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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.

 

 

 

 

 

 

 

 

Play It Safe in the Summer Sun…

There are a lot of myths and misunderstandings about the sun and sunscreen…and with summer right around the corner, it’s necessary that I remind you of a few things to help you avoid burning or developing skin cancer.

20 Minutes Because You Don’t Even Realize You Are Burning Until It’s Too Late!
When I recommend limited sun exposure, I don’t mean for you to completely avoid the sun…but I strongly recommend protecting yourself from too much sun exposure which can quickly cause your skin to burn. The ideal amount is about 20 minutes every day, not in the heat of the day (10am to 2pm) when the sun’s UV rays are strongest.

Benefits of the Sun
Why 20 minutes? This is the average amount of time in the sun that our body needs to naturally generate a sufficient amount of Vitamin D3 – which has many benefits for the body both physically and emotionally.

 

Benefits of the Sun
Why 20 minutes? This is the average amount of time in the sun that our body needs to naturally generate a sufficient amount of Vitamin D3, which has many benefits for the body physically and emotionally.

Research on Vitamin D3 has demonstrated its ability to:
naturally fight cancer
boost the immune system
improve mood

Dangers from the Sun
While there are benefits from the sun, there are also dangers. The long term negative effects predominantly come from the ability of the sun’s UV radiation to damage cellular DNA. This leads to genetic mutation and cellular malfunction that causes premature aging, and ultimately can cause cancer. As our understanding has increased we’ve learned that we need to protect our skin from both the sun’s longer ultraviolet A (UVA) and shorter ultraviolet B (UVB) rays.

A short blog…but powerful information that I want you to really get it.

This rest of this blog will follow shortly.

Have fun in the sun safely!

Steven Davison

Board Certified Reconstructive Plastic Surgeon

 

 

 

 

 

 

 

4 Tips for Looking Great in Photos

 

Everyone takes photos to capture holiday memories…so this is the time to put your best face forward and be “picture posing saavy” for socialite magazines and social media like Facebook and Instagram.  We are seen by hundreds, possibly thousands, of people on Social media venues.  To help you with this…a few tips from photography experts, as well as some of my own advice on how to look great in photos.

Be a picture posing pro… Tips to help you look great in photos:

A Perfect Pout… along with bright pearly whites you must have shiny lips or your smile won’t look as good as it could.  Also, thin lips can add years to perceived age and distort facial balance and harmony. But good news….You can get that plush pout with JUVEDERM. This HA injectable instantly increases lip volume… and in the hands of an Expert Injector, like myself, precise application achieves natural, sexy, supple lips you’ll  really want to show off.

 

Eyes Youthful and Bright… You’ve heard it said that you should smile with your eyes. Well this is true! And if you’ve got some crow’s feet and forehead wrinkles, you can take years off your eyes with a little BOTOX to smooth out those creases.  Your forehead is part of your “T zone” and often looks shiny in pictures. Remember to apply a light dusting of translucent powder to prevent that shine.

Do Away with the Double Chin…
One of the most common picture blunders is to accentuate the double chin. This unflattering profile can show up in photos even when you really don’t have a problem here. Voluma is great to restore volume and contour to the chin.  Then…you just need to use “slimming poses” such as tilting your head down and angling your chin a tiny bit.

 

One solution for accentuating your real chin would be to use injectables like VOLUMA to restore volume and contour to the chin area. You can also trick the camera into slimming down your face by slightly tilting your head down and angling your chin out just a little bit. This will give the perception of a sharper jaw line and higher cheekbones.

The Three “P’s” of Pictures: Position, Posture and Pose…
– Position yourself in the middle of a group photo. The people on the end always look bigger.
– Good posture makes you look thinner and your stomach flatter. Simply stand up straight, lengthen your neck, roll your shoulders back, and lift up your chest.

– Pose in a natural, slimming position by resting your weight on one leg. Rest your hand on the hip with shoulder and elbow pointed back or allow your hands to fall naturally at your side while slightly lifting your elbow back and away from your body. This prevents the illusion of a “fat arm” that happens when the arm is pressed against the body. This will prevent your hands from looking larger than normal.

-Follow these tips and look years younger in photos!  Call to schedule your appointment today! www.davinciplastic.com

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

Mini-FaceLift for Mother’s Day

Mother’s Day is Sunday May 8. 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 refines 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:

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 is a Mini Facelift 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

 

 

 

 

 

 

 

Holiday Rejuvenation…the Gift of Youth

Not many people enjoy spending hours in holiday traffic and crowded shopping malls. Fortunately, you can save yourself the time shopping around for that mystical “perfect gift” by choosing one of the gifts adults love receiving today. Nearly everyone appreciates the gift of a more youthful face…such as those achieved by Botox, Juvederm or Voluma injectables. It’s no secret that more and more people today love receiving cosmetic treatments as gifts for those special occasions like birthdays, anniversaries and winter holidays.

Who Would Like This Gift?
The real question is who wouldn’t want to rejuvenate squinty, tired looking eyes by banishing crow’s feet? Or who wouldn’t want to smooth out the wrinkles on the forehead and in between the eyes to take years off their appearance? Millennials in their 30 years and up age range are already seeing these signs of aging and would enjoy the benefits of smoother, fuller skin. A gift certificate to choose an injectable treatment could also be a great gift for that close friend or family member who already “has everything.” Especially if they’ve expressed concern about wrinkles, such as crow’s feet or on the forehead. They may have even mentioned they’re open to trying a non invasive procedure or are already receiving Botox for their forehead, but would want to try a different area of the face, such as plumping the lips with Juvederm.

A Gift that’s Not Just for the Ladies
Even though it is more thought of as a gift for women, don’t discount those hard to shop for men in your life. Most women are very open to request Botox or Juvederm (and might even jump for joy at receiving this as a gift!), but so are the men even though they may not be as vocal about it.

Men feel the pressure to keep their competitive edge and looking good is part of that. Looking healthier, happier and more alert is a professional advantage. They might not be willing to go to the office and purchase a treatment for themselves, but deep down, many men are concerned about how their skin is aging… and receiving this as a gift can be just enough of a nudge towards doing what he wanted to anyway.

The non invasive treatments like Botox, Juvederm or Voluma offer fast results with no down time, which is very appealing to men. Botox for men is commonly called “BroTox.” Juvederm can even be used to fill in the deepening folds around the nose, the indentations caused by the acne scars of previous years.

Gift Certificate for Rejuvenation
So whether you’re shopping for that special lady or man in your life, a close friend or family member, you can give them the “gift of youth.” Save yourself the time and frustration of shopping this time of year, and bring them the joy of feeling great about their appearance. A gift certificate to choose the age reversing, non invasive treatment they desire. Visit www.davinciplastic.com to learn more or stop by our office to purchase a gift certificate.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Earn Points and Save Money Towards Anti Aging Injectables at DAVinci Plastic Surgery

Earn Points and Save Money Towards Anti Aging Injectables at DaVinci Plastic Surgery!

We are pleased to offer the Brilliant Distinctions program… so that you can save money on wonderful age reversing treatments, such as Botox, Juvederm and Voluma. Everyone loves a good deal, which is one reason medi spa injectable treatments are so popular these days. But getting a deal is not a good reason to trust your face to an unskilled injector who got started after a Friday afternoon course! Our Brilliant Distinctions program offers some great savings…and injectable treatments from the skilled, experienced hands of a trusted plastic surgeon like myself and my experienced staff.

What is Brilliant Distinctions? It is a program managed by Allergan (company who owns Botox, Juvederm, Voluma, etc.) and accepted by certain practitioners who administer these injectables. Through this program, clients can accrue points by receiving treatments at participating offices, like DaVinci Plastic Surgery.

Registering for Brilliant Distinctions is quick, free and easy…
Visit https://www.brilliantdistinctionsprogram.com and click the purple “Register” button on the right
Fill out the required information in the online registration form
Click the “Enroll Now” button at the bottom of the form
You’ll receive your Member ID and you’ll be able to select products, receive information and promotional offers.

How to earn and redeem Brilliant Distinctions points… Each qualifying treatment has a designated number of points and these points add up to dollars. These dollars can be printed off as coupons and cashed in at our office on qualifying Allergan treatments and products. To print a coupon, simply log into your Brilliant Distinctions homepage and click “Create a Coupon.” Print your coupon and be sure to bring it to your appointment, which should be scheduled within 60 days.

Even more benefits… If you love the savings you’re getting through the Brilliant Distinctions program, you can share it with friends to earn even more points. You can earn up to $100 in credit this way! You can also access the Brilliant Distinctions mall to shop and earn points at retailers’ websites, like Target, Kohls, Nordstrom Rack, Staples, Best Buy, and more. You can even use your points to make a charitable donation. Download the iphone app and you’ll be able to keep track of your points while you’re on the go.

Let us know you’re a member… Keep in mind, we don’t offer technical support for Brilliant Distinctions. This is a program managed completely by the Allergan company. So, you must bring your coupon in order to get the discount.

We do however love being able to accept Brilliant Distinctions coupons and to offer this program to our patients. You simply notify our staff of your membership and we will bank your points each time you have a qualifying treatment in our office.

Schedule your treatment today to look fabulous for the holidays and start earning points to save on future treatments. Visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Common Myths About Botox, part 2

MYTH #6 Botox is Permanent

Some people actually wish Botox was permanent, but it isn’t. Your muscles, that have been relaxed by Botox, will eventually regain movement after about 3 months. Fortunately, the benefits of Botox can last for 6 to 12 while the muscle memory gradually returns.

MYTH #7 You are never too young or old for Botox

There’s not an age where Botox magically stops working, and not everyone’s skin ages the same, so there isn’t an exact age on when to start or stop Botox. As a matter of fact, some plastic surgeons report success with Botox patients more than 65 years old. Botox will always work to relax the muscles, but in older patients, it may not be enough or it may throw off facial harmony – if other treatments are not done in other areas of the face. On the other side of the timeline, I’d say there definitely is a lower limit on the age. I’d advise teenagers against it. There certainly is value to preventative Botox in the 20s, but until then, there really isn’t enough constant muscle movement to warrant this treatment for cosmetic reasons.

MYTH #8 The best time for Botox is when the lines appear

As stated in the previous question, there is surging interest in using Botox for wrinkle prevention starting in the 20s. Getting started early, rather than waiting until the wrinkles get deeper and more noticeable, can help you in the long run. Getting Botox early can also help make you conscious of the facial expressions that cause those wrinkles – and can raise your awareness to avoid or limit them. To not frequently furrow your brows or frown is a good habit anyway!

MYTH #9 You can become addicted to Botox
It’s true that you’ll probably love the results from Botox so much you will want to keep coming back. You’ll feel great about looking fabulous and won’t want to stop, but Botox has nothing in it that would make you physically addicted. There’s no “withdrawal” or negative side effects from stopping Botox. You’ll just return to your usual “wrinkling pattern” as before you started getting Botox treatments.

MYTH #10 If you stop getting Botox, your wrinkles will be worse

In contrast to how smooth your skin will be while getting Botox, it might seem like it’s gotten worse once you stop, but really, it’s just resumed the same muscle position as prior to receiving treatment. Once you start Botox, it will relax the muscles so the wrinkles seem to disappear. Even though they don’t actually disappear and normal development of wrinkles, with muscle movement will resume… they won’t be any worse.

I hope this has helped clear up any Botox “myths.” You can schedule a consultation at www.davinciplastic.com if you’re ready to stop those wrinkles in their tracks and smooth out those lines with Botox. We can take care of you during a normal lunch break.
Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

NIPPLE BEAUTIFICATION

There used to be body concerns that we would just have to live with and the size, shape, orientation etc. of our nipples was one of them. Now, cosmetic surgery on the nipples is a very common practice. The nipples contribute to the overall aesthetics of the breast, and it is an aspect that can greatly affect self confidence, sexuality and satisfaction with appearances.

There are many reasons why someone would want to get cosmetic surgery on their nipples. Nipple appearance can cause “a feeling of being out of balance” with ones breasts (e.g. large nipple in relation to breast size) including general embarrassment, difficulty in clothing selection and activities. Here are some of the aspects of the nipple that I’ve helped correct:

  • asymmetrically shaped (one bigger than other)
  • long, droopy or overly prominent (common changes from pregnancy and breast feeding)

Nipple Surgery, How it’s Done… Cosmetic surgery on the nipples addresses the aesthetics of the nipple and the areola, which is the pigmented area around the nipple. Often this surgery is done in combination with an overall breast rejuvenation, including a Breast Lift or Breast Augmentation. The nipple surgery is done through very small incisions to minimize the appearance that any surgery even occurred. Depending on the modification, tissue is removed from the nipple and/or areola, and the length and/or diameter of the nipple are improved. The overall contour and balance of the nipple will be aesthetically enhanced.

Recovery from Nipple Surgery…Although any surgery does involve some discomfort, the recovery from nipple surgery is moderate to mild due to the use of tiny instruments, advanced techniques and my many years of refining skills and artistry. Within a few days any bruising, stiffness, achiness and soreness will dissipate, and based on our follow up consultation, most people can return to normal activity after a few days.  In the mean time, oral pain medication is available if needed to mediate the discomfort.
Does Nipple Surgery Affect Breastfeeding? Breastfeeding after nipple and breast augmentation is definitely possible, although there may be some additional challenges such as nipple vasospasm. A great resource for researching more about breastfeeding after surgery is the website
www.bfar.org. In general, there are many factors that affect the ability to breastfeed after surgery, such as:

  • how long since the surgery and the time of  breastfeeding
  • the method of surgery’s impact to the ducts and nerves
  • post surgery healing process
  • how well the milk glands functioned prior to surgery

Nipple & Breast Reconstruction after Mastectomy… I have a special tenderness towards breast cancer survivors and have a website completely dedicated to helping these special clients, www.breastreconstructiondc.com. There are many options to address all the different affects of cancer removal and still achieve the most natural, feminine results possible.

If you’re not happy with how your nipples look, nipple surgery can improve self esteem, confidence and feelings of sexuality. Schedule a consultation at: www.davinciplastic.com to discover how you can have rejuvenated, beautiful, natural results.

 

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Taking Care of Your Skin After Procedures

Last week we touched on Melanoma since we’re coming into summer months and skin damage from sun exposure is at it’s height. It’s important to reiterate that melanoma can be deadly, but is treatable with immediate diagnosis and early treatment. Part of immediate diagnosis is to do a regular self check. See the tips below.

1) UPPER BODY…Look into the mirror & examine the areas of the upper body that are exposed to the sun; head, scalp, face, neck, chest, torso, hands, nails, elbows, arms and underarms.

2) LOWER BODY… Sit down so it’s easier to check your legs, feet, soles, heels & toenails.

3) BACKSIDE… Using a hand mirror – inspect the back of the neck, shoulders, upper arms, back, buttocks & legs.

FOUR SPECIAL SKIN CONSIDERATIONS … Your care regimen will be different for a surgical procedure involving incisions that leave raw skin to heal, such as a face lift or blepharoplasty, versus a non invasive injectable procedure that causes significantly less injury to your skin. Whether your cosmetic procedure is invasive or non invasive, here are some tips to give your skin the best chance to heal:

1. Stay out of the sun. The fastest way to darken scars is to exposes them to the sun, so you’ll want to avoid direct sunlight all together.
2. Go the extra mile with pampering your skin. Use only mild, non- fragrance skincare… use it diligently even though you may not feel like taking the extra effort.
3. Drink lots of water. Hydrating your skin from the inside will help it along. Avoid dehydrating beverages, especially alcohol.
4. No picking, poking or prying at the recovery site. You need to give your wounds the best chance to heal. Disturbing the scabs could cause infection or scarring.

CARING FOR YOUR SKIN AFTER COSMETIC SURGERY… Taking special care of your skin in the first weeks after cosmetic surgery will help your results to last and minimize further damage that’ll age your skin. Your specific care regimen will be determined by which cosmetic procedure you have, but you can rest assured that I will guide you through the whole process from consultation to post procedure care.

Post surgery care is multi faceted. It involves:
• treating your wounds – you’ll receive detailed directions with a unique protocol for your procedure, but my recommendations usually include the herbal supplement Arnica Montana to reduce bruising and discoloration
• managing swelling – regular use of ice or cold compresses and elevation
• keeping up with everyday skin care – cleaning and moisturizing your skin will keep it from infection, break outs, and drying out. Be sure to use gentle, non comedogenic products.
• resting in between

I look forward to helping you in the rejuvenation process from beginning to end. To schedule your consultation, visit www.davinciplastic.com.

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

Correcting Aging Eyes For Men And Women

Different characteristics of the eyes make them aesthetically appealing to the opposite gender. These distinct features of the eyes contribute to their characteristically feminine and masculine nature. This makes the restoration of the eyelids of men and women a different process with a different result in mind.

CHARACTERISTICS OF OUR EYELIDS… The eyelids have the most delicate, thinnest skin of the entire body for both men and women. Although men’s skin tends to be thicker overall and therefore shows signs of aging slower, the thin skin of the eyelids doesn’t exempt them from being one of the first facial features to show signs of aging in both genders.

AGING EYELIDS…The signs of aging of the eyelids are sagging and folding over the upper eyelids. This can have a variety of effects on how the resting features of the face are perceived, and they often aren’t desirable. Aging eyelids may give the face the appearance of being:

– Old
– Tired
– Sad
– Angry, Gruff

Male or female, these aren’t typically the impression anyone wants to give. If you’ve noticed these changes and want to restore a youthful, rested and pleasant eye appearance, then eyelid surgery, called Blepharoplasty, can provide an excellent solution.

BLEPHAROPLASTY FOR WOMEN… Currently the majority of
patients requesting eyelid lifts are women who desire the bright eyes of their youth. For women, the desirable aesthetics of the eyes are to restore an open appearance with a clean, well-defined crease to the eyelid. While the hooded eyelid ages the face, so can the appearance of a sunken hollowed eye socket. This can happen when too much skin and fat are removed from the eyelid. The balance of knowing just how much skin and fat to remove is attributed to the artistic skill of a highly experienced triple board certified surgeon like myself.

BLEPHAROPLASTY FOR MEN…The naturally masculine characteristic of men’s’ eyes are a heavier, thicker brow and eyelid. It is even normal young men to have fuller eyelids that cover the upper lid. Therefore most male patients choose to have upper eyelid lift surgery for distinctly different reasons than women. Sometimes the drooping eyelids do cause an angry or worn out appearance that hinders them from reaching greater confidence and perception at work. Other times, this hooding and drooping skin can push down on the eyelids so that vision is obstructed. Overall the difference in surgical technique for blepharoplasty in men is with the goal to:
1. correct the vision restriction or gruff appearance while maintaining masculine characteristics to the eye
2. conserve much of the skin and fat to avoid over lifting and feminizing the eyelid

While the reasons men and women would want to change the appearance of their eye area may be different, there is a need for both that can be corrected with blepharoplasty. It is up to the skill of the plastic surgeon to enhance the natural masculine and feminine features of the eyes with different techniques that can restore a youthful, rested, pleasant aesthetic to the eyes. If you want your eyes in the hands of precision, experience and skill, visit www.davinciplastic.com to set up a consultation.

Steven Davison M.D.
Board Certified Plastic Surgeon

Curvaceous Buttocks Augmentation…

Your Best Butt Now

All this snow and cold weather has lots of people dreaming about the warm summer months. This is actually the perfect time to start thinking about your bikini body too. With all the amazing body enhancing surgeries to give your body the curves you desire, such as liposuction, tummy tuck and breast implants, more and more people are requesting buttock augmentations. Butt augmentation was the fastest growing procedure last year and that trend is expected to continue.

Trend from South America for Your “Southern Regions”…This greater buttocks awareness has come up from South America over the last couple of years, especially Brazil, that has a large cultural appreciation for this part of the body. Celebrities, such as Shakira, J Lo, Nicki Minaj, and the Kardashians have led the way for the plump posterior preference. Popularly called a Brazilian Butt Lift, this procedure can include liposuction, lifting, fat grafting, and implants to create your ideal buttock fullness and shape.

Working with “What Your Momma Gave You”… Which butt augmentation technique we’ll need to use will be determined by your      shutterstock_76782826

  • age,
  • muscle tone
  • skin elasticity
  • available fat you have to transplant
  • existing buttock size and shape

Fat Grafting By the Best… Fat grafting is the ideal way to contour the buttocks because it uses your own living fat cells. The fat cells are liposuctioned from areas such as abdomen or thighs, purified, and then injected expertly to shape and contour the buttocks. The success of this process has much to do with the experience of the surgeon.

Don’t compromise by choosing someone without a high level of training because you could end up with a lumpy, bumpy or saggy butt. For example, I am an expert injector, specially trained and certified to know how much to inject and in what areas to create wonderful, natural looking results.

Implants for that Rounder Rump… For most people I recommend the fat grafting method for butt enhancement, but there are some cases where an implant is the best option. For example, if you’re a size 2 or 4, you probably won’t have enough fat to transplant, therefore an implant can create your curves. Also, if your buttock area is completely flat and sagging, then creating the derriere of your dreams will require a bit more help. Here are the aspects of using implants for building better buttocks:

  1. IMPLANT…A solid silicone implant works best since it cannot rupture, spill, or deflate. Your augmented buttock will still feel natural, but firm… like you’ve been working out.
  2. INCISION… There are a few location options we can decide on together, such as toward the top of the buttocks, the bottom crease, or down the center of the sacrum.
  3. POSITION… Nice results have been attained with both above and below muscle placement, but typically placement within the muscle supports the implant more.
  4. LIFT & LIPO… Lifting sagging skin and liposuction can help create a harmonious effect with the buttock implant for an overall beautifully contoured area.

If you want your best butt now, you need to be in the hands of the best surgeon. I’m triple board certified, a professor and author of hundreds of publications on important plastic surgery subjects, including patient safety. Visit www.davinciplastic.com to schedule a consultation for your safe, beautiful Brazilian Butt Lift today.

Dr. Davison

 

SOLUTIONS FOR KELOIDS…the SCARS THAT DON’T STOP!

SCARS  often come with a myriad of emotions.  Some scars remind us of pain, others of joy; of accidents or medical emergencies, or the miracle of ew life emerging via c-section deliveries.

In the eyes of a plastic surgeon, a scar is not our friend.  We want to leave the most minimal, if not invisible trace of our work, so a scar is not desirable.  In the case of keloids, I have the pleasure of helping to remove a scar, but not just any scar.  Keloids are scars that don’t stop!  They are not pleasant at all for the afflicted, and so it is personally rewarding to help individuals find relief from keloid scars.

WHAT ARE KELOIDS?   Keloids are scars that are usually discolored and raised.  They can be pink, flesh colored, or darkly colored in hues of red, purple and brown.  Keloids don’t blend in with the rest of skin texture since they’re often shiny, thick and fibrous.  They feel firm and rubbery to the touch, but can be uncomfortable.  They often cause severe itching and due to their thickness, can impair skin movement.  Keloids are not cancerous but result from an overgrowth of collagen type tissue at the site of a healed skin injury.  Here are some characteristics of Keloids:

  • extend past the borders of the original incision or cut into surrounding areas that weren’t injured                                                           shutterstock_72411928-1
  • irregularly shaped and tend to enlarge progressively
  • hard to treat and eradicate
  • can reoccur…even after year of being dormant
  • do not subside over time
  • typically appear following surgery or injury but can also appear due to slight inflammation, minor injuries or even spontaneously
  • can be triggered by burns, body or ear piercings, pimples, insect bites and simply scratching ones self

KELOID vs HYPERTROPIC SCARS … Skin’s normal healing process usually leaves a flat scar that fades over time.  Sometimes as the skin heals there appears a thicker scar, which could possible be a hypertropic scar.  Hypertropic scars exist only where the original wound was, although they may be more reddish and slightly raised.  They will blend in more with regular skin over time, although aggressive massage and steroid injections help them along.  To minimize Keloids, on the other hand, usually requires more treatment.

Here are some of the most “tried and true” treatments for Keloid removal:

  • Corticosteroid injected directly into the tissue once a month for about 3-4 months
  • Laser Excision followed by monthly intralesional steroid injections alone or in conjunction with Imiquimod
  • Surgical removal via scalpel, electric knife or laser for larger, more extensive formations

TREATING KELOIDS REQUIRE SKILL and EXPERIENCE…I have thousands of hours of surgical experience and specialized training.  Over the years, I have successfully been able to help many people who’ve suffered with Keloids.  I also take special care to offer complimentary post surgical treatments to minimize Keloid recurrence.

If you, or someone you  know is suffering with the discomfort of unsightly Keloids, let’s talk about the best options I can offer for your relief.

Dr. Steven Davison

Board Certified Plastic and 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.