing contour is created. If fat removal is required, liposuction is sometimes added for better contouring. While a traditional gluteal lift will not make the butt larger, it can make it higher and rounder as well as improve a dimpled, irregular skin surface.

A Third Option: Sculptra Butt Filler

Sculptra is a relatively new filler that can be injected into the buttocks. The Sculptra provides a framework that induces the body to grow its own collagen around the product. Since the body is producing its own, new, living tissue the results last several years (rather than a few months like traditional fillers).

However, the results of are more subtle than butt lift or augmentation surgery – and cannot remove excess skin or fat from unwanted areas. Sculptra also generally requires a few sessions to get the full effect in larger areas like the buttocks to achieve sufficient results.

Butt Lift Surgery | Birmingham, MI

With this wide variety of butt augmentation and butt lifting procedures, 2022 can finally be the year that you get the firm, toned, shapely behind you want once and for all.

Bloomfield Hills area board certified plastic surgeon Dr. Ali has helped hundreds of women achieve beautiful, attractive curves with Brazilian Butt Lift (BBL), Butt Lift Surgery and Sculptra injections. Schedule a consultation with Dr. Ali, and he will take the time to discuss your appearance goals and help you decide which butt augmentation procedure is right for you!

Butt Lift Surgery Consultation | Birmingham, MI:  248-335-7200