Author: Ali Loreen, MD

10 Questions to Ask at Your Breast Reduction Consultation


Breast reduction is an increasingly popular procedure. Disproportionately large breasts can cause both physical and emotional distress for patients, and many opt for breast reduction to achieve an appropriate breast size.


If you have scheduled a consultation here are ten questions to ask at your appointment:


1 – Am I a good candidate for breast reduction surgery?
2 – What surgical technique would you recommend for me?
3 – What is the recovery process like for this procedure?
4 – What kind of outcome can I expect after surgery?
5 – How long will it take to see the results?
6 – What are common risks associated with this procedure?
7 – Will I need help or time off work for my recovery?
8 – Is this an outpatient procedure?
9 – What is involved in post-op and aftercare appointments?
10 – Can I see some before and after photos from other breast reductions?


Have more questions? We’re here to help! Contact our front desk at 978-942-4835.

5 Myths About Botox


If you’re considering Botox for the first time you’ve probably done some research and read many myths about the neurotoxin. We’ve listed five of the most common myths we’ve heard at our office and explained why they aren’t true.


1 – Botox is permanent.

Botox is considered a temporary fix for facial lines and wrinkles. Typically, the results will last anywhere from two to four months depending on the area treated.


2 – Results are Immediate.

A lot of patients expect to walk out of an appointment looking different right away. Botox typically takes up to two weeks for the full result and sometimes a touch-up can be required to obtain optimal results.


3 – Botox is only for wrinkles.

Besides helping with the appearance of wrinkles, Botox can also be used to lift the eyebrows, soften the jawline, give the appearance of a fuller upper lip and more. A consultation is the best way to learn all the areas Botox could treat for you!


4 – Your face will appear frozen.

When injected correctly, Botox does not make the patient appear frozen. The proper amount of Botox for you will be decided at your consultation and the goal will be to make you appear rejuvenated rather than stiff or frozen in the face.


5 – Only women receive Botox.

Both men and women benefit from Botox treatments. Many men nowadays opt for Botox to treat facial lines and wrinkles that will soften their face and make them look younger.


Ready to book your consultation for Botox? Contact our front desk staff at 978-942-4835 to get started.

5 Common Questions About Breast Augmentation


If you’re considering breast augmentation you probably have a lot of questions. It’s important to ask the doctor everything you want to know at your consultation. A great way to prepare for your appointment is to write down all your questions. Here are five common questions that patients have when considering breast augmentation.


1.       What is the difference between saline and silicone breast implants?

Dr. Ali will work with you to choose the perfect shape, size, and type of breast implant for your body. Silicone implants are made fully of silicone, a synthetic material that feels like human fat. They are filled with a silicone gel. Saline implants have an outer shell made of silicone and are filled with saline.


2.       Are breast implants safe?

Both silicone and saline breast implants are FDA-approved devices that offer many benefits for patients. Hundreds of thousands of patients undergo breast implant procedures worldwide each year. FDA-approved breast implants undergo extensive testing to demonstrate reasonable assurance of safety and effectiveness.


3.       How long do breast implants last?

Breast implants do not last forever. Many women will choose to have their implants removed and replaced, usually anywhere from 10 to 20 years after their initial surgery.


4.       How long does the procedure take?

Breast augmentation is typically an outpatient procedure and will last anywhere 1 to 2 hours. The procedure is performed with the patient under general anesthesia.


5.       How long is the recovery?

Recovery from breast augmentation on average will last two to four weeks. It is important to follow all post-procedure guidelines given to you in order to heal properly and achieve the best result. Physical restrictions are for 6 weeks following surgery.

The best place to start if you are considering breast augmentation is booking a consultation with Dr. Ali.
Call our front office staff at 978-942-4835 to book.

What is Brachioplasty?


You have heard of a breast lift before, but an arm lift is another popular procedure that has become increasingly popular over the last several years!

An arm lift, or Brachioplasty, is a procedure that gives patients the look of beautiful, toned arms with the help of surgery. Everyone has heard the term “batwing” to describe loose skin under one’s arm that may jiggle or wave when the arms are lifted. This issue can affect anyone, even those who are thin and toned. It is caused by loose skin or fat deposits on the arms that cannot be fixed with diet and exercise alone. Brachioplasty can tighten, lift, and smooth the skin and tissues of your arm for a sculpted shape and remove stubborn fat deposits.

Think you may be a candidate for brachioplasty? Here are some questions to ask yourself:


  • Am I currently at a healthy weight?
  • Do I have a large amount of loose skin on my upper arms?
  • Do I have any serious medical or health concerns?
  • Do I have realistic expectations regarding plastic surgery?


The recovery from brachioplasty can last about two weeks. You will have some bruising and swelling following the procedure, but you will begin to see noticeable improvement right away. Any discomfort that you feel will linger as your arms heal. You will need to refrain from any strenuous activities for at least two weeks and wear the compression garments that will be given to you.

Interested to learn more and find out if you are a candidate for an arm lift? The first place to start is to call our office at 978-942-4835 to book a consultation with Dr. Ali.

How Long Will My Dermal Fillers Last?

Have you noticed a loss of volume in your face? Dark circles under your eyes? Deep wrinkles around your mouth and jowls? Dermal fillers might be the answer for you!

By the time most adults turn thirty-five, the face gradually loses more and more fat. You may start to notice that your cheeks are not as plump, your eyelids are sagging, and facial lines and creases are much more visible. The loss of facial volume is a normal part of aging due to a decline in the skin’s elasticity over time.

Dermal fillers are injectable treatments that can be used all over the face to plump up your appearance and smooth wrinkles. Volume that was once lost can be restored and creases in your skin can be improved. Once in place, these injectables provide volume and support for the face from beneath the skin. Hyaluronic acid is used in dermal fillers to pull moisture molecules together to keep your face looking healthy and hydrated. Hyaluronic acid fillers are gradually broken down by the body. How long dermal fillers last all depends on the type of filler used, where it is injected and the metabolism of the patient receiving the injections. Hyaluronic acid fillers, like Juvéderm, can offer results that are almost immediate and will last up to one year.

Interested to learn more and find out if you are a candidate for dermal fillers? The first place to start is to call our office at 978-942-4835 to book a consultation with Dr. Ali.

What is a Mommy Makeover?

The mommy makeover is a procedure that has become increasingly popular over the last several years.

What is it exactly?

It is a procedure that allows a plastic surgeon to address several problem areas a woman is experiencing after pregnancy in a single surgery. Pregnancy is tough on a woman’s body and many women have problem areas that exercise alone post-pregnancy cannot fix. Not all mommy makeover procedures are created equal, and it is not always appropriate to combine procedures for every patient. A consultation is the perfect place to start your mommy makeover journey to determine which procedures are possible.

It is quite common that a mommy makeover will include procedures done on both the abdomen and breasts. These are two areas that are affected most by pregnancy due to weight gain and sagging skin. Other areas women may choose to target include arms and thighs.

Your mommy makeover may include one or several of the following procedures:

  • Breast augmentation
  • Breast lift
  • Breast reduction
  • Tummy tuck
  • Liposuction
  • Arm lift
  • Thigh lift

Recovery from a mommy makeover requires an investment of your time so it is important to plan accordingly. It is dependent on how many procedures a patient has and which procedures were done to determine recovery time. It can take anywhere from two to six weeks to return to usual activity after surgery. The best mommy makeover results happen when a patient gives their body enough time to properly heal and rest!

Interested to learn more and find out if you are a candidate for a mommy makeover? The first place to
start is to call our office at 978-942-4835 to book a consultation with Dr. Ali.

What is a Botox Lip Flip?

The Botox Lip Flip – What is is exactly?


You may have heard of the Botox lip flip…but what is it exactly? We’re going to help break down the details!

Typically dermal fillers are used to plump the lips but the Botox lip flip uses Botox alone. Botox is a neurotoxin which means when it is injected it causes the targeted muscles to relax. Using Botox on a small area of the muscle that surrounds the upper lip causes the lip to flip upwards….hence the “lip flip!” This flip helps to create a pouty look and the illusion of a fuller upper lip. Have a “gummy smile?” The Botox lip flip is also a great option for correcting that. When Botox is injected into the upper lip “elevator” muscle (levator labii superioris), it will weaken less of your gums will show when smiling.

There are many benefits to the Botox lip flip. Results will be noticeable after a few days and there is very minimal downtime. The change to your lips won’t be drastic which many people enjoy. It is also a less expensive option when compared to dermal lip fillers.

5 Questions to Ask at Your Consultation


If your consultation is scheduled, you have probably already done some homework regarding the procedure(s) you are interested in getting. Now is the time to start prepping a list of questions you want to ask. A consultation is the perfect time to ask all the things you want to know about surgery, financing, recovery, risks and more. We want you to feel comfortable to ask whatever you want at this appointment, so you are relaxed, confident, and satisfied when your surgery is scheduled. If you are not sure what questions to ask, here are five you might want to put on your list!


1 – What procedure do you recommend for me?

There is a chance you have been researching one procedure, but the doctor may recommend something else. For example, you may be interested in breast implants, but the recommendation may be to perform a breast lift in addition to breast implants to achieve the best result.


2 – What is your board certification?

Usually, these types of details are available on a company website, but it is a great idea to ask questions about your doctor’s credentials and specialties.


3 – What is the breakdown of the cost for this procedure?

It is a great idea to request a financial breakdown so you can see what goes into calculating the final total for your surgery. Now is the time to ask about insurance coverage as well. Some procedures are covered by insurance and the process can be explained to you, so you know what paperwork you need to complete.


4 – How much time will I need to take off work?

Many patients are unaware of the amount of time recovery can take. Depending on the type of job you have, you may need to take anywhere from two to six weeks to recover.


5 – Who can I call with post-op issues?

It is important you know who to call and where to go if you have any post-op concerns. Make sure you have the proper contact information saved in your phone before going in for surgery.

Botox Vs. Fillers – Which is Right For You?

Botox vs. Fillers – Which is Right for You?



A consultation will ultimately determine what the best option is for your volume-loss or wrinkle issue. Before you head in though for your appointment it’s a great idea to do your research! Ever wonder what the difference is between Botox and dermal fillers like Juvederm? We’re here to break it down for you.



If you’re looking for wrinkle reduction Botox might be the best option for you. Botox is a neurotoxin that relaxes the facial muscles that cause wrinkles. A treatment consists of several tiny and relatively painless injections with localized effects. The most common areas patients receive Botox injections are on the forehead, crow’s feet (wrinkles on the sides of your eyes) and frown lines (commonly known as the 11 lines). Some patients choose Botox for fixing a gummy smile or for an eyebrow lift. Depending on the area treated, results from Botox can last anywhere from three to four months. Visible results from Botox are seen anywhere from 3 days to 1 week from injection and the downtime from this procedure is very minimal.


Dermal Fillers

Dermal fillers are all about restoring the loss of volume in your face and giving a more youthful appearance. This is the best way to add volume to your face without surgery. If you have deep, static lines on your face when your expressions are at rest, dermal fillers are a great option for you. Dermal fillers can be added to the cheeks, smile lines, lips or more. A small injection is made and the filler, which is formulated with hyaluronic acid, is used to fill in deep lines and wrinkles. Results from fillers are seen almost immediately and results can last up to two years (depending on the type of filler and area chosen.) Lip fillers can last an average of 6 months. Downtime from this procedure is also very minimal.


To schedule an in-person or virtual consultation with Dr. Ali call our front desk staff at 978-942-4835 or request an appointment online here.