The Challenges of Breast Revision Surgery

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

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

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

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

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

New Years Resolution: Lose Fat with Lipo or CoolSculpting

Choose Lipo or CoolSculpting to Lose Fat in 2022!

Well, we ALL deserve a pat on the back for making it through 2021 – a year that will go down in the history books as one that nobody want to revisit. And now that 2022 is here it’s that time of year again for New Years Resolutions. Losing weight and getting in better shape is always the top New Years Resolution in the United States, year after year. And this year that more people than ever are concerned about their physiques after the weight gain caused by the sedentary lifestyle of the pandemic.

If you gained unwanted fat during the past two years, you are not alone! A survey by the American Psychological Association has reported that 42 percent of U.S. adults said they gained too much weight during quarantine. And popular website Statistica reports that 50% of Americans want to get in better shape in 2022 as their New Years Resolution! But, as we all know, that is much easier said than done.

The good news is that there are two highly effective ways to get rid of unwanted fat – without diet or exercise – now available at AMAE in Birmingham, MI. In fact, Dr. Ali has helped hundreds of women and men in the Birmingham area – and across Wayne, Oakland & Macomb County – get the body they want with either Lipo or CoolSculpting!

But with two great fat-loss treatments, how do you know which procedure is right for you? In this article the fat loss experts at AMAE in Birmingham, MI discuss the general differences between Lipo and CoolSculpting. Remember every patient is unique, and what is the best procedure for one person may not be right for someone else. Take a look at the the details below and then schedule a consultation with Dr. Ali to see which fat loss method is best for you. He provides each patient with an evaluation and detailed answers to their questions, so that you can choose the best fat loss procedure to help you achieve your personal New Years Resolution!

Lipo Facts

Liposuction – commonly called  “Lipo” – is a minimally invasive surgical technique that removes excess fat deposits located between the skin and muscle. Lipo improves the body’s shape by surgically getting rid of stubborn “bulges” of fat that are resistant to exercise and dieting.

While lipo is a “fat loss” treatment, and not a weight loss method per se, up to 11 pounds of unwanted fat can safely be removed in a single lip procedure. In most cases Lipo can be performed under local anesthesia, and the patient can go home within a half hour after the procedure. The incision(s) made during Lipo are very small (less than 3mm) so there are no stitches and little to no visible scars.

The recovery time after Lipo is from 2 to 7 days before normal activity can be resumed – and there is both swelling and discomfort that gradually subsides over a period of 2 to 8 weeks.

Liposuction is very appealing to many people as a fat loss solution, because results are “immediate” – because the fat has been surgically and permanently “sucked out”. Once the swelling goes down, the fat loss is completely visible and while it is possible to gain weight after lipo, the fat cells in the treated are will never come back.

In addition to being performed on the “tummy” (abdomen, waist) Lipo can also  be used on many other parts of the body including the flanks (love handles), arms, thighs and butt, male breast area, and even the chin!

Lipo also generally works best for people who have good skin elasticity and muscle tone – and who do not have excess skin or loose abdominal muscles. Patients with mild to moderate loose skin may want to combine lipo with one of our state-of-the-art, non-surgical, laser or radiofrequency skin tightening treatments. And patients with excessive loose skin or stretched abdominal muscles may wish to consider surgical skin tightening (like a tummy tuck or arm lift).

CoolSculpting Facts

One of the easiest ways to lose fat in the New Year – without diet, exercise or downtime – is revolutionary CoolSculpting.

Like Lipo, CoolSculpting is primarily used to remove stubborn areas of fat that resist diet and exercise.  And, like Lipo, CoolSculpting is not a weight loss tool for obesity. However, CoolSculpting can reduce fat by up to 25% in the treated area – with no surgery and no downtime.

CoolSculpting is non-surgical and non-invasive – so there is no incision and no local anesthetic. This also means that there is virtually no recovery period! While lipo is generally done in one treatment, CoolSculpting typically involves multiple treatments – depending on the area(s) being treated and the amount of fat being removed.  CoolSculpting freezes the fat cells, which are then eliminated naturally by the body – so it takes a little more time to see results than with lipo. Most patients begin to see results within 4 weeks, and it may take 3 to 5 months to observe final results.

As an added benefit, CoolSculpting does have some skin tightening properties. It can also be combined with one of our advanced, non-surgical, laser or radiofrequency skin tightening treatments. Like lipo, however, CoolSculpting does not remedy loose abdominal muscles – which are better treated with a surgical tummy tuck.

Beware of Lipo or CoolSculpting Clinics With Only One Choice

The best way to determine whether Lipo or CoolSculpting treatment is best for you is to discuss your goals with a board certified plastic surgeon like Dr. Ali who offers BOTH Lipo AND CoolSculpting. AMAE Plastic Surgery & Med Spa in Birmingham, MI offers both fat loss procedures. We will examine your skin, muscles, body, lifestyle and goals to help you choose the best procedure for your unique needs.

Always be very wary of doctors, clinic that only offer one type of fat loss or skin tightening procedure. They will likely steer or pressure you into the procedure they offer – even if another procedure would be better for your body, your goals or your lifestyle. Only a surgeon who offers BOTH procedures can give you the choices you need, so that you can choose the fat loss treatment that is best for you.

Best Lipo in Birmingham, MI

In sum, CoolSculpting is less invasive, and less uncomfortable than Lipo, with less downtime. But the CoolSculpting results take more treatments than Lipo – and the results of CoolSculpting take longer to be visible than Lipo. For patients with moderate skin laxity in the treated area AMAE also offers advanced, non-surgical skin tightening technologies. And, for patients with excess loose skin and/or stretched or torn abdominal muscles, Dr. Ali also offers surgical treatments that can tighten skin and muscles – such as tummy tucks and arm lifts.

Dr. Ali has helped hundreds of women and men in the Birmingham, MI area and across Wayne, Oakland & Macomb County get the body they want with Lipo and CoolSculpting. He will be happy to offer you a consultation to help you understand your options and decide if Lipo or CoolSculpting is right for you.

And remember, financing options are also available!

Lipo & CoolSculpting | Birmingham, MI: 248-335-7200

New Year, New You – with a Mommy Makeover!

Mommy Makeover: New Year, New You!

For most moms, the kids and everyone else comes first during the holidays. And while you love all of that family time, you’re probably a little exhausted! Now that the holiday hustle and bustle is over, the gifts are put away, and the kids are going back to school it’s time to do something FOR YOU – so why not consider a Mommy Makeover?

We know you wouldn’t trade being a mom for anything! But, many mom’s would like to trade-in their ‘mom-bod’ for a tight, toned , sexy new beach-bod. Well, now you CAN with a customized Mommy Makeover at AMAE Plastic Surgery & Med Spa.

What is a Mommy Makeover?

Having children drastically changes most women’s bodies. Lax stomach muscles, sagging abdominal skin, drooping breasts, and even a looser vagina are just a few of the unwanted “side effects” of childbirth. Not to mention the unwanted deposits of “baby weight” fat that won’t go away no – matter how much you diet or exercise.

But a Mommy Makeover is a custom combination of procedures that remedies any or all of these problems, and enables any Mommy to get her pre-baby body back – and love the way she looks!

A mommy makeover typically consists of three procedures: a tummy tuck; a breast lift and/or breast implants; and liposuction.  However, every Mom’s post pregnancy body changes are different – so we can customize a Mommy Makeover plan just for you with the exact procedures you need to get a body that looks as great (or even better!) than it did before pregnancy.

Mommy Makeover: Tummy Tuck

After pregnancy, excess skin in the belly area is often left. The stretching from carrying a child may cause the abdominal skin to lose its elasticity and not “bounce back” after delivery. Additionally, the abdominal muscles may also have become loose, stretched or even separated.

During the Mommy Makeover, a tummy tuck can pull the loose skin taut – and surgically tighten and repair abdominal muscles if necessary – to achieve a taught, flat stomach. In fact, many of our Detroit area patients report having the best “abs” of their life after a tummy tuck!

Mommy Makeover: Breast Lift and/or Implants

Many mothers, especially those who have breastfed, notice that their breasts lose volume and/or sag after pregnancy and breastfeeding. Women who have had multiple children typically notice an even more pronounced effect on breast size, shape and tone.

During a Mommy Makeover, a breast lift can decrease sagginess, giving women higher, firmer, ‘perkier’, more youthful breasts. If desired, breast implants can be used to add volume and firmness to replace breast tissue lost after childbirth – or simply to give you the larger, rounder breasts that you never had.

Mommy Makeover: Liposuction

Liposuction can permanently get rid of those stubborn areas of fat that you just can’t get rid of – no matter how much you diet or exercise. During a Mommy Makeover, liposuction is used to suck out fat and smooth, flatten, and contour the body – especially the midsection.

For women who have less fat to lose or who prefer to lose fat without surgery, we also offer CoolSculpting fat loss.

Mommy Makeover: Vaginal Rejuvenation

Due to pregnancy, hormone loss or the aging process, 40% of women will experience looseness in the vagina (laxity) that can result in a loss of sexual sensation. And, after menopause, up to 50% of women experience vaginal pain, dryness and irritation.

But an exciting new, non-invasive radiofrequency vaginal rejuvenation treatment called Viveve can remedy all of these problems with just one 30 minute treatment! Viveve™ is a state-of-the-art vaginal tightening procedure recently approved by the FDA for use in the United States. It is a one-time treatment that uses radiofrequency (CMRF) to rejuvenate vaginal tissue and muscles.

Because Viveve™ is a nonsurgical treatment, it is painless and there is no downtime. You can even return to your normal activities – including exercise and sexual intimacy – immediately following your appointment. Additionally, Viveve can help remodel a distended or wrinkled labia, for a more attractive vaginal area.

And, for women with more extreme vaginal laxity and/or labia distention, surgical options such as vaginoplasty and/or labiaplasty can be incorporated into your Mommy Make Over at AMAE in the Detroit area.

Detroit Area’s Best Mommy Makeover

Busy mothers love a Mommy Makeover, because it’s “one and done” – and the recovery time for multiple procedures is condensed into one single timeframe. With a Mommy Makeover at AMAE Plastic Surgery & Med Spa, Detroit area women CAN “have it all” with just a single appointment!

If you are a Mommy – or any woman – who would like to experience a “new you” in the New Year call today to schedule a Mommy Makeover Consultation.

Detroit Area Mommy Makeover Consultation: 248-335-7200

6 Reasons We Love CoolSculpting for Fat Loss

CoolSculpting: Lose That Fat in The New Year!

Congratulations are in order – we made it through 2021, and another Christmas in the time of COVID. We understand if you’re a little bit exhausted. And, if you are like most people you probably put on a few pound (or more) during quarantine as well as during the holidays. 2022 is time for a fresh start – and what better way to start the New Year than with affordable, effective fat loss treatments – that require NO dieting and NO exercise!

2022 is the perfect time to do something just for you. And CoolSculpting – for the body you’ve always wanted – is the perfect gift you can give yourself.

In this article the fat loss experts at AMAE Plastic Surgery and Med Spa explain why CoolSculpting is the perfect fat loss treatment for the New Year!

#1. CoolSculpting is Affordable

The average American family spent almost $1000 on gifts this holiday season. And people in the Rochester Hills, Troy, Farmington Hills and West Bloomfield area typically spent much more than this! How much did you spend on others this Christmas? Most people don’t think twice about pulling out their credit card to buy that “perfect gift” for their loved ones at Christmas. But few of us spend that kind of money on ourselves.

With CoolSculpting treatments starting under $1000 you can give yourself a better body, for less than you spent on Christmas gifts. And, through January 31, 2022, AMAE is offering new patients $250 OFF 6 or more CoolSculpting cycles – so you can start your fat loss journey right away.

#2. CoolSculpting Financing Is Available

With several easy financing options, you can give yourself the gift of fat loss today. We offer two easy and convenient financing options that enable patients to get CoolSculpting now and pay for it  over time?

Many of our patients have used the following lenders, and are very happy with the level of service they received and the way they were treated.

CoolSculpting Financing Companies:

#3. CoolSculpting is Permanent

CoolSculpting is the gift that keeps on giving year after year – because the fat loss results are permanent. CoolSculpting is a non-invasive, non-surgical procedure that literally freezes and kills unwanted fat cells. Once the fat cells are destroyed they are eliminated from the body, and they do not come back … ever!

This is because the number of fat cells a person has is set by the time they are adults. So, while you gain gain or lose weight, once fat cells are destroyed the body can never make new ones!

#4. CoolSculpting has No Downtime

Got a free hour? That’s typically all it takes for a CoolSculpting treatment! You can even have CoolSculpting done on your lunch break – and return to work the same day. Many Mom’s have it done while the kids are in school, and still pick up their children at the end of the school day.

Depending upon the number of areas to be treated, and the amount of fat to be removed, patients may need more than one treatment. But there is never any downtime afterward!

#5. CoolSculpting Fat Loss with No Diet & No Exercise

Heredity primarily determines where fat is stored on our bodies. That is why fat often does not respond to diet or exercise. And, most busy parents and business people just don’t have time to spend endless hours in the gym. Additionally, certain areas of the body – such as rolls of back fat or double chins – can’t effectively be reached with exercise.

But CoolSculpting eliminates fat – without diet or exercise! Patients simply lie back and relax while our certified CoolSculpting technician applies the applicator to the treated area. In less than an hour the fat cells are destroyed – and patients can return to their day.

#6. CoolSculpting Delivers Results Before Summer

January is the perfect time to consider CoolSculpting – because your results will be complete by the time swimsuit season rolls around.

Once the fat is frozen, your body’s lymphatic system will gradually remove the dead fat cells over time. Because it takes time for the body to eliminate the dead fat cells, CoolSculpting results start to be visible after 2 to 4 weeks. And it may take 2 months for more dramatic results, and up to 3 to 5 months to deliver complete and final results.

So January is the perfect time to get started! By June your body will be 100% bathing suit ready. Your partner, family and friends will be amazed at the “new you” that emerges from your winter sweater and into that bold bikini or bathing suit trunks!

CoolSculpting | Birmingham & Rochester Hills Area

Isn’t 2022 time you finally kept that fat loss resolution – and gave yourself the gift of a slimmer, trimmer body?

Dr. Ali has helped hundreds of women and men across Oakland County, including Birmingham, Rochester Hills, Troy and the surrounding area lose fat, and get the body they want with CoolSculpting. He will be happy to offer you a consultation to help you understand how CoolSculpting can help you get the body you’ll love in 2022!

CoolSculpting Consultation: 248-335-7200

Men: Lose Weight & Gain Muscle in 2022 with BHRT

Hormone Replacement Can Help Men Lose Weight & Gain Muscle

Losing weight is the number 1 New Year’s Resolution among men in the United States. One reason for this is that men often begin to put on weight around the age of thirty, even if they aren’t eating more or their exercise level hasn’t decreased.

In fact, many men in their thirties and forties increase their exercise and/or reduce their calorie consumption only to discover that no matter what they do, they can’t lose weight. Some fortunate men do manage to maintain a steady weight, but as they age they begin to notice that they are losing muscle mass and accumulating fat  in unwanted places – like a thicker “beer belly,” or embarrassing “man boobs.”

As fat deposits increase and muscle mass diminishes with age, it has earned the humorous name “dad bod” – but for most males this is no laughing matter! In this article the weight loss experts at AMAE in the Detroit area discuss why men’s weight gain happens so frequently with age.

Hormones, Weight Loss & Building Muscle

When a man gains weight and loses muscle tone after the age of thirty it’s typically not their fault. Instead, the man’s declining hormones are more likely responsible! Hormones, including testosterone, are responsible for fat distribution and muscle mass on a man’s body. But, every year after a man turns 30, his hormone production gradually declines a little more.

Most men are familiar with Testosterone – the male sex hormone. And decreased levels of testosterone – dubbed “Low T” in the media – has gotten a lot of attention lately because of its relationship to “ED” (erectile dysfunction) and sexual performance problems. But “Low T” doesn’t just cause decreased sex drive and erection problems. Testosterone decline can also cause muscle loss, weight gain, and increased fat storage in men (especially around the belly and breasts).

Andropause and Weight Loss

Most people are familiar with menopause in women – but many individuals don’t know that men also experience a “male menopause” call andropause that is due to testosterone decline as they age. The hormone decline of andropause starts earlier in men (around 30) than in women (around 50) – but it is much more gradual than a woman’s hormone decline.

When testosterone levels drop below normal levels, the condition is popularly called “Low T.” But, in spite of all the TV commercials and internet ads that claim to help male performance and libido, over-the-counter Low T treatments will simply not address weight gain and muscle loss.

Hormone Replacement for Weight Loss & Building Muscle

Weight gain, muscle loss, and an increased waistline and/or male breasts, can certainly lower a man’s self-confidence. But weight gain is much more than a cosmetic issue. Increased accumulation of body fat – especially around the waistline – increases a man’s risk for chronic diseases, including: type 2 diabetes, cardiovascular disease, heart attack, high blood pressure (hypertension), stroke, and even certain cancers.

Reducing calories and increasing exercise activity is always good for a man’s health. But when diet and exercise are not enough to lose weight and restore muscle, bioidentical hormone replacement therapy (BHRT) may provide the key to losing unwanted pounds and inches, and rebuilding muscle mass and strength.

The biodentical hormone replacement therapy (BHRT) experts at AMAE in the greater Detroit area can conduct blood tests, to identify a man’s unique hormone deficiencies and imbalances. Then we can customize a personalized hormone replacement therapy plan just for them. Rather than one-size-fits all hormone pills or over-the-counter supplements, AMAE offers customized, compounded hormone dosages personally formulated for each client’s hormone replacement needs.

AMAE uses only 100% natural, bioidentical hormone replacement pellets to restore male hormone balance. These tiny pellets are plant-derived, so they are safer and more effective than lab-created hormones, with far fewer side effects. Additionally, time-released pellets release hormones 24/7 – as the body needs them. So, there are no hormone surges like those caused by pills or injections.

And with hormone pellets, there is nothing to remember to take and no weekly painful injections – because a BHRT single pellet insertion can restore hormone balance in men for up to 6 months.

Men’s Hormone Replacement to Lose Weight & Build Muscle – Detroit Area

If you are a man in the greater Detroit area who has been unable to lose weight or build muscle like you used to – no matter how much you diet or exercise – hormone decline may be the cause of the problem. Bioidentical hormone replacement therapy (BHRT) at AMAE can help restore your hormone so, you can burn calories, lose weight, build muscle, and get rid of unwanted body fat like you did when you were younger.

As an additional bonus, bioidentical hormone replacement therapy can also help ward off many serious diseases in men, in addition to increasing energy, and improving sexual performance.

If you live in the greater Detroit area, schedule a discreet and confidential bioidentical hormone replacement therapy consultation at AMAE – and let our hormone experts help you lose weight, replace fat with muscle, improve your sex life, and live longer and healthier!

Buried Penis Treatment (Supra-Pubic Fat Removal)

Men: Permanently Get Rid of Supra Pubic Fat

As a man gets older, or when he gains substantial weight, he may notice that his penis seems smaller – or has become “harder to find” during sex. Obviously, this can have a very negative effect on man’s self-esteem and sexual confidence.

During sexually intimacy “penis fat” – medically called “supra pubic fat” – can make a man feel unattractive and even sexually inadequate. Excessive fat that obscures a man’s penis can also interfere with his ability to perform sexually. Other problems caused by supra pubic fat can include: difficulty urinating; urinary tract infections (UTI); and problems achieving a firm erection.

Fat placement on the body is generally hereditary, and “penis fat” is no exception. And fat in the pubic area is even more frustrating because it is an area that generally does not respond to dieting or exercise. Unfortunately, many men with supra-pubic fat just “live with it” and don’t realize they can seek medical help for this debilitating condition.

The good news is that Birmingham, MI board certified plastic surgeon Dr. Ali offers revolutionary new treatments that can permanently reduce or remove suprapubic fat from around a “buried penis” – and restore sexual sensation, confidence and performance.

Causes of Men’s Supra Pubic Fat (“Buried Penis”)

A small number of males are born with an unusually small (“retractile”) penis. But, in most cases, a penis that appears “buried” is a condition that occurs later in life when a perfectly normal size penis has been engulfed in an enlarged ‘supra pubic’ pad of surrounding fat.

Unwanted bulges of fat in the genital area (medically called the ‘suprapubic region’) that are caused by substantial weight gain or obesity are the most common cause of “buried penis”.

But, in addition to excessive weight gain, a hidden penis can result from other medical conditions. Hidradenitis suppurativa is a very painful skin condition that results in abscesses and scarring that can obscure or “bury” a man’s penis. Certain infections, as well as the chronic skin condition called ‘lichen sclerosis’ can also “bury” a man’s penis. And, less commonly, a lymphatic system disorder called penoscrotal lymphedema can lead to fluid retention and tissue swelling that hides the shaft of the penis.

Surgical Treatment for Supra Pubic Fat (“Buried Penis”)

The traditional treatment for a buried penis involves surgery to remove excess fat and tissue and make the penis more prominent. Depending upon the amount and placement of the pubic fat, a board certified plastic surgeon like Dr. Ali can usually remove the unwanted fat with lipectomy surgery, or with targeted liposuction. These procedures flatten the suprapubic area, which results in the penis being more visible and accessible – even though the penis itself is not directly involved in the surgical procedure.

Like any surgery, both lipectomy or liposuction require anesthetic, small incisions, and a recovery period. Typically, lipectomy patients must take at least a week off of work and need approximately six weeks to fully recover. Liposuction patients only need a few days off work and are typically back to normal activities within a few weeks.

The biggest advantage to surgical removal of men’s suprapubic fat is that, once the swelling subsides, the results are both immediately visible and are permanent. The body cannot make new fat cells – so the removed fat cells can never come back in the treated area!

Non-Surgical Treatment for Supra Pubic Fat (“Buried Penis”)

Board certified Birmingham plastic surgeon Dr. Ali also offers non-surgical men’s supra pubic fat removal solutions.  A combination of non-surgical fat removal and radiofrequency skin tightening procedures can also effectively get rid of embarrassing supra pubic fat in some men! These revolutionary fat removal treatments are comfortable, affordable and permanently get rid of unwanted fat around the penis – but with the added advantage of no downtime.

Depending on the amount and placement of the fat around the pubic area, some men may be good candidates for CoolSculpting to remove suprapubic fat. CoolSculpting treatments freeze and permanently destroy unwanted fat cells, which are then naturally eliminated from the body.  There are no incisions, no anesthetic needed, and zero downtime with CoolSculpting.

Morpheus8 is another advanced treatment for treating suprapubic fat without surgery. Morpheus8 combines the regenerative power of microneedling with radiofrequency thermal energy to tighten and remodel tissue. In addition to offering all of the rejuvenating benefits of microneedling, Morpheus8 is a “Subdermal Adipose Remodeling Device” (SARD) that uses radiofrequency heat energy to melt and mold to flatten the pubic area.

These nonsurgical treatments enable Dr. Ali to contour unwanted fat away from around the penis – while simultaneously tightening any excess skin – with accuracy and precision. So, even though the penis itself is never touched during the procedure, the shaft becomes much more visible and accessible. The result is a much more virile and attractive appearance as well as improved sexual performance.

Benefits of Supra Pubic Fat Removal

Removing supra pubic fat around the penis offers substantial psychological, physical, and sexual benefits for men, including:

  • Visibility of the entire penis
  • A penis that appears larger
  • Improved erections
  • Reduced skin irritation
  • Fewer UTIs & urinary tract issues
  • Increased sexual sensation
  • Increased self-esteem & confidence

Men’s Supra Pubic Fat Removal – Birmingham, MI

If you are a man living with the embarrassment and discomfort of supra pubic fat, you do NOT have to suffer in silence. Schedule a discreet and confidential consultation with Dr. Ali at AMAE Plastic Surgery & Med Spa in Birmingham, MI. He will explain your options and put together a supra pubic fat removal treatment plan that is right for you. Call today and take the first step toward regaining your self-confidence and restoring your sexual performance!

SupraPubic Fat Removal | Birmingham, MI: 248-335-7200