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
How to Get Rid of a ‘Turkey Neck’
/in Neck Lift /by adminNeck Tightening Treatments to Banish ‘Turkey Neck’
American writer and filmmaker Nora Ephron – best known romantic comedies like When Harry Met Sally – once wrote: “Our faces are lies and our necks are the truth.” And if you are a woman of a ‘certain age’ you no doubt have come to realize that this is indeed the truth.
While lasers, peels, creams, serums, Botox and facial fillers can help keep the years from showing on the face, these treatments simply don’t work on the neck. Not only does neck skin shows age more quickly, it is notoriously hard to treat.
What Causes ‘Turkey Neck’?
The underlying anatomy of the neck — specifically the ‘platysma muscle’— is extremely thin. The platysma is a thin sheet-like muscle that runs from the upper chest and shoulder region to the jaw and the lower face. Unlike other muscles of the body that are deep within the subcutaneous tissue, the platysma sits superficially (near the surface) within the neck’s subcutaneous tissue.
As a person ages, gravity causes laxity from the lower face to extend down to the platysma where the neck muscle becomes apparent through the skin. Additionally, due to gravity and aging, the ligaments that attach the platysma to the underlying structures of the neck loosen. This is what causes the appearance of vertical neck bands.
Further, as one ages, the body loses subcutaneous fat – and the skin stops producing enough collagen and elastin to keep the skin plump, tight, and elastic. This causes the neck to skin to sag – resulting in the dreaded “turkey neck.”
#1. At Home Turkey Neck Treatment: Topical Care
We can’t stop gravity – or turn back the sands of time. But a wholesome diet, good posture, maintaining a healthy weight, and avoiding sun exposure, smoking and excess alcohol consumption can help delay the onset of turkey neck.
Slouching at the computer or while watching TV – as well as “tech neck” from looking down at your devices – can aggravate a droopy neck. And, while many people remember to apply sunscreen, moisturizers, and serums to their faces, they often neglect to protect their neck skin as well.
Medical grade sunscreens and ‘neck firming’ creams can help ensure that skin is protected and healthy – and help increase cell turnover and stimulate collagen production Our Alastin and Zo Skin Care products contains growth factors, antioxidants, and peptides to help fight sagging and crepiness.
#2. Non-Surgical Turkey Neck Treatment: Radiofrequency Skin Tightening
However, sunscreen and targeted neck creams can only go so far – especially as the years continue to accumulate. Fortunately, AMAE Plastic Surgery and Med Spa in Birmingham, MI offer several minimally invasive in-office neck treatments that can tighten neck skin.
Radiofrequency (RF) skin tightening, is a nonsurgical method of tightening the skin that is very effective on the lower face, jowls and ‘turkey neck.’
Skin laxity actually starts to occur around age 35 to 40 when the quantity and quality of the skin’s collagen and elastic production begins to decline. But radiofrequency treatments deliver thermal energy waves to heat the deeper layer of the skin (dermis). This heat stimulates the production of collagen and elastin, which thickens and tightens the skin on the neck.
At AMAE Plastic Surgery and Med Spa in Birmingham, MI we offer several of the most advanced radiofrequency skin and neck tightening treatments: Profound, Morpheus8 RF Microneedling, C02RE, and ThermiSmooth.
Only local numbing is needed for these treatments and patients generally start to see an improvement in turkey neck in a month or less. Maximum neck tightening results become apparent when the collagen remodeling is complete, usually around 4 to 6 months after treatment. And because it is the body’s own collagen and elastic tissues that has been stimulated, results are very long lasting.
#3. Surgical Turkey Neck Treatment: Neck Lift Surgery
The most truly transformative procedure for a sagging, droopy turkey neck is neck lift surgery. This is because serums, creams and even radiofrequency can only treat the loose skin – but cannot tighten the neck muscles. Board certified plastic surgeon Dr. Ali is one of the only surgeons in the Birmingham, MI with the skill and experience to perform this life-changing surgery.
During neck lift surgery general anesthetic is administered and the incisions are usually concealed behind the ear. Extra neck skin is removed and naturally re-draped – and the neck muscles are also surgically tightened from the side. When necessary, an additional incision can be made under the chin to tighten the midline neck muscles which will minimize the appearance of neck bands.
Downtime after neck lift surgery is usually only about a week – and results can last well beyond a decade or more. Because neck lift surgery removes excess skin and tightens muscles it is the gold standard in treating ‘turkey neck’ and can easily take ten or 15 years off your appearance.
Turkey Neck Treatment | Birmingham, MI
Schedule a consultation at AMAE Plastic Surgery and Med Spa in Birmingham, MI and board certified plastic surgeon will help you determine which treatment or procedure is right to help you get rid of ‘turkey neck’ and take years off your appearance!
120 Years of Facelift Surgery: From Secret to Sensational
/in Face Lift /by adminThe History of Facelift Surgery
When we look at the beautiful celebrities of today who have publicly discussed their plastic surgery, it’s easy to see how far these cosmetic procedures have come. From millennials like the Kardashian sisters, to ageless beauties like Jane Fonda, Dolly Parton and Cher, A-listers no longer feel the need to keep their plastic surgery secret.
But many people don’t realize that surgical procedures to enhance appearance or reverse facial aging have been performed for more than a century. In the early 1900’s when surgeons began performing facelift plastic surgery on aristocrats and entertainers, these procedures were kept “top secret”. It wasn’t until the 1930’s that surgeons began to openly discuss plastic surgery techniques and publish articles on their work.
Early 1900s Facelifts
In 1901 – which was still 25 years before most US homes in the U.S. had electric power – the first attempt at a facelift took place in Berlin. Dr. Eugen Holländer removed skin from a Polish aristocrat to lift her cheeks and the corners of her mouth. But there was no attempt to lift the actual underlying structures of the face or mouth. And 15 years later in 1916 the first actual facelift was performed by Dr. Erich Lexer, a German surgeon and former sculptor.
By the 1930s surgeons brought these procedures out of the cloak of secrecy and began to discuss them. However, their patients still kept their procedures very secret. At this time facelift surgery still relied mostly on excision (cutting and removing) of loose, ‘extra’ skin to tighten the face, forehead, and eyelids – but did not attempt to address the deeper structures of the face and neck that lead to appearance of facial aging.
And while plastic surgery techniques have vastly improved in the following 90 years – many of the same skin incisions are still used today that hide the scars within the hair, as well as around and behind the ear.
Mid-Century Facelifts
In the 1960’s and 1970’s a more comprehensive approach to plastic surgery was developed that also addressed the deeper muscles and structure of the face and neck. These new techniques allowed plastic surgeons to correct laxity and sagging of deeper support structures of the face, to restore the neck, jowls, and midface to a more elevated position.
By the 1970s and 1980s the SMAS (superficial muscular aponeurotic system) facelift technique was widespread. Developed by Dr. Tord Skoog, ‘subfascial dissection’ was used to lift a deeper layer of tissue rather than just the skin to achieve antiaging results. The SMAS technique also involves suturing much deeper tissues for better and longer-lasting results.
Facelifts in the Late 1900s
In the 1900s, facelift pioneer Dr. Tessier continued to refine facial plastic surgery, using coronal incisions to also adjust the eyebrow, upper face, and soft tissues. The concept was to lift the skin over the skeletal structure of the skull for better results than traditional facelift techniques. During that decade, Dr. Sam Hamra developed a deep plane facelift technique, again targeting a lower layer of tissue for optimal outcomes.
Modern Facelift Surgery
Today’s modern facelift techniques address varied aspects of facial aging including not just the skin, but also laxity of the muscles and ligaments in the face, as well as restoring volume to sunken areas of the face that have lost subcutaneous fat (under the skin).
Plastic surgeons still use the SMAS facelift, but often combined with new techniques to restore lost facial volume. Incisions for full facelifts are often still best concealed within the hair and around the ear to hide any scars.
In addition to combining a facelift with fat grafting, a facelift can also be combined with laser or radiofrequency skin resurfacing to address sun damage, pigmentation and fine wrinkles of the top, ‘superficial’ layers of skin.
Advanced facelift surgery techniques remain the ‘gold standard’ for correcting advanced signs of aging – including neck laxity, ‘jowls,’ sagging checks, deep nasolabial folds around the mouth, and descending of the midface.
Mini Facelift Surgery
However, patients who do not need or desire a full face are often good candidates for the newer ‘mini facelift’. This procedure is suitable for patients who have less severe skin laxity and soft tissue sagging on the face. A mini facelift can be performed under general or local anesthesia with sedation and has a faster recovery period than a full facelift.
Top Facelift Surgery | Birmingham, MI
Board certified plastic surgeon Dr. Ali is one of the Birmingham Michigan area’s top facelift surgeons. He has helped hundreds of women and men in Birmingham, the greater Detroit area, and Southeast Michigan look younger and more attractive with facelift surgery! And financing options are also available.
Each facelift surgery is designed for the patient’s specific needs and will address lifting, tightening and rejuvenation of the lower face, as well as the around the eyes and forehead as needed.
If you are considering a facelift, Dr. Ali will offer you a discreet, no pressure consultation in his Birmingham surgical office to explain your options, answer all of your questions, and help you select the facelift procedure that is right for you.
Birmingham Facelift Surgery Consultation: 248-335-7200
What You Should Know About Blepharoplasty (eyelid lifts)
/in Blepharoplasty, Eyelid surgery /by adminBlepharoplasty FAQs
Blepharoplasty is an “eyelid lift” surgery that involves tightening and sculpting the upper and sometimes lower eyelids in order. It can be purely cosmetic, to restore a youthful appearance to the eyes. Or it can be medically motivated to improve vision, when sagging upper eyelids obstruct the ability to see.
Blepharoplasty surgery on the upper eyelid can prevent it from drooping. Blepharoplasty surgery on the lower eyelid is generally performed to reduce swelling and puffiness. Whether performed to improve one’s vision or for purely cosmetic purposes, blepharoplasty generally results in the patient looking considerably younger and more well-rested than before their procedure.
In this article Birmingham, MI board certified plastic surgeon Dr. Ali answers patients most frequently asked questions about blepharoplasty eyelid lift surgery.
Who is a candidate for blepharoplasty?
In most cases sagging upper eyelid skin is the result of loss of skin tone due to aging. Many people also experience very prominent under eye bags as part of the aging process.
However, “drooping” eyelids can be hereditary. For example, some ethnicities have a flatter facial structure that can leave patients with eyes that they feel do not look sufficiently open. Drooping eyelids can also, in rare case, be the result of certain medical conditions.
Individuals with loose skin or bulges of fat in their upper eyelid are perfect candidates for upper blepharoplasty. Other good candidates for upper blepharoplasty are people who experience feelings of heaviness in their eyelids, as well as people whose eyelids sag to the point of creating obstruction of their upper field of vision.
Candidates for lower blepharoplasty surgery are people with bags or bulges beneath their eyes. And, many patient undergo a complete eye rejuvenation and have an upper and lower blepharoplasty performed at the same time. Eyelid lift surgery is also often done in conjunction with facelift surgery for a total facial rejuvenation. While the facelift can tighten or remove sagging skin from the lower face and neck, an eyelid lift can brighten and “de-age” the eye area.
What is the best age to have blepharoplasty?
Being a candidate for blepharoplasty has less to do with age and more to do with cosmetic or vision necessity. Anyone at almost any age who is experiencing sagging, laxity, or bulging of the eyelids can be a candidate for blepharoplasty – as long as they are in reasonably good health.
At AMAE Plastic Surgery in Birmingham, MI some of our blepharoplasty patients have undergone an eyelid lift as young as in their 30s. These younger eyelid lift patients are typically women or men who have eyelids they dislike resulting from heredity or ethnicity. Age related eyelid drooping, however, typically begins in a man or woman’s 40s or 50s. Dr. Ali has treated the greatest number of patients with blepharoplasty surgery in their 50s and 60s. However, even patients in their 70s or older can safely undergo eyelid lift surgery – since it is a safe, routine, and minimally invasive surgery that only requires local anesthetic.
Where are the incisions in blepharoplasty?
During upper blepharoplasty, the incisions are hidden in the eyelids’ upper crease, where they are virtually invisible. Occasionally, they will extend into the eyelid’s “crow’s feet” crease, but this is typically not necessary.
During lower blepharoplasty, fat is removed by making an incision on the inside of the lower eyelid (the medical name for which is transconjunctival blepharoplasty). In cases of lower blepharoplasty calling for the removal of skin, a small incision is made in the area directly below the eyelashes of the lower eyelid. This also conceals any minor scarring that may occur.
Does blepharoplasty leave scars?
While there is always a scar after any surgery, the eyelid typically heals better than skin on other parts of the body. Eyelid scars are carefully hidden in the crease on the upper eyelid, and along the last line on the lower eyelid – so they are almost undetectable.
In most cases, upper blepharoplasty scars can only be seen – very faintly – when the eyes are closed. When a person’s eyes are open, only someone who knew precisely what they were looking for would be able to notice a blepharoplasty scar. If you are concerned, normal eye makeup typically conceals any blepharoplasty scars on the upper eyelid.
And the position of lower blepharoplasty scars are directly below the eyelashes making them practically invisible.
What’s the difference between blepharoplasty and a brow lift?
Both blepharoplasty and a brow lift are excellent procedures for patients who want to eliminate signs of aging on the upper half of the face. But each procedure is designed to target different concerns. Many patients only need one or the other, while some of our Birmingham, MI patients choose to have both done, for optimal anti-aging!
Anyone with sagging lids whose brow has a desirable arch that is located directly about the eye socket will generally only require an eyelift.
However, a patient experiencing “hooding” that extends beyond the eyelid’s corner may require a brow lift in addition to blepharoplasty. Or, if one can push their brows up to a desired, more youthful height with their fingers, they may also require a brow lift.
Read More About Eyelid Lift vs. Brow Lift Surgery HERE
Can I have other procedures done with my blepharoplasty?
Since blepharoplasty is performed relatively quickly, it is frequently performed in conjunction with other procedures. Undergoing blepharoplasty with other procedures generally only adds less than an hour to the total procedure time. Common procedures performed with blepharoplasty are facelifts, rhinoplasty (nose job), brow lifts, neck liposuction, or chin implants – all of which can be performed by Birmingham, MI board-certified plastic surgeon Dr. Ali.
Top Blepharoplasty Surgeon – Birmingham, MI
If you’re in the Birmingham, MI or greater Detroit area and are considering blepharoplasty, contact Dr. Ali today for a consultation. Birmingham, MI board-certified plastic surgeon and blepharoplasty expert Dr. Ali will gladly answer any questions you have about how your vision or cosmetic goals can be met through eyelid lift surgery, and other surgical or non-surgical procedures.
Blepharoplasty Consultation – Birmingham, MI: 248-335-7200
Facelift Surgery for Men (It’s Not Just for Women! )
/in Face Lift /by adminAll 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
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?
/in Rhinoplasty /by adminRhinoplasty 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.
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
/in Eyelid surgery /by adminThe 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)
/in Eyelid surgery /by adminDroopy 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
/in Breast Revision Surgeon /by adminWhat 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
/in Breast Revision Surgeon /by adminWhy 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
/in Breast Implant, Breast Reconstruction /by adminWhat 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