My Plastic Surgeon Near Me

Posted on August 8, 2019 by Dr Kayser

In this state of the art country, top plastic surgeons in Michigan have earned a reputation for quality medical care and professional service. They are dedicated to providing patients with exceptional service and excellence, which goes beyond meeting your every need.

To find a top doctor, start by exploring the resources offered by the American Society for Aesthetic Plastic Surgery (ASAPS). This association is dedicated to raising awareness about this field of medicine. It has designed a registry of plastic surgeons who are dedicated to providing high-quality service to patients.

Finding a doctor is easy and convenient. There are many websites that offer free listings of physicians, along with a way to get information on pricing and services offered. By researching each site, you may be able to narrow down your search. Many websites are affiliated with the ASAPS registry.

Because of the popularity of plastic surgery, finding a top surgeon in Michigan is not as difficult as you may think. The internet makes finding a good doctor much easier than searching through phone books or visiting other doctors in person.

When it comes to cosmetic surgery or breast augmentation, you want to feel comfortable with your decision and know you made the right choice. Look for a doctor that can provide you with a safe and skilled cosmetic surgery experience, with the highest level of professionalism.

Most of the top plastic surgeons in Michigan are board certified. They meet strict standards and abide by ethical and legal guidelines set forth by the Association of Cosmetic Surgeons (ACS). Your overall health and well-being are of the utmost importance when selecting a physician to meet your needs.

You can find out more about the doctor by reading his or her credentials. Look at all of the information and qualifications to help make a decision that is right for you.

Whether you are a woman or a man, having a complete medical check up done before receiving plastic surgery is important. In order to perform quality work, a doctor must be able to detect and treat any possible medical issues that could arise from surgery.

In order to get accurate results, a doctor must be able to diagnose the underlying condition that needs to be corrected. A skilled surgeon will take this step very seriously, ensuring the condition is addressed immediately and the right solution is found.

Another thing to consider when looking for a top plastic surgeon in Michigan is the type of cosmetic surgery he or she performs. You want a doctor who can perform many types of surgery, including breast augmentation, face lifts, liposuction, breast reduction, etc. Make sure your surgeon does this type of work to be sure the results will be permanent.

Some of the top plastic surgeons in Michigan are highly trained, working for different hospitals or medical centers. These doctors come highly recommended by staff members and are known for their skill and efficiency. Be sure to check into their experience and training, as this will help you get the results you want.

Depending on what you need, you may want to visit several surgeons before making a final decision. Ask questions and let them know you want a doctor who is experienced and provides a specific type of plastic surgery.

Crisalix Used for Breast Reconstructions

Posted on November 21, 2017 by Dr Kayser

Crisalix is used for breast reconstructions allowing surgeons to refine planning and provide better counseling for patients as well as for research purposes.

Crisalix 4D VR is now part of the William Beaumont Army Medical Center. Lt. Col. Owen Johnson III, Chief, Plastic and Reconstructive Surgery Service says: “The goal is to educate our patient population and our fellow physicians on reconstruction options.”

According to the American Cancer Society, only about five percent of women choose to undergo immediate breast reconstruction at the time of mastectomy.

“It’s important to have a discussion about options with patients before we start treatment for whatever the problem is because the type of reconstruction we choose might influence how the cancer/disease is treated in the first place,” said Johnson. “That’s always been the problem in an undeserved community where people may undergo certain types of surgery, chemo, radiation for their breast cancer. A year later patients may want to talk about options but all those options may not be available anymore.”

“Use of 3-D Imaging in the Planning of DIEP Flap Breast Reconstruction” was Prof. Kyong-Je Woo from Mokdong Hospital topic during the prestigious PRS congress in Korea last week showing some key results in terms of planning for surgeons as well as better education for patients using Crisalix.

In the clinical study “Estimation of DIEP flap weight for breast reconstruction by the pinch test” published in Microsurgery August 2017, prof Kyong-Je Woo and his colleagues have developed a prediction model for estimating DIEP flap weight using the pinch test. Crisalix serves to measure the projected inset rate (the ratio of flap used for inset to harvested flap). To predict the inset rate, they calculate the breast volume with Crisalix and divide it by the flap weight estimated using their pinch method. The projected inset rate calculated with such prediction was 78.9% versus a real one measured after the surgery of 82.3%.

Breast Lift Procedure As Explained in Video

Posted on February 22, 2017 by Dr Kayser

Now the breast implant is going to be placed underneath this which is going to make it bigger and its going to do the opposite of reducing the breast so we are kinda using two different approaches here when we combine a breast lift and an implant. A breast lift reduces the skin enveloped an implant expands the skin envelope so there’s a fine balance here. Personally I like to do the breast lift first and then place the implant at the end. I will trim the skin if necessary to achieve my final result.

I am back – I have done a slight reduction on this left side – we’re pretty close – there’s still a little bit of difference and I think it has to do as much with position and the overall difference in the natural breast. Volume wise I think we’re pretty close. I took off about the equivalent of two implants which is a decent amount – she certainly could have elected to just use two different implants and not do this and that is usually the most common approach to doing this.

I’ve done the breast lift – base width here is a little wider than this one – position wise it will equal out, vertical height on this is longer than here and all these little things add up – her chest is different between one side and the other and these are significant issues that come into play when we perform surgery because most patients don’t even realize that they are different – until we start looking at and evaluating their breasts, so its important that I spend a lot of time discussing all these nuances with patients so there are no surprises.

So we’re here in surgery and both sides are done enough actually in the process of creating a pocket under the muscle – the muscle lays on the chest and I virtually always go under this because it allows a little bit more protection over the implant. So here’s that main muscle to the chest and I’ve actually started to dissect it and when I go underneath here you can actually start to see the ribs and the pocket – so that’s the pocket that I’m going to create and where to put the implant in will be done with them.

Alright we are back. The sizers are placed on both sides, they are temporary implants to allow me to get close. We have got 100 cc’s in this sizer here which I think is a very nice breast – its a full B Cup and obviously she wants to be more of a C Cup so we are going to be put in another 50, that’s 150, here’s 200, heres’s 250, and this is going to be close to 270. So as we increase the volume we round out the breast, we get more fullness up here and actually starts to distort the natural appearance in the breast and bigger is not always better. A lot of women like this look but it clearly is not a natural look. I’ll also is fighting against this portion of the breast and in her particular case Ive had to release down here just to make sure that I can make this fold as low as this one. This is our implant Ive got a 270 here – it’s a silicone implant silicone gel wonderful devices and I think that for her it’s going to be a nice. Its going to match her base width and so we are just going to go ahead and insert this relatively straightforward to put in – good — perfect… Ive got some anesthetic medicine – Ive got the implant over here – the implant over here – you got to see it inserted we’re gonna go ahead and close and then we’ll update you one more time.

Alright so what Ive done here is Ive internally closed everything and the final closure in this we call a circum- vertical breast lift this does not have the upside down T so that’s not what we want but when we do this I can take the sharp needle and go all the way around with this per minute stitch call gore-tex and what that allows me to do is that. And this is beautiful and there is a little bit gathering here this almost always goes away but this permanent stitch tends to keep the areola from widening up again the other thing I’d like to show you is that here’s the areola and nipple you can see this is where skin used to be and I just kind of peeled of the outer layer of skin and kept all this attached this has never been removed nipples nice and pink and there’s nothing about this that is at all concerning and so they keep their sensation and they keep their the whole nipple and we don’t disconnect it and so what this is basically done the lift occurs by removing the excess skin above the level of the nipple and this ends up moving up and so when we do that that’s how that looks and you can see this sides been done over here and that’s the final look at we trim that extra skin and bring it through and we will be done.

Alright welcome back to the end of the case we are done and we all agree she looks really really good Ive used dissolving stitches for everything all the incisions are sealed with a topical adhesive so the patients can take the dressings off the next day – they can shower the next day they wear a support bra – for 5 to 6 weeks – I see them at one week, six weeks, six months a year, I like to follow up with my patients. And everything is healthy. These minor gathers virtually disappear as the months go by. Implant height it looks good. The volume symmetry is I think very good Ive expanded the lower pull of this breast a little bit to match this one. Nipple height looks good. So I think that’s it’ll be exciting to see her back as the weeks and months go by. So thank you for being with us”

Liposuction Redo

Posted on February 17, 2017 by Dr Kayser

Liposuction Redo With Fat Grafting to Hips, Thighs, Calves

“I went online and was trying to find a doctor that I thought would help me out with my situation which was that I did not have any confidence in my body’s appearance anymore. I had some liposuction done in the past and it did not leave my body looking uniform, attractive, becoming, feminine so I came to see you and felt hundred percent confident in your skills and how you dealt with me and answer my questions and give me all the time that I needed. When I had my procedure done I came back out and literally felt like you put a different body on me and it just opens up a whole new world for me. I can wear clothes that I never wanted to wear before, parade around with less clothes on like I never wanted to do before and wear different outfits of things because now the confidence is there to share myself.”

“What was it that bothered you?”
“Basically everything from the waist down so the waist itself which you completely contoured – you gave me more shapely looking hips – above my knees was heavy from fat no matter how much weight loss it still was always heavy the ankles are always to the thicker side my hips were imbalance from the previous liposuction and all of that a hundred and ten percent you corrected and fixed to perfection. So the difference for me wasn’t so much what the scale said the difference for me was how my body was contoured – how my body shape itself was – the fat above the knees the thickness of the calfs because no matter how much weight loss it still didn’t change the overall appearance or shape or contour of my body – that still was the same so it doesn’t matter with the number said on the scale and if there’s ever anything I need done in the future you’re the only doctor for me.”

Breast Implant Exchange with Fat Enhancement

Posted on July 12, 2016 by Dr Kayser

Breast Implant Exchange with Fat Enhancement

Amanda’s first breast implants were placed by another surgeon approximately 15 years earlier. 425cc anatomical saline breast implants were placed under the muscle. She was unhappy with the breast implant rippling, breast gap and muscle flexion distortion. Even under the muscle, the implants were still very visible as coverage was so thin. Being very lean also made her naturally wide breast gap seem even more prominent. Displacement and flattening of the implants occurred with every muscle contraction. Implants placed above the muscle would have resulted in more visibility due to less coverage. Implant placement under the muscle also created a wider breast gap visible in clothes. Rippling was more pronounced with saline implants especially when leaning forward.

Amanda first presented to our practice 10 years earlier for her tummy tuck. Her satisfaction and trust allowed her to feel confident in having breast surgery as well. Correction involved removing the implants and restoring the muscle to its original position. Placing cohesive, gummy bear, anatomical, silicone gel implants in a new pocket above the muscle. Then filling the overlying skin envelope with fat grafts to add cover, volume and cleavage

Amanda is seen at her initial visit four years earlier with her original saline breast implants The center photos show her four years after initial implant exchange to 350cc smooth, round, silicone gel implants (still under the muscle) with 50 cc of fat placed above. There was significant improvement but she still wanted to reduce the gap and muscle animation even more. As she was lean and also very athletic, she wanted complete muscle correction. Mentor MH 440 CC, anatomical, textured cohesive gel implants were placed over the repaired muscle. 75 CC of fat was also placed into the overlying breast envelope for coverage, volume and contour. She is now seeing with her final results 2 months after implant relocation and fat transfer. The fat grafts have completely integrated and have the potential to last a lifetime. There are no visible or palpable irregularities and full natural breasts have been achieved. Amanda went from a C to her desired D cup and… she finally has cleavage. The animation deformity is completely corrected and a soft natural appearance is finally hers.