It is the sincere desire at Image by Design Plastic Surgery to achieve a level of patient satisfaction that is unmatched anywhere. This pursuit of excellence involves not only the surgical aspect of your care but the establishment of a doctor-patient relationship which encompasses the full spectrum of management - that of integrity, honesty and confidentiality - a rapport which begins from the very first contact with our practice and continues long after your desired procedure is completed.
It is our hope that your experience with us leaves you with a life-long impression of nothing less than "WOW" - confident that you would do it all over again and certain that your experience was well worth seeking us out.
Image by Design -
Beauty. Refinement. Confidence
I had breast augmentation and breast lift surgery done by Dr. Kayser. My experience with him was wonderful. I felt completely at ease from the moment that I had my first consultation with him. He is very kind and reassuring yet also very knowledgeable and a perfectionist at heart. I am extremely happy with my results. I didn't actually think that my breasts would turn out so beautiful. I will absolutely return to Dr. Kayser for any other future procedure that I may decide to have. I definitely recommend him to anyone who wants fabulous results with their cosmetic surgery. Melissa
Kimball Twp, MI
Dr. Kayser performed a breast reduction on me and the result is incredible. I have never looked so good! I noticed a difference immediately. He, his staff, the hospital, and everyone involved in the process were wonderful. I was so nervous, and everyone put me at ease. I recommend Dr. Kayser to anyone who wants to have any plastic surgery performed. Lori
St. Clair Shores, MI
I am just going to start out with saying how wonderful Dr. Kayser and his staff is! From the moment that I walked into the door, I could tell that this was the place for me. The ladies in the office were friendly and supportive and answered my zillion questions without hesitation. When Dr. Kayser walked into my room on the first visit, I was immediately put at ease. His demeanor was professional and friendly. He answered all my questions and gave his honest professional opinion. A few days later, I called to schedule my breast augmentation and lower blepharoplasty, and within three weeks I was having the procedures done! Doctor Kayser came to talk to me before the procedures with his surgical staff, and put me at ease. He sat down and talked to me and made sure that I still wanted to proceed and that what we discussed was what I still wanted. I then drifted off to sleep and woke up with new perky round full breasts, and the bags under my eyes GONE! To be honest, I still can't get over how great my breasts look. They look better then I imagined! I remember that before I decided to have breast augmentation, I searched the internet and looked at 100's of before and after photos and I even saved one that I thought look amazing. I opened up the picture the other day, and to my surprise mine look just as good, if not better! Thank you Doctor Kayser, you ROCK! Anonymous
Dr Kayser made me feel extremely comfortable about the surgery. I had been to other consultations but after meeting with Dr Kayser and his staff I knew he was the one. Very professional and empathetic. Jennifer
Commerce Twp, MI
Dear Dr. Kayser and Staff - Where do I begin? I knew I wanted and needed a tummy tuck. After three consultations with (what I thought were respected doctors)I was not impressed or satisfied. I was searching on the web and found this wonderful site "locateadoc.com" and found my answer... Dr. Kayser and his staff! I still cannot seem to find the words to describe how happy I am with my tummy tuck. Your qualifications are outstanding as the Chief of Plastic Surgery with a local and respected Hospital. My husband who only met you on the morning of my surgery was very impressed with my choice in finding you as my doctor. Thank you again and again for not only saying that you could help me and my body, but proving so by my outstanding results. I know it's only been 12 days since my surgery, however I could not be more happy with my results that will only continue to improve. Thank you for having the knowledge and qualifications and the "it factor" that made my decision in choosing you as my doctor. Yvonne
Saint Clair Shores, MI
After making the appointment, it was only 2 weeks and I was in. My appointment for the consultation was March 3rd and my surgery was on March 11th. Yes, only 8 days later! Good timing I guess. The staff was great. Dr Kayser is very honest, even telling me something I didn't want to hear, but it was true. He is a perfectionist and has an artistic outlook. Denise, the office manager really helped me relax about the surgery. She was wonderful! They both really took the time to make sure all of my questions were answered and that I understood the procedure. Just as I thought it would, everything went smooth. The surgery was at St. Johns Surgery Center (which is great in case anything ever goes wrong). The nurses there were wonderful and so was Dr. Kayser. The surgery went quick and I only missed 2 days of work. The results exceeded my expectations! Dr. Kayser did a wonderful job. My breasts look better than I ever thought they could! I recommend Dr. Kayser to anyone who is considering plastic surgery. Tina
Dr. Kayser and his staff were the friendliest and most personable group of people that I have EVER met! Janet was the best!!!!! Her and Denise were so comforting and reassuring! Jennifer made me feel so relaxed and so confident with my decisions. I really love my new breasts that Dr. Kayser gave me and I will forever be thankful to him. I have two new best friends that will be with me for years to come!!!!!!!!! Robin
Harrison Township, MI
After breast reconstruction several years ago, I was in constant pain and was very unhappy with the misshapen appearance of my breasts. After a couple of bad experiences with other physicians, I was also reluctant to undergo surgery again, but finally the pain drove me to it - and I'm so glad I did. I now have beautifully matched breasts that look and feel very natural, and absolutely no pain! Dr. Kayser is a wonderfully talented surgeon, very professional in his demeanor but also so kind and caring. He and his staff immediately put me at ease, answered all my questions in detail, and made me very comfortable with the process. I give him the highest possible recommendation! Jan
After looking for a few years I found Dr. Kayser office and let me tell you I wish I would have found them sooner. Dr. Kayser and his staff took such good care of me before and after. I would highly recommend Dr. Kayser to anyone I knew who was thinking about plastic surgery. Sarah
Royal Oak, MI
I had my breast implants done in June 08, and it’s been 6 weeks and I can barely see the scars! Dr. Kayser and his staff were very polite, professional and very good at what they do! Dr. Kayser even called me the day after surgery to make sure I was doing ok. Plus his staff sent me flowers after surgery. I would absolutely recommend Dr. Kayser to anyone! Kerri
I had a liposuction procedure done by Dr. Kayser, and am very happy with the results. I received very good care and had very little post-op pain. I came all the way from Ontario, Canada to have this procedure done. I had previously consulted another plastic surgeon, and he wanted to make at least 8 incisions. Dr. Kayser did the same procedure with only 2 small incisions, thereby eliminating extra unnecessary scars. I can't imagine a better result. In my opinion he is a skilled surgeon with very good judgment, and is very personable. His staff is also extremely accommodating and friendly. Eric
I had a wonderful experience with Dr Kayser and his team. Dr Kayser's surgical skills made an incredible difference to my droopy, empty breasts - I now have the most beautiful breasts that look and feel completely natural. I highly recommend Dr Kayser. The team at St John's Surgical Center were also terrific. Juliet
I wanted to personally thank you for the fantastic work you performed. I am extremely pleased with the surgical results but, more importantly, very impressed with your bedside manner! I certainly understand why you came highly referred by three of my staff employees. Again, I thank you immensely for your surgical expertise and kind manner. Anonymous
I was nervous when I had consultations with other doctors. I knew I wanted a tummy tuck, but who could I trust to perform it? When my husband and I met Dr. Kayser, we knew instantly we would be in good hands. The results far surpassed anything I'd imagined! My body contour is wonderful. My confidence has shot through the roof and for the first time in a long time I can honestly say I love the way my clothes look on me. You really took good care of me and I'd recommend you to everyone I know. You are the best! I am so happy! Thank you, Michelle Michelle
I wanted a board certified plastic surgeon because so much of the outcome depends on the skill and mastery of the surgeon. Dr. Kayser did a GREAT job. I gave him an idea of what size I wanted and then left the end result to his professional opinion since he is the expert, not me. Excellent Fantastic Results. Had my surgery one week ago and I LOVE MY BREASTS. Also, Dr. Kayser's staff is extremely kind and friendly and believe me I called there lots of times both before and after my surgery with lots of questions and never once felt like I was being a pest. Also, staff knowledgeable in different types of financing if you need to go that route. Very professional office atmosphere. Liked the fact that after physical consult was done went into Dr. Kayser's private office to sit down and talk through any questions, etc. Nancy
Saint Clair Shores, MI
DR Kayser's attention to detail was outstanding. .He takes the time to understand your needs and to answer any questions you may have. He is a very attentive listener and both he and his staff are excellent at making you feel at ease. I am very satisfied with the results of my breast augmentation surgery and would recommend him to all my friends and family members. Michele
To All Current and Future Clients,You have made the right decision just by stepping foot in Dr. Kayser’s office. For years,I have considered breast augmentation surgery, and when I finally gained the courage to go through with it, Dr. Kayser was the only surgeon that I felt could meet all my needs.During our first meeting he addressed all my questions and concerns with the utmost professionalism and sincerity. One can tell that he really cares about his patients and their well being. I knew from that moment on that I had chosen the doctor that I would be able to fully trust with my body.My experience with Dr. Kayser and his staff have been physically, personally and emotionally rewarding. I am 110% satisfied with work has he done for me and I encourage you to consider Dr. Kayser for either your first or tenth surgery. How can you go wrong with someone of his experience and caring nature? You can’t.Sincerely,JodieWestland, Mi
Dear Dr. Kayser,Thank you for your skill, artistry, and kind care. You have made the experience a positive one, Thanks! Fondly, LB
Dr. Kayser,Thank you so very much for listening to me and knowing exactly what I needed and wanted from this surgery. I feel great and look wonderful. Your passion for your profession and your patient’s happiness shines in the work you do. I’m so glad that I chose you as my surgeon. God Bless, Jennifer P.S. Denise, thank you for being there for me and staying with me. You’re wonderful!
Dear Dr. Kayser,This is a long overdue thank you, from the bottom of our hearts for your excellent surgical skills and your sincere caring, understanding heart. You have given our son his beautiful smile back. Hang this picture in your office proudly if you’d like to share with other parents and cleft lip and palette children to show them there is a beautiful light at the end of the tunnel. God bless you, Mark, Kathy, and BlakeShelby Twp, Mi
Dear Dr. Kayser and staff, I am not happy about my results, I am ecstatic! It seems I just can’t stop smiling. This means so much to me.With heartfelt gratitude and admiration Martina
Dr. Kayser and staff,I want all of your staff to know that I will never forget your kindness. Thank you all so much for making my experience such a pleasant one. I could have not prayed for a better doctor and staff. I am so pleased with my results. My breasts are beautiful! You guys are the best and know that I appreciate all of you so much.Love, Toni P.S.Denise, thanks for being my friend. I love you so much.
Dear Dr. Kayser, Just a few words of gratitude for the wonderful job you did. I had wanted smaller breast since I was 17. I’ll be 37 this fall. It was a long time coming and well worth the wait. What can I say…? I love my breasts!God bless your hands. Sincerely,Julianne P.S. Janet is awesome too!
Dear Dr. Kayser and staff,Another year has passed and time to remember and be thankful. We will never forget what you did for our son. Dr. Kayser your very special gift is still amazing when we reflect. Denise, thank you for all the paper work you did and for being a special person.Blessings to both of you and your families. Martin, Ron and Rosemary
Dr. Kayser, I’d like to thank you for the great care you gave my mom. You are so personable, caring and thorough. Many doctors do not show the individual care and dedication you do. My mom has been in the hospital and I’ve had to deal with many doctors. You’ve truly picked the right profession. Again, I’m glad to have had you handle mom’s surgery and recovery. I’m looking forward to getting her back home. You’re a great asset to the medical field. Gratefully,Louise
Dr. Kayser,I just want to thank you for all you’ve done for me! I put my complete faith and trust in you, and I wasn’t disappointed. Thank you for changing my life and making me beautiful. You are the greatest! Love and god bless LaurieWashington, Twp., Mi
Dr. Kayser and StaffI can’t even describe how happy I am- Thank you for your help. You have been amazing!! AmieSt. Clair Shores, MI
Dr. Kayser and Staff-From the 1st phone call to your office I have been impressed with your professionalism and warm caring service. The flowers you send were just another example of how you have exceeded my expectations! I couldn’t be more pleased with my choice and the results of my surgery. Kindest Regards, RebeccaGrosse Pointe, MI
Dr. Kayser and Staff,I just wanted to say thank you, thanks you, thank you for the wonderful job you did on my breast augmentation. They look more amazing than I could ever imagine. Your staff has been great! Any questions I have before and after surgery they were able to answer. They are so considerate and helpful. I feel like I will never be able to thank you enough for your amazing work and kindness. I also wanted to say thank you for the beautiful bouquet of flowers that you and your staff sent after my surgery. It was so thoughtful! So, thank you all every much! You’re the BEST Sincerely,Ashley, MI
Dr. Doc,Just need to say, I’m so very happy I have a doctor like you- you’ve even picked me up when I felt down- you are the best in my book…Denise is a blessing. Denise you are sweet, kind and understanding. I’m glad doc has got you – Thank you both very muchLove, Arlene, MI
Dr. Kayser and StaffI can’t thank you enough for your support, understanding, and encouragement though my pre and post op phases of my surgery. You have all been so wonderful to me and I wouldn’t have recovered as quickly as I did if it wasn’t for your sincere and professional attitudes toward me. I felt so comforted talking to each one if you and again…I thank you for the lovely flowers you sent to me. They were such a delightful and pleasant surprise. Will see you soon Love KrissySt. Clair Shores, MI
Dr. Kayser and StaffThank you so much for my new look, I love it! I am so grateful for such a fabulous doctor. Thanks for everything your staff is wonderful DaniaLenox, MI
I am so grateful for my new look and to Dr. Kayser who made it all possible. Specifically it was the personal attention that Dr. Kayser gave to details that made my surgery a success. I feel and look beautiful! Thank you Dr. Kayser.
Dear Dr. Kayser and staffI just had to let you know how much I love my new look. Having breast augmentation was the best that I ever did for myself.Thank you for all the time you and your staff took with me. You answered all my questions and addressed my concerns. I love the way I look for the first time in my life. I can wear what ever I want. Thank you again I am very “HAPPY”.M.C.
Dear. Dr. KayserI would like to take this opportunity to share with you my utmost jot at the results of my surgery. Never in my wildest dreams would I have thought that the abdominoplasty could make such a differenceMy self-confidence diminished ever time I looked at my body in the mirror. The stretch marks had taken over my entire stomach and due to my weight loss, the skin around my entire abdominal and stomach area was so very lose, it just hung. I knew I wanted to do something to change my appearance, but was afraid to make the move. When a doctor recommended that I see you, I was delighted to think that there maybe a “cure” for my problem. Upon meeting you and your staff, I immediately felt comfortable and at ease throughout our interview process. It felt as though you cared more about me as a person rather then just “doing your job”. My feelings were confirmed immediately, and I made the appointment for surgery the same week!I was a little apprehensive as the day approached, but you made me feel so at ease at the hospital on our final meeting before the surgery.Now, nearly eight months later, I am ever so grateful to you. My stomach and abdominal area are firm and flat. The stitch marks are fading quickly and I feel confident that they will diminish almost entirely. Even when I woke up from the surgery and there was a bit of pain, I KNEW that I did the right thing by seeing you and trusting you with my body and spirit. I will be forever grateful to you for helping me to be the complete women I know I can be. Respectfully,Angelika
Dr. Kayser preformed surgery on my eyelids because the upper lids were drooping and my vision was impaired. The results were terrific. Post operatively I had minor discomfort and the surgery greatly enhanced my vision and appearance. Dr. Kayser’s professionalism and skills really impressed me as well as his wonderful staff. I would highly recommend him as a surgeon Marian
Dr. Kayser and staff-I just wanted to take the time to personally thank you for the beautiful job you did on my recent breast reduction surgery. After researching the procedure for almost 10 years, I was so nervous and apprehensive. I always though it was a painful and long term recovery. I can not believe how remarkable I felt and looked only a few days post-surgery!! Your compassion and knowledge put me completely at ease and I know this made me more confident in my healing process. I know I have so much more confidence in myself and love looking in the mirror. I walk straighter, enjoy dressing more and actually was shacked at how much more comfortable I am at everyday tasks! (wearing a seat belt, flying on vacation, and swinging a golf club!!) I am so grateful to you and everyone at Image by Design. My only regret is not coming to see you sooner! Thanks so much I know I am going to look fabulous in my wedding day.Sincerely, NicoleWaterford, Mi
Dr. KayserI just wanted to thank you for all the time and effort you have put into my case. I am extremely greatly that you were recommended for me to see. At first I was nervous and scared to have to consultation but you made me feel comfortable and I thank you for that. I appreciate everything that you have done.Sincerely, Pam
Dr. Kayser and StaffMy experience with your office has been outstanding beyond my expectations! The procedure itself has changed my body and my outlook. I feel wonderful. Your staff has been so kind and helpful- always available to answer my questions and concerns.LisaHerron, Mi
Dear Dr. Kayser,I would like to take this opportunity to express my gratitude for the fantastic breast reduction you preformed on me. I have given this much thought and was very apprehensive. Once I made up my mind to have this surgery, I made a consultatio0n appointment. Upon talking with you my fears disappeared.
Dear Dr. Kayser,Thank you very much for the wonderful job you have done. You are not just a wonderful doctor, you are a good artist. You have made me feel mentally and physically better about myself. Thank you so very muchMay god bless you always,Nancy
Dr. Kayser and staff,You have all been so kind and helpful. I am very happy with the results and with my experience. I really appreciate it. Thanks again. Sincerely,Kristie
Dr. Kayser,Thank you for the wonderful way you are. I knew from the start that I had the right doctor! I love my new boobs! I feel so much better already and I am very thankful I found you! I will send all my friends and family to you. LynnShelby Twp, MI
Dr. Kayser and staff,Thank you all so much for your kindness and big hearts not to mention the beautiful flowers, what a surprise! I have nothing but great things to share with friend and family about your office. Again many thanks. TraciWarren, Mi
Dr. Kayser,Thank you for the wonderful experience this has been, I thank you for your expertise and professional environment. I am absolutely thrilled with my care and results from start to finish! My abdomen looks beautiful and it’s only been 2 weeks. Thank you for answering all my many questions which kept me at ease! Thanks again Sincerely PetriceClinton Twp, Mi
Dr. Kayser and StaffThank you for the wonderfulness of you and your staff. I am so pleased from the first phone call, office visit, surgery and after care visit. JenniferCommerce Twp, Mi
The decision to elect cosmetic surgery was a difficult one for me from the beginning...I worried about the perceived vanity issues, the financial aspect, the surgery itself, and the possibility that the results would not be significant enough to justify the investment of time, money and physical discomfort. The consultations I’d had with several other surgeons had done nothing to lessen my apprehension, and I was beginning to reconsider my decision. Then I visited your office. The contrast between those earlier interviews and my consultation with you was startling. You immediately put me at ease by thoroughly explaining the procedure, Andy possible complications, and the results I could expect in terms that I could understand. Your credentials were impressive, but your manner was so relaxed and reassuring, I felt comfortable asking all those questions that had seemed too frivolous at the other surgeon’s offices. I left feeling confident, not only in my choice of doctor, but in my decision to have the surgery. Now, several weeks, later, the results are in and I couldn’t be more delighted. My stomach looks better than it did before the kids, and I’m enjoying the bonus of a slimmer waistline. I now know that I made the right decision both to have the surgery, and in my choice of surgeon. Thank you for all you have done. Sincerely, Amy
I want to thank Dr. Kayser for the procedure he did for me in April this year. I asked my family physician about having a breast reduction and had gone to a general surgeon who was recommended to me but I just did not feel right even after I went for a second visit. Then my close friend showed me an article from the paper with Dr. Kayser discussing breast reduction using the new SPAIR technique where the scaring is 50% less than the traditional anchor technique. I met with Dr. Kayser. He was very thorough and I felt confident after our visit. I met with Dr. Kayser a few times before surgery and I was more sure with each visit. I am a registered nurse and I feel that Dr. Kayser is very professional. He cares about his patients, takes pride in his work and I found him to be a perfectionist ...and Dr. Kayser did a perfect job. When I went for my first post-op visit, the staff asked me how I was doing; with a big smile I told them, “I was the happiest girl in the world.” That’s how I felt then and I still do four months later. There is not a day that goes by that I don’t thank God and then I thank Dr. Kayser.KarenWashington, Mi
I have always been partial to female physicians, so when I seriously began considering breast reduction surgery, my search was rather limited. After meeting with two female plastic surgeons, I was disappointed and very discouraged. I then (read) about the SPAIR breast reduction technique, not to mention your impeccable credentials and then made an appointment for a consult. As soon as I walked into your office, I knew I had found the place that I was looking for. From the onset you were attentive, kind, and truly concerned in hearing my needs and making them a reality. After 15 years of waiting, I am so happy that I went through with it. I am doing wonderfully! I would not hesitate to recommend you or this procedure to others. Dr. Kayser, you are a wonderful, gifted surgeon and a warm, caring person. I truly feel that I have been incredibly blessed to have been in your care. Lisa
How blessed I am to have found such a gifted plastic surgeon and a caring person. I am so happy with the results of my surgery. It took me almost three years to find a plastic surgeon, who I felt comfortable with doing by breast reduction. Your thoroughness and professional presentation of your new technique during our first consultation proved to me that you were a cut above your colleagues and in a class by yourself. I would highly recommend you to my family and friends. Keep up the good work. Glenda, DDS
It took me two years of contemplating having breast reduction surgery and after hiding my chest with oversized shirts for years, before I finally got up the nerve to call Dr. Kayser for a consultation-appointment. I was so nervous about having surgery that I cancelled the first appointment that I made. When I finally got my nerve up and met with Dr. Kayser, he helped to put my mind at ease. I had surgery this January and cannot even begin to express how extremely happy I am! Dr. Kayser made me feel so comfortable and his staff was just incredible. Everyone at St. John's Surgery Center was so caring and warm. After surgery, I was sore for about three days and I was not quite prepared to see the results. I was scared at first being that this was my first major surgery, but as each day went by I felt better and looked better. Now six months later, I am so thrilled with the results! I have so much confidence now and I look thinner and I am more proportioned with my body size. I am proud to wear proper tight fitting shirts and not hide my body. I even bought a string bikini for the first time in my life and wore it on vacation this summer. I just want Dr. Kayser to know how much I deeply appreciate what he has done for me and my new self-esteem! I am completely happy with my new hourglass figure!! Thank you,Nanette.
St. John Hospital and Medical Center
St. John Macomb Hospital
Beaumont Hospital - Grosse Pointe
Henry Ford Hospital - Cottage
Location & Office Hours
20905 E. 12 Mile
Roseville, MI 48066-3370
Monday and Thursday 9:00am - 6:00pm Tuesday, Wednesday and Friday 9:00 - 5:00pm
Visa, MasterCard, Patient Financing, Cash, Personal Checks