Call Us Today: 202.966.9590

Category: Facial Balance


« Back to Blog

All About the Brow Lift

One of the more prominent areas of the face to show signs of aging is the forehead. This is why a Brow Lift, also known as a Forehead Lift, is a popular procedure among celebrities. It is even more in demand than breast implants in countries like Great Britain in recent years.
While the emphasis on a nice eyebrow and smooth forehead is increasing, I thought it’d be good to go over what can be expected from a brow lift…to help you decide whether you’d like to come in for a consult about what the procedure can do for you. If you feel that the signs of aging on your forehead and upper face make you look sad, tired, angry, or older than your age, you are likely a good candidate for a brow lift. Generally, the brow lift can:
• elevate the eyebrows to a more youthful position
• decrease forehead lines and crow’s feet
• dimish creases between eyebrows
• minimize upper eye lid hooding (although it is best to combine a brow lift with blepharoplasty, eyelid lift, to achieve optimal results in this area)
NOT ALL BROW LIFTS ARE ALIKE… As a board certified surgeon and expert in all surgeries of the head and neck, I understand the details of anatomy and the unique characteristics needed for individual faces. I perform a variety of brow lift techniques to offer the ideal results for each unique person’s forehead anatomy. Generally there are 4 main methods of brow lift, 3 surgical and 1 injectable:

1. Traditional Brow Lift
This approach is also called an open or coronal method. It involves an incision within the hairline or the coronal method is across the crown of the head. The coronal method can also shorten or lengthen the forehead so this is to be considered with the patient’s goals and within the existing forehead anatomy. The Traditional Brow Lift includes the removal of excess skin to raise the eyebrows to a more attractive position before closing the incisions with sutures. It also addresses the muscles that cause frown lines.

2. Endoscopic Brow Lift
This approach is considered a gentler approach with smaller incisions, but generally isn’t used for more severe cases of eyebrow decent. Instead of skin removal, it lifts the brow to a more youthful position using a fixation device, while also correcting the forehead creases that a traditional brow lift addresses. The incisions within the hairline are very small and the use of an endoscope, or a lighted scope, allows for a virtually undetectable scar and less recovery than an open Brow Lift.

3. Biplane Brow Lift
This technique combines the advantages of both the traditional and endoscopic brow lift techniques to achieve maximum results.

4. Injectable Brow Lift
Depending on the desired results, multiple types of injectables can be used to subtly improve the shape and position of the eye brows, as well as the forehead creases. This is a quick, non invasive option for subtle improvements and retraining of the muscles. Also, it is easy to refine and adjust results over time to achieve desired results in a natural progression that isn’t an obvious over night change.

With whichever technique is decided to be the best for your unique needs, you can rest assured you’re in the hands of an expert in who understands surgery, anatomy and the artistry of creating a beautiful forehead and brow. Visit www.davinciplastic.com to schedule a consultation.

Summer time is soon upon us…hot sunny days, beach days, family reunions, camping trips…lot’s of outdoor “sun exposure.” Don’t forget the sunscreen, plenty of water, sun glasses,hats, appropriate clothing and time out of the sun’s extreme ray’s. Hottest sun exposure occurs from 11:00 am – 4:00 pm. Have fun…but be smart about it!

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

Anti Aging in the Middle…of the Face

Since I just finished writing about the Lower Face, I thought we’d work our way up to the Mid Face and review what we can do to rejuvenate the whole face by working on this often overlooked area. Most people start to notice gravity’s affects on their brows and upper eyelids, but the subtle effect of volume loss and sagging skin in the Mid Face or cheek area can have a ripple effect to simultaneously age the eyes and the lower part of the face.

EFFECTS OF AN AGING MID FACE… Bone loss and fat loss in the cheek area starts to become evident for most people in their 40s. This can show itself as a flattening of the cheeks. The drooping of the mid face can cause a hollowing look under the eyes as the smooth contour from lower eyelids to full elevated cheeks diminishes. The sagging skin also ends up causing nasolabial folds, marionette lines, and more prominent creases around the mouth.

OPTIONS FOR MID FACE REJUVENATION… Depending on what level of bone and fat loss you’re experiencing, the remedies can range from a non invasive to a varying degree of surgical options. During your consultation time, we will be able to determine your goals and which option(s) is best to accomplish them. Here’s an overview of the top options for correcting Mid Face aging:
1. Liquid Face Lift with the hyaluronic acid injectable Juvederm Voluma XC is a painless option that is great for milder cases of Mid Face aging and requires no downtime. This can effectively deliver improvement in cheek volume and youthful contour while minimizing the fine lines around the mouth, such as the nasolabial folds and marionette lines. Results would last about 8 to 12 months.

2. Midface Mini lift is a relatively minor surgery for moderate cases of Mid Face aging. It takes several years off your appearance by restoring youthful elevation and fullness to the cheeks, while smoothing folds and wrinkles in the Mid Face and deeper nasolabial folds. It doesn’t address the lower face issues like a full Face Lift would. Recovery time …to resume work and non strenuous daily activity is usually about a week after surgery.

3. Cheek Augmentation uses an implant to improve the overall look of your face to achieve those full, high cheek bones or it will restore the cheek contour of your youth. The filling and lifting effect in the cheeks will have a gentle pull on the sagging Mid Face skin to also soften or eliminate deep nasolabial folds. Recovery takes about a week, but the results of the beautiful contoured cheeks are permanent.

4. Face Lift is a comprehensive approach to the more severe effects of aging. Depending on the kind of Face Lift, it can address every area of the face from the forehead down to the neck. Face lifts correct fat and bone loss, and sagging skin and muscles to take 10 years off your appearance. You can see the blog series from February for more details on Face Lifts or… visit www.davinciplastic.com.

Stay Healthy!

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

The Perfect Profile

Since I addressed the youthful contour of the neck the past two weeks, I thought we’d work our way up to the chin and the important role it plays in attaining the “perfect profile.” Generally speaking, our society appreciates different features in men and women, but an aesthetic profile… regardless of gender… is harmonious and balanced.

These profile characteristics are popular among Americans:
• Upper face: a forehead that isn’t entirely round, flat or elongated, and a browbone structure that isn’t overbearing
• Mid face: straight nose with some concavity to it, not too long, wide or bulbous
• Lower face: full lip projection, well defined chin, neck and jaw line

MAKING THE CASE FOR THE CHIN … It is the framework and support system for the entire face. Too weak or strong of a framework can distort the rest of the facial structure, throwing off the balance and proportion. For example, a chin that is too small or recessed can make the nose look too big, or on the other hand, a chin that is too prominent can draw too much attention and be unbalanced with the rest of the facial features.

BRINGING PROFILE BALANCE WITH THE CHIN…Usually the chin is a feature that men are known for, and is therefore attributed as a masculine focused feature. But the lack of a chin can even throw off the harmony in a feminine profile and can increase an aging appearance caused by that lack of definition between the face and neck.

HOW THE CHIN AGES…Most people first notice the signs of aging in the upper face, such as wrinkles on the forehead and around their eyes. But, even though they may be more subtle in some people, the signs of aging don’t skip over the lower face. With age, the chin begins to look different:
• sagging skin, volume loss from the mid face and upper jaw ends up hanging from the lower jaw
• fat and sagging skin accumulation under the chin
• bone loss in the chin and jaw

One solution for mild repair would be use of injectables to restore volume and contour to the chin area. Another option could be chin augmentation surgery.

CHIN IMPLANTS FOR RESTORING FACIAL BALANCE… This is one of the most popular options to restore facial balance and a youthful, natural appearance. Chin implants are a safe and effective surgical modification that can be tailored to your unique facial needs. It can also be combined with other surgeries, such as a Facelift, Eyelid Lift (Blepharoplasty) or Nose Reshaping.

CHIN IMPLANT SURGERY, SAFE AND QUICK… Of all the facial plastic surgeries, this is one of the fastest to perform, and for my patients, a quick recovery. Chin implants are made from a variety of materials and come in various shapes and sizes. This allows for custom tailoring in order to create your perfect profile!

For complete information about Chin Implants and your consultation, visit www.davinciplastic.com. Let’s talk about your perfect profile goals.

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

Don’t Neglect the Neck…Surgical Options (part 2)

In the blog last week, I talked about the importance of a smooth, tight contoured neck and jawline for an overall youthful appearance. An angled definition between the jawline and neck creates a desirable, aesthetic profile. This week you’ll find out how different neck procedures can reverse different aspects of neck aging. If you are unhappy with any of these characteristics of your neck and jowels, then this blog will address the possible solutions for you:
• loose sagging skin
• excess fat
• vertical bands
• horizontal creases

LIPOSUCTION FOR EXCESS NECK FAT… If you have excess fat under your jawline, then you may have no face to neck differentiation. The double chin can also make the face look bigger and disproportionate. A good candidate for liposuction… to correct these issues should have good skin elasticity and strong neck muscles. This usually applies to my younger clients, who may be genetically predisposed for pockets of fat under the chin… that are unaffected by diet and exercise. In cases like this, the reduction of fat below the jawline can give the neck a longer, refined appearance.
WHAT IS INVOLVED IN NECK LIPOSUCTION…Liposuction for the neck, formally called Submental Liposuction, involves using a cannula (vacuum tube) or a syringe to gently suction excess fat. Since there is only minor discomfort and bruising with my gentle methods, Submental Liposuction can be performed on Friday and you could return to work on Monday. Also, if planned beforehand, I can treat and purify the fat to be transferred, using my special techniques, to fill in lips or deep creases and wrinkles in other areas of the body and face.

NECK LIFT FOR OVERALL NECK REJUVENATION… Most of my patients, who are looking to rejuvenate their neck and jawline, require the multi faceted approach of a neck lift. The two main kinds of neck lifts that I perform are Cervicoplasty and Platysmaplasty. Both can include liposuction, but Cervicoplasty specifically addresses the limp and drooping skin. Platysmaplasty is a combination of liposuction with surgical removal of the stretched or sagging skin AND tightening muscles. The surgery is named Platysmaplasty because it includes correcting the platysma muscle that can detach and sag with aging.

Each kind of neck lift can address the midline neck correction of muscles that cause “turkey waddle.” It improves the chin and neck definition with the removal of extra skin and fat, and in the case of Platysmaplasty, the muscle too.

WHAT IS INVOLVED IN A NECK LIFT…. This 2 to 4 hour surgery requires tiny incisions under your chin and also possibly behind the ears. Sutures close the incisions and a compression bandage supports your neck after the surgery is performed in our state of the art outpatient facility. Mild discomfort easily managed with oral pain medication, will diminish a little each day along with any bruising, swelling and numbness. Stitches are removed within 7 to 10 days and you can typically return to work within 10 to 14 days after surgery.
A Neck Lift can be combined with a FaceLift or Eyelid lift, along with injectable fillers for a complete face and neck rejuvenation. Please contact me to schedule a consultation to discuss your face and neck contouring goals at www.davinciplastic.com.

Happy Spring!

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

The Eyes…Gateway to the Face

The face is such a harmonious masterpiece that even the slightest tweak can make a drastic change to the whole face. Just take the controversy last month over the Hollywood actress Renee Zellwegers’s new look. She stepped onto the red carpet at ELLE’s 21st annual Women In Hollywood Awards and something was markedly different about her appearance, particularly the eye and forehead area. Regardless of whether you think it’s an improvement or not, she’s still a beautiful woman, and yet it’s amazing how much change can be made from the small procedures (eyelid lift and botox) that are speculated she’s had done.

Before and After…I have many patients’ before and after photos that point out how much altering the eye and forehead area can change the overall appearance of the face. It offers a completely refreshed, alert, and newly rejuvenated look. So if you have struggled with the terribly aging effects of droopy or puffy eyelids, and deep forehead wrinkles, you can rest assured that there are simple, safe and effective solutions that Davinci Plastic Surgery can provide.

Consider eye lid lift if you

  • have excess, hanging skin covering the natural fold of the upper eyelids
  • upper and lower eyelids appear puffy, making your eyes look tired and aged
  • have deep troughs under your eyes

What BLEPHAROPLASTY involves… For upper lids you can expect a more visible eyelid that opens up the eyes by removing the excess, hanging skin. To accomplish this without any signs of surgery, the incision line will be made at the natural eyelid crease.

For the lower eyelids
 you can expect the dark shadow created by the bulge and hollow to disappear, giving you a more awake, rejuvenated look. There are a few surgical method options depending on the eye structure and elasticity of the skin, including making an incision just below the eyelashes or inside the eyelid.

Consider a BROW LIFT if you

  • Just don’t like heavy brows close to your eyes
  • Have thickened, deep creases in between the brows
  • Feel like your lower brows give you a sad, tired or angry look

What a BROW LIFT involves … There are a few methods to choose from depending on your facial structure, such as Biplane, Endoscopic and Traditional/Coronal/Direct Browlift. Knowing which one is best for an individual is why it’s so important to choose someone like myself who is an expert in these types of surgeries. The incisions will be hidden in the hairline and my techniques result in less swelling, bruising and recovery time.

Non Surgical Eye Area Rejuvenation

  • Try hyaluronic acid (HA) fillers lower eyelids. JUVÉDERM can be injected into the under eye trough where there’s normally dark circles to rejuvenate the appearance of the under-eye area.
  • Fat grafting is also an option for filling in sunken under eyes.
  • Lasers to tighten excess skin and remove wrinkles.
  • BOTOX for relaxing the lines on the forehead and crows feet.
  • These all may be used in conjunction with BLEPHAROPLASTY to accomplish optimal results for youthful eyes.

Rejuvenating your eye area will impact the youthful appearance of your whole face. Some say the eyes are the gateway to the soul, but I can at least attest that the eyes are the gateway to the face. Let’s talk about revitalizing your eye area today. To learn more visit www.davinciplastic.com

Steven Davison, MD

Facial & Reconstructive Plastic Surgeon/Board Certified

 

 

 

 

ZONING in on BODY SCULPTING and ABS YOU’VE ALWAYS WANTED!

BODY SCULPTING is one of the “top” most requested procedures. Patients want surgeons to redefine, refine, reshape and contour their bodies to be more aesthetically pleasing.  Call it lipoplasty, suction lipectomy, liposculpting, body sculpting or contouring, it is safer and more effective than ever using today’s advanced, refined technology and an experienced surgeon.

WHO GETS BODY SCULPTING?  Men and women who are tired of bulges that won’t budge are having their bodies refined and reshaped!  One main reason are those annoying, frustrating bulges that limit clothing options and preventing the fit and trim body of your dreams!

BODY SCULPTING is an ideal complimentary surgical technique to various others like facelifts to body lifts.  It is the most common method of body sculpting used because it works so very well and we can now target both very large and very localized, hard to reach areas.  Liposuction is the Gold Standard for body sculpting, it is refined and here to stay.

ZONING IN ON the BODY   Common target areas include: the abdomen and hips, breasts, thighs, back, bra line, face, neck and chin and buttocks.  Men and women of all ages and stages target these areas, but Gen Xer’s and Millennials are especially into body cosmetics for health and career reasons as well as to retain more youthfulness throughout their aging process.  Mature Adults (many couples) are redefining their bodies in order to age more beautifully/handsomely.

BEACH BODIES …if you want one you must start now.  Tummy Tuck is in high demand this time of year so women (new mommies and grand mommies) can look their best and feel great about looking great!  Men, if you want the “six packs”…let’s do it now.

ABDOMINOPLASTY (Tummy Tuck) is the “Gold Standard” for rejuvenating the abdomen.  It is the surgery of choice for men and women who want to be rid of excess fat and bulging abdominal skin.  So Tummy Tuck is done to restore proper firmness and contour to the abdomen. Abdominoplasty eliminates unsightly bulges and restores fitness and health to your tummy. Look at the benefits:

·      Tummy Tuck removes excess bulging fat and sagging skin

·      Tightens relaxed ab muscles

·      Results in a smoother, flatter, abdomen

·      Often relieves back back/discomfort

·      Involves liposuction for fat removal and sculpting the abs

·      Can be a Full Abdomino, a Mini, a Marriage Abdominoplasty

·      Often combined with other body refining/sculpting procedures

·      Abdominoplasty is recommended when lipo sculpting alone is not enough

Abdominoplasty is just one example of a surgical method of body refining, contouring, reshaping that is part of the overall “body sculpting” process.  Others are listed above.  See my website for info on Tummy Tuck: www.davinciplastic.com.

TANNING BEDS….ARE IRREFUTEABLY DANGEROUS!   The AADA (American Academy of Dermatology) has encouraged the FDA to ban indoor tanning devices because they emit ultraviolet radiation proven to cause skin cancer, including melanoma, the deadliest form of skin cancer.  The science results are in, the numbers don’t lie and girls as young as 15 are presenting in doctor’s offices with skin cancers.  These girls all use tanning devices.

Hope you and your loved ones are healthy, happy and putting your best self forward!

Steven Davison, M.D.

Celebrities, Careers, Body Sculpting and the Lipstick Effect

shutterstock_54896854Body Sculpting is so popular among today’s Boomers, GenXer’s and Millennials.  Social media plays a leading role in driving patients of all ages into surgeon’s offices for invasive and non invasive procedures to sculpt and refine the body of their dreams.  Social Media, FaceBook being a primary source, has proven to dramatically influence people of all ages and from all income levels to have FaceLifts, Chin Augmentations, Nose Jobs, Eyelid/Forehead Lifts, Breast procedures, Arm Lifts, Tummy Tucks…and many more.  See my previous blogs on Body Sculpting for details on what’s involved in Body Refinement and Contouring.

Looking Good on Facebook Spikes a Rise in Plastic Surgery Requests:  Social media is about seeing and being seen. A survey of 752 surgeons revealed a 31% increase in plastic surgery requests from people wanting to look better on Social Media.  Procedures most requested were:  Botox, Rhinoplasty, FaceLifts, ArmLifts (Brachiaplasty) and Breast Augmentation.

shutterstock_88823152-1EXECUTIVES, CAREERS and PLASTIC SURGERY PROCEDURES…We live in a very visual world today and this affects even careers.  A colleague of mine, from Manhattan, sees a lot of men and women executives and high profile individuals who are in the public eye constantly.  Their pictures are taken constantly…and they are expected to always look good!  YouTube, Facebook, HD Television and public appearances demand they look their absolute best.  These people previously focused mainly on the face…but now are into Body Sculpting as well. They get paid more to look great! 

CELEBRITIES CHOICES INFLUENCE US!  We learned from the “Celebs” how to defy aging by employing anti aging treatments. The key is to start early (at the first sign of tiny facial lines, etc.) and to always maintain in order to always look about 10 years younger.  A few of today’s celebrities have heavily influenced how people want to look. 

·      Kate Middleton’s Nose is the nose of choice among the World’s female population

·      Cheryl Cole’s Dimples…well those are hard to copy

·      Robert Pattison’s jaw is the envy of scores of men

·      Brit Jude Law has the most requested nose for men

·      First Lady Michelle Obama has the most admired arms causing a spike in requests for Upper Arm Lifts (Brachiaplasty)

·      And the list goes on………….

SCULPTED BODIES and the LIPSTICK EFFECT…The economy today has also driven people in for cosmetic procedures.  We have developed a “collective vanity” per some analysts, but not  according to the younger generations today who consider looking good to be important to overall good health.  In fact,  they budget for cosmetic procedures as part of their health regimen. So they come for FaceLifts and Body Sculpting regularly.  Those who cannot afford those options choose less expensive anti aging treatments such as Botox, Injectable Fillers, microdermabrasion, chemical peels and others to reduce the visuals of aging.  This is called the “Lipstick Effect.”  We cut back on big ticket spending and opt for the “injection effect” to stave off surgery a bit longer and to allow the economy to improve.  We also indulge a bit and buy that cologne, perfume or special lipstick we’ve been wanting!

MOST POPULAR BODY CONTOURING/REFINING OPTIONS: Liposuction, Tummy Tuck (Abdominoplasty), Lower Body Lift, Mommy Makeover, Daddy DoOver, Thigh Lift, Cellulite Treatments, Buttock Augmentation, Rhinoplasty (Nose Jobs) FaceLifts, Brest Augmentation, Breast Reduction, Breast Lift, Labiaplasty (FemGen for V Zone Rejuvenation)…and more.  See my website: www.davinciplastic.com.

Well, Winter is still blasting away…but Spring will come!  Are you ready for all the events?  Bikini…Beach Season will be here soon. 

 
Let’s talk now and design your Refined Body Treatment Plan.

20864_132933510071077_4447800_nSteven Davison M.D.

Board Certified Plastic 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.

  • This field is for validation purposes and should be left unchanged.

3301 New Mexico Ave. Suite 236

Washington D.C.