Dr. Ricky Sayal appears twice on Hour Detroit’s 2026 Top Docs list. He’s recognized in Otolaryngology and in Plastic & Reconstructive Surgery, where he earned the top vote-getter distinction.
His practice at the Center for Facial Plastic Surgery at ENT Specialists spans both fields. He performs cosmetic procedures such as rhinoplasty, facelifts, and eyelid surgery, treats nasal breathing concerns, and provides reconstruction after skin cancer surgery. The recognition offers an occasion to look more closely at the training behind that work—and what it means for someone choosing a facial plastic surgeon in Novi.
The Top Docs list begins with a question put to other doctors: Which physicians do they consider the best in their field?
Professional Research Services conducts the peer survey across five Michigan counties, then screens nominees through license verification and a review of infractions with relevant boards and agencies. Hour Detroit publishes the results, while screening and selection remain with PRS.
In the 2026 list, published October 1, an asterisk marks the top vote-getter in each specialty. Dr. Sayal carries that designation in Plastic & Reconstructive Surgery. He also appears among the physicians recognized in Otolaryngology, the specialty concerned with the ears, nose, throat, and related structures of the head and neck.
For patients researching his background, the two listings sit alongside a surgical education that includes separate fellowships in reconstruction and facial plastic surgery.
After earning his undergraduate degree at the University of Michigan and his medical degree at Michigan State University College of Osteopathic Medicine, Dr. Sayal pursued a Head and Neck/Reconstructive Surgery fellowship through Creighton University in Omaha, Nebraska.
He then completed a yearlong fellowship in facial plastic surgery under Ross A. Clevens, MD, FACS, concentrating on cosmetic and reconstructive techniques. Today, his surgical practice includes nose reshaping, facelift and neck lift surgery, eyelid surgery, brow lifts, and facial implants. He also offers non-surgical facial treatments.
Reconstruction remains part of his work, including surgery following Mohs treatment for skin cancer. His broader ENT practice includes care for nasal congestion, sinusitis, allergies, hearing problems, and ear infections.
Dr. Sayal also teaches residents through lectures, workshops, and anatomical dissection courses, and his research has appeared in peer-reviewed journals. His physician profile provides more detail about his education and clinical background.
The overlap between facial plastic surgery and ENT becomes especially relevant when someone is considering rhinoplasty.
A patient may arrive with a clear cosmetic request: soften a bump along the bridge, change the tip, or address a crooked appearance. Planning also needs to account for nasal support and airflow. Previous injuries, earlier surgery, and persistent blockage belong in that conversation, even when the appointment began with a concern about appearance.
Photographs help communicate the change someone hopes to see. An examination helps establish what is contributing to the concern and which changes are appropriate.
The same attention to the source of a concern applies around the eyes. What looks like eyelid heaviness can involve excess upper eyelid skin, the position of the brow, or several changes occurring together. Lower eyelid bags raise a different set of questions.
For someone considering eyelid surgery, a useful consultation explains those distinctions. Which tissues are contributing to the heaviness or puffiness? What would the proposed procedure change? Would another area need separate treatment?
These are practical questions to bring to a surgeon whose work includes both cosmetic and functional concerns.
Choosing a surgeon often involves reading biographies, comparing photographs, and asking for recommendations. A consultation brings that research into focus around the patient’s own anatomy and goals.
The discussion should make the proposed treatment understandable. Someone considering facelift surgery, for example, should be able to ask how the approach addresses the areas that concern them, what it will leave unchanged, and why the surgeon recommends it over the alternatives.
Recovery deserves the same level of detail. Time away from a desk job, restrictions on exercise, visible swelling, and follow-up appointments can affect the decision to proceed. Ask how healing may unfold and when it would be reasonable to plan work, travel, or an important event.
Before-and-after photographs can help, particularly when they show patients treated for a similar concern. They also give the surgeon an opportunity to explain differences in anatomy and discuss what may be achievable.
Bring a medication list, details of previous facial procedures, and the questions that have stayed unanswered during the research. Those details give the appointment a useful starting point.
Dr. Sayal sees patients through the Center for Facial Plastic Surgery at ENT Specialists. The Novi office is located at 25500 Meadowbrook Road, Suite 220. ENT Specialists also has offices in Brighton and Bingham Farms.
To discuss facial surgery or ask about appointment availability with Dr. Sayal, request a consultation or call (248) 477-7020.
Improve your beauty, your health, and your daily life with help from the Center for Facial Plastic Surgery at ENT Specialists. Our friendly and caring staff will keep you comfortable and satisfied throughout your beauty journey.
25500 Meadowbrook Ste 220, Novi, MI 48375