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Dr. Kayser Receives RealSelf 100 Award For Enduring Commitment to Consumer Education

St Clair Shores, Michigan – March 23, 2017 – Local physician Melek Kayser MD is one of 100 doctors worldwide to receive the RealSelf 100 Award, a prestigious award honoring the top influencers on RealSelf—the most trusted online destination to get informed about elective cosmetic procedures and to find and connect with doctors and clinics.

In 2016, more than 82 million people visited RealSelf to research cosmetic treatments and connect with local medical professionals. The RealSelf 100 Award, now in its seventh year, honors the top rated and most engaged board-certified aesthetic doctors who consistently demonstrated a commitment to patient education and positive patient outcomes throughout 2016. This elite group of 100 doctors have excelled at sharing their expertise, free of charge, with tens of millions of RealSelf community members actively searching for information and the right provider, and together contributed 25 percent of the half a million total answers posted on RealSelf in 2016.

“The RealSelf 100 represents an exclusive group of doctors who embody both excellent patient service and an ongoing commitment to educating consumers shopping in the aesthetics market,” said Tom Seery, Founder and CEO of RealSelf. “Our research shows that more than 95 percent of patients expect a practice to engage with them online. These doctors are leading the way in terms of their online engagement and focus on empowering patients with good information.”

About RealSelf

RealSelf is the largest online destination to get informed about elective cosmetic procedures and to find the right doctor or clinic. More than 9 million people visit RealSelf each month to find out which treatments and providers live up to their promise of being “Worth It.” RealSelf is powered by unbiased experiences shared by consumers for hundreds of treatments, ranging from simple skincare to highly considered cosmetic surgery. Offering millions of photos and medical expert answers, RealSelf has become the essential resource and service for those seeking to find the right doctor or clinic.

 

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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”

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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.”

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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.

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Plastic Surgery Cost Michigan

I would like to address a question that is commonly asked in our practice that relates to pricing. We often have patients who call asking for a specific price for a procedure or service that we provide – and although we would like to provide this information in most circumstances its very difficult to do. There are so many variables involved in pricing such as length of surgery, anesthesia costs, facility costs, and even variables among patients. In some cases such as breast augmentation we can provide a range for which a patient can be given information about the general costs. However, in other situations such as fat grafting to the breast or butt for example this can be more challenging. Each patient is different. So depending on the areas that we might transfer fat for example or the amount that we use or any other variables that can impact the length of surgery – these can have an impact on how long the surgery will take and reflect upon the final cost. This can be challenging of course and we want you to call the office to ask specific questions and ultimately we invite you to come in to a full consultation and evaluation whereby we can fine tune each procedure that meets your specific needs and therefore give you a more accurate pricing in the end.

Breast Implants

Breast Implants

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A local woman openly takes us through her very personal story of finding and beating breast cancer.
http://www.fox2detroit.com/healthworks-sponsored-by-henry-ford-health-system/30746603-story

fox2detroit

“I was lying in bed reading and, for whatever reason, I felt a twinge and reached over and did a squeeze and felt a really big lump. So, that was three weeks from doing a self-exam and feeling nothing to feeling a really large lump,” she remembers.

That lump would change everything.

Susan was quickly diagnosed with an aggressive form of breast cancer.

“Horrified. I was terrified. It’s a very frightening diagnosis,” she says. Her first instinct is to get rid of the cancer with chemo and then with a double mastectomy.

“Whatever I could do to live was the only thing that was important to me,” she says. But at the same time Susan methodically considered her treatment options.
video
“Then you start thinking, ‘Well, why shouldn’t I look as good as I can?'” she says. That’s how she ended up at St. John Hospital with plastic surgeon Dr. Melek Kayser. Susan decided on a lesser known option called fat grafting, or moving the fat from one part of her body to another.

“We create the entire breast mound from a patient’s body fat,” Dr. Kayser explains.

First there’s liposuction, then that fat is processed and injected.

“I was lying in bed reading and, for whatever reason, I felt a twinge and reached over and did a squeeze and felt a really big lump. So, that was three weeks from doing a self-exam and feeling nothing to feeling a really large lump,” she remembers.

That lump would change everything.

Susan was quickly diagnosed with an aggressive form of breast cancer.

“Horrified. I was terrified. It’s a very frightening diagnosis,” she says. Her first instinct is to get rid of the cancer with chemo and then with a double mastectomy.

“Whatever I could do to live was the only thing that was important to me,” she says. But at the same time Susan methodically considered her treatment options.

“Then you start thinking, ‘Well, why shouldn’t I look as good as I can?'” she says. That’s how she ended up at St. John Hospital with plastic surgeon Dr. Melek Kayser. Susan decided on a lesser known option called fat grafting, or moving the fat from one part of her body to another.

“We create the entire breast mound from a patient’s body fat,” Dr. Kayser explains.

First there’s liposuction, then that fat is processed and injected.

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photo_dr
Hello. This is Dr Melek Kayser and I’m excited to introduce our new website at Image By Design Plastic Surgery in Saint Clair Shores Michigan. We have been fortunate to have had a long history of patients who have discovered our website in the past who have clearly indicated that the site was attractive and user-friendly in addition to offering a wide range all the information that they found helpful in seeking out the procedures of their choice. However, as much we loved our old website, it became evident that newer ideas and approaches were necessary to allow more current opportunities to best present our practice to you. I have always taken great pride in providing my patients with the most up-to-date techniques and services and my website is no less important. We hope that you find our new website to be even more revealing, efficient and user-friendly than our previous version. Of course, should you have any concerns or observations regarding its use or interface capability, please feel free to contact me directly so that further improvements can be made. As always, I look forward in seeing you visit us at image by design plastic surgery. I wish you a wonderful day and holidays as well!

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photo_drI wanted to spend just a minute with you and discuss a subject of credentialing as I have been hearing more and more about blunders and problems in the world of plastic and cosmetic surgery. It certainly goes without questions that as the world of medicine is changing and insurance reimbursements are continuing to decline, so are more non-qualified doctors and even NON-physicians getting into this market to cash in. OMG, this has become an epidemic and so many innocent patients are paying the price.

Becoming a plastic surgeon is a life long endeavor that requires, not only years of education and training but, ongoing learning and experience as well. Only after four years of medical school, 5 years of a general surgery residency, 2 years of plastic surgery training and another year of an additional fellowship in a plastic surgical specialty, did I become eligible to qualify for board certification! Then it required passing both a written and subsequent oral examination to finally meet the high standards to become a board certified plastic surgeon. But it wasn’t over as my entire career has required ongoing training, education and examinations to maintain my status.

Unfortunately, many states, including Michigan, do not regulate who does what and where. Your obstetrician or family doctor, for example, can perform procedures in their offices that would scare you if you realized how little training and experience they had! And companies, such as breast implant or laser manufacturers don’t help as they will sell to anyone who will buy from them. Although most hospitals require only board certified plastic surgeons to have privileges, this does not stop all the others from having their own facilities and operating there. We are then left to pick up the pieces but only after it is often too late:(.

When searching for a surgeon, make sure they are certified by The American Board of Plastic Surgery and that they have full privileges (in this specialty) at a fully credentialed hospital. I would encourage any of you seeking to have any plastic or cosmetic procedures in the future to consider this, and although cost may be a factor to take shortcuts, the price to be paid if disaster strikes will be so much more in the long run.

I wish you all a wonderful day!

Dr. Kayser

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