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Body Sculpting for Your Celebrity Body

Many of you have tried on your bathing suit and beach wear…and are not happy with what you see in the mirror or how the clothing fits or doesn’t fit!  This is a common problem every Spring that brings clients into my office for help with getting back into shape.  The blog that follows goes into more depth of concerns and the most commonly chosen options to deal with those challenges.   Read on…then call for your consultation!

Celebrity Body Sculpting or Body Contouring has paved the way for the general population to see, adore and emulate. With increased celebrity presence in the public eye through social media, their influence is much more far reaching. Celebrities have set the “ideal” body types and facial features that are seen as desirable in our culture. So much so, that it isn’t rare to have patients request lips like Angelina Jolie, a nose like Kate Middleton, or arms like Michelle Obama.
Social Media Influence on Younger Millennials
With 2015 seeing the celebrity rise of the younger Kardashian sisters, Kylie and Kendall, their peers took notice of their cosmetic enhancements. With the Millennial generation practically living on Instagram and Facebook, when the celebrities they follow, such as the younger Kardashians, have cosmetic procedures, this greatly contributes their desire to get these procedures as well. Also, the aging prevention mindset is much more present with Millennials who are getting injections and other non surgical procedures in their 20s. This is reflected in the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2015 survey, in which 64% of their members experienced an increase of procedures performed on this under 30 age group.

  • Other Generations Aren’t Immune
    Boomers, GenXer’s and Millennials in their 30s certainly aren’t exempt from the influence of social media on their perception of an ideal body and face. They see the Body Sculpting procedures that celebrities have received and use this as a springboard to creating a younger looking, contoured version of themselves. Relative to their degree of aging, this would include both the non invasive procedures, injectables, as well as surgeries.
    What Does Body Contouring Include?
    These are some of the most common aspects of Body Sculpting, which can include one or over time, all, of these procedures:
    Injectables
    FaceLift
    Rhinoplasty
    Eyelid or Forehead Lift
    Breast Augmentation
    Arm Lift
    Tummy Tuck

It’s All About You
This array of Body Sculpting cosmetic procedures can help you get the body you desire when you may not have access to a personal chef, stylist, trainer and unlimited financial resources like the celebrities. I want my patients to be healthy and feel good in their own skin. Finding the right Body Contouring procedures for you can build confidence that can help in all areas of life, including the possibility of a job promotion and finding a love connection.

Let’s talk now and design your ideal Body Sculpting Plan so that you can have your best, healthiest body for the summer swimsuit season… and beyond. Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.
Board Certified Plastic Surgeon

 

 

 

 

 

 

The Rise of Labiaplasty

There has been a tremendous growth in Labiaplasty interest. From 2011 to 2015 in the United States, there was a 400% increase, followed by an additional 39% increase in 2016 when close to 13,000 labiaplasties were performed by board certified plastic surgeons. There has been a similar increase in other English-speaking countries like Australia and the UK.1 Labiaplasty is not a fad operation of the young; the average patient is in her late 30’s and noticed changes over time and after childbirth. There have been theories that the increase in demand has been related to hair patterns such as Brazilian waxing, online pornography, media images and marketing. However, evidence suggests patients with an interest in getting the procedure are no more likely to watch porn that those that don’t, yet many have turned to online images for research purposes.

Plastic surgeons have become the go-to specialty for this designer operation. The American College of Gynecology dropped the ball for these patients with their position paper in 2007 which suggested vaginal rejuvenation and cosmetic vaginal procedures as “untenable”. Not until 2016 was there a slight relaxation of their stance for the treatment of teenagers with persistent physical concerns. The Gynecology Establishment has missed the last decade’s opportunity to train their fellows in safe, aesthetic labiaplasty. Reitsma et al.3 found that gynecologists are more likely than plastic surgeons to discourage patients from having the procedure. Interestingly, in an era of women taking charge of their own sexuality, it is male surgeons who are more likely to provide the service.

A number of studies have documented the high success with a lower than 5% complication rate.2 In the US, uncommonly high satisfaction was found to be 97%, in France 96% and in Australia the majority of patients were very satisfied.1 When surveyed, 93% of post-labiaplasty patients have reported improved self-esteem and 71% described enhanced sex lives. There is an old adage that states sex is one-part friction and nine parts fantasy. It seems reducing the friction in this case can improve the fantasy. The data shows that instead of decreased sensation, two-thirds of women have improved feeling, as labial irritation goes down.1, 4
So why are women undergoing Labiaplasty? 94% of women surveyed at the time of their labiaplasty consultation felt self-conscious over appearance, 72% reported physical discomfort wearing tight clothing, and 64% felt their labia had a negative impact on intimacy. Surveys have shown that it is a combination or multifactorial concern to patients over both feeling andappearance, the average patient having three to four complaints. Ranked in order are:

Labiaplasty Survey Results

Mean Age =+ SD, Years

Previous Child Bearing

Yes     58%

No       42%

Labia

Tugging During Intercourse     74%

Uncomfortable wearing tight clothing    72%

Uncomfortable twisting of labia     58%

Visible labia in exercise clothing  54%

Pain during intercourse     48%

Exposure in bathing suit      40%

PSYCHOLOGICAL SYMPTOMS

Self-conscience over appearance    94%

Negative self-esteem    66%

Less attractive to partner    64%

Negative Impact on Intimacy    %66

Restrictive of clothing choice    56%

TIMING OF SYMPTOMS

Increasing age    52%

After Childbirth    32%

At Puberty    22%

As long as you can remember    18%

After weight gain    2%

So what are the problems with this procedure if there is so much success? Dissatisfaction or lower satisfaction is related to those who experience complications such as over resections, scalloping, asymmetry and separation – all of which decrease with surgeon experience. Another problem arises when patients do not fully appreciate what results a Labiaplasty can provide.4 Clitoral unhooding for instance reduces clitoral show through the labia majora but does not improve the female orgasm.
In conclusion, Labiaplasty is an exciting growth area in plastic surgery with high success, patient satisfaction and minimal complication. When picking a surgeon, you want an interested, experienced board certified plastic surgeon who will listen to your concerns. Dr. Davison has contributed to the literature5, has been actively performing and teaching Labiaplasty at DAVinci Plastic Surgery since 2006, and would be happy to consult on this delicate matter.

Click here to read Dr. Davison’s article “Labiaplasty and Labia Minora Reduction” on Medscape
References
Sharp G, Tiggemann M, Mattiske J. A Retrospective Study of the Psychological Outcomes of Labiaplasty. Aesthet Surg J. 2017; 37(3): 324-331.
Sorice SC, Li AY, Furnas HJ. Why Women Request Labiaplasty. Plast Reconstr Surg. 2017; 139: 856-863.
Reitsma W, Mourits MJ, Koning M, Pascal A, van der Lei B. No (wo)man is an island: The influence of physicians’ personal predisposition to labia minora appearance on their clinical decision making. A cross-sectional survey. J Sex Med. 2011; 8: 2377-2385.

Goodman MP. Commentary on: A Retrospective Study of the Psychological Outcomes of Labiaplasty. Aesthet Surg J. 2017; 37(3): 332-336.
Davison SP, West JE, Baker CL. Labiaplasty and Labia Minora Reduction. http://reference.medscape.com/article/1372175-overview Published 8 Sept 2016. Accessed 22 May 2017.

 

 

 

 

 

 

 

 

Breast Lift Incisions Explained

I wrote some blogs on breast surgery a few weeks ago and then took a break to focus on summer sun precautions.   Now I want to finish the breast series with this blog on scarring and incisions.  Scarring is always a concern when choosing a cosmetic surgery. We want to be able to focus on the beautiful results of the surgery, not the incision scars it may leave behind. Fortunately, with a Breast Lift, there are a variety of incisions, some more inconspicuous than others. However, different techniques may be required based on how much sagging you want corrected. The incision I recommend will be based on your personal goals, existing breast tissue, and the amount of excess skin to be removed. Here is an explanation of each of the possibilities.

Minimal Sagging: Crescent Incision
This incision is very small and traces around the upper half edge of the areola. While this is minimal scarring sounds ideal, it can take away only a minimum amount of skin. This makes it only an option for patients who have very little sagging to correct. For this reason, it is the least frequent incision technique and is usually only done in combination with a breast augmentation.
Mild Sagging: Peri Areolar or “Donut” Incision
The Peri Areolar incision is a circular incision tracing around the outer edge of the areola. This technique can also be used to reduce the size of the areola if that is desired. Like the Crescent incision, this “Donut” incision is commonly performed along with a Breast Augmentation and can address mild sagging.

Moderate Sagging: Vertical or “Lollipop” Incision
Two incisions are required for this technique, as it can accomplish more extensive reshaping of sagging breasts. They form the pattern of a lollipop, hence the nickname. The first incision is around the outer edge of the areola and the second runs down vertically from the bottom center of the areola to the underlying crease where the breast meets the torso, called the inframammary fold. This is a very common incision technique since it allows for the removal of a moderate amount of excess skin and reshaping of the entire breast. Fortunately, these scars are easily hidden in bras and bikini tops.

Extensive Sagging: Inverted T or “Anchor” Incision
Dramatic results for reshaping the breasts are available with the Inverted T incision. Getting its nickname as the “Anchor” lift because of the incision pattern, this technique involves 3 scars. One is around the outer edge of the areola, then another is down vertically from the bottom outer edge of the areola to the breast crease, and the last one is hidden in the horizontal crease of the inframammary fold. This technique allows for the removal of a significant amount of excess skin and sagging tissue. It is also used when the Breast Lift is combined with a Breast Reduction. This gives beautiful correction for reshaping pendulous breasts, which is when the nipple is below the edge of the crease of the inframammary fold and it is pointing downward.

In my expert hands, these incisions will be as minimal as possible, and over time, with your proper care these scars will fade. Regardless of which incision technique is required, your scars will be concealed and far from your mind when you see how lovely your lifted breasts look in your clothes and bathing suit. Contact me for a consultation at www.davinciplastic.com.

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

SKIN CANCER PROTECTION and PREVENTION

Summer is on its way and people will get more exposure to the suns rays than any other time of year. We’ve all heard the word of caution about too much sun causing skin cancer, but specifically it’s the Ultraviolet (UV) light exposure that is overwhelmingly the most frequent cause of skin cancer.

Since May is Skin Cancer Detection & Prevention Month, and skin cancer affects more than 1 million people in the United States each year, I thought I’d dedicate some time to the topic.

Skin Cancer Causes

Other than frequent, unprotected sun exposure, some significant causes of skin cancer include:
– The frequent use of tanning booths, which, like the sun, expose the skin to harmful ultraviolet (UV) rays.
– Immune system compromise, which impairs the body’s ability to fight disease. A suppressed immune system affects the ability of the body to regenerate and repair at the cellular level.

– Ways to improve the immune system are to stress less and laugh more, drink more water and less alcohol, eat antioxidant rich foods rather than empty calories and sugar, as well as take a probiotic to promote beneficial gut flora.
– Regular exposure to electromagnetic wave of high energy and very short wavelength, such as Xrays.

– And exposure to certain chemicals, such as arsenic and those in tar, oils and soot.

 

People with Greater Risk
Besides outside environmental factors, certain people are predisposed to skin cancer. These are characteristics of people who are at greater risk:
Fair skin that burns easily from the sun exposure and freckles easily
Blond or redheads with blue or green eyes
Depleted skin pigmentation, such as from certain genetic disorders like albinism and xeroderma pigmentosum.
Previous cancer or close family members who have had skin cancer
Birthmark or a large mole, or numerous moles and unusual moles that developed later in life
Experienced a severe sunburn in childhood

“ABCD’s” of Cancer Detection
– Asymmetry: one side not looking like the other
– Border irregularity: rough, jagged or bumpy edges
– Color: mixture of black, tan, brown, blue, red, or white
– Diameter: larger than the size of a pencil eraser (about 6 mm across) or noticeable increase in size

 

Kinds of Skin Cancer
The skin is the largest organ in the body and skin cancer is the most common of all cancers. There are three major kinds of skin cancer:
– Melanoma,
– Basal Cell Carcinoma (BCC)
– Squamous Cell Carcinoma (SCC)
Melanoma is actually the most frequent cancer in people age 25 to 29 years. About a third of all melanoma are diagnosed before the age of 50, although most skin cancers are diagnosed between 50 and 75 years old. Squamous cell carcinomas and basal cell carcinomas, which are the vast majority of skin cancers, are more common in older people. Unlike the Melanomas, the BCCs or SCC usually do not spread to other parts of the body.

Prevention
It is important to self check using the “ABCD’s” and to regularly be checked by a dermatologist. A doctor can send away a biopsy of a questionable mole or marking to tell if it’s cancerous. Fortunately, you can reduce your risk of getting skin cancer. This is one of the main reasons why I recommend safeguarding yourself when you enjoy the beautiful weather with sunscreen, protective clothing, sunglasses and a hat.

Prevention and early detection are key with skin cancer. Enjoy the beautiful summer weather, but please do so safely. If you have any more questions, please consult your dermatologist.

Steven Davison M.D.
Board Certified Plastic Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Safe Sun Protection Part 2

The sun provides some wonderful health benefits, but as I’ve recently shared in previous blogs, there is good reason to protect yourself from its skin damaging UV rays. Here are the main ways to protect yourself when in the sun.

Sunscreen
Sunscreen can definitely be helpful in protecting your skin from the UV rays, but some sunscreen has toxic chemicals that should be avoided. For example, a recent study published in Environmental Science Technology has demonstrated that the common sunscreen ingredients, methoxycinnamate, oxybenzone and PABA are estrogenic chemicals linked to cancer.

Mineral sunscreens are preferable, as they are considered “broad spectrum” and protect against both UVB and UVA rays. They contain titanium or zinc, which do not breakdown in sunlight and are therefore more effective at also blocking UVA rays. These minerals are non allergenic and not usually absorbed into the bloodstream so they don’t affect the body’s hormones.

Clothing
You can’t go wrong by wearing a hat, sunglasses and protective clothing when in the sun. There is even special clothing that is enhanced with greater protection against UV radiation and laundry detergent that adds sunscreen to your clothes. The laundry detergent doesn’t add much, but a plain white Tshirt that normally only provides 8 SPF can be boosted up to 15 SPF with a sunscreen detergent. The main benefit to SPF laundry detergent is that it’ll help keep some SPF in the garment for longer, as it does tend to start to slowly wear off after 3 or 4 washings.

UPF vs SPF
Most commonly you’ll see the terms UPF (Ultra Violet Protection) on sun protective clothing, while the sunscreens say SPF (Sun Protection Factor). UPF measures a fabric’s protection against both UVA and UVB. Sunscreen’s SPF only rates its protection against UVB rays, which cause sunburn.
What does the number mean?

A UPF rating of 25 means that only 1/25th (or 4%) of the UV radiation can penetrate the fabric, giving a 96% protection against both UVA and UVB rays. A minimum UPF 15 clothing is good (94% protection), but 50+ (98%) is excellent, especially considering the effectiveness of sun protection will lessen over time, you’ll have longer lasting protection.

Regarding the measurement of sun protection, SPF is a bit more variable as the number is calculated based on increasing the amount of time you can spend in the sun before getting sunburned. For example, if the average person would burn after 20 minutes in the sun, a sunscreen with SPF 30 is supposed to protect against sunburn for about 10 hours. This effectiveness varies widely because some people’s skin burns more easily, the mid day hours have more intense UVB rays, and even most water repellant sunscreens wear off with sweat and water. Also, the SPF calculation does not account for the UVA rays.

Diet

Most people haven’t considered that foods and supplements that can actually help protect your skin, too. The American Cancer Society states that oxidative damage can increase your cancer risk, including skin cancer. Fortunately, there are lots of delicious, healthy foods that help reduce oxidation.

These are some suggestions for foods and the antioxidants they contain that help your skin:
Salmon and fish oil contain astaxanthin and omega 3 fatty acids.

  • Green and white tea contains catechins.
  • Red wine, blueberries and red grapes contain resveratrol.
  • Almonds, asparagus and pumpkin seeds contains Vitamin E
  • Carrots and red bell peppers contain Beta carotene.

I hope you take these sun protection tips and have a safe, fun summer!

Steven Davison M.D.
Board Certified Plastic Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Summer Sun Fun – Part 2

I shortened my last blog so I could wrap up with the UVA/UVB info that is so often mis-understood.  It is important to understand the following things:

The Long (UVA) and Short (UVB) of It
While UVA rays are longer and less intense than UVB, we are exposed to more throughout our lifetimes because they are equally present during all daylight hours throughout the year.

UVA can also penetrate clouds and, unlike UVB, can go through glass. This is why it’s important to consider sun protection even when you’re not at the beach or pool.

It has been thought that while both play a major part in skin aging, UVB has been the main contributor to skin cancer. UVB is the chief cause of skin reddening and sunburn, affecting mostly the superficial layers of skin.

But even though UVB has a more concentrated negative effect, UVA causes cumulative damage over years and years, which may also initiate the development of skin cancer. Most skin cancers occur in the basal layer of the epidermis and studies have shown UVA damages cells in this layer, as well.

Bottom line is that while the sun provides wonderful health benefits, we still need to take precautions to only receive its benefits and not its damaging effects. In my next blog, I’ll continue the subject and talk about how to protect yourself, including helpful clothing, sunscreen and diet tips.
If you’d like more information on rejuvenating your skin, visit www.davinciplastic.com.

 

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

Mini Facelift for Mother’s Day

Mother’s Day is Sunday May 14. Most moms sacrifice their bodies, sleep, possibly a lucrative career, and much physical, mental and emotional energy for their children. While it’s all worth it, most moms want to restore some of the youthfulness and refreshed appearance that has been given up to time and family sacrifice. This is why more and more moms want cosmetic procedures as their Mother’s Day gift. Giving the gift of youthfulness as a gift certificate or as a specific procedure, such as a Mini Facelift, is growing in popularity and can make for a very happy mommy.

Putting your best face forward
A Facelift is the gold standard of facial rejuvenation. It’s one of the most common surgical procedures I perform. There’s definitely an art to realigning the facial tissue so that the skin doesn’t look stretched or “wind blown” and lays in a naturally firmer, more rested and youthful position. Each surgery is unique due to individual facial structures and skin condition. For those dealing with the early signs of loose sagging skin who want a faster recovery time, a Mini Facelift could be an option.

 

What is a Mini Facelift?
A Mini Facelift is a shorter surgery with a hidden incision that is smaller than a full Facelift. It is best for those who have minimal aging of the forehead and neck and relatively good skin elasticity. You can simulate the effects of a Mini Facelift by placing a finger on either side of the jaw and pulling skin back toward the earlobe by about a centimeter on each side. It can also be a great refresher for people who’ve already had a Facelift.
What aging issues does a Mini Facelift address?
A Mini Facelift mostly addresses loose skin in the mid face that has dropped. It helps with refining the skin in the lower face for a smoother, tighter jawline. Marionette lines, which are the folds around the corners of the mouth, can also be slightly reduced with this procedure, although the nasolabial folds will not.
How is a Mini Facelift different from a full Facelift?
…..During the Mini Facelift, the sagging skin and tissue is repositioned and attached in a very slightly higher. These factors make the Mini Facelift very comforting to anyone weary of any complications or recovery from surgery:

…..During the Mini Facelift, the sagging skin and tissue is repositioned and attached in a very slightly higher. These factors make the Mini Facelift very comforting to anyone weary of any complications or recovery from surgery:

…..While there is some variance in what this procedure involves, the Mini Facelift primarily takes place above the parotid salivary gland, which reduces the risk of nerve damage.
…..The surgery has minimal downtime with swelling and discomfort resolving over just a few days to a week. It’s sometimes referred to as the “weekend lift” because the recovery is so fast.
…..Mini Facelifts are also performed using local anesthesia.

When  a Mini Facelift is not enough?
The success of a Mini Facelift requires firmness of the tissues otherwise results can be disappointing or short lived. A full Facelift will be the right choice in the case where there is substantial skin laxity and droopiness This procedure would require a longer recovery time and a larger incision, but the full Facelift would provide the desired results of a long lasting youthful appearance when there is more loose skin.

To see if a Mini Facelift is a good fit for you personally or to give as a Mother’s Day gift, schedule a consultation at our newly updated website www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Keeping Your Breasts Looking Their Best

After you’ve invested in a Breast Lift or Breast Augmentation, you will want to keep those results that you love… for as long as possible.

While these procedures can drastically turn back the clock to completely rejuvenate your breasts and your overall aesthetic appearance, age and gravity will want to rear their ugly heads again. You cannot defy them over a lifetime since your breasts will still go through natural changes, but you can have long lasting results to keep your ladies perky as long as possible. Here are some tips to help you do just that:

The Season for Pregnancy and Breastfeeding Has Ended
The changes that happen to a women’s body during pregnancy and breastfeeding are drastic. Changes are due to weight gain, hormonal fluctuations, and the completely sacrificial nature of caring for little human beings. These factors can alter the size, shape and position of breasts and areola, so it is best to complete these life milestones before any breast surgeries.

Care for Your Skin
Most women are conscious of taking care of the skin on their face, but you can help the elasticity of your skin everywhere. While genetics play a factor, you can do your best effort to help them by moisturizing, taking supplements such as vitamins E and C, and limiting sun exposure. Eating healthy fats, such as in avocados and salmon, help the whole body, including the skin.

Support Your Ladies
For some women, not wearing a bra is just not an option since they just don’t like the feeling of their breasts resting on their torso. Regardless, the support provided by a bra helps the skin not to stretch and sag, especially important when exercising.

Maintain Your Healthy Weight
Try to be at your ideal weight when you choose to improve the aesthetic of your breasts. Weight loss or gain will alter your results. A healthy diet helps maintain weight, but also supports healthy skin.

Surgery Technique Matters
A Breast Lift that reconstructs the skin as well as breast tissue within is more likely to have longer lasting results. This way support will be provided inside and out.

The technical and artistic knowledge of the surgeon really contributes to the satisfaction with your breast surgery results now and over time. This is why it’s important to choose someone like myself who is triple board certified and has an outstanding reputation in my field and among my patients. To discuss how a Breast Augmentation or Lift can give you breasts you desire now and for the future, set up a consultation at www.davinciplastic.com.

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

Don’t Neglect the Neck!

No matter how smooth, firm and wrinkle free someone’s face is – a drooping, weathered and wrinkled neck can take away from any youthful appearance. So unless you want to be wearing a turtle neck or scarf year round, take care of your neck.

If you’re already seeing  signs of aging,  don’t worry – I can help. There are a variety of ways to rejuvenate the neck and take years off your overall aging appearance.

Why Rejuvenate the Neck… Although it’s technically not part of the face, having a smooth, trim neck profile can dramatically restore an overall natural and youthful appearance. A youthful neck contour not only makes the patient appear younger, but also elegant and refined. The neck also can have a significant aging (or anti aging) effect on the profile.

How the Neck Ages… Understanding the underlying muscles of the neck and how they are affected by the aging process will help you understand why the neck ages and how. The platysma muscle is immediately under the skin of the neck. In our youth, it is tight and meets in the middle of the neck under the chin. You can easily see this muscle in the mirror when you clench your teeth and tighten your jaw. As we age, the right and left sides of the platysma muscle come apart, which creates the look of vertical bands in the neck. Also, as the skin loses elasticity with age, the lower part of the face and neck show the effects most dramatically. This results in sagging, drooping jowel and waddle under the chin.
Reverse Aging of the Neck… I have extensive study and experience in face and neck rejuvenation.  They are my specialty. The most effective surgical options for rejuvenating the neck are liposuction, cervicoplasty and the neck lift, technically called a platysmaplasty …which is named after the muscle in the neck that the surgery corrects.

 

Liposuction: Generally speaking, my younger clients who want more definition between their jawline and neck  and who still have good skin elasticity and strong muscles are good candidates for liposuction.
Cervicoplasty: This procedure is geared towards people only concerned with the double chin or excess neck waddle.
Platysmaplasty: A neck lift deals with more midline neck correction of muscles to improve the chin and neck, and the removal of extra skin and fat.

 

Without a doubt, the neck is a major contributor to an overall youthful  appearance. The aesthetics of a defined jawline and long flat neck is apparent in every magazine and on every movie screen. I will get into more details on each aspect of surgical rejuvenation of the neck in next week’s blog.

In the hands of a specialist like myself, these surgeries for the removal of fat and excess skin, and tightening of the muscles, are sure to result in an attractive neck contour and rejuvenated appearance.

Contact us today to schedule your consultation, www.davinciplastic.com.

Steven Davison M.D.

 

 

Battle of the Under Chin Bulge: Comparing Kybella & CoolMini,

No matter how far out and down some people tilt their chin for photos… the double chin persists. With our current “selfie culture,” awareness of the under chin bulge is an even greater annoyance to an even younger group. While men and women of the more mature aged category can see drastic age reversing affects from contouring the chin and neck- I’m seeing an increase in inquiries from the younger generations who see their pictures and they also want a solution for a tighter chin and neck line.

This has led to an increased interest in nonsurgical options to remove submental fat. Recently I started a contrast of Kybella and CoolMini, both hot new nonsurgical options for battling the under chin bulge. The comparison continues here:

BEST CANDIDATES
Both Kybella and CoolMini are proven effective for obvious double chin, from mild to severe cases.

  • Kybella does really well for people with good, tight skin.
  • Looser, more mature skin may be better for the CoolMini since it has to suck the skin up into it in order to be chilled. Younger skin that is tighter might not allow for as much to be sucked in and treated. Also, even though both treatments have shown a slight skin tightening effect, neither can fix excess loose skin.

RESULTS & SIDE EFFECTS
Kybella conducted extensive clinical trials, in which 2 treatments – a month apart demonstrated about a 50% improvement in fat reduction with more treatments resulting in greater fat reduction.

CoolMini can freeze up to one third of the fat in the treated area, and up to 20% is usually seen in just one treatment.

…Both treatments require a little time for the full effects to be evident, and likely multiple sessions.

…Typically Kybella will take a little longer since each treatment is 4 to 6 weeks apart and the average person needs about 3 to 5 treatments.

…While results will be seen at about the 2 month mark with CoolMini, a second treatment is usually required about 3 months apart.

…Both are considered “in and out” treatments with mild side effects that vary for each person.

…Some people describe these treatments as very uncomfortable, while others give it only a level 3 of pain on a scale of 1 to 10. Patients will experience some swelling, soreness, numbness and redness, which may last a little longer from a Kybella treatment depending on how much is being injected, however any healing should be manageable with OTC pain meds and easily disguised with a scarf until they subside.

SURGICAL OPTION

While it is wonderful that non invasive options exist and are a great choice for some people, surgery may be the best option for others, particularly for people with loose skin due to age or drastic weight loss. In these cases, a neck liposuction and lift will trim the fat and loose skin for a completely contoured and youthful profile.

You will be amazed at how much a contoured chin and neckline will enhance your appearance. Schedule a consultation today to discuss the best options for you, by visiting www.davinciplastic.com.

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

Melt Away Your Double Chin Without Downtime

While you may feel comfortable concealing your double chin during these colder months with a scarf, when spring and summer come around, that will no longer work. This is why RIGHT NOW is the perfect time of year to begin treatments on your neck … get rid of that double chin once and for all. Tightening up your neck is one of the best ways to look younger so don’t wait.

Even if you’re not wanting surgery, there is a fantastic non invasive option that is gaining more and more popularity since it was first available 2 years ago. KYBELLA injections reduce neck fat with real results and no downtime.
KYBELLA is a deoxycholic acid injection that is the first and only FDA approved injectable treatment to melt away the fat under the chin. It noticeably contours and minimizes the appearance of the “double chin” without surgery.

Since it is just a series of injections, it doesn’t require any incisions, bandages or the downtime associated with surgery.

Why would someone get KYBELLA?
According to a 2015 survey conducted by the American Society for Dermatologic Surgery (ASDS), 67% of people said they’re bothered by fullness under the chin or the appearance of a double chin. This occurs in men and women due many factors, such as aging, weight gain and genetics. It is a stubborn area to treat naturally because often times, no matter how much someone works out or changes their diet, the double chin remains.

If you’re ready to refine your chin to feel less self conscious about your double chin, and more confident with a sleek profile, schedule your KYBELLA consultation with me at www.davinciplastic.com.
Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

Hot Lips You’ll Love

Plush pouts are all the rage and especially on people’s minds this month because of Valentine’s Day. While flowers, chocolates, pink hearts, and wine are sweet… hot lips make all of that even sweeter. Celebrities Angelina Jolie, Scarlett Johansson and Kylie Jenner give lips a front and center perspective on how sexy and youthful they can make you look. This is the perfect time for showing them some TLC and rejuvenating your lips with a filler, such as Juvederm.

Pamper Your Pout
The harsh cold, windy and dry climate this time of year can really take its toll on your lips make them very uncomfortable. Other factors that destroy your lips include smoking, dehydration, sun damage, and poor skin care. Take some time this month to show your lips some TLC with a lip exfoliation and hydrating mask…which can easily be done at home. Also, be sure to drink sufficient water, which helps every aspect of your skin and body. Along with Juvederm, which can give you the nicely shaped, soft, naturally gorgeous lips you’ll love.

The Perfect Pout is About Softness and Proportion
Women feel confident and sexy with a bold hue of lipstick on soft, full lips. That doesn’t mean the lips should look over filled, bumpy or out of balance with the rest of the facial features.

There is an art to creating beautiful lips with certain characteristics:

– the center of the lip is slightly more full

-the “Cupid’s bow” top of the lip isn’t over-filled (so that it disappears)

– the lower lip should be about twice the size of the upper lip to avoid the appearance of unnatural looking “duck lips.”

Making sure you choose an Expert Injector, such as myself, who knows how to create these features is the only way to be confident you can achieve your perfect pout.

Lovely Lips with Juvederm
In the hands of an Expert Injector you will have soft, luscious lips. That sexy boost of fullness with Juvederm is the perfect way to have kissable lips for Valentine’s Day and beyond. Juvederm is a hyaluronic acid (HA) injectable, which naturally creates fuller, plumper lips because the hyaluronic acid attracts water to the area. It is FDA approved for safety and has a smooth texture, so this is a top pick for lip contouring because it keeps your lips feeling flexible and natural. It is a safe, natural way to create a perfectly plush pout that will last 4 to 6 month.

Let us help you have “hot lips” you will love for Valentine’s Day and beyond. Visit www.davinciplastic.com to schedule your appointment with an Expert Injector today.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

Schedule Your Consultation With Dr. Davison

The initial consultation with your surgeon is critical! It should always be face to face with your surgeon during which time he/she listens closely to your concerns. Dr. Davison believes this time spent with you is critical to both you and to him. It is during the consultation that he comes to fully understand your concerns, evaluates them correctly and is then able to make the recommendations and develop the treatment plan thats right for you. Dr. Davison invests the time to sit down and talk to you face-to-face.

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3301 New Mexico Ave. Suite 236

Washington D.C.