The Steps Involved in Breast Reconstruction Surgery

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Getting Started on Your Breast Reconstruction Surgery Journey

Facing a breast cancer diagnosis and mastectomy can be an overwhelming experience, touching every aspect of a woman’s life – physical, emotional, sexual, and psychological. For many women, the prospect of losing a breast represents not just a physical change but also a profound shift in self-image and identity. In this challenging journey, breast reconstruction surgery offers a life-changing path toward physical and emotional restoration.

Understanding that each woman’s experience with breast cancer and breast reconstruction is unique is fundamental to navigating this process successfully. At AMAE Plastic Surgery in Oakland County, we understand that what feels right for one woman may not align with another’s priorities, beliefs, lifestyle, or circumstances. Breast reconstruction surgery is a deeply personal choice, and there is no single “correct” approach for everyone.

Recent studies from the American Society of Plastic Surgeons indicate that approximately 40% of women who undergo mastectomy choose breast reconstruction, with satisfaction rates consistently the highest among women who receive thorough education about their options. Many women report that breast reconstruction plays a significant role in their psychological recovery, helping them feel whole again after cancer treatment.

Top Oakland County board-certified plastic surgeon Dr. Ali approaches breast reconstruction with years of experience, technical precision, and genuine compassion. He understands that reconstruction is not merely about physical appearance but about helping women reclaim their sense of wholeness and confidence after breast cancer.

Planning Breast Reconstruction Surgery

The breast reconstruction planning process ideally begins before mastectomy, allowing for coordination between the breast surgeon and plastic surgeon. This collaborative approach, known as the oncoplastic team model, ensures that the mastectomy is performed in a way that optimizes reconstruction outcomes while maintaining cancer treatment priorities.

During initial planning, several critical factors must be considered, including cancer stage and treatment requirements, patient anatomy and body habitus, medical history, lifestyle considerations, and personal aesthetic goals. Each of these elements influences which reconstruction techniques will offer the best results and experience for the individual patient.

Timing represents another crucial planning decision. Immediate reconstruction begins during the same operation as mastectomy, while delayed reconstruction occurs months or years later after cancer treatments are complete. Each approach offers distinct advantages: immediate reconstruction spares women from living without a breast, while delayed reconstruction allows for completion of treatments like radiation that might affect reconstruction outcomes.

Top Oakland County breast reconstruction surgeon Dr. Ali provides comprehensive consultations that address all aspects of reconstruction planning. These discussions include detailed explanations of various reconstruction techniques, potential outcomes, recovery expectations, and how reconstruction might interact with other cancer treatments. This thorough planning process helps patients feel informed and empowered as they make these important decisions.

Choosing a Breast Reconstruction Surgeon

Selecting the right surgeon for breast reconstruction significantly impacts both the aesthetic outcome and the overall experience. Board certification in plastic surgery represents an essential qualification, as it verifies that the surgeon has completed specialized training in plastic surgery techniques, including breast reconstruction. The American Board of Plastic Surgery (ABPS) certification ensures the surgeon has met rigorous standards for education, knowledge, and ethical practice.

Experience with breast reconstruction specifically, rather than just cosmetic breast procedures, is equally important. Reconstruction after cancer treatment presents unique challenges that require specialized expertise. Patients should inquire about the number and types of reconstructions a surgeon performs annually and review before-and-after photos of their previous work.

Beyond technical qualifications, the surgeon’s approach to patient care significantly affects the reconstruction experience. The ideal surgeon listens carefully to the patient’s goals and concerns, explains options in understandable terms, and demonstrates compassion for the emotional aspects of reconstruction. This patient-centered approach helps ensure that reconstruction decisions align with the woman’s personal priorities and values.

Top Oakland County board-certified plastic surgeon Dr. Ali has established himself as a leading breast reconstruction surgeon in Oakland County through his combination of technical expertise, extensive experience, and compassionate patient care. His approach emphasizes educating patients about all available options and supporting them through each stage of the reconstruction journey, from initial consultation through final recovery.

Preparing for Breast Reconstruction Surgery

Preparation for breast reconstruction involves both physical and emotional components. Medical preparation typically includes a thorough health assessment to identify any conditions that might affect surgical outcomes or recovery. This evaluation may include blood tests, cardiac testing for older patients, and a comprehensive review of medications and supplements that could increase bleeding risk.

Lifestyle preparations play an important role in optimizing surgical outcomes. Smoking cessation is particularly crucial, as nicotine significantly impairs healing and increases complication risks. Most surgeons require patients to stop smoking at least 4-6 weeks before surgery and throughout the recovery period. Maintaining good nutrition and moderate physical activity before surgery can also enhance recovery capacity.

Practical preparations help ensure a smooth recovery process. These include arranging for post-operative assistance at home, preparing a recovery space with essential items within easy reach, and organizing comfortable, front-closing clothing that accommodates surgical dressings and limited mobility. Many patients also benefit from preparing meals in advance and arranging for childcare or pet care during the initial recovery period.

Dr. Ali provides breast reconstruction patients with comprehensive pre-operative guidance, including detailed instructions for the days immediately preceding surgery. This preparation helps reduce anxiety and promotes optimal surgical outcomes by ensuring patients arrive for surgery in the best possible physical condition.

Breast Reconstruction Surgery

Breast reconstruction surgery encompasses several different techniques, each with specific surgical approaches. Implant-based reconstruction, the most common method in the United States, typically begins with placement of a tissue expander beneath the chest muscle. This temporary device is gradually filled with saline over several weeks to stretch the muscle and skin, creating space for the permanent implant placed during a subsequent procedure.

Autologous or “flap” reconstruction uses the patient’s own tissue, typically from the abdomen (DIEP or TRAM flap), back (Latissimus Dorsi flap), buttocks (GAP flap), or thighs (TUG flap). These technically complex procedures involve microsurgical techniques to transfer tissue with its blood supply to the chest, where it’s shaped into a natural-appearing breast. While these surgeries require longer operations and recovery times, they often create more natural-feeling results that change with the body over time.

For many patients, reconstruction also includes symmetry procedures on the unaffected breast, such as reduction, lift, or augmentation, to create balanced results. Additionally, nipple reconstruction and areola tattooing typically occur as separate procedures after the breast mound has healed, adding significant realism to the reconstructed breast.

Top Oakland County breast reconstruction surgeon Dr. Ali performs these advanced breast reconstruction surgery techniques with meticulous attention to detail. His surgical approach prioritizes not only aesthetic outcomes but also long-term comfort, minimizing complications through precise technique and careful patient selection for each reconstruction method.

Breast Reconstruction Surgery Recovery

Recovery from breast reconstruction surgery varies significantly depending on the surgical approach. Implant-based reconstruction typically requires a hospital stay of 1-2 days, with drains remaining in place for 7-10 days to remove excess fluid. Most patients can resume light activities within 2-3 weeks, though complete healing and final results develop over several months as swelling resolves and tissues settle.

Autologous breast reconstruction surgery involves a more extensive recovery process due to the donor site where tissue is harvested. Hospital stays typically range from 3-5 days, with activity restrictions lasting 6-8 weeks to allow healing of both the breast and donor sites. Patients must avoid heavy lifting and strenuous exercise during this time, gradually increasing activity as healing progresses.

Pain management represents an important aspect of breast reconstruction surgery recovery. Most patients experience moderate discomfort managed with prescription pain medication for the first week, transitioning to over-the-counter pain relievers as healing progresses. Muscle tightness, particularly with implant reconstruction, and donor site discomfort with flap procedures may persist for several weeks but gradually improve with time.

Dr. Ali provides comprehensive recovery support to patients throughout Oakland County, including detailed care instructions, regular follow-up appointments, and 24-hour access to medical guidance for any concerns that arise. This support system helps patients navigate the recovery process with confidence, addressing both physical and emotional aspects of healing.

Breast Reconstruction Surgery Long Term Results

The long-term results of breast reconstruction surgery continue to evolve over time as tissues heal and integrate. Most patients see significant improvement in appearance within 3-6 months after their final procedure, though complete healing and scar maturation may take up to 18 months. During this time, scars gradually fade from red to pink to white, becoming less noticeable with proper care.

Different reconstruction techniques yield different long-term characteristics. Implant-based reconstruction typically creates firmer breasts that maintain their shape but may eventually develop capsular contracture (scar tissue around the implant) in some patients. Autologous reconstruction generally produces softer, more natural-feeling breasts that age with the body and maintain their results indefinitely, though they may be affected by significant weight changes.

Sensation in reconstructed breasts varies widely between patients. Most women experience limited sensation initially, with gradual improvement over the first 1-2 years as nerves regenerate. While complete, natural sensation rarely returns, many patients develop some degree of sensitivity in their reconstructed breasts over time.

Top Oakland County breast reconstruction surgeon Dr. Ali provides ongoing follow-up care to monitor long-term results and address any concerns that arise. This continuing care relationship allows for appropriate management of any changes that occur over time, ensuring patients maintain satisfaction with their reconstruction results throughout their lives.

Breast Reconstruction Surgery | Oakland County

Breast reconstruction surgery is not just a physical restoration, but also an important step in emotional healing after mastectomy. While the journey through breast cancer diagnosis, treatment, and reconstruction surgery presents significant challenges, many women find that reconstruction helps them move forward with renewed confidence and wholeness.

Schedule a consultation with top Oakland County breast reconstruction surgeon Dr. Ali and learn more about your breast reconstruction options. His expertise, experience, compassion, skill, and commitment to exceptional care have helped hundreds of women throughout Oakland County navigate this journey successfully.

Remember that you deserve compassionate care and support at every step of your breast reconstruction —from initial planning through long-term results—and Dr. Ali and his team are here to provide that comprehensive care as you reclaim your sense of self after breast cancer.

Oakland County Breast Reconstruction Surgery: 248.335.7200

Frequently Asked Questions About Breast Reconstruction Surgery

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Top Breast Reconstruction Surgeon Dr. Ali Answers Patients FAQs

Whether you have just learned that you need a mastectomy, or you have already undergone a mastectomy, it is a physically and emotionally challenging experience. For many women, their breasts represent an important aspect of femininity, motherhood, attractiveness, or self-image. This is what can make the prospect of losing one or both breasts particularly difficult.

Fortunately, breast reconstruction surgery offers a path forward after mastectomy, helping to restore physical appearance and often contributing significantly to emotional healing.

At this sensitive time, having clear, compassionate information about your breast reconstruction options can provide comfort and confidence as you make decisions about your body and future. And, understanding that each woman’s journey is unique, with personal priorities and concerns, is essential to successfully navigating the breast reconstruction process.

Recent studies show that breast reconstruction surgery can play a significant role in psychological recovery after mastectomy, with many women reporting improved self-esteem, body image, and quality of life following reconstruction. However, the decision to undergo reconstruction is deeply personal, and what feels right for one woman may not be appropriate for another.

Top Oakland County board-certified plastic surgeon Dr. Ali, is dedicated to providing comprehensive, individualized care to women considering breast reconstruction surgery. His approach combines technical breast reconstruction expertise with genuine compassion, recognizing that breast reconstruction is not just a physical procedure but an important step in the emotional healing process, as well. In this article he answers some of the most frequently asked questions from breast reconstruction patients.

What is Breast Reconstruction Surgery and When is it Performed?

Breast reconstruction surgery encompasses various procedures designed to rebuild the breast after mastectomy or lumpectomy. The goal is to create a breast that resembles the natural breast in shape, size, texture and ‘projection’, helping restore a woman’s body image and confidence. Breast reconstruction surgery can recreate the breast itself, as well as the nipple and the areola, depending on the patient’s unique needs, wishes and medical situation.

Breast reconstruction surgery can be performed at different times in relation to breast cancer treatment. Immediate breast reconstruction can, in some cases, begin during the same operation as the mastectomy. However, delayed breast reconstruction surgery may occur months or even years after cancer treatment has been completed. The timing depends on multiple factors, including the stage and type of breast cancer, extent of mastectomy surgery, additional treatments like radiation or chemotherapy, and the patient’s personal preferences.

What Types of Breast Reconstruction Surgery Are Available?

Breast reconstruction surgery generally falls into two main categories: implant-based reconstruction and autologous (or “flap”) reconstruction using the patient’s own tissue. Implant-based reconstruction uses silicone or saline breast implants to create breast volume and shape. This approach typically involves fewer surgical sites and shorter recovery times than flap procedures.

Autologous reconstruction uses tissue from another part of the patient’s body, such as the abdomen, back, thighs, or buttocks, to recreate the breast. This approach creates a more natural-feeling breast that changes with the body over time. Common flap procedures include the DIEP flap (using abdominal tissue), Latissimus Dorsi flap (using back tissue), and GAP flap (using gluteal tissue). Each technique has its advantages and considerations, which Dr. Ali carefully discusses with patients in Oakland County to determine the most appropriate approach for their unique situation.

More recently, skilled and experienced breast reconstruction surgeons, like Dr. Ali in Oakland County,  have also begun using “nano fat” to naturally build up the breast area, by transferring fat cells from other areas of the body.

Am I a Good Candidate for Breast Reconstruction Surgery?

Most women who have undergone or will undergo mastectomy or significant lumpectomy are candidates for some form of breast reconstruction. However, certain factors can influence the type of reconstruction recommended and the expected outcomes. These factors include overall health status, body habitus, cancer stage and treatments, smoking status, and personal preferences regarding recovery time and aesthetic goals.

Women with significant health issues such as uncontrolled diabetes, heart disease, or obesity may face higher surgical risks, potentially affecting breast reconstruction surgery options. Similarly, those requiring post-mastectomy radiation therapy may be advised to delay reconstruction or consider specific techniques that better tolerate radiation effects. During consultation, top Oakland County breast reconstruction surgeon Dr. Ali conducts a thorough evaluation of each Oakland County patient’s medical history, anatomy, and treatment plan to determine candidacy for various reconstruction approaches.

What Should I Expect During Breast Reconstruction Recovery?

Recovery from breast reconstruction surgery varies significantly depending on the type of procedure performed. Implant-based reconstruction may involve a hospital stay of 1 or 2 days and a return to non-strenuous activities within 2 to 3 weeks. Patients may experience soreness, swelling, and bruising, which gradually improve over several weeks. Dr. Ali will provide pain medications as needed, to ensure a comfortable recovery. However, many breast reconstruction patients only require prescription pain medication for a few days.

Autologous reconstruction generally requires a longer recovery period due to the additional surgical site where tissue is harvested. Hospital stays may typically range from 3 to 5 days, with a return to normal activities taking 6 weeks or more. Patients must avoid heavy lifting and strenuous exercise during this time to allow proper healing of both the breast and donor sites. Throughout the recovery process, Dr. Ali’s team provides comprehensive support to patients, including detailed aftercare instructions, regular follow-up appointments, and access to medical staff for any concerns that arise.

Will Insurance Cover My Breast Reconstruction Surgery?

Federal law requires insurance companies that cover mastectomy to also cover breast reconstruction surgery, including procedures to achieve symmetry on the unaffected breast if needed. The Women’s Health and Cancer Rights Act (WHCRA) of 1998 established this coverage requirement, which applies to both immediate and delayed reconstruction.

Despite this legal protection, insurance coverage details vary between plans, potentially affecting out-of-pocket expenses. Dr. Ali’s Oakland County breast reconstruction team helps patients navigate insurance requirements, obtain necessary pre-authorizations, and ensure maximum coverage for reconstruction procedures. Breast reconstruction patients are encouraged to review their insurance policies and consult with both their insurance provider and Dr. Ali’s staff to understand their specific coverage situation.

How Natural Will My Reconstructed Breast Look and Feel?

When performed by a top breast reconstruction surgeon, modern breast reconstruction techniques can create remarkably natural-looking results. Implant-based breast reconstruction typically creates firmer breasts that retain their ‘perfect’ shape indefinitely, while autologous reconstruction using the patient’s own tissue often produces a more natural look and movement that changes with the body over time.

Breast reconstruction aesthetic outcomes will vary from patients to patient – and will depend on multiple factors, including the quality and quantity of remaining breast skin, the reconstruction technique selected, and the surgeon’s expertise. Top Oakland County breast reconstruction surgeon Dr. Ali uses his extensive experience and artistic eye to create the most natural results possible, carefully considering breast shape, position, and proportion during the reconstruction process. His patients are typically surprised and pleased with how natural their reconstructed breasts appear, particularly after nipple reconstruction, which add significant realism to the final result.

Will I Have Sensation in My Reconstructed Breast?

Sensation in reconstructed breasts differs significantly from natural breast sensation because mastectomy typically removes nerves along with breast tissue. Most reconstructed breasts have limited sensation initially, with some patients describing numbness or altered sensation across the breast mound. However, some degree of sensation often returns over time as nerves regenerate and adapt.

The type of breast reconstruction surgery influences sensation outcomes. Recent advances in microsurgical techniques for autologous reconstruction show promise for nerve reconnection and improved sensation, though results vary between patients. While full, natural sensation is unlikely to return completely, many breast reconstruction patients report gradual improvement in breast sensitivity over the 1 or 2 years following reconstruction, with some eventually experiencing pleasant, though different, sensations in their reconstructed breasts.

How Many Surgeries Will My Breast Reconstruction Require?

Complete breast reconstruction may involve a single surgery or may entail multiple procedures over time. The initial breast reconstruction surgery establishes the breast mound, either with implants or autologous tissue. In some cases subsequent procedures may be used to refine the shape, or reconstruct the nipple and areola.

Many patients require 2 or sometimes 3 surgeries to complete the breast reconstruction process. The timing between surgeries typically allows for proper healing, with intervals of 3-6 months between major stages.

Top Oakland County breast reconstruction surgeon Dr. Ali carefully plans this sequence based on each patient’s unique and specific reconstruction techniques, healing progress, and any additional cancer treatments required. While the prospect of multiple surgeries may seem discouraging at first, staging the reconstruction process over time allows for optimal healing and provides opportunities to refine results at each step. It is a small investment of time for having beautiful, natural looking breasts for the rest of your life!

When Can I Expect to See My Final Results After Breast Reconstruction?

Breast reconstruction surgery results evolve significantly over time. Initially after breast reconstruction surgery, breasts appear swollen,  there will be bruising and some drainage, and the incisions are visible. Over the following weeks and months, swelling subsides, tissues soften, and scars begin to fade. Typically, patients see a good representation of their final breast reconstruction results as soon as 3 to 6 months after their last procedure – with results continuing to improve over time.

Complete healing and scar maturation after breast reconstruction surgery continue for 12 to 18 months after surgery. During this time, scars typically fade from red to pink to white, becoming less noticeable. Implant-based reconstructions may take several months to “settle” into their final position, while flap reconstructions continue to integrate with surrounding tissues. Top Oakland County breast reconstruction surgeon Dr. Ali provides patients with scar management strategies and regular follow-ups throughout this process to monitor healing and optimize final outcomes.

Can Breast Reconstruction Surgery Be Performed Years After Mastectomy?

Delayed breast reconstruction can be successfully performed months or even decades after mastectomy. There is no time limit for when reconstruction must begin, allowing women to make this decision when they feel physically and emotionally ready. Many women choose delayed breast reconstruction surgery after completing cancer treatments or when life circumstances better accommodate surgery and recovery.

While delayed reconstruction is always an option, it may involve some additional challenges compared to immediate reconstruction. The chest skin and muscles adapt after mastectomy, sometimes requiring expansion before reconstruction. Additionally, scar tissue from the mastectomy may need to be addressed. Despite these considerations, delayed reconstruction can produce excellent results. Top Oakland County breast reconstruction surgeon Dr. Ali has extensive experience helping women achieve beautiful outcomes regardless of when they begin their breast reconstruction journey.

Breast Reconstruction Surgery | Oakland County

Deciding whether to pursue breast reconstruction surgery and selecting the approach that feels right for you is a deeply personal journey. As you consider your breast reconstruction surgery options, remember that there is no single “right” choice – only the choice that aligns with your values, priorities, lifestyle, and vision for your future. Top Oakland County breast reconstruction surgeon Dr. Ali and his compassionate team are committed to supporting you through each step of this process, providing the information, guidance, and compassionate care that you deserve.

Schedule a consultation with top Oakland County breast reconstruction surgeon Dr. Ali, to discuss your specific situation, ask questions, and understand the breast reconstruction options available to you. You deserve to feel whole again on your own terms, and we’re here with compassion and expertise to help make that possible.

Oakland County Breast Reconstruction Surgery: 248.335.7200

Is Breast Reconstruction Surgery Covered by Insurance?

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We Accept Insurance for Breast Reconstruction Surgery

At AMAE Plastic Surgery in Oakland County, we understand that considering breast reconstruction surgery is a significant and often emotional decision. Dr. Ali and our compassionate team are committed to supporting you through every step of this potentially life-changing journey. A common concern for many patients is whether breast reconstruction surgery is covered by insurance. We’re here to provide clarity on this important topic and offer our expertise to help you navigate the process.

Breast reconstruction surgery can be a crucial part of recovery and healing for many individuals who have undergone mastectomy or have experienced trauma to the breast area. It’s not just about physical appearance; it’s about restoring confidence, wholeness, and quality of life. At AMAE Plastic Surgery, we believe in treating the whole person, addressing both physical and emotional needs with empathy and professional care.

What Is Breast Reconstruction Surgery?

Breast reconstruction surgery is a procedure designed to rebuild the shape and appearance of the breast after mastectomy, lumpectomy, or trauma. This intricate surgical process can involve various techniques, including the use of breast implants, tissue expanders, or the patient’s own tissue (autologous reconstruction).

The goal of breast reconstruction is to create a breast that resembles the natural breast as closely as possible in terms of shape, size, and position. This may involve multiple procedures over time to achieve the desired result. At AMAE Plastic Surgery in Oakland County, Dr. Ali works closely with each patient to develop a personalized reconstruction plan that aligns with their individual needs, preferences, and medical history.

When Is Breast Reconstruction Surgery Covered by Insurance?

The good news for many patients is that breast reconstruction surgery is often covered by insurance, particularly when it’s related to breast cancer treatment. In fact, the Women’s Health and Cancer Rights Act of 1998 (WHCRA) mandates that group health plans and individual health policies that cover mastectomies must also cover breast reconstruction surgery.

Insurance typically covers breast reconstruction in the following scenarios:

  • Reconstruction following a mastectomy or lumpectomy due to breast cancer
  • Reconstruction of the opposite breast to achieve symmetry
  • Revision surgeries to correct or improve the results of a covered breast reconstruction
  • Nipple reconstruction and tattooing

It’s important to note that coverage can extend beyond the immediate post-mastectomy period. Even if you decide to delay reconstruction, many insurance plans will still provide coverage when you’re ready to proceed.

At AMAE Plastic Surgery, we understand that dealing with insurance can be overwhelming, especially when you’re already coping with a breast cancer diagnosis or its aftermath. Our caring staff is here to assist you in understanding your coverage and advocating for your needs with your insurance provider.

When Isn’t Breast Reconstruction Surgery Covered by Insurance?

While insurance coverage for breast reconstruction is quite comprehensive, there are some situations where coverage may be limited or denied:

  • Cosmetic breast augmentation unrelated to cancer or trauma
  • Revision surgeries that are deemed purely cosmetic and not medically necessary
  • Reconstructive procedures for congenital breast deformities (coverage may vary)
  • Reconstruction following prophylactic mastectomy in some cases (though many insurers are beginning to cover this)

It’s crucial to discuss your specific situation with both your insurance provider and your surgeon at AMAE Plastic Surgery. Dr. Ali and our team in Oakland County can help you understand what aspects of your desired reconstruction may or may not be covered and work with you to explore all available options.

Is Breast Reconstruction Surgery Covered by Medicare?

Medicare, like most insurance providers, generally covers breast reconstruction surgery when it’s deemed medically necessary. This typically includes reconstruction following mastectomy due to breast cancer, as well as procedures to achieve symmetry on the unaffected breast.

Medicare coverage for breast reconstruction includes:

  • Breast reconstruction after mastectomy
  • External breast prostheses (including post-surgical bras)
  • Surgeries on the unaffected breast to achieve symmetry

As with private insurance, Medicare may not cover procedures that are considered purely cosmetic. At AMAE Plastic Surgery in Oakland County, we have experience working with Medicare patients and can help guide you through the coverage process, ensuring you understand your benefits and any potential out-of-pocket expenses.

Tips for Getting Breast Reconstruction Surgery Covered by Insurance

While breast reconstruction is often covered by insurance, there are steps you can take to help ensure smooth coverage:

Consult with a board-certified plastic surgeon like Dr. Ali at AMAE Plastic Surgery. We can provide the necessary documentation to support the medical necessity of your reconstruction.
Obtain pre-authorization from your insurance company before scheduling surgery. Our staff can assist you with this process.

Keep detailed records of all communications with your insurance company, including dates, names, and summaries of conversations. And if your claim is initially denied, don’t be discouraged. Many patients succeed on appeal. Our team at AMAE Plastic Surgery can help you navigate the appeals process.
Consider reaching out to patient advocacy groups for additional support and resources.

Remember, at AMAE Plastic Surgery in Oakland County, we’re not just here to perform surgery; we’re here to support you through every aspect of your reconstruction journey, including insurance matters.

Insurance Companies in Michigan

While we can’t provide an exhaustive list, some of the major insurance providers in Michigan that may cover breast reconstruction surgery include Blue Cross Blue Shield of Michigan, Priority Health, Health Alliance Plan (HAP), Meridian Health Plan of Michigan, Molina Healthcare of Michigan, UnitedHealthcare, Aetna, Cigna, and Humana .

It’s important to check with your specific insurance provider to understand your coverage options.

Dr. Ali Accepts Insurance for Breast Reconstruction Surgery

At AMAE Plastic Surgery in Oakland County, we’re pleased to inform our patients that Dr. Ali accepts most major insurance in Michigan for breast reconstruction surgery. Our dedicated team understands the complexities of insurance coverage for these procedures and is committed to working with your insurance company to maximize your benefits.

We recognize that navigating insurance coverage can be challenging, especially when you’re dealing with the physical and emotional aspects of breast cancer or considering reconstruction. That’s why our compassionate staff is here to assist you every step of the way. From helping you understand your coverage to coordinating with your insurance provider, we strive to make the process as smooth and stress-free as possible.

Breast Reconstruction Surgery Covered by Insurance | Oakland County

If you’re considering breast reconstruction surgery and have questions about insurance coverage or any other aspect of the procedure, we encourage you to reach out to AMAE Plastic Surgery in Oakland County. Dr. Ali’s expertise in breast reconstruction, combined with our team’s experience in handling insurance matters, makes us well-equipped to guide you through this important journey.

We understand that breast reconstruction is more than just a surgical procedure; it’s a step towards healing, both physically and emotionally. Our caring staff is committed to providing you with the support, information, and compassionate care you need to make informed decisions about your reconstruction.

At AMAE Plastic Surgery, we believe in empowering our patients and standing by their side throughout their reconstruction journey. Whether you’re just beginning to explore your options or are ready to move forward with surgery, we’re here to help you achieve the best possible outcomes and restore your confidence. Contact us today to schedule a consultation and take the first step towards your renewed self.

Oakland County Breast Reconstruction Surgeon that Accepts Insurance:  248-335-7200

Understanding the Basics of Breast Reconstruction Surgery

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Breast Reconstruction Surgery 101

Breast reconstruction surgery is a surgical procedure that is used to rebuild the shape and size of the breast(s) after a surgical removal of the breast or “mastectomy”.

At AMAE Plastic Surgery in the West Bloomfield area our entire team understands that undergoing the surgical removal of one or both breasts can be an extremely physically and emotionally challenging experience. Many people may experience a range of emotions, including sadness, grief, anxiety, and fear, both before and after the surgery. It is important to understand that these emotions are normal and that it is okay to feel them.

Patients may feel a sense of loss after a mastectomy, particularly if they have had to undergo the procedure due to breast cancer. Losing a breast can be a significant change, and it can be difficult to adjust to the physical and emotional changes that come with it.

Some women may feel self-conscious about their appearance after a mastectomy, which can affect their self-esteem, their feelings of femininity, or their body image. And many women just want to feel “whole again”. Breast reconstruction in the hands of a skilled and experienced plastic surgeon can help women put their lives back together after breast removal surgery by restoring the natural appearance and symmetry of the breast(s).

Breast Reconstruction Techniques

Breast reconstruction surgery can be performed using a variety of techniques, and the appropriate technique will depend on the individual patient’s needs and goals, the extent of the previous surgery, the availability of tissue, and other factors.

Breasts can be reconstructed using breast implants, using the patient’s own tissue (autologous reconstruction), or a combination of both. The appropriate technique will depend on the individual patient’s needs and goals. These different methods of breast reconstruction are called “pathways”.

Autologous breast reconstruction: This pathway involves using the patient’s own tissue, such as skin, fat, and muscle, to reconstruct the breast. Autologous reconstruction can be performed using a variety of techniques, including the TRAM flap, the DIEP flap, the SIEA flap, and the latissimus dorsi flap. These techniques involve transferring tissue from one part of the body to the chest area to reconstruct the breast.

Breast implant reconstruction: This pathway involves using breast implants to reconstruct the breast. Breast implants can be made of silicone or saline and are available in a range of sizes and shapes to suit the individual needs of patients. Breast implant reconstruction can be performed using a variety of techniques, including the two-stage approach and the direct-to-implant approach.

Hybrid breast reconstruction: This pathway involves using a combination of the patient’s own tissue and breast implants to reconstruct the breast. Hybrid reconstruction can be a good option for patients who do not have enough tissue available for autologous reconstruction or who prefer the look and feel of breast implants.

It’s important to note that every patient is different and the appropriate pathway to breast reconstruction will depend on the individual woman’s body, needs and goals. Renowned plastic surgeon Dr. Ali at AMAE Plastic Surgery in the West Bloomfield area will discuss the available options with you to help you make the decision that is best for you.

AMAE Plastic Surgery is also among the first and only surgical practices in the West Bloomfield area to offer state-of-the-art Vectra 3D imaging for breast reconstruction patents. This revolutionary imaging system provides a three-dimensional computerized image of the patient’s breasts from any and every angle – so that Dr. Ali can show you your options and expected outcomes before your breast reconstruction surgery!

Timing of Breast Reconstruction Surgery

Breast reconstruction surgery can be performed at the same time as the mastectomy (immediate reconstruction) or at a later date (delayed reconstruction). The timing of the surgery will depend on the individual patient’s needs and goals, as well as other factors such as the availability of tissue and the patient’s overall health.

Recovery from breast reconstruction surgery will depend on the individual patient’s healing process and the extent of the procedure. Most patients are able to return to work and other normal activities within a few weeks of the surgery, although it’s important to follow the surgeon’s instructions and avoid strenuous activities or heavy lifting for at least the first few weeks to allow for proper healing.

Choosing a Breast Reconstruction Surgeon

Breast reconstruction surgery is a complex procedure that requires the skill and expertise of a qualified and highly experienced plastic surgeon. Here are a few tips to help you choose a plastic surgeon for your breast reconstruction surgery.

Look for a board-certified plastic surgeon like Dr. Ali. (Not a ‘cosmetic surgeon’ which means they have far less training). It is important to choose a plastic surgeon Like Sr. Ali who is certified by the American Board of Plastic Surgery (ABPS). This certification indicates that the surgeon has received specialized training and has passed rigorous exams in the field of plastic surgery. You can also check your plastic surgeon’s credentials with the state medical board and look for any disciplinary actions or complaints.

Consider the plastic surgeon’s experience and expertise. Choose a plastic surgeon who has years of experience performing hundreds of breast reconstruction surgery, like Dr. Ali. Do not be afraid to ask the plastic surgeon about their training, the number of breast reconstruction surgeries they have performed, and their success rate. Ask to see pictures of actual patients showing the results of their breast reconstruction surgery.

And always look for a surgeon who is a good fit for you. It is important to feel comfortable with your plastic surgeon and to be able to communicate openly with them.

Top West Bloomfield Area Breast Reconstruction Surgery

Dr. Ali is caring and compassionate West Bloomfield area board certified plastic surgeon who has helped countless women reclaim their bodies after cancer with breast reconstruction surgery. He will offer you a consultation to answer your questions and offer you understanding advice about your breast reconstruction surgery options.

If you are battling – or have battled – breast cancer, you are not alone. We are here to help you determine what you want to do, so you can move forward with your best life.

West Bloomfield Area Breast Reconstruction Surgery: 248-335-7200

The Steps of Breast Implant Removal Surgery

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What is Involved in Breast Implant Removal Surgery

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

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

Why Patients Have Breast Implants Removed

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

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

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

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

Breast Implant Removal Step 1 – Anesthesia

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

Breast Implant Removal Step 2 – Incision

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

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

Breast Implant Removal Step 3 – Removal

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

Breast Implant Removal Step 4 – Reconstruction

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

Breast Implant Removal Step 5 – Closing the Incisions

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

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

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

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

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

Breast Implant Removal Surgery | Birmingham, MI

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

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

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

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

Nipple Reconstruction Surgery FAQs

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Nipple Reconstruction Surgery Frequently Asked Questions– 

Dr. Ali is a prominent board certified plastic surgeon in the greater Birmingham, MI area, with decades of experience and thousands of satisfied patients. With over 20 years in practice and extensive training, Dr. Ali is a Fellow in the American College of Surgeons, and has been rated Top Doc by Hour Detroit Magazine multiple years in a row. In this article, Dr. Ali discusses nipple reconstruction surgery, and answers some frequently asked questions about the nipple reconstruction procedure.

How is Nipple Reconstruction Surgery Performed?

Most often, the nipple is constructed from a flap of skin on the top of the breast, such as what is called the C-V and skate flaps. These procedures can be performed as an outpatient. The scar-based modified C-V flap can be performed for nipple reconstruction and scar revision at the same time.

Reconstruction of the areola is performed using a full-thickness circular skin graft from a different location on the patient’s body, for instance, the bra roll, a C-section scar, or even sometimes the inner thigh. Using a skin graft allows the areola to maintain a distinct topography from the rest of the breast, and it also enables the physician to hide some of the scars left by the mastectomy.

Does Nipple Reconstruction Surgery Require Hospitalization?

Nipple reconstruction surgery is almost always performed on an outpatient basis, meaning that a hospital stay is not necessary.

What Type of Anesthesia is Used for Nipple Reconstruction Surgery?

Generally, nipple reconstruction surgery is performed using a local anesthetic. Dr. Ali will inject a medication that numbs the area where the reconstructed nipple will be located. Under a local anesthetic, you will be awake during the procedure, although you will likely be given a medication to allow you to relax.

In the event Dr. Ali feels that a general anesthesia would be preferable, you will be given an IV (intravenous infusion), which would be inserted into a vein in your hand or arm and taped securely in place. Along with the anesthesia, a medication to relax you is inserted through the IV line. With this type of anesthesia, you will be asleep during the procedure.

Can I have Nipple Reconstruction Surgery During Chemotherapy?

Usually, nipple reconstruction surgery is the final stage of breast reconstruction. Chemotherapy is usually completed before breast reconstruction is commenced. Most doctors want the patient to be fully recovered from their mastectomy and effects of chemotherapy before beginning the reconstruction process.

Are There Non-Surgical Alternatives to Nipple Reconstruction?

Nipple tattoos are becoming an increasingly popular option for women who have undergone breast reconstruction surgery after cancer. Techniques have improved to the point where it is difficult to tell the difference.  Dr. Ali can refer you to a specialized nipple tattoo expert who can create extremely natural-looking 3D tattoos using medical tattooing.

How Long is Recovery from Nipple Reconstruction Surgery?

Recovery time depends upon the technique selected. If you decide upon a tattoo, you can return to work the very next day.

The surgical flap technique is a little bit more involved, and the length of recovery depends upon the location of where the skin graft is taken. Generally, the area around the newly-constructed nipple and areola are for the most part insensate, so most patients report minimal discomfort.

When the flap technique is used, patients normally take a few days for the initial healing and then can return to work. However, you should wait from two to four weeks before intense exercise is resumed, in order for the surgical scars to heal properly. In the meantime, gentle exercise such as walking is encouraged, and you can begin to walk as soon as the evening of the procedure if you feel up to it.

Is Nipple Reconstruction Surgery Permanent?

While nipple reconstruction surgery is considered to be permanent, the newly created nipples may flatten a bit after a length of time, and tattoos can fade somewhat. Additional procedures down the road to maintain the projection or color are not unusual, and are happily performed by our Birmingham surgical team – to keep your breast and nipples looking beautiful and natural.

Will My Insurance Cover Nipple Reconstruction Surgery?

If you are having reconstruction done post-mastectomy, both surgical and non-surgical options for nipple and/or areola reconstruction are generally covered by insurance companies.

While this article answers many questions you may have, if you are considering surgery to reconstruct your nipples, no doubt you have more. It is important that you select a surgeon in whom you have confidence, who will take the time needed to explain all of your options and put you at ease, and with whom you feel completely comfortable. If you live in or near the greater Birmingham, MI area and are considering nipple reconstruction surgery, schedule a consultation with Dr. Ali to discuss your unique situation and the best options available to you.

Typically nipple tattoo experts do not take insurance, but do provide information to the patient so that they can submit to their insurance for reimbursement.

Nipple Reconstruction Surgery – Birmingham, MI

Dr. Ali is a board certified Macomb County area plastic surgeon who has helped countless women get the breast appearance they love after breast reconstruction with nipple reconstruction surgery. He will offer you a consultation to answer your questions and offer you understanding advice about your nipple reconstruction options.

If you are a warrior who has undergone a mastectomy after battling breast cancer, we are here to help you improve your nipples’ appearance. Live your best life, feeling attractive and confident in your appearance, with beautiful nipples.

Birmingham, MI Nipple Reconstruction Surgery Consultation: 248-335-7200

Nipple Reconstruction After Breast Reconstruction Surgery

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Nipple Reconstruction After Mastectomy & Breast Reconstruction– 

After a mastectomy, most women choose to have nipple reconstruction surgery to completely finish reconstruction of their breast.

No matter how skilled the plastic surgeon, surgically created nipples will never react like or have the same sensation as do natural nipples. However, the appearance of recreated nipples look very much like natural ones, and that can give women who have undergone breast cancer reconstruction procedures a sense of “completeness.”

Dr. Azhar Ali is a prominent board certified plastic surgeon in the Macomb County, Michigan area, with decades of experience and a host of satisfied patients. Dr. Ali has extensive experience reconstructing breasts and nipples for women who have had mastectomies, and employs the latest cutting-edge techniques to achieve the most natural appearance possible. In this article, Dr. Ali discusses the basic elements of nipple reconstruction.

Nipple Reconstruction Surgery Techniques

Breast reconstruction is usually performed in multiple stages. Nipple reconstruction involves recreating a nipple, and usually the areola (the pigmented tissue surrounding the nipple) at the apex of the breast mound. There are both surgical and non-surgical options for the nipple reconstruction, depending on the patient’s goals.

Most often, the nipple is constructed from a flap of skin on the top of the breast, such as what is called the C-V and skate flaps. These procedures can be performed as an outpatient. The scar-based modified C-V flap can be performed for nipple reconstruction and scar revision at the same time.

Reconstruction of the areola is performed using a full-thickness circular skin graft from a different location on the patient’s body, for instance, the bra roll, a C-section scar, or even sometimes the inner thigh. Using a skin graft allows the areola to maintain a distinct topography from the rest of the breast, and it also enables the physician to hide some of the scars left by the mastectomy.

Reattachment during Nipple Reconstruction Surgery

Many women ask whether their own nipples can be reattached to their reconstructed breasts. In some cases, the answer is yes. In others, it is not possible. The decision must be made prior to the mastectomy, since once it is removed, the nipple cannot be reattached months later. That being said, there are a number of techniques available that allow for the nipple to be reattached at the time of the mastectomy.

The Best Time for Nipple Reconstruction Surgery

Nipple and areola reconstructions most commonly occur as the final phase of breast reconstruction, usually about 3-4 months post-surgery, allowing the new breast time to heal. Surgery to reconstruct the nipple and areola is a separate surgery, and can be done as an outpatient procedure.

Complete mastectomies are only one reason for breast reconstruction and subsequent nipple and areola reconstruction. These procedures may also be appropriate following a central lumpectomy, where the breast itself is preserved, but the nipple and/or areola are compromised. Similarly, nipple/areola reconstruction may occur following oncoplastic reductions (where the tumor actually involves the nipple) or even non-cancer operations where the areola and/or the nipple have been altered.

Nipple Reconstruction is Not Mandatory

As with each aspect of breast reconstruction, whether or not to restore the nipple is a personal choice. While it can be done as soon as three months after the initial breast reconstruction, there is no time limit determining when nipple or areola reconstruction procedures can be safely or effectively performed. Many women want to have the procedure done as soon as is possible, but some wait a considerable amount of time – even five to ten years – to undergo the procedure. And, some women elect to forego the reconstruction altogether.

Alternatives to Nipple Reconstruction Surgery

Nipple tattoos are becoming an increasingly popular option for women who have undergone breast reconstruction surgery after cancer. Techniques have improved to the point where it is difficult to tell the difference. Dr. Ali can refer you to a specialized nipple tattoo expert who can create extremely natural-looking 3D tattoos using medical tattooing.

The decision to have nipple reconstruction surgery is extremely personal. There are many options available, and it is important for you to be completely comfortable with the procedure itself, and more importantly, with the surgeon who will perform it.

Dr. Ali has the experience, artistic skill and technical expertise necessary to enhance your appearance and accomplish your goals, as he has done with a host of satisfied patients. If you live in or near the Macomb County, Michigan area and are considering nipple reconstruction surgery, give us a call to schedule an appointment with Dr. Ali to discuss what options may be available to you.

Best Macomb County Nipple Reconstruction Surgery

Dr. Ali is a board certified Macomb County area plastic surgeon who has helped countless women get the breast appearance they love after breast reconstruction with nipple reconstruction surgery. He will offer you a consultation to answer your questions and offer you understanding advice about your nipple reconstruction options.

If you are a warrior who has undergone a mastectomy after battling breast cancer, we are here to help you improve your nipples’ appearance. Live your best life, feeling attractive and confident in your appearance, with beautiful nipples.

Macomb County Nipple Reconstruction Surgery Consultation: 248-335-7200

Protecting Your Breast Implants After Reconstruction

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Protecting Your Breast Implants After Reconstruction

If you have survived breast cancer and a mastectomy, and have undergone breast reconstruction surgery, you have already been through so much! You are a warrior! So, of course, you want to do everything possible to protect your new breasts – and ensure that you do not have to undergo any further breast revision surgery.

In December, a new clinical study published in the Journal of the American College of Surgeons reported that two huge risk factors –  smoking and obesity – can dramatically increase the odds of early implant loss after breast reconstruction with implants following a mastectomy.

The study was conducted at the Perelman School of Medicine at the Hospital of the University of Pennsylvania, Philadelphia.The stated goal of the study was figure out which patients are at greatest risk for complications within the first 30 days after breast reconstruction.

In order to determine which risk factors were associated with 30-day breast implant loss for any reason data from the American College of Surgeons National Surgical Quality Improvement Program was analyzed. The study included more than 14,500 women between the ages of 40 and 60 who had undergone immediate breast reconstruction with implants after a mastectomy.

The results of the study were starling:

Smoking was shown to increase woman’s risk of early implant loss by three times!

And obesity as shown to increase woman’s risk of early implant loss by three times! Additionally, the more severe the state of obesity, the higher the patient’s risk of losing the implant was.

Other Risk Factors for Breast Implant Loss

Other lesser factors that were associated with a greater chance of complications included age, with women over age 55 being at slightly greater risk for implant failure. Additionally, direct-to-implant reconstruction – undergoing mastectomy and implants in a single procedure –  also increased the risk of implant failure within the first 30 days after breast reconstruction surgery.

Less than one percent of all patients in this study of 14,583 women (so about 14) experienced complication involving implant loss in 30 days or less.  Patients in to lower risk groups only had a, failure rate of .39% . But patients in the high risk group – due to smoking or obesity – had a failure rate of  3.86%.

This is actually quite a substantial difference – because it means that one in 25 patients in the high-risk group will lose a breast implant within the first 30 days.

The takeaway from this is that while smoking and obesity have a variety of negative health consequences, their impact on breast reconstruction surgery can be dire. We understand that losing weight or quitting smoking is a difficult uphill battle. But in order to ensure that your reconstruction surgery is a success, we urge you to find the support that you need so that you can give up cigarettes or lose some of the extra weight.

Top Troy, MI Area Breast Reconstruction Surgeon

Dr. Ali is a Troy, Mi area caring and compassionate board certified plastic surgeon who has helped countless women reclaim their bodies after cancer with breast reconstruction surgery. He will offer you a consultation to answer your questions and offer you understanding advice about your breast reconstruction surgery options.

If you are battling – or have battled – breast cancer, you are not alone. We are here to help you determine what you want to do, so you can move forward with your best life.

Troy, MI Area Breast Reconstruction Surgery Consultation: 248-335-7200