Center for Plastic & Reconstructive Surgery

PLASTIC SURGEON

Ann Arbor, MichiganOffice Location

734.712.2323

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“Like you, our approach
is individualized.”

NewBeauty Expert since:

Services Offered

Abdominoplasty
Body Contouring following Weight Loss
Botox®
Breast Surgery
Dermal Fillers
Eyelid Surgery
Facial Cosmetic Surgery
Hair Transplantation
Laser Hair Reduction
Dysport™
Liposuction
Microdermabrasion
Nonsurgical Treatments
Nose Reshaping
Reconstructive Procedures
Skin-Care Consultations
TotalFX™ Laser Resurfacing

Expert Insight

Creating Timeless Beauty

With more than 100 years of combined surgical experience, the doctors at the Center for Plastic & Reconstructive Surgery have established themselves as a cohesive team in southeastern Michigan. The doctors’ patient-driven phi¬losophy doesn’t stop at surgery. With its aesthetic wing on-site, the Center is all-encompassing with its variety of surgical and nonsurgical procedures. Additional procedures include camouflage makeup and massage therapy to help ease the healing process. Likewise, surgical patients often receive both pre- and postoperative skin care, as the doctors believe patients heal faster when their skin is in prime condition. In addition to preoperative and postsurgical skin evaluations, ultrasonic facial treatments and innovative laser services are performed. Consultations are always interactive with a focus on patients’ unique concerns so they are more knowledgeable about their options, and, as a result, more realistic in their expectations. Believing there is strength in numbers, the surgeons share a unified goal in delivering synergistic care so each patient benefits from a beautiful experience.

Your Cosmetic Plan

At the Center for Plastic & Reconstructive Surgery each patient is given an individualized cosmetic plan. We realize that everyone’s cosmetic concerns are unique—so your steps toward looking and feeling your best should be, too. For some people, the plan may be preventive: “How can I maintain my youthful skin?” For others it may be purely aesthetic: “What can I do to look younger without surgery?” However, if cosmetic surgery is appropriate for your plan, there may be a combination procedure needed to deliver the desired results. There are plenty of options, both surgical and nonsurgical, you can explore here. The surgeons at the Center for Plastic & Reconstructive Surgery realize that one size does not fit all and work together with their aesthetic team to develop a comprehensive plan made just for you.

Philosophy

With more than 100 years of combined surgical experience, the doctors at the Center for Plastic & Reconstructive Surgery have established themselves as a cohesive team in Ann Arbor, Brighton, Chelsea, Dearborn and Saline, offering patients a dynamic range of surgical and nonsurgical procedures. Believing there is strength in numbers, the surgeons share a unified goal in delivering synergistic care so each patient benefits from a beautiful experience.

Expert Insight

Creating Timeless Beauty

Your Cosmetic Plan

Detailed Repair

This woman had a right TRAM flap performed immediately after her mastectomy. About six months later, she opted for a nipple reconstruction and then nipple tattooing about five months after that. The entire process can take up to a year or longer, but the results are nothing short of amazing.

Fresh Faced

This 59-year-old woman had concerns of brow ptosis with a sagging neck and cheeks. To alleviate her worry, a complex facelift and endoscopic browlift were performed. The patient was seen multiple times by our staff before and after her procedure, and was impressed by our total team approach. She loves her results.

Philosophy

About my practice:

What therapies do you offer patients who aren't surgical candidates?

For those who aren’t quite ready for surgery or desire nonsurgical rejuvenation therapies, our 7,500-square-foot practice also boasts a complete noninvasive aesthetic wing, where injectables, microdermabrasion, chemical peels, laser treatments and light-based therapies are performed.

How Does a multi-doctor practice benefit patients?

It’s very common that we will consult with one another, offering additional perspectives so patients can receive the wide range of skills from our practice’s experienced team. Our partnership extends itself beyond the operating room, as one of us is always available for after-hour care.

In what way is your practice comprehensive?

With a dedicated staff of 35 members and a fully accredited surgical suite, the Center for Plastic & Reconstructive Surgery offers all-inclusive and noninvasive treatments, as well as the combined proficiency of its multiple surgeons.

How do you go out of your way to show patients you care?

Upholding a concierge approach to medicine, we call each postoperative patient the night of surgery and see them the day after at their house, the office or the hospital. There is also an option to stay at a hotel attached to Saint Joseph Mercy Hospital, which is conveniently connected to the practice.

Education & Credentials

EDUCATION:

Degree:

Dr. Paul Izenberg: Wake Forest University
Dr. David Hing: University of Michigan
Dr. Richard Beil: Ohio State University
Dr. Daniel Sherick: Michigan State University
Dr. Ian Lytle: Wayne State University Medical School

BOARD-CERTIFICATION:

American Board of Plastic Surgery

AFFILIATION:

American Board of Plastic Surgery

Q&A

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- Body Lift
- Breast Augmentation
- Chemical Peels
- Injectables And Fillers
- Liposuction
- Microdermabrasion

Ask Dr. Reconstructive Surgery a question

LIPOSUCTION

What's the difference between a body lift and body contouring?

According to Dr. David Hing, body contouring is a term describing the use of liposuction and removal of skin to enhance the shape of the body. Liposuction involves the removal of fat below the skin through small incisions to thin the layer of fat padding that lies between the skin and muscle. Patients that have extra padding but do not have extra skin can benefit from this.

If you have extra skin, as determined by your plastic surgeon, liposuction will thin the fat layer but may create more looseness in the skin. Liposuction can be used in the neck, arms, abdomen, buttocks, hips and thighs. Those patients with extra skin may require removal of not only the underlying fat but also removal of extra skin on their body surface. This requires much longer incisions than liposuction. An example of this technique is the abdominoplasty, or tummy tuck, in which an incision made from hip to hip across the pubic area is used to remove fat below the belly button as well as fat in this area. Either of the two techniques can be used alone or in combination to address a patient's specific issues and individual anatomy.

A body lift is a specific type of technique used in body contouring. Body contouring is the more general, inclusive term for all the techniques. A body lift refers to removal of skin and fat from either the upper body or lower body in order to remove extra skin and fat that is being pulled down by gravity. In the upper body, extra skin and fat

may create folds in the armpit area, below the breasts, or extending from the lower chest to the back. Removal of this skin and fat is done through incisions through the skin. The incision edges are brought together with surgical sutures, which lift the sagging skin upwards, to smooth the contours in the upper body. In the lower body, the extra skin and fat may be present in the buttocks and back of the thighs, hips and outer riding breeches part of the thighs, front of the thighs, or inner thighs. The lower body lift removes the extra skin and fat in these areas through incisions that reach from the back around the waist to extend into the inner thigh. The looseness of the skin and fat is

removed so that pulling the edges of the wound will lift the lower thigh tissues and tighten them. The specific design of the body lift will depend upon each individual patient's anatomy.

What do I need after weight loss - a body lift or body contouring?

According to Dr. David Hing, the choice of technique will depend upon the patient's distribution of extra fat padding and extra skin after their diet, exercise or surgery. Some patients will retain extra fat and skin in the thighs. They may be candidates for a lower body lift. Some patients will have only extra skin and fat in their trunk and may be candidates for abdominoplasty with or without upper body lift. The closer each patient is to attaining their goal in pounds lost, the better they will be as a candidate for body contouring. That is, if they are where they want to be with their weight loss, they can have their body contouring maintain their surgical appearance. On the other hand, if they intervene with body contouring before they have lost all of their weight, and then lose weight after body contouring, they will be at risk for "loosening up" their surgical result and creating sagging of the skin. The exact technique will depend upon a detailed in person consultation with a board certified plastic surgeon experienced in body contouring for the massive weight loss patient. There is variability from each patient to the next, which requires an individual approach for each weight loss patient. Once you have had your consultation, you will have a much better idea of which techniques you should consider.

BODY LIFT

What's the difference between a body lift and body contouring?

removed so that pulling the edges of the wound will lift the lower thigh tissues and tighten them. The specific design of the body lift will depend upon each individual patient's anatomy.

What do I need after weight loss - a body lift or body contouring?

BREAST AUGMENTATION

What are my options for breast augmentation if I do not want scars on my breast?

There are several options for breast Augmentation without scars on the breasts. Two popular options are to place an implant through an incision high up in the arm pit, the other is an incision at the belly button. I personally prefer the arm pit incision because it is as inconspicuous as the belly button incision, but I am closer to my target - the breast. A normal breast implant can be placed through either of these incisions.

In some very selective cases, an external suction device called the BRAVA bra can be used for small to moderate beast augmentation without surgery. A similarly selective procedure would entail harvesting fat from a different part of your body and injecting it into the breast. Both of these are somewhat controversial procedures and should be thoroughly discussed with a plastic surgeon before seriously considering having them done.

Can a breast augmentation affect breastfeeding?

Dr. Daniel Sherick says: Some studies do show a decreased rate of ability to breast feed after breast augmentation. Reported numbers are as high as 15-30%. I believe this number is difficult to measure. Many, many women have breast augmentation and are able to breast feed afterwards. There is also a concern that using an incision around the areola to place the implant can lead to a decreased ability to breast feed but I do not believe this to be significant either. Finally, there may be some evidence that choosing a very large implant can compress the breast gland and lead to decreased milk production. Under normal circumstances I find this to be difficult to believe.

CHEMICAL PEELS

What can I do nonsurgically to look younger?

Dr. Richard Beil: There are several things to consider with regard to nonsurgical aids for a more youthful appearance.

Sun damage: Over the years, sun exposure can lead to skin color changes, dark spots, wrinkles, skin laxity, prominent veins and dehydrated skin. There are several laser and laser-like options including IPL (also known as photo facials) that can treat these problems and reverse some of that sun-damaged appearance.

Volume loss: As we age, several things happen to our face that can decrease its volume. Many safe filler materials are now available that can be used to restore that volume loss and minimize the aging appearance. Don't forget the use of one's own fat as an option.

Wrinkle management: Fillers can be helpful here also, but consideration to Botox/Dysport, dermabrasion, and chemical peels all factor into the algorithm. One needs to trust that they will be given the best advice by a qualified professional for which they can use under their specific circumstances.

Maintenance: Routine skin care by trained, experienced aestheticians is invaluable in producing, improving and monitoring the skin. Let's face it, beautiful skin always creates a more youthful look. A comprehensive skin-care program that may include professional products and treatments (like microdermabrasion and facial peels) can minimize sun damage, soften fine lines, reduce acne, rehydrate dry skin and brighten dull, aging skin.