Understanding Holistic Plastic Surgery

What is Holistic Plastic Surgery?

“Holistic Plastic Surgery” is a new term that has popped up recently on social media platforms – especially TikTok and Instagram. While this “buzz word” brings to mind perhaps a more natural or modern approach, its important to unpack what this trending topic really means.

In this article, the experts at AMAE Plastic Surgery in Birmingham, MI explore the meaning of this en vogue phrase.

What is a Holistic Plastic Surgeon?

While the term “holistic” has only recently been applied to plastic surgery – it has actually been around for a long time. A holistic medical practice of any kind takes into account all elements that influence a person’s wellbeing – from their age, underlying medical conditions, lifestyle choices, and environmental factors. In other words, “holistic” is a “whole person” approach to medicine.

When used in the context of plastic surgery and other cosmetic procedures, “holistic” generally refers to a comprehensive and all-encompassing approach that aims to slow down the aging process, reverse the cosmetic signs of aging, and enhance natural beauty at every age.

Part of a holistic approach to plastic surgery focuses on the root cause of aging or other cosmetic problems and developing a treatment plan that addresses these issues from the inside and the outside.

Is Dr. Ali in Birmingham, MI a Holistic Plastic Surgeon?

The short answer is “YES” – Dr. Ali takes a comprehensive, “whole patient” approach to plastic surgery and cosmetic treatments.

The long answer is that Dr. Ali has been a “holistic” plastic surgeon for decades – long before this term “holistic” became a marketing catch phrase used on social media.  While many people would like you to believe that holistic plastic surgery is a refreshing, new approach to beauty – a good plastic embraces a comprehensive view of his or her patient’s health and wellness.

What Makes Dr. Ali a Holistic Plastic Surgery

#1. Safest, Least Invasive Surgical Procedures

Safety is a priority in holistic plastic surgery, along with using the least invasive surgical techniques to achieve the best results. This minimizes scarring, reduces the risk of complications, and leads to a faster recovery for patients.

#2. Natural Aesthetic Treatments

Holistic aesthetic practitioners offer natural treatments that stimulate the body to repair and regenerate itself with cellular renewal mechanisms. PRP (derived from the patients own blood) and microneedling – that stimulates natural collagen and elastin synthesis are examples of holistic cosmetic treatments offered by Dr. Ali at AMAE Plastic Surgery.

 #3. Natural & Sustainable Skin Care Products

Holistic aesthetic advocates promote the use of skin care products made with natural, organic, sustainably sourced ingredients. These products are not only gentle on the skin but also free from harmful chemicals that can accelerate aging.

At AMAE Plastic Surgery and Med Spa in Birmingham, MI we offer natural skincare products from the top professional brands including ZO Skin health, skinbetter science, and Alastin.

#4. Body Balancing with Bioidentical Hormone Replacement

One of the primary causes of cosmetic and medical problems is the hormonal decline that occurs with age in both women and men. AMAE Plastic Surgery in Birmingham, MI offers 100% natural, plant-derived bioidentical hormone replacement therapy (BHRT) that restores the body to balance – improving health and vitality, restoring energy, repairing skin and bone, and promoting weight loss, muscle building, and sexual vigor.

Holistic Plastic Surgery | Birmingham, MI

Holistic plastic surgery is not just about looking good – it’s about feeling good, too. By focusing on each patient’s overall health and wellness, Dr. Ali helps women and men achieve long-lasting cosmetic improvements, while experiencing increased self-confidence and a better sense of well-being.

Renowned, board-certified Birmingham, MI plastic surgeon Dr. M. Azhar Ali has always combined holistic medicine principles with the most advanced plastic surgery techniques and aesthetic technologies to deliver beautiful, natural-looking results. His goal is not just to enhance your physical appearance but also to elevate your overall health and wellness.

If you’re interested in exploring a holistic approach to plastic surgery, schedule a consultation Dr. M. Azhar Ali in Birmingham, MI – and look and feel like the best version of you!

Holistic Plastic Surgeon | Birmingham, MI: 248.335.7200

Get Smaller Nostrils with Alarplasty Surgery

Alarplasty Surgery: Natural Looking Nostril Reduction

Alarplasty, also known as alar base reduction surgery, is a cosmetic surgical procedure that is designed to make nostrils smaller. Alarplasty reduces the width of the nostrils and is becoming increasingly popular in the United States, with thousands of patients undergoing alarplasty each year.

In this article, top board certified plastic surgeon Dr. Ali at AMAE Plastic Surgery in the Troy, MI area discusses what alarplasty surgery is, the techniques used, recovery time, and the expected results. He also explores who is a good candidate for nostril reduction surgery, including the benefits for ethnic minorities, and the importance of respecting ethnic heritage when performing alarplasty surgery.

Alarplasty Surgery Techniques

Alarplasty surgery is typically performed under local anesthesia and only takes between 30 minutes to an hour to complete when performed by a skilled and experienced board certified plastic surgeon. The procedure involves making an incision on each side of the nostril’s base to remove excess tissue and reduce the width of the nostrils. The incision is usually made in a way that minimizes scarring and is well-hidden within the natural creases of the nose.

The technique used during alarplasty surgery can vary depending on the patient’s individual needs. In some cases surgeons may use a wedge excision technique, where a small piece of tissue is removed from the nostril’s base to reduce its width. In other cases a V-Y-plasty technique is used, where the incision is made in a V shape and then reshaped into a Y shape to reduce the width of the nostrils.

These surgeries should only be undertaken by a highly skilled and experienced board certified plastic surgeon like Dr. Ali at AMAE Plastic Surgery in the Troy, MI area. The nose is not only the most prominent feature on your face, but it also reflects your heritage and gives you a great deal of your character and personality.

Alarplasty surgery can be life-changing, but it also cannot be undone. And repairing a poorly done alarplasty performed by an underqualified surgeon is difficult at best and often not possible – since nostril tissue cannot be “put back.”  Only trust your nostril reduction to a highly skilled and board certified plastic surgeon like Dr. Ali at AMAE Plastic Surgery in the Troy, MI area.

Alarplasty Surgery Recovery Time and Results

After the alarplasty procedure, patients can expect some swelling, bruising, and discomfort for a few days. Pain medication and cold compresses can help alleviate any discomfort. Most patients can return to work and normal activities within a week, although it is recommended to avoid any strenuous exercise or activities that could increase blood pressure for the first few weeks after surgery.

The results of alarplasty surgery can be seen immediately, although the final results may take a few months to fully appear, as the swelling gradually subsides. Patients can expect a more refined and aesthetically pleasing nose shape with a narrower nostril base. The results of alarplasty surgery are permanent, so patients will enjoy the benefits of the procedure for the rest of their life!

Who is a Good Candidate for Alarplasty Surgery?

A good candidate for alarplasty surgery is someone who is unhappy with the width of their nostrils and wants to improve the appearance of their nose. This surgery is suitable for individuals who have flared or wide nostrils, a bulbous nasal tip, or asymmetrical nostrils. It is important to have realistic expectations about the results of alarplasty surgery and to understand the limitations of the procedure.

It is also essential to be in good overall health and not have any medical conditions that could increase the risk of complications during or after surgery. Patients who smoke or use nicotine products should quit at least two weeks before the procedure – and not resume smoking after the procedure – to reduce the risk of complications and improve healing.

Alarplasty Benefits for Ethnic Minorities: Respecting Ethnic Heritage

Alarplasty surgery can provide significant benefits for ethnic minorities who may have wider nostrils due to genetic factors. Many people of African, Asian, and Latin American descent have a wider nasal base, which can affect their personal satisfaction with their overall facial harmony and balance. Alarplasty surgery can help address this issue and provide nostril width and proportions that the patient feels is more proportionate and aesthetically pleasing.

However, it is important to note that there is no single ‘ideal’ nose or nostril size and shape. There is a very diverse range of beautiful nose sizes and shapes. Board certified plastic surgeon Dr. Ali at AMAE Plastic Surgery in the Troy, MI area believes that alarplasty surgery should be performed with a deep respect for each patient’s individual ethnic heritage.

Dr. Ali is highly skilled at taking into account the patient’s facial features, skin type, and overall facial balance when performing alarplasty surgery. He is skilled at achieving a natural-looking nose shape that complements the patient’s facial features and ethnic heritage – rather than trying to conform to a one-size-fits all European/Caucasian standard of beauty.

The final result of alarplasty nostril reduction surgery should be a harmonious one, with no evidence that surgery was ever done. Overall, the aim of ethnic rhinoplasty is to celebrate and enhance (not change or erase) one’s heritage, natural beauty, and ethnic diversity!

Top Plastic Surgeon | Alarplasty Surgery | the Troy, MI area

Alarplasty surgery has never been more popular – in large part because modern nostril reduction techniques make recovery from surgery faster, safer, and less painful than ever.

Schedule an appointment for an alarplasty consultation with Dr. Ali at AMAE Plastic Surgery in the Troy, MI area to learn more about enhancing your appearance with nostril reduction, while ensuring you remain true to your own unique, natural beauty and ethnic heritage.

Alarplasty Surgery | Troy, MI Area: 248-335-7200

Your Guide to Anesthesia During Plastic Surgery

What to Expect  if You’re “Put Under” During Plastic Surgery

Anesthesia is the general term for the use of drugs to block pain sensations. There are two types of anesthesia used in plastic surgery “general” and “local”.

During the use of local anesthesia, the patient remains conscious – although they may also be given a medication to make them feel relaxed or sleepy. Local anesthetic induces a temporary loss of sensation in the “numbed” area, but the patient is still conscious.

General anesthesia refers to drugs that “knock out” the patient, inducing sleep or amnesia, preventing any awareness during surgery, and stopping the patient from feeling any pain.

Today, many plastic surgeries can be performed with advanced, minimally invasive techniques – so only local anesthetic is needed. However, more complex, or more invasive plastic surgery procedures still require the use of general anesthesia.

Local Anesthetic for Plastic Surgery

Local anesthetics are most often administered by injection – but they can also be sprayed on or applied “topically” in cream form. This type of anesthesia blocks pain sensation to the part of the body where it has been injected. It can be used on any part of the body, including face, neck, limbs, buttocks, breast, back and abdomen.

Depending on the type of local anesthetic it may take up to twenty minutes or longer to fully take effect. So there may be some waiting during the pre-op period. During this time the patient may also be given oral medications to help them relax or even sleep during their procedure.

The effects of local anesthetics can last for up to 90 minutes or longer depending on what type your plastic surgeon uses. But the patient will be conscious and know what is going on the whole time – unless they have received a sedative as well. Sometimes patients will feel sensations of pressure under local anesthetic – but they will not feel pain.

General Anesthesia for Plastic Surgery

General anesthesia is a drug that is used to make you unconscious and unable to feel pain during surgery. It also helps to reduce anxiety and stress and gives the patient amnesia (no memory) of their plastic surgery procedure.  The patient will also not remember anything about the surgery or treatment after it is completed if they are under general anesthesia.

In some cases, general anesthesia can be provided by intravenous injection of drugs into a vein (intravenous anesthesia) vein through an IV line in your arm or hand. In many cases general anesthesia is administered during plastic surgery or by inhalation from a mask placed over the nose and mouth (inhalation anesthesia), that puts the patient almost instantly to sleep.

Anesthesia can also be injected into the spinal canal (spinal anesthesia) – but this is rarely used during plastic surgery. Spinal anesthesia (“a spinal block”) is, however, commonly used during childbirth.

General anesthesia usually takes effect within 1 to 2 minutes and lasts for about 1 to 2 hours. An anesthesiologist will administer the anesthetic and continue to monitor your responses and vitals during the plastic surgery, to ensure that you “stay under” during the entire procedure. If more anesthetic is needed for a longer procedure, the anesthesiologist will administer it.

Will I Need General or Local Anesthesia During Plastic Surgery?

It is important to note that not all plastic surgeries require general anesthesia, but some do. Minimally invasive plastic surgery, such as an eyebrow lift, only requires local anesthetic. Facelifts, tummy tucks, and other plastic surgeries with larger incisions typically require general anesthesia.  Breast augmentation, may  be performed with local or general anesthesia.

Preparing Your Body for Anesthesia during Plastic Surgery

When you are about to undergo surgery, there are a number of things that you should do before the procedure. Your doctor will provide specific instructions for your surgery, but in general, you should:

1) Eat a light meal 2-3 hours before your surgery. Do not eat after that in case the anesthesia makes you nauseous.

2) Drink plenty of water on the day of your surgery. Your plastic surgeon may or may not also allow you to drink clear fluids.

3) Take any medications prescribed beforehand by your plastic surgeon, as directed. However, it is extremely important to discuss any other medications you are taking with your surgeon at your consultation to make sure they will not interact or interfere with the anesthesia.

4) Avoid caffeine on the day of your surgery. Avoid alcohol for at least two weeks before your surgery. Avoid any over the counter medications such as Nyquil, Benadryl that make you sleepy as well. And ask your doctor about any other OTC meds or supplements that you take.

5) Bring someone with you who can drive you home after your procedure.

6) Arrange for a family member or friend to stay with you for 24 hours following the procedure, just in case any rare complications arise.

Every patient is different. Patients may be confused, drowsy, “loopy”, talkative, dizzy, very quiet, or nauseous after general anesthetic. It may take them a couple hours to fully wake up and become alert. This is normal and actually beneficial, as it means that the anesthetic is still in their system numbing any pain!

For the first 24 hours after general anesthesia patients may continue to be sleepy, and their judgment, concentration and reflexes may still be affected. So, always have a responsible caregiver stay with you for at least a day after receiving general anesthesia.

Plastic Surgery | Birmingham, MI

Modern anesthesia technology is extremely safe if you work with a board-certified plastic surgeon and anesthesiologist. Do not be shy or embarrassed to ask your plastic surgeon about the type of anesthesia he will be using – and the credentials of the anesthesiologist who will be administering your general anesthesia during your plastic surgery.

Dr. Ali is a skilled and experienced Birmingham, MI board certified plastic surgeon. He will answer all of your questions about the anesthesia or anesthetic required for your plastic surgery procedure – and ensure you have a comfortable and pain free plastic surgery.

Choosing a Plastic Surgeon: What is a board-certified cosmetic surgeon?

Plastic Surgeons & Cosmetic Surgeons Are Not the Same

If you are considering plastic surgery, the first and most important step is to find a board-certified plastic surgeon who is a member of the American Society of Plastic Surgeons. This ensures that the plastic surgeon is highly trained, experienced, and employs the highest safety standards and ethical guidelines.

But choosing a plastic surgeon can be confusing – because patients will also likely find many “cosmetic surgeons” advertising their services as well. It is extremely important to understand that cosmetic surgery is not the same thing as plastic surgery.

Doctors who are certified by the American Board of Cosmetic Surgery (ABCS) do NOT meet the same exacting criteria required for board-certified plastic surgeons by the American Society of Plastic Surgeons.

In this article the experts at AMAE Plastic Surgery explain why a “board-certified cosmetic surgeon” isn’t the same as a “board-certified plastic surgeon”, and what that means when choosing who will perform your plastic surgery.

Training of Plastic Surgeons vs. Cosmetic Surgeons

A recent study was published in the online journal of Plastic and Reconstructive Surgery, which is the official medical journal of the American Society of Plastic Surgeons (ASPS). The researchers reviewed online information assessed the amount of medical residency training history for 342 American Board of Cosmetic Surgery (ABCS) physicians.

Shockingly, that research revealed that nearly ten percent of ABCS members were not even trained in any surgical discipline. In fact, according to that study, 62.6% of the ABCS cosmetic surgeons advertised performing surgical operations beyond the scope of their actual residency training.

Many of these ABCS-certified “cosmetic” surgeons were actually: internal medicine doctors, OBGYNs, otolaryngologists, dermatologists, and oral and maxillofacial surgeons.

And the most commonly performed cosmetic procedures performed by cosmetic doctors outside their scope of training were liposuction (59.6%), tummy tuck / abdominoplasty (50.0%), breast augmentation (49.7%), and buttock augmentation (36.5%).

This presents some rather frightening statistics about under-qualified doctors (who do not have surgical training) holding themselves out as certified “cosmetic surgeons”.

Choosing a Board-Certified Plastic Surgeon

Many patients understandably assume that a board-certified cosmetic surgeon would have the same training as a board-certified plastic surgeon.  One would think that all surgeons must be board-certified in plastic surgery in order to perform cosmetic surgery procedures. But this is NOT the case.

A board-certified plastic surgeon must have at least six years of surgical training and complete an accredited plastic surgery training program. To be board-certified, a plastic surgeon must also perform thousands of cosmetic and reconstructive surgery procedures of different types, and pass demanding written and oral exams, as well as engage in continuing education and assessment throughout the rest of their career.

However, an American Board of Cosmetic Surgery (ABCS) physician is only required to complete one year of surgical training, perform 300 procedures, and take a single written and oral test during a single weekend. And there is no continuing medical education requirements to be ABCS certified.

Because of these confusing credentials, combined with misleading marketing and false advertising, patients may end up with a “cosmetic surgeon” rather than a board-certified plastic surgeon.

Board Certified Plastic Surgeon | Birmingham, MI

Dr. Ali is board certified in plastic surgery, a member of the American Society of Plastic Surgeons, and a Fellow in the American College of Surgeons. He has performed more than 7,000 cosmetic and reconstructive surgeries. He has been awarded “Top Doc” by Hour Detroit Magazine multiple years in a row. He is also a “RealSelf” Top Doc, and has a perfect 5 star rating from his patients on Yelp!, Google and Facebook.

In addition to performing thousands of breast enhancements, breast lifts, tummy tucks, liposuction, facelifts, “nose jobs”, arm lifts, “mommy makeovers,” and breast reconstructions, Dr. Ali travels worldwide on humanitarian missions every year. He volunteers his surgical services in underprivileged areas across the globe to give back smiles!

If you do your research, you will likely find that many cosmetic surgeons in the Birmingham, MI area are NOT Board Certified Plastic Surgeons! Only trust your face or body to a board-certified plastic surgeon, like Dr. Ali.

Board Certified Plastic Surgeon | Birmingham, MI: 248.335.7200

Emily A. Long et al. Board Certification in Cosmetic Surgery: An Evaluation of Training Backgrounds and Scope of Practice, Plastic & Reconstructive Surgery (2020). DOI: 10.1097/PRS.0000000000007242



Plastic Surgery Numbers Increase Post-Pandemic

Plastic Surgery On the Rise – Especially Among Younger Women

Well, we survived the pandemic, but the economy is still somewhat uncertain, and let’s just say these are challenging times. But a new national survey called the Inaugural ASPS Insights and Trends Report: Cosmetic Surgery 2022 reports that plastic surgery in on the rise.

That survey found that many Americans are now desiring to “invest in themselves” through cosmetic procedures. And the report goes on to say that the biggest increase in plastic surgery procedures in 2022 was seen in women under 45.

Why Patients Are Investing in Plastic Surgery

That study posits that many individuals are undergoing plastic surgery post-pandemic because they may be working from home – so they have more time at home to recover. The study also suggests that many people saved larger sums of money during the Quarantine on expenses such as travel, shopping, and dining out.

Others speculate that, with more people working from home and regularly seeing themselves “on screen” in Zoom meetings, men and women are more aware of how they appear to others. And many people may not like what they see – or feel self-conscious about certain features and attributes that weren’t front and center before.

“We’re seeing ourselves on a computer screen a lot more regularly and are much more aware of our appearance. And for a lot of people, that makes them recognize that they may want to look a little younger or to appear less tired, which has led to an increase in facial and neck procedures” reported one plastic surgeon.  “I think people are recognizing that it’s okay to do something for themselves.”

Increase in Plastic Surgery in 2022

The American Society of Plastic Surgeons surveyed member surgeons across the U.S. and found that 70% s of cosmetic-focused plastic surgery practices are seeing more business than they had before the pandemic. And almost 30% of plastic surgeons in the survey reported that their plastic surgery business has at least doubled.

The survey also found that younger women between the 31 and 45 years old were by far the likeliest to undergo popular plastic surgery procedures, including breast augmentations, liposuction and tummy tucks.

The authors of that article speculated that millennials are much savvier about plastic surgery options, due to both the Internet in general and social media specifically. Millennials are also more open about plastic surgery than Baby Boomers and older generations – with the stigma and secrecy of plastic surgery a thing of the past.

And, although the surge in plastic surgery may be driven by women under 45, the article also reports that plastic surgeons are seeing more patients of every age group and gender.

The survey also revealed that not only are more people undergoing cosmetic surgery, but patients are willing to spend more on plastic surgery procedures than before the pandemic. According to the survey plastic surgeons, 59 said patients are willing to spend “somewhat more” on plastic surgery and 17 percent of plastic surgeons indicated that people were now willing to pay substantially more for plastic surgery than pre-pandemic.

Plastic Surgery | Birmingham, MI

Whatever your reasons for considering plastic surgery – to look younger, to present better on video conferencing, or to fix a feature that has always bothered you – the first step is finding a qualified and experienced Board Certified Plastic surgeon who is a member of the American Society of Plastic Surgeons. This ensures that the plastic surgeon is not only highly trained and experienced, but also employs the highest safety and ethical guidelines.

Remember not all “cosmetic surgeons” are board certified plastic surgeons (learn more here). Dr. Ali is board certified in plastic surgery, a member of the American Society of Plastic Surgeons, and a Fellow in the American College of Surgeons. He has performed more than 7,000 cosmetic and reconstructive surgeries. He has been awarded “Top Doc” by Hour Detroit Magazine multiple years in a row. He is also a “RealSelf” Top Doc, and has a perfect 5 star rating from his patients on Yelp!, Google and Facebook.

Schedule a consultation with Dr. Ali at AMAE Plastic Surgery in Birmingham, MI and tale the first step to loving the way you look and feel about your appearance!

Plastic Surgery | Birmingham, MI: 248.335.7200



Plastic Surgery: What is General Anesthesia Like?

What to Expect with General Anesthesia During Plastic Surgery

Thanks to advancements in minimally invasive surgical procedures, many times plastic surgery can be performed with only “local” anesthetic (numbing). But more extensive plastic surgery procedures, such as tummy tucks or full facelifts typically require generally anesthesia – the kind that “knocks you out” or “puts you under”.

If you have booked your plastic surgery – or are considering cosmetic surgery – you are probably quite excited about your results! But if you still have some questions or reservations about the general anesthesia you will be undergoing, you’re not alone. In fact, data recently compiled in a study performed by psychiatrists revealed that roughly 30% of plastic surgery patients were more afraid of the anesthesia than of the surgery itself.

It’s human nature to worry about something as new, different, and important as surgery. If you are feeling anxious about general anesthesia, knowing what to expect can help you feel more relaxed and comfortable. In this article the plastic surgery experts at AMAE Plastic Surgery in Birmingham, MI explain how general anesthesia works, what being “put under” feels like, and what to expect on the day of your procedure.

Is General Anesthesia Safe during Plastic Surgery?

Modern methods of general anesthesia are extremely safe when administered by a skilled, board-certified anesthesiologist. Studies have shown that there is only a 0.01% to 0.016% (one-tenth of one percent) chance of a fatal complication caused by anesthesia.

Certain known risk factors are usually to blame for these very rare anesthesia-related complications. Obesity, smoking, underlying illness, advanced age, poor overall health, and medication interactions are most often behind anesthesia complications. So, it is critical that patients are honest with their plastic surgeon about smoking, any medications they are taking, and/or any preexisting health issues.

What to Expect from General Anesthesia during Plastic Surgery

On your day of surgery, a caring nurse will assist you with any pre-op preparations before you are taken to the operating room. Next, both the anesthesiologist and the plastic surgeon will discuss the general anesthesia process with you before giving you the anesthesia injection, IV drip or gas.

Once the anesthesia hits your bloodstream, the effects kick in very quickly. The anesthesiologist may ask you to count backward from 100 to monitor how you are responding to the medication. Most people don’t even make it to 90!

Typically, patients do not remember anything (or feel anything) after that – from the time the general anesthetic is administered to waking up in the recovery room.

How General Anesthesia Works During Plastic Surgery

General anesthesia works on four different levels to affect the entire body and ensure that the patient does not feel a thing:

  1. Unconsciousness: The patient is completely sedated, simulating a very deep sleep or coma.
  2. Immobility: The patient’s body is completely unable to move, keeping them completely still during surgery.
  3. Analgesia: This prevents the patient from feeling pain during the surgery at all.
  4. Amnesia: This ensures that the patient does not remember anything that happened during the procedure.

What Happens During General Anesthesia for Plastic Surgery

The anesthesiologist remains present for the entire time the patient is “asleep.” He or she will be constantly monitoring oxygen intake, vital signs, circulation, fluid loss, and degree of unconsciousness. This ensures that bodily function remains at stable, normal levels – and that the patient stays completely “under.” Knowing that a board certified anesthesiologist is by their side, monitoring their condition the entire time, often takes the worry away for many patients.

When the patient “wakes up” the period of time they were under general anesthesia is a ‘blank’. The last thing they usually remember is receiving the medication, and they don’t remember anything in between until they wake up in the recovery room.

Everyone reacts a bit differently to general anesthesia, upon waking up. Some patients simply feel “out of it” until they wake up completely. Others may feel emotional, loopy, or have slurred speech.

In fewer cases some people may have their inhibitions lowered and/or behave in an exaggerated manner that is normally uncharacteristic for them. This is perfectly normal and nothing to be embarrassed about. A quick YouTube or TikTok search returns many of videos patients exhibiting silly, out-of-character behavior as they recover from general anesthetic.

Recovery After General Anesthesia

Some patients may feel nauseous and/or dizzy for a little while, while others may shiver or feel cold for a few minutes or a couple hours.

For the first 24 hours after general anesthesia patients may continue to be sleepy, and their judgment, concentration and reflexes may still be affected. So, always have a responsible caregiver stay with you for at least a day after receiving general anesthesia.

Plastic Surgery | Birmingham, MI

While modern general anesthesia technology is extremely safe, you should always work with a board-certified plastic surgeon and a board certified anesthesiologist. Do not be shy or embarrassed to ask your plastic surgeon about the credentials of the anesthesiologist who will be administering your general anesthesia during your plastic surgery.

Dr. Ali is a skilled and experienced Birmingham, MI board certified plastic surgeon. He will answer all of your questions about general anesthesia if it is required for your plastic surgery procedure – and ensure you are paired with a fully qualified anesthesiologist or anesthetist.

Plastic Surgery | Birmingham, MI: 248-335-7200


Are Plastic Surgery & Cosmetic Surgery the Same?

The Difference Between Plastic Surgery & Cosmetic Surgery

Many people use the terms cosmetic surgery and plastic surgery to mean the same thing. And many plastic surgeons like Dr. Ali do focus their practice on cosmetic surgery.  But while cosmetic surgery and plastic surgery are closely related specialties, they are technically not the same thing – and the terms cannot be used interchangeably.

In this article, the experts at AMAE Plastic Surgery in Birmingham, MI explain the difference between plastic surgery and cosmetic surgery.

Cosmetic Surgery is a “Sub-Set” of Plastic Surgery

Both cosmetic surgery and plastic surgery are medical specialties that are aimed at improving a patient’s body, but the training involved is actually different.

Plastic surgery is a surgical specialty dedicated to reconstruction of the face and body to repair defects caused by birth disorders, accidents, trauma, burns, and disease. For example, plastic surgeons repair cleft pallets in children, or reconstruct breasts after a mastectomy due to cancer. According to the American Society of Plastic Surgeons “plastic and reconstructive surgeons are one in the same.”¹

However, cosmetic surgeons, are trained plastic surgeons who then complete additional training to perform cosmetic surgery as well.

Plastic surgery training is completed by a physician through a post-graduate residency program via one of two routes:

  • Residency training that combines three years of general surgery and three years of plastic surgery or;
  • A five-year residency program in general surgery followed by a three-year plastic surgery residency program.

“Board Certification” for a plastic surgeon is awarded by the American Board of Plastic Surgery after completing their residency and passing both a written and oral exam testing their procedural knowledge.

The residency training required to become a board-certified plastic surgeon may or may not include cosmetic surgery procedures training.  But, in the United States there are currently no residency programs that are devoted exclusively to cosmetic surgery.

So, cosmetic surgeons obtain training and experience in cosmetic surgery after completing their plastic surgery residency. Typically, this is done by completing a post-residency fellowship training program in cosmetic surgery.

See the pie chart below, to see how cosmetic surgery is a “subset” of plastic surgery.
Graphic Provided By: ABCS

Cosmetic Surgery is Focused on Appearance

The surgical procedures and techniques of cosmetic surgery are focused solely on enhancing a patient’s appearance – rather than restoring function or repairing a defect due to accident, injury, illness, or birth defect.

Cosmetic surgery is generally aimed at improving aesthetic appeal, symmetry, and proportion are the key goals. In some cases, this involves reversing the appearance of aging. Cosmetic surgery is “elective” – unlike most plastic surgeries which are medically indicated. Cosmetic surgery can be performed on all areas of the head, neck, and body to improve appearance.

Types of Plastic Surgery Procedures:

  • Breast Reconstruction
  • Burn Repair Surgery
  • Cleft Palate Repair
  • Scar Revision Surgery

Types of Cosmetic Surgery Procedures:

  • Breast Augmentation, Breast Lift, Breast Reduction
  • Facial Surgery: Rhinoplasty, Chin, or Cheek Enhancement
  • Anti-Aging Surgery: Facelift, Eyelid Lift, Neck Lift, Brow Lift
  • Body Contouring: Tummy Tuck, Liposuction, Gynecomastia Treatment

Cosmetic Surgery | Birmingham, MI

Because any licensed physician can ‘legally’ perform cosmetic surgery, regardless of how much cosmetic surgery training or experience they have, it is extremely important to do your research when choosing a cosmetic surgeon. When selecting the most qualified surgeon for a specific cosmetic procedure, compare the doctors’ overall training, board-certification, years of experience, and proven results with regard to that specific cosmetic procedure.

Remember, a board-certified plastic surgeon like Dr. Ali has completed the training, residency and written and oral testing to ensure they are qualified to reconstruct the face and the body.

Dr. Ali is both a board-certified plastic surgeon, a member of the American Society of Plastic Surgeons, and a Fellow in the American College of Surgeons. He has performed more than 7,000 cosmetic and reconstructive surgeries.

Cosmetic Surgery | Birmingham, MI: 248-335-7200




Morrison, M.Sc., Colin, A Survey of Cosmetic Surgery Training in Plastic Surgery Programs in the United States, Plastic and Reconstructive Surgery – Journal of the American Society of Plastic Surgeons, pp.1570-1578, 2008.

Top Plastic Surgery Frequently Asked Questions

Top Patient Plastic Surgery FAQs

In order to help our plastic surgery  patients achieve their goals, we encourage them to ask all the questions they need at the consultation, to ensure the procedure is a good fit. But at AMAE Plastic Surgery in Birmingham, MI, we often have patients who are unsure what questions to ask in their consultation. Dr. Ali and our expert staff have compiled a list of the top 10 frequently asked questions about plastic surgery to help patients prepare for their consultation appointment.

Here are some of the top most commonly asked plastic surgery questions, compiled by the experts at AMAE Plastic in Birmingham, MI.

Is plastic surgery covered by insurance?

In the vast majority of cases, plastic surgery is elective – rather than medically necessary – so insurance typically does not cover it. In some limited cases, however, insurance may cover plastic surgery for reconstructive purposes. Examples of insurance coverage for plastic surgery may be cases of medical necessity (e.g. eyelid surgery for obscured vision); or reconstruction after a patient has been injured in an accident or had a mastectomy due to breast cancer.

Who makes a good candidate for plastic surgery?

Patient who are in overall good health, do not have a history of smoking, and are not overweight are typically the ideal candidates for plastic surgery. Any patient who has a pre-existing condition such as high blood pressure, heart disease, or diabetes would not be considered a good candidate for plastic surgery – and need to speak to their primary physician to address their underlying health conditions. Patients who are ideal candidates for plastic surgery also keep expectations realistic. These patients are also forthcoming about past medical history, goals, and concerns. This level of transparency and detail helps the plastic surgeon and patient to have a positive plastic surgery experience.

Is plastic surgery risky?

Risk is associated with all surgical procedures. However, patients can rest assured that Board Certified plastic surgeon Dr. Ali is highly trained and exceptionally experienced – reducing the risk of side-effects or complications. Additionally, patient compliance with pre and post operative instructions is critical to ensure a safe outcome, avoid complications and ensure a rapid and positive recovery process.

At what age should I have plastic surgery?

There is no specific age that is the “correct” age for plastic surgery. Board certified plastic surgeon Dr. Ali has performed plastic surgery procedures on patients from infancy to people in their eighties. He has repaired cleft pallets on small children, performed nose jobs on teens to help them with self esteem, done eyelifts (blepharoplasty) on patients in their  80s – and everything in between.

There are some trends that are more common among younger patients, such as breast procedures, liposuction, and nose jobs. And more mature patients may be more likely to pursue facial procedures such as brow lifts, neck lifts, face lifts, or eyelid procedures. During consultation, Dr. Ali, the board certified plastic surgeon at AMAE Plastic Surgery in Birmingham, MI will ask questions relevant to your specific care, such as age, body type, and overall health status prior to moving forward with your plastic surgery.

Is board certification required to perform plastic surgery?

While surgeons may legally be able to perform plastic surgery procedures without a board certification, patients should understand the importance of working with a board certified plastic surgeon. Plastic surgery completed by a board certified plastic surgeon means the surgeon has proven their education, knowledge, ethics, experience, and competency in the field. While there is no legal prevention of a general surgeon performing a plastic surgery procedure, the board certification process helps assure patients that the surgeon performing their plastic surgery has undergone the necessary training and education and is an expert in the field of cosmetic surgery.

Where is plastic surgery performed?

Your safety during surgery depends on the quality of the operating facility. We perform most of our plastic procedures at new and state-of-the-art La Belle Surgery Center.

Plastic surgery must be completed in a safe, sterile, and quality operating facility. At AMAE Plastic Surgery in Birmingham, MI, procedures are performed in the modern La Belle outpatient surgical facility built by Dr. Ali in 2021 to service his patients with the highest quality of surgical care.

 What preparations are required for plastic surgery?

Mental and physical preparation are necessary for a successful plastic surgery. Plastic surgery consultation is the first step in the preparatory process. At the consultation, Dr. Ali and the friendly and experienced staff at AMAE Plastic Surgery in Birmingham, MI will review all the critical details of the procedure, including the desired results. At the time of the plastic surgery consultation, patients will have the opportunity to view before and after photos of patients with similar features. Patients will also be able to ask all their questions to help them prepare for the plastic surgery process.

The consultation is also a critical time to review a patient’s health and medical history. Pre and post operative instructions will be given to the patient at this time. These will typically include stopping smoking, and avoiding certain medications and supplements, prior to the procedure. Patients also need to inform Dr. Ali if they are on any blood thinners, have any underlying medical conditions, or become ill prior to their plastic surgery procedure.

Are there non-invasive plastic surgery alternatives?

While surgery is invasive, AMAE Plastic Surgery and Med Spa in Birmingham, MI also offers a very wide array of cosmetic treatments that are non-invasive. These includes dermal fillers and radiofrequency (RF) and laser skin tightening procedures. Fillers can help plump lips and smooth wrinkles – and RF and laser treatments can tighten skin without surgery – to restore a youthful look without surgery.

Does plastic surgery require a hospital stay?

Plastic surgery is typically an outpatient procedure and patients go home the same day. However, in some cases for more extensive procedures – such as a tummy tuck or breast reconstruction – an overnight stay may be required. Dr. Ali will discuss this with you at your consultation.

AMAE Plastic Surgery | Birmingham, MI

If you are in Birmingham, MI and are interested in plastic surgery, AMAE Plastic Surgery has friendly staff on standby to help set up a consultation appointment. Dr. Ali is a board certified plastic surgeon who can help you achieve your aesthetic goals. He and his staff are compassionate, skilled, and ready to help you!

Take the next step towards your desired cosmetic results and contact us today for a plastic surgery consultation.

Plastic Surgery | Birmingham, MI: 248-335-7200

AMA Releases Report on What Makes a Good Plastic Surgeon

American Medical Association Report on What Makes a Good Plastic Surgeon

Choosing a plastic surgeon is one of the most important decisions you will ever make. Whether you are considering plastic surgery for your face or body, it is a decision that will affect you for the rest of your life.

The American Medical Association (AMA) has published in its Journal of Ethics the character attributes that make a plastic surgeon great. This analysis goes beyond just experience and training and looks at the personal characteristics that make a plastic surgeon the among the best in their field.

If you are in Birmingham, MI and would like to connect with a skilled and highly qualified plastic surgeon, call Dr. Ali at AMAE Med Spa today, to set up a consultation.

Training and Education of a Plastic Surgeon

Training for a plastic surgeon should be focused on all areas of the body and have an emphasis on both plastic and reconstructive surgeries. A plastic surgeon must have an understanding of general surgery, along with detailed study of plastic and reconstructive surgery. Having a background or residency in general surgery, after and working with a highly experienced supervising surgeon helps prepare a plastic surgeon for performing in an operating room. It ensures the plastic surgeon is comfortable, confident, and fully prepared during a procedure prior to moving into a specialty field.

Plastic surgeons make valuable connections as they move through their residency. Receiving training in a specialized field of plastic surgery can help a plastic surgeon succeed. The plastic surgeon will have the opportunity to receive training through literature, simulation, cadavers, and tools. This allows the plastic surgeon to fully refine their skill set before performing surgery on patients..

Plastic surgery trends do constantly change, but a plastic surgeon needs to be skilled in breast procedures, facial procedures, reconstructive surgery, and upper and lower extremity surgeries.

A plastic surgeon must complete many years of training and education. But a great plastic surgeon also possesses certain personal characteristics that aid in their career. These characteristics include integrity, creativity, scientific curiosity, dedication, and compassion. Combining these characteristics with the proper training, education, and guidance can help a plastic surgeon build a successful career and boast patient satisfaction.

Integrity & Compassion are Important in a Plastic Surgeon

Integrity is something all people, a plastic surgeon included, typically begin to develop early in life. It can be influenced and altered based on family, lifestyle, friends, and colleagues. For a plastic surgeon, it can also be impacted by patient interactions.

Integrity helps a plastic surgeon make the best choices for their patients, with out regard for their own personal gain or benefits. A plastic surgeon with integrity does not pressure or influence a patient to undergo a procedure that is not right for them.

Closely linked to integrity are compassion and empathy. As a plastic surgeon interacts with their patients, they must have compassion and empathy to be able to understand their patients’ needs, concerns, and personal circumstances. Patients who are seeking plastic surgery come from all backgrounds and have a wide variety of reasons for pursuing an elective surgery. The ability to be sensitive and supporting is critical to the patient, and a plastic surgeon must be able to rise to this challenge for all patients they see. Compassion and empathy allow the plastic surgeon to help the patient choose the procedures that are best for them.

Humility is Valuable in a Plastic Surgeon

Humility is also an important characteristic in a plastic surgeon. Humility allows the plastic surgeon to recognize the need for continuing education and evolving clinical skill. Humility is what motivates a plastic surgeon to continue to strive to be better each day and to provide the best possible care to their patients. A plastic surgeon with humility will recognize that there is no such thing as perfection or a being perfect in their capabilities. Humility is important because it grounds a plastic surgeon, and motivates them to be in constant pursuit of excellence.

A Plastic Surgeon is Both Creative and Curious

A plastic surgeon is different than surgeons in most other specialties because they must constantly be creative. A plastic surgeon must approach a desired cosmetic result in many different ways  to benefit their patients. Creativity and scientific curiosity keep a plastic surgeon finding new and innovative clinical tactics. Through the study of traditional approaches and the understanding of advancements in technology, a plastic surgeon who is creative and scientifically curious can change their patients’ lives.

Plastic Surgeon | Birmingham, MI

Dr. Ali at AMAE Plastic Surgery in Birmingham, MI maintains all the characteristics of an excellent plastic surgeon. Dr. Ali and the staff at AMAE Plastic Surgery care deeply for their patients and will work to find the most innovative, safe, and effective ways to achieve the patient’s cosmetic goals.

If you are in Birmingham, MI, contact AMAE Plastic Surgery today to set up a consultation with Board Certified Plastic Surgeon Dr. Ali

Plastic Surgeon | Birmingham, MI: 248-335-7200


AMA Journal of Ethics. Virtual Mentor. 2010;12(5):418-421.


DOI. 10.1001/virtualmentor.2010.12.5.oped1-1005.



Why You Should Choose a Board Certified Plastic Surgeon

Why You Should Choose a Board Certified Plastic Surgeon

Making the choice to work with a Board Certified Plastic Surgeon is important for any patient who is considering plastic surgery! TV shows, TikTok videos, and news feeds are full of reports of ‘botched’ surgical procedures and undesired results from surgeons who are not board certified. This is why patients should always elect to work have cosmetic surgery only from a Board Certified Plastic Surgeon.

Of course, any surgical procedure carries some risks. But moving forward with plastic surgery from a Board Certified Plastic Surgeon, such as Dr. Ali at AMAE Plastic Surgery in Birmingham, MI ensures that patients are working with a qualified plastic surgeon who has completed the proper training and education to become a plastic surgeon.

In this article the cosmetic surgery experts at AMAE Plastic Surgery in Birmingham, MI help patients understand the benefits of working with a Board Certified Plastic Surgeon.

How A Board Certified Plastic Surgeon Gets Certified

The process for becoming a plastic surgeon takes around sixteen years of higher education. This includes training in specific areas, under the supervision of a qualified plastic surgeon. A Board Certified Plastic Surgeon is a plastic surgeon who has completed all required coursework and criteria to take the boards. And they have completed a written and oral examination. These examinations evaluate the physician’s skill and ethics. It also validates that the physician approaches a procedure safely and effectively.

Why You Should Choose a Board Certified Plastic Surgeon

It is important for patients to research their plastic surgeon before making any decisions about the appropriate surgeon to work with. Attaining the status of Board Certified Plastic Surgeon is not easily achieved. Board certification indicates that the plastic surgeon has achieved the highest level of skill, education, and training. This helps ensure that patients will get the results they desire, safely and effectively.

While most plastic surgery procedures are not medically necessary, they can have life altering outcomes if not performed by a skilled surgeon.  But as the market for plastic surgery continues to thrive, some physicians are performing cosmetic surgeries without the required skillset or certification. A Board Certified Plastic Surgeon such as Dr. Ali at AMAE Plastic Surgery in Birmingham, MI offers patients peace of mind, knowing that they are working with a skilled physician.

A Board Certified Plastic Surgeon has the certification that confirms he has been extensively trained in facial and body surgical procedures and is equipped to handle emergency situations related to these procedures. It also confirms the surgeon can make technical and aesthetic decisions related to the procedures. The American Board of Plastic Surgery is the only American Board of Medical Specialties recognized to provide certification to surgeons for plastic surgeries.

Confirming Your Surgeon is Board Certified

As with any physician, patients should confirm the plastic surgeon they are potentially going to work with is a right fit by asking as many questions as possible. When interviewing potential plastic surgeons, it is important to verify specifically that the surgeon is a Board Certified Plastic Surgeon.

Additionally, to confirm the surgeon is a good fit, patients should also review before and after photos of past operations to confirm the physician’s aesthetic judgement matches their own. Asking questions about the location of procedures is also important, because Board Certified Plastic Surgeons are the only surgeons who can perform operations in state licensed or Medicare certified surgical centers.

Board Certified Plastic Surgeon | Birmingham, MI

If you are a patient in Birmingham, MI who is interested in a plastic surgery procedure, contact Dr. Ali at AMAE Plastic Surgery today to set up a consultation. Dr. Ali is a Board Certified Plastic Surgeon who works with patients to help them achieve their desired cosmetic results. Schedule a consultation with Board Certified Plastic Surgeon Dr. Ma Azhar Ali today – and take the first step toward achieving your aesthetic goals!

Board Certified Plastic Surgeon | Birmingham, MI: 248-335-7200