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Scar Correction for a More Confident and Comfortable You

I have special compassion for my Scar Revision clients, as many of them are suffering with scars that remind them of an accident, burn, surgery or past acne problem. Through specialized study and development of specifically honed skills, employing both surgical and non surgical options, I help my patients get the best possible results. With every Scar Revision, I strive to make the scars less visible for a more pleasing appearance, as well as to restore function to the affected area.

Here’s an overview of the most common Scar Revisions I perform:

  1. Hypertropic scars are raised and often red tinted. They stay within the boundary of the original wound or acne zone. These are commonly the result of acne and can diminish over time.
  2. Keloid scars are slightly more raised than hypertropic scars and can be rubbery, firm and sometimes itchy. They often look inflamed and extend beyond the boundary of the original wound. Certain skin types are more prone to this type of scarring, including people with dark skin tones.
  3. Contracture scars are severe, occurring as the result of a loss of skin over a large area, such as from a burn.  This can affect muscles and tendons to restrict normal movement.

Some other scarring patterns are:

  1. Ice pick scarring is the most common type of acne scar. They are designated by narrow pitted indentations.
  2. Boxcar scars’ defined, angular edges in a box shape look very similar to indentations of chicken pox or vaccination scars. These occur most commonly on the temples or cheeks.
  3. Rolling scars create a shallow, wide indentation that looks like the rippling of waves in the skin.

METHODS FOR MAKING SCARS BETTER… While it’s important to note that scars cannot be removed completely, they can be reduced and made to look noticeably better. If they are raised or depressed, discolored or they cause contour irregularities, don’t worry, there are a variety of options to help improve the skin’s appearance and function.

Based on the type of scarring… during your consultation…we discuss the options and expected results in depth. These are some of the methods we’ve had great success with:

  1. Non Surgical
  • Dermabrasion gently removes the top layers of the skin to smooth out surface irregularities.
  • Dermal Fillers, such as Hyaluronic Acid, fill in sunken scars.
  • Silicone Gel Sheets are clear coverings that help flatten hypertropic scars over time.
  • Steroid Applications and Injections alleviate the itching or pain of keloid scarring. They are applied or injected into the scar to break down the skin’s collagen that has continued to produce even after the wound has healed.
  • Vascular Lesion Treatment addresses the discoloration of scars by shrinking the blood vessels connected to it.
  1. Surgical
  • Skin Grafts are intended for severely scarred areas. It involves taking healthy skin from another part of the body to transplant to the injured area.
  • Tissue Expansion stretches a patch of skin by inserting a saline filled balloon near a scar so that the stretched healthy skin is pulled over to cover the previously scarred area.
  • Z-Plasty and Related Tissue Rearrangement Techniques reorient scars to follow natural lines and creases of the skin. This makes them less noticeable and relieves pulling or pressure of contracture scars.

My compassionate staff and I look forward to the opportunity to help you feel better about how your skin looks and feels. Visit www.davinciplastic.com to schedule a consultation.

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

Buttocks Augmentation…for the curves you’ve always wanted!

Just the Right Kind of Curves: Butt Augmentation

The full, curvaceous buttock trend has been growing for years, being brought into the public eye by celebrities such as J Lo, Beyonce, Shakira, and most recently the Kardashians. This has lead to butt augmentations being one of the fastest growing surgeries. The butt augmentation procedure has even been coined to be familiarly called the Brazillian Butt Lift.

NO BUTTS ABOUT IT… The Brazillian Butt Lift means different things to different people. Therefore I strive to use my many years of experience, surgical skill, and understanding of body aesthetics to help each person uniquely achieve the best butt for their body. I also use only the safest techniques that provide the longest lasting results.

SAFEST & MOST EFFECTIVE TECHNIQUE… Using your own excess body fat tissue is one of today’s procedures that is most widely accepted as safe. Also, if fat is taken from the abdomen, hips or thighs then those areas are thinned out, which adds even more emphasis to a newly curvaceous buttock. I believe that it is the ideal way to sculpt the body into that hourglass figure.

BENEFITS OF BRAZILLIAN BUTT LIFT WITH FAT GRAFTING:

  • Using your own extra body fat to reshape your buttocks
  • Safely augment any buttocks shape or ethnicity
  • Smooth, natural texture, look and feel
  • Restores a more lifted, fuller, more youthful shape
  • Longest lasting results
  • Can be combined with implants if ample fat is not available from other areas

FAT GRAFTING VS. IMPLANTS… I believe that the ideal buttock augmentation is from using your own fat. Fat grafting is safer, longer lasting and feels natural. Fat grafting uses only your living fat cells, and when performed with expert precision and technique, the transplanted cells “graft” and live permanently where they are placed. I only use implants if there is no available excess fat or in combination with fat grafting if there isn’t sufficient fat to achieve the complete desired results.

MAKING BUTT AUGMENTATION HAPPEN… Since a buttock augmentation includes liposuction to collect the fat, it is technically two surgeries in one. I use the most delicate liposuction technique to preserve the most amount of living fat cells to for a highly viable fat graft. Using a special cannula, for the liposuction, means that I’m collecting only the ideal sized fat particles. These particles are purified through sterilization and then meticulously injected in… just the right amounts… into specific areas of the buttocks for desired contour, lift and shape.

BOOTY WORTH THE RECOVERY… All surgery is performed in a state-of-the-art surgery center that is fully equipped and certified the same as a hospital setting. Recovery involves a little swelling and tenderness, and you won’t be able to sit on directly on your butt during this time. Once healed, you won’t have any numbness and your buttocks will feel totally natural and normal inside and out. You will be able to exercise and shake your new curves to your heart’s content.

So if you are not happy with the shape of your buttocks, let’s talk about how a Brazilian Butt Lift can help you get the buttocks and curves you want. Visit www.davinciplastic.com to schedule a consultation today.

Dr. Davison

 

Tummy Tuck Time

Tummy Tuck Time

With the coming feasts that are part of Thanksgiving and the December holidays, it’s going to be very hard not to put on an extra few pounds this winter season. Many people are already starting behind the curve by not meeting their summer weight loss goals, and will add more pounds to that over the next 2 months.

If that’s you, there’s no reason to be depressed about it. As long as you’re on the journey towards better health (or plan to start in the new year), there’s a solution to help you get the results you desire. A Tummy Tuck could be just the boost you need to get on the right track for the body you want.

WHO GETS A TUMMY TUCK AND WHY… This is one of the most common procedures. As with most elective surgery, it’s for people with generally good health, but can help most anyone who’s struggled to get rid of belly bulges. It could be from stubborn post pregnancy weight that won’t budge, to that extra bit that just won’t go away no matter how much you work out or diet. A Tummy Tuck can:

  • reshape your body to fit comfortably in the clothes you want,
  • relieve back ache from getting rid of extra weight,
  • help boost your energy and self confidence.

WHAT IS A TUMMY TUCK…Formally called an Abdominoplasty, it is a cosmetic surgery that removes excess skin and fat from the abdominal area resulting in a smoother, flatter tummy. It is the “Gold Standard” and surgery of choice for men and women who want to be rid of the tummy rolls, beer belly, and muffin top. Unlike just getting liposuction, a Tummy Tuck removes both the fat and the stretched out skin for a completely smooth abdominal area.

WHERE CAN YOU TUCK… While Abdominoplasty, by name, is focusing on the abdominal area, you can also receive the same type of procedure and benefits on different parts of your body. For example, some other common areas include:

  • hips
  • thighs
  • back
  • bra line
  • buttocks

WHEN IS THE BEST TIME FOR A TUMMY TUCK… recovery from this type of surgery generally takes about 6 weeks, so it’s important to plan for some down time. Some people like to use the time off, they’re already getting for the holidays, others like to start off their “New Year with a New Body.” Every person is different, which is why our time in the consult is so important.

FULL BODY CONTOURING… If you’re looking for a full body lift and tuck, Abdominoplasty can be combined with other procedures to address all your areas of concern. Here are some more options for full body contouring:

  • Liposuction to remove targeted fat deposits.
  • Arm Lifts (Brachiaplasty) to eliminate the hanging, flabby skin under the arm.
  • Breast Augmentation, Reduction and Lifts to create a harmonious upper body balance in breast size and form.
  • Lower Body Lift to remove fat and extra skin, while lifting and reshaping the thighs, lower abs, and buttocks.

So is it your “time for a tummy tuck”? Let’s talk about your body rejuvenating goals. Visit my website www.davinciplastic.com for more info.

Steven Davison, M.D.

 

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

 

 

 

 

KELOIDS…require expert attention to deal with the pain, itching and physical disfigurement.

KELOIDS are a type of scar that results from an overgrowth of collagen type tissue at the site of a healed skin injury.  Keloids can be firm, rubbery lesions or shiny, fibrous nodules that vary in color….some are pink, others flesh colored or they may be red to dark brown in color.  Keloids are benign (not cancerous), are not contagious but often cause severe itching and changes in skin texture.  Severe keloids can affect movement of the skin.

Keloids are often confused with “hypertropic scars.”  They are not the same. Hypertropic scars are raised and they do NOT grow beyond the boundaries of the original wound.

Since I have specialized training and years of experience in surgery and reconstructive surgeries, I have dealt with so many patients in need of Keloid removal and scar revision…I couldn’t begin to number them.  Just know, that dealing with Keloids is serious business and you should see a surgeon with expertise in this area…in order to get desirable results.

KELOIDS…WHERE THEY OCCUR ON THE BODY...Keloids can develop anyplace where an abrasion (injury) has occurred.  They can even result from pimples, insect bites, scratching ones self, from burns or other skin trauma.  They can develop post surgery.  They most commonly occur:

  • On the central chest
  • The back & shoulders
  • On Ear lobes
  • On arms & over the collar bone after body piercings
  • From shaving…razor bumps may become keloids
  • Bottom of feet
  • Can occur at any age…but generally don’t until past age 11
  • Keloids…may be linked to hereditary tendencies

COMMON TREATMENTS FOR KELOID REMOVAL

1)  Corticosteroid injected directly into the tissue – typically 3-4 treatments spaced about 1 month apart – will reduce a raised Keloid to a flat scar and reduce redness, itching and burning.

2)  Surgical Removal is used for larger, more extensive formations.  Technique involved may employ a scalpel, electric knife or laser removal.

3) Post-Surgical Complimentary Treatments are often used to minimize Keloid recurrence after surgical removal.  These treatments include:   -silicone sheet dressings applied directly to the skin around the incision; -compression therapy the mechanically flatten the scar formation, – topical imiquimod or advanced injectables such as bleomycin,  -interferon or 5-fluorouracil.  These drugs work at the cellular level to disable the Keloid tissue formation process.

4)  Laser Excision followed by monthly intralesional steroid injections alone or in conjunction with imiquimod.

These are my treatment preferences…even though others may exist.  I stay with the tried and true…those options proven to get desirable results.

OK….last two blogs have covered skin problems….lipomas and keloids.

Next blog I’ll move back into FEMGen options….today they are no longer “taboo.”  Women are lining up to have life changing treatments that restore their confidence, youthfulness, that rev up their love lives…and restore health and well being in many cases.  Don’t suffer any longer in silence.   Women everywhere are stepping up and speaking out….the embarrassment is gone, Designer Vaginas are in and complete health and vitality for the “V Zone” is here to stay! 

More on that next blog!

Stay Well.

Steven Davison M.D.

DAVinci….where I combine the supreme elements of art and surgical science.”

Face 2013 with Confidence….and some advice from global beauty experts!

Gen X opting for more treatmentsWelcome to February, 2013 already!  I need to comment briefly on a subject I dislike very much…but feel responsible to keep clients informed about for everyone’s protection.   It’s called “practice drift.”  It’s not illegal….but it’s ethically and morally wrong and can be very harmful to the patients.  Patient drift is the trend of unqualified doctors performing cosmetic procedures.  We are seeing this happening more and more as the economy continues to change…doctors “drift” into areas for which they are not qualified, skilled or experienced.  For example:  an ER doctor performed procedures from which 3 patients died.  A Pediatrician performed liposuction and fat transfer on a patient…who also died.  This is horrifying and totally unnecessary.  But, it is legal….so some doctors who feel “needy” decide to do a few cosmetic procedures now and then to boost their income.

Qualified Cosmetic surgeons are highly trained with honed skills and many years of experience before they launch into practice on their own.  General Practitioners and others should get this, respect it and protect patients not practice on them!  Be on your guard against this….be sure your surgeon is really qualified and experienced…..avoid doctors who “drift.”

BEAUTY EXPERTS OFFER WORDS OF WISDOM for 2013….

  • Antioxidants…in cosmetics protect skin from environmental damage
  • Child rearing takes a tremendous toll on a woman’s body…a Mommy Makeover helps her regain the body and confidence she enjoyed prior to childbirth
  • Avoid skin aging….by avoiding the sun and keeping well hydrated…avoid sugars
  • Water….few things are more important than it!  This serves as a barrier to protect skin from external damage
  • Eat fresh fruits and vegetables all winter for vitamin B protection and antioxidants
  • Winter is an excellent time to maximize the benefits of medical skin care using light based laser skin treatments

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Experts know and agree that there are a few simple things we all must do to help our bodies slow the aging process, repair/reverse damage.  No matter where in the world you are.

VECTRA 3D COMPUTER IMAGING is here to stay…Read about it on my website: http://davinciplastic.com.

OK…consider Vectra 3D Imaging for that procedure you’ve been wanting to get done.   You’ll be glad for the Vectra 3D experience….and the wonderful procedure outcomes it can help to create. It can truly make a difference in your choices and outcomes.

Stay Well

Steven Davison M.D.

“DAVinci….where we combine the supreme elements of art and surgical science.

PUT YOUR BEST FACE FORWARD…AVOID THESE WINTER SKIN MISTAKES

As seasons change so does our skin. Winter is the worst season of the year and can be very hard on the skin.  In this blog I offer a few tips to help you avoid costly mistakes in your daily skin care program, that lead to dry, flaky and red irritated skin. You can keep looking and feeling your best even during harsh winters.  shutterstock_36660592

1. Avoid licking your lips and do use lip balm.  The skin on your lips is very fragile and requires special care just like your facial skin.  Licking your lips frequently can cause them to dry out and become flaky.  Even though licking provides temporary moisture it leaves the lips drier due to evaporation into the dry winter air and heated environments. The digestive enzymes in saliva can break down the skin causing lips corners to crack and the skin to flake. Prevent damaged lips by exfoliating the dead skin away and then use a well formulated, conditioned lip balm throughout the day to keep in natural moisture.

2.  Do Use Sunscreen all year around.  Winter UVA rays are nearly as strong as summer rays.  They are responsible for changing the DNA in the skin and this causes premature lines, wrinkles and sagging. Damaging UV light is the #1 cause of premature aging skin because they interfere with skin barrier function while simultaneously preventing proper moisture levels in the skin.

3.  Use the right formula and amount of moisturizer.  Too much moisturizer is wasteful, can cause skin congestion, bumps and breakouts.  The skin, like a sponge, can only absorb so much.  Find the right formula for your skin needs, apply it daily and prevent future skin problems.

4.  Adjust your skin care regimen to your skin needs. Our bodies constantly change and so does our skin with fluctuating temperatures and conditions.  Make sure you are using the right products during each season.  For example:  you may need to switch from a foaming cleanser and creamy moisturizer, during winter months, to a gentler cleansing lotion and serum moisturizer, to avoid loss of drying the skin.  Find a good aesthetician (Nora handles this at DAVinci) to help you with your best skin care program/products. Visit my website for more info: www.davinciplastic.com.

5. Seal in your moisturizer right after cleansing your skin!  You have a one minute window after cleansing, to moisturize and prevent skin dehydration. Water acts like a magnet and attracts the water deep within your dermal layers and result in evaporation. Apply your moisturizer or serum while your skin is still damp to ensure plump, well hydrated skin.

BRILLIANT DISTINCTIONS® Reward Program that allows patients to earn redeemable points/coupons for SkinMedica® products, Botox® and Juvederm®.  My patients love this program. Check it out at: www.brilliantdistinctionsprogram.com.

Glow N” Go Treatments are popular all year long but especially during the winter months. Treatments include:  Botox® Cosmetic, Microdermabrasion, IPL treatments for dark spots and patchy or uneven skin color and Injectables are here to stay. The Seniors and the younger generations are in love with instant Liquid Facelifts when surgery isn’t necessary.  Manly Makeovers are rising in popularity as more men are choosing cosmetic procedures for career advantages and because they just want to look good.

Stay Well and Put Your Best Face Forward!

Steven Davison M.D.

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Ultimate AntiAging Road Map

shutterstock_54370510Men and women of all ages have a myriad of age reversing, rejuvenating options from which to choose.  Each option offers its own unique benefits.  Choosing the right one or combination of options involves figuring out what’s best for your needs and not someone elses.  No “cookie cutter” treatments offered here. MEN ARE GETTING TREATMENTS NEARLY AS OFTEN AS WOMENNO MORE TABOOS! Careers demand it and Generation X chooses to include cosmetic procedures as part of their normal health maintenance regimen because they want it.

AREAS of FACIAL AGING… THE EYES show signs of aging early.  These signs include: lines, wrinkles, furrows, hollows, severe under eye bags, sagging upper eyelids, forehead parenthesis and furrows and skin that is losing elasticity (crepey looking).

Treatment Options include:  Injectable fillers for volume replacement, to encourage collagen renewal and restore contours; Botox to stop lines and wrinkles from forming and to smooth out the skin, Blepharoplasty and Browlift surgery to correct both the upper and lower eyelids by removing excess skin, excess fatty deposits, to lift brows back up and restore youthfulness to the forehead and brow/eyes.

Blepharoplasty surgery corrects severely drooping brows and hooding of the upper eyelids. When fillers and Botox no longer work or treatments are started too late, Eyelid surgery is the best option, especially if excess skin is undermining your vision. In this case, it is done for “functional” purposes as well as cosmetic restoration.  Men, especially, seek out eye surgeries to correct these problems, to look and feel younger and healthier.

CHEEKS OFTEN BECOME FLAT, SUNKEN and SAGGY – CHEEK AUGMENTATION is among today’s most popular age reversing options.  For flat, sunken cheeks both hyaluronic fillers and collagen stimulating fillers can add dimension and nice definition.  Augmenting the cheeks improves the appearance of the eyes by addressing volume loss.   Often fillers work and if not cheek implants will. Sagging cheeks require surgical lifting and tightening of the underlying muscle and tissue and is often coupled with  injectables for ultimate and long lasting results.

INJECTABLE FILLERS and SURGERY   Injectable fillers usually offer immediate and ongoing results as collage production is stimulated and hyaluronic acid fillers replace volume by attracting water.  Surgery results can be subtle or dramatic and last indefinitely.

NOSE and RHINOPLASTY SURGERY vs FILLERS   Injectables can correct certain nasal deformities and small irregularities. For example, we can add height to make a hump less noticeable. A good looking nose improves the facial profile allowing certain features to pop out more.  Surgery is needed when there are functional issues and flaws that fillers can’t handle. Injectables are amazing, but are not curealls.  http://davinciplastic.com.

NOSE FLAWS MEN WANT CORRECTED include a deviated septum, bulbous nose tips, crooked noses from being broken, pitted and scarred areas, humps and bumps from injuries or birth and others. Functional correction is key with men.  They don’t like noses that don’t work right.  So, I do many Rhinoplasty surgeries and non surgical nose jobs also.

Remember the “fun in the sun” tips….lots of water to drink (stay hydrated), sun screen, umbrellas, anti oxidant snacks like raw fruits, sun glasses, avoid glare from the water…the sun is hottest between 11:00 am and 2:00 pm.

MOMMY MAKEOVERS for WEDDINGS, GRADUATIONS, CORPORATE MEETINGS,  shutterstock_56016064PTA, FAMILY REUNIONS, CLASS REUNIONS, FOR YOURSELF.  Let’s get you scheduled and looking/feeling great again.

Best to you and yours,

Steven Davison M.D.

DAVinci… where I combine the supreme elements of art and surgical science.

Mini Treatments to Look Younger Faster

shutterstock_10125679MINI TREATMENTS ARE IN HIGH DEMAND, are more REFINED and are HERE TO STAY.  I’ve blogged about:  Mini FaceLift to “refresh the face”, Mini NeckLift to take years of aging off the lower 1/3rd of the face and Mini EyeLid Lifts (Blepharoplasty) to rejuvenate the eyes.  There are other “mini” procedures. I offer brief overviews of these 3:

MINI CHEEK LIFT is usually performed in combination with the Mini FaceLift to achieve the maximum desired results and improvement in the midface area.  Mini CheekLifts can be performed through the same incision that is used for the Mini FaceLift to minimize incisions and scarring.  Incisions are hidden inconspicuously in skin folds and creases where they fade away.  Mini CheekLift surgery removes excess skin and tightens muscle to accentuate and define the cheekbones.

MINI LIPO PROCEDURE is treatment of choice when neither diet nor rigorous exercise succeed in sculpting certain areas of the body.  That’s no excuse to abandon healthy nutritious food and exercise.  The body needs a balance in those areas everyday.  But, as we age, the body often resists things that used to work thus “liposuction” for removal of excess fat deposits and to sculpt those resistant areas to a more desirable shape.  Mini incisions, small canulas and years of expertise allow me to sculpt the neck, breast, arms, flanks, hips, knees, abs and other areas of concern. Discomfort is usually minimal and many patients resume normal activities following treatments.

MINI TUMMY TUCK (Abdominoplasty) can deal with an adverse scar from a C Section, a lower tummy pouch formed from fat and excess skin located below the belly button and can be safely performed in office with local anesthesia.  Mini Tummy Tuck involves removing excess skin and tightening lower abdominal muscle (below the belly button).  I work through a small incision and often include liposuction to further sculpt the treatment area.

MINI PROCEDURES ARE IN HIGH DEMAND and ARE HERE TO STAY! They entail shorter incisions, briefer downtime and are Popular among those in their 40’s, 50’s and others who are starting to see age related changes but who don’t yet require a more traditional procedure or full blown surgery.  STARTING EARLY, like Celebrities, before aging becomes too visible; before lines, wrinkles and grooves too deeply etched, and before skin and muscles lose elasticity and tone...starting early allows you to have “mini” procedures and blocks the visible signs of aging so you can look years younger always!

MORE MEN ARE HAVING MINI PROCEDURES  (e.g. body contouring) according to recent survey/report results from the AMERICAN SOCIETY of PLASTIC SURGEONS and THE AESTHETIC JOURNAL.  Treatments men are requesting include:  removal of excess body fat, Gynecomastia (reduction of overly large male breasts) facial injectables, laser treatments, hair removal, skin resurfacing and, of course, Botox referred to as “BROTOX.”  Surgeons across America are seeing more men.  Men choosing cosmetic surgical and non surgical treatments increased by 42% since 2010.  And, they become regular clients because they believe cosmetic/aesthetic procedures are an important part of their regular healthcare routine and that younger, fitter looking men get career advancements.

See my website for complete info on all procedures offered at DAVinci: HTTP://www.davinciplastic.com.

Before we know it, Fall will be upon us with all it’s glorious colors and lots of social events. Are you ready to put your “best self” forward?  Let’s talk.

Best to you and yours.

Steven Davison M.D.

“DAVinci…where we combine the supreme elements of art and surgical science.”

COUPLES SURGERY and HOW MEN and WOMEN AGE DIFFERENTLY

COUPLES  ANTI AGING PROCEDURES ARE THE NORM TODAY... Yes men and women in committed relationships are aging together and many of them are choosing to “age more youthfully” by having cosmetic procedures together.  But, men and women do “age” differently so different procedures are needed to address those concerns.  Facial Aging is the most visible in both genders.  Men, however, are more likely to develop deep wrinkles in their forehead and to experience vanishing chins.  Women typically see finer lines on the face around the eyes (Crow’s Feet) or mouth (laugh lines).  Women also experience more sagging skin around the neck (turkey neck).  So, with the rise in Couples Surgery over the past decade, it’s important for couples to have their own individual consultation to determine their best anti aging options. For example, both men and women can be treated with Botox (Brotox) or soft tissue filler, but the locations for treatment may differ depending upon the location of those facial wrinkles.  For Men with receding chins, Implants are very effective while women can lose their Turkey Necks with a Necklift. shutterstock_37574734

Going in together for procedures is great and encouraging to each other…so come in together and let’s talk!

NICKNAMES for BODY CHANGES

Ever heard of Bingo Wings, Muffin Top or Turkey Neck (I just gave you that one!). Well, these are the current nicknames for a few of today’s age related changes.  Bingo Wings refer to the flabby, sagging skin underneath the upper arms that often occurs with aging.  An Arm Lift safely and effectively makes this go away restoring youthful upper arms again!  Muffin Top is the name given to that overhanging skin around the waist after you’ve forced yourself into a slim fitting pair of jeans. This is easily corrected with liposuction and a Tummy Tuck to remove excess fat and sagging skin.  Turkey Neck or Turkey Waddle is the condition of excess, sagging skin under the chin and around the neck that resembles the red turkey waddle.  A NeckLift usually combined with FaceLift remedies this and takes years of aging off the face and neck.  Again, Couples are choosing to address these concerns together in order to “age more youthfully.”

SCENARIOS THAT PROMPT THE DESIRE FOR ANTI AGING PROCEDURES:  When you meet someone who has recently undergone a plastic surgery or non surgery procedure, he or she will most likely be able to share their “Aha moment…”  That’s the moment it became crystal clear to them they made the right choice. Men and women choose age defying cosmetic procedures for various reasons.  Here are just a few they’ve shared with me:   1) How old do you think I am?  When an energetic 40 year old has a co worker tell him he looks “50ish” that can send a man flying into my office!  2)  Post Baby Blues…Women are having Mommy Makeovers to get back into shape sooner or for the first time ever!   3)  Social Media..Social Media realizations have made FaceBook FaceLifts popular today!   4)  Major Life Changes/Career Changes can help put things into perspective.

DON’T LIKE WHAT YOU’RE SEEING IN YOUR MIRROR?  LET’S TALK SOON.

Steven Davison  M.D.

Board Certified Plastic Surgeon

“DAVinci…where I combine the supreme elements of art and surgical science.”

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.