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Enjoy Summer….Look Trim…No Downtime…

Bikini season is in full swing. This time of year everyone is conscious of how they look in a swimsuit or more revealing summer wear. But since we’re already in the midst of the summer season, it’s not an ideal time to get surgery, such as liposuction, without having to miss out on the enjoyment of the outdoor fun. This is where a fat reducing solution like Cynosure SculpSure can help.

Trim Tummy and Summer Fun with Cynosure
Even with a healthy diet and regular work out sessions… some areas of fat just resist going away. This often “dampers”  your confidence to wear those lighter or tighter summer outfits. Fortunately, Cynosure SculpSure is a non surgical solution to reduce body fat in those stubborn areas – like the abdomen and love handles.

Cynosure SculpSure requires no downtime or recovery that will keep you from enjoying the fun outdoor summer activities. With SculpSure you can have a natural looking slimmer appearance without scars or any effect to the skin’s surface. You can also return to everyday activities immediately after a treatment, so you’ll never miss out on the fun while undergoing SculpSure treatments.

How does Cynosure Sculpsure work?
This innovative body contouring treatment is clinically proven to reduce stubborn fat in problem areas. It uses light based technology that targets and destroys these fat cells cumulatively over short 25 minute session. Each 25 minute session destroys up to 24% of treated fat cells. Results can be seen as early as 6 weeks with optimal results at 12 weeks.

Schedule a consultation today to see how SculpSure can keep you enjoying summer while looking trimmer and healthier. Visit: www. http://Davinci Plastic Surgery

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

 

 

 

 

 

 

 

 

 

Keeping Your Breasts Looking Their Best

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

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

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

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

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

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

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

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

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

 

 

 

 

 

Men: Minimize Your Gut With SculpSure

Starting in their 30s, men start to lose muscle mass and their metabolism slows down. If they don’t become more physically active or decrease their calorie intake, the muscle tissue will be replaced by body fat, particularly around the abdomen. Fortunately there’s a way to destroy those fat cells. It doesn’t involve surgery or any discomfort … its called SculpSure.

SculpSure Targets Fat Where Men Need it the Most
There are definite gender differences in how fat is typically distributed in the body. Women tend to carry more fat in their lower body, such as in the hips and thighs to give their figure more of a pear shape. Men generally carry the extra weight around their abdomen and flanks, which gives their body more of an apple shape.

Studies show that regardless of obesity, men and women host more fat cells in these particular gender specific body regions. Fortunately for men, SculpSure is the world’s first laser treatment  – cleared by the FDA – to target the fat in their most common trouble areas:  the belly and “love handles.”

Eliminate Belly Fat for Looks and Better Health
While you’ll feel an amazing confidence boost after getting rid of the extra weight around your middle, you’ll feel great for other reasons too.

  • Reduction in back pain, more agility and less weight on your joints can contribute to an overall more active lifestyle. Another important reason to trim down the fat round your middle is that there are studies that correlate excess belly fat and health related risks, such as type 2 diabetes and coronary heart disease.
  • Destroy Fat with No Downtime
    The typical corporate lifestyle for a man doesn’t leave much time for surgical recovery. This has lead to the rise in non invasive treatments for men who want to look and feel good, but can’t take the time off of work.
  • Brotox is just one of the many age reversing treatments for men that has become popular. Like Botox, SculpSure treatments can occur during a work day’s lunch break with no discomfort or downtime.
  • In a 25 minute session, this state of the art, controlled light based technology can melt up to 24% of targeted fat cells.

Schedule a consultation with us if you or the man in your life wants a flatter, smoother abdomen and less love handles.

Visit www.davinciplastic.com today to see how SculpSure can help you have that swimsuit ready body before this summer.

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

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Best Butt in 2017

You’re not alone if you’re dreaming of the beach and warm summer months – as you scrape ice and snow from your car and driveways. Now is the perfect time to change your lifestyle by making healthier long term choices that will get you summer…bathing – suit ready.
There are lots of ways cosmetic surgery can help you achieve your perfect, cosmetic body goals, for example liposuction, tummy tuck and breast implants. But… one of the hottest trends in 2017 are well rounded, curvaceous buttocks resulting from the Brazilian Butt Lift.

Brazil is famous for the 2016 Olympics…and for one of the hottest 2017 trends…the Brazilian Butt Lift. The plump posterior movement was lead by the gorgeous rear ends of the thong bikini wearing Brazilian women – and celebrities, such as J Lo, Iggy Azalea, Shakira, Beyonce and the Kardashians. With increasing popularity over the past few years, the Brazilian Butt Lift, creates your ideal buttock fullness/shape using a combination of procedures that can include liposuction, lifting, fat grafting, and implants.
Brazilian Butt Lift is not a cookie cutter procedure… The vision of what we’re trying to accomplish with a Brazillian Butt Lift is different for different people and the factors that affect outcome: age, muscle tone, skin elasticity, cellulite, available fat for transplant and your existing butt size and shape.

This is where a specially trained, experienced surgeon, such as myself, will consult with you to assess the desired lift, shape, fullness and overall contour of your desired derriere. Don’t compromise by choosing someone without a high level of training because you could end up with a saggy, lumpy or bumpy butt.

Two main ways for creating curves and lifting butts… The options for creating a lifted, firmer buttock are fat grafting and implants. I believe that the ideal Buttock Augmentation is from using your own fat. Fat grafting is natural in its look, feel and because it’s your own purified fat. 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.

Also, there’s the added benefit of contouring the area where the liposuction is performed to collect the fat for the Buttock Augmentation. I prefer to 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.

No butts about it, if you want your best…most curvaceous, buttocks of your dreams – I can help you with a Buttock Augmentation. Let’s talk about the curves you crave. Visit www.davinciplastic.com to schedule a consultation for your safe, beautiful Brazilian Butt Lift today.
Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

Your Surgeons Credentials Do Matter!

While on the topic of FaceLift surgeries, let me emphasize the importance of having a very experienced surgeon to handle this, delicate, complicated procedure. Thus, I decided to share my credentials… and those that you should look for in other surgeons. I will do this through 3 main criteria upon which surgeons are judged: training, qualifications and results.

TRAINING… QUALITY EDUCATION AND INSTITUTIONS
I’ve always wanted to provide the highest quality care to my patients, so I adhere to the highest standards beginning with my studies. My distinctions in undergraduate years studying Dentistry, include the Dell Medal for Performance and The British Student of the Year award from the University of Edinburgh, Scotland.  As I went on to earn my medical degree from the University of Maryland, I also was selected from among my peers to receive the Babcock Award for surgical excellence. Next in my studies was to specialize in head and neck/otolaryngology at the world renown Mayo Clinic. For my final years of hands on experience, I was selected to do my plastic surgery fellowship at the University of Pittsburgh, which has one of the most comprehensive plastic surgery programs, and then completed a reconstructive cancer fellowship at the premier cancer hospital in the country, MD Anderson in Texas.

BOARD CERTIFICATION 
Another factor that elevates my standing as a plastic surgeon is that I am triple board certified in a rare yet extremely applicable combination: plastic surgery, otolaryngology/head and neck surgery, and facial plastic surgery (which I earned the Jack Webster prize for the highest score).  I am the only such surgeon in the tri-state area and one of only a handful in the United States with this level of triple board certification.

It is important to note that the board certifications I’ve earned are accredited by the American Board of Medical Specialties (ABMS), which has the highest standards. With ABMS certifications you can be assured that the doctor has:
1. graduated from an accredited medical school

2. completed at least 5 years of additional training as a resident surgeon in a program accredited by the Accreditation Council for Medical Education or the Royal College of Physicians and Surgeons of Canada

3. passed comprehensive written and oral exams

RESULTS…PEER AND PATIENT REVIEW
I believe in staying on the cutting edge of my field. As a result have given well over 95 national and international lectures, and written more than 100 clinical papers. Some of my greatest acknowledgements have been from my peers and patients, as I’ve been:
…nominated in the Washingtonian for both “Best Doctor” in plastic surgery AND breast reconstruction (by my peers)
…currently rated Castle Connolly best surgeon and an “America’s Top Surgeon”
…selected as “The Best Plastic Surgeon” of DC and “Number One Doctor” for many years in a row (by patients)

My biggest reward and compliment is a satisfied patient. To find out more of my credentials and to schedule a consultation, please visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic Surgeon

 

Breast Augmentation General Q’s & A’s

Breast Augmentation General Q & A

Even though Breast Augmentation is the most popular cosmetic surgery procedure, there are a lot of questions women have.This Q & A is an overview of some of them… but my intention here is not to replace the consultation. The consultation is an invaluable part of my process. It is crucial to get to know my patients personally and to get on the same page. I hope this blog helps you along your journey to deciding whether a Breast Augmentation is a good fit for you and I hope to be talking with you further at a consultation, which can be scheduled at www.davinciplastic.com.

What Is A Breast Augmentation?
Breast Augmentation specifically addresses increasing breast size and shape. Other surgical procedures related to the breast are:
Breast Reduction makes large breast smaller and more manageable. Patients with too large of breasts suffer from back pain and other issues, and a reduction can provide great relief.
Breast Lift helps sagging breasts look younger and perky. This is great in combination with an Augmentation or Reduction.
Nipple Reduction specifically addresses only the nipples, which can get stretched out during breastfeeding or may be out of proportion in relation to the overall breast size. A Nipple Reduction can bring the nipple size in balance with the breast for a more aesthetic appearance.

Saline or Silicone?
Saline is a silicone shell filled with sterile saline, or salt water. Silicone is a completely silicone implant. Both are shown to be safe, effective and dramatically improved over the last few years. Within these categories, there are many kinds of implants to consider. This decision is highly up to personal preference and goals. As there are quite a few aspects of this question to address, I will dedicate my next blog just to this topic.

What Does The Surgery Involve?

  1.  Preparation: Consultation and decision on the size and type of implant, location of implant and incision location. You may need to get a blood test, stop smoking, adjust medications and vitamins.
  2. Anesthesia: General anesthesia in our highest quality outpatient center will help you feel completely comfortable during surgery.
  3. Incision: Your body type, breast size, type of implant, and scar preferences will help us to determine the optimal location (under breast line, armpit, belly button, or areola).
  4. Insertion: Many factors will help us decide whether the implant should be inserted into a pocket above or below the pectoral muscle, including the amount of breast tissue already present, drooping, position and size desired.
  5. Closing Incisions: This will involve internal sutures within layers of the breast tissue and on the surface skin closure.
  6. Recovery: Like with any major surgery, there will be a period of discomfort that can be managed by oral pain medication. The first week is low key while wearing a support bra and possibly tending to a drainage tube for a few of those days. After 2 weeks normal activities, except for exercise or strenuous exertion, can resume. We will see you and check on you to make sure you’re doing ok. It’ll take between 4 to 6 weeks to feel somewhat normal. The skin can continue to feel tight and sensitive beyond that, but it shouldn’t impede your everyday life.
  7. Results: Over and over again, my patients have confirmed that the recovery is worth the results. The implants take a few weeks to “settle” into their position and the scars will take some time to fade, but your body satisfaction and restored femininity are long lasting and well worth your investment in yourself!

Steven Davison M.D.
Board Certified Plastic Surgeon

 

 

 

 

 

 

Mommy Makeover: The Best Breast for You

One of the most requested aspects of the Mommy Makeover is the Breast Augmentation. This is one of the most noticeable areas of the body that takes a toll through the weight gain of pregnancy and especially breastfeeding. While breastfeeding provides the most wonderful nutrients and bonding with baby, the effects on the breast are quite evident. The most common complaint is the early aging to the breasts due to looking deflated and sagging. This is happens as the skin is stretched from being filled with milk and then when breastfeeding is done, the deflated breasts hang flatter and lower.

– If you’d like your breasts to return to their fuller, youthful, more perky pre baby days, or even to enhance your breast to be better than before, a Breast Augmentation can help.

– Breast Augmentation is the only way to increase breast size for the long term, and it also addresses the positioning and shape that can give the body an overall more proportionate look.

ARTISTRY… This is a highly personalized surgery and so there are many options to choose from regarding the material, size and shape of the breast implants. One of the main choices is to decide on Saline or Silicone implants, which both are shown to be safe, effective and dramatically improved over the last few years. The expertise of your surgeon will help you in making the right selection for your goals, and in the hands of an expert like myself, the artistry of placement and ability to understand how the implants will settle is crucial to the final result.

SURGERY…There are also incision and placement options for how the surgery is performed, based on the size, material and scar location desired. The placement of the implant can either be above or below the both the pectoral muscle and the overlying breast tissue. Which on is best for each person differs, depending on the amount of breast tissue already present, drooping, position and size desired. These factors are also considered for the incision options:

Inframammary Incision, which is the most common method. The incision is placed in the fold under the breast.
Axillary Incision is made through the armpit, which requires use of an endoscope for the implant placement.
Periareolar Incision involves inserting the implant through the incision made in the areola, or darker skin surrounding the nipple.
Umbilical Incision utilizes an endoscope to insert the implant through an incision in the belly button.

RECOVERY… It is very important for moms to have a support system in place after any surgery to help with the children and domestic affairs. The end result of a Breast Augmentation can be dramatically affected if proper healing isn’t allowed. Like with any major surgery, there will be a period of discomfort that can be managed by oral pain medication. During this time, it is necessary to wear a support bra and may be necessary to have tubes in the incisions to help drain off excess fluid for a day or so. Recovery typically takes about a week while breast shape begins to settle within six weeks, although it could take longer.
My patients have confirmed time and time again, that the recovery is worth the results. The body satisfaction and femininity restored are a great reward. To set up your personal consultation to discuss how a Breast Augmentation can help you achieve the best breasts for you, visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Daddy Do-Overs

Men, you don’t want the ladies getting all the good looks, do you? The stigma of cosmetic procedures being just for the women was thrown out the window long ago. While the mommies are coming in for their makeovers, daddy should get a “do over”, too. Men are taking charge of their looks by getting rejuvenating treatments and procedures as part of their health, confidence and career maintaining/building regimen.

COSMETIC SURGERY CONTRIBUTING TOWARDS WORKPLACE SUCCESS…Everyone is noticing the difference that a youthful, energetic, healthy appearance makes when it comes to perception and promotion at the office and with clients. As you get to the top of the corporate ladder the pressure is even greater to “look the part.” Good looks are expected if the executive role requires any public exposure. Companies want to look good in part by being represented by people who look good.

With all the expectations at home and the office, dads can take the pressure off themselves and allow us to virtually turn back years from their face and body. These are some of the top requested daddy do over procedures:

RHINOPLASTY surgery of the nose is aimed to reestablish symmetry and unity within your unique face. At the hands of a skilled surgeon, it can:
repair and correct previous surgical problems, such as displaced implants or cartilage grafts
improve breathing issues from nasal passage blockages (maybe due to a broken nose from roughhousing as a youth),
remove unwanted bumps, asymmetries, depressions, etc.
refine the inadequate nose tip projection (e.g. age related droopy tips) or by slimming and narrowing any disproportionate aspect of the nose.

Achieve a well sculpted neck and chin using:
1. CHIN AUGMENTATION with Implants or Injectable Fillers that are tailored to your specific needs and goals. Whether your desire is for a more rugged, stronger chin, or to achieve facial Achbalance, this can restore a natural, more youthful appearance.

And don’t forget that you can say goodbye to that double chin by removing that unwelcome pocket of fat with LIPOSUCTION.

2. ABDOMINOPLASTY/BODY SCULPTING can help take off those years of sympathy weight gained while mommy gained pregnancy weight, and from choosing family time instead of gym time. Tummy tucks eliminate the bulge with liposuction, but also excess skin that has been stretched out. ABDOMINOPLASTY is the surgery of choice for men who want to rejuvenate the abs. These are some of the aesthetic and physical benefits of a Sculpting Tummy Tuck:
restores desired firmness and contour to the abdomen
Tightens relaxed ab muscles
Results in a smoother, flatter, abdomen
Sculpted “six pack” can be added

And don’t forget about those quick in and out treatments with BOTOX (Brotox) and hyaluronic acid fillers like RESTYLANE, JUVEDERM and PERLANE that can instantly get rid of those forehead and frown lines and contour the face. So dads, let’s talk about how you can take control of your image to accomplish a younger, healthier look with your Daddy Do Over.

Best to You and Yours,

Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon

No Taboo…Mommy Body Makeovers

pregnant-femaleAlthough most people still like to be discreet, gone are the days when cosmetic surgery is something to hide. This is especially true with many moms who are just being real about the changes that pregnancy and breastfeeding have on their bodies. The weight gain, stretching and stress take a toll that often leaves stretched skin, difficult fat pouches, sagging flat breasts, elongated nipples, etc.

While there comes great satisfaction and reward with bringing new life into the world, women are also craving the satisfaction and confidence that comes from restoring and improving their bodies to their pre baby days. This is where the Mommy Makeover can help.
There is no exact formula for a Mommy Makeover because it means different things for each woman’s unique body changes and needs. Often the most affected areas from pregnancy and breastfeeding are the tummies, breasts, vagina and legs, but to some women the makeover includes facial rejuvenation, too.

With the health benefits to their little ones in mind, women are usually taking the best care of themselves during pregnancy and breastfeeding, but lifestyle choices can’t always reverse their effects. A healthy regimen of diet and exercise is certainly recommended to help get rid of some baby weight, but really won’t address the sagging stretched skin or deflated breasts. And sometimes no matter how hard you work out, the tummy can’t get flat again because of separated abdomen muscles. This is where the cosmetic procedures of a Mommy Makeover can give that boost to get back in shape.
A Mommy Makeover can address a woman’s post partum body issues in a single session surgery, or over time, and can include surgeries such as:

  • Tummy Tuck (abdominoplasty) is a multi faceted surgery that restores a flatter abdomen by removing excess fat (using liposuction), putting the abdomen muscles back together if needed, eliminating loose skin and beautifying the belly button.
  • Liposuction can target multiple areas where tough fat deposits just won’t go away. The smoothness and balanced contour can be restored to the abdomen, hips, thighs, back, arms, etc. It’s also important to note that the fat removed through liposuction can be refined and repurposed to replace contour and lost volume in other areas, including the buttock.
  • Breast Enhancement can mean multiple corrections in itself, including lifting, augmenting fullness, and nipple reduction for an overall more visually appealing position, size and shape.
  • Labiaplasty enhances the “V Zone”, which can be minimally to dramatically altered depending on how labor goes. Even besides the stretching from labor, just with age, the elasticity of the labia loosens. Restoring an anatomical and aesthetic “V Zone” can improve discomfort or sensation during intimacy and overall confidence in sexuality.

Also, some moms add in the non invasive facial procedures to give that extra boost of confidence, such as:

Injectables for facial rejuvenation help correct the extra lines and creases that come with motherhood and aging in general…Chemical peels can lighten the hormonal discolorations and age spots that add years to the appearance… as well as improve skin’s smoothness and overall texture.
Each mother’s needs are unique and require a customized, personalized plan specifically for you.

To schedule a consultation for your Mommy Makeover, visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

The “Mommy Tuck”

The warnings about “life never being the same” after kids never stops, and rightly so because they’re true. This is good in many ways, but sometimes the warnings to new moms about their body postpartum and post-nursing gets overlooked.

CELEBRITY SUPER MOM BODIES AREN’T “THE NORM”… This is especially true with all the gossip and fashion magazines highlighting the celebrities’ flat stomachs and curvy breasts within weeks of having a baby. Some celebrities, such as Kourtney Kardashian, have even admitted that the tabloids airbrushed their postpartum bodies to look better. This can give a false expectation to many moms, even those who are extremely fit and healthy, about how their body will look after having one or multiple children.

THE ABS THAT NO NUMBER OF CRUNCHES WILL FIX… Realistically, the stretched skin has to go somewhere and sometimes the extra tummy bulge isn’t just from the stubborn baby fat that won’t go away. Sometimes the tummy bulge is a result of a hernia or loose abdomen muscles that separated during the time of extra stress, called diastasis recti. Unfortunately, no matter how much you work out and even get back to your pre baby weight, if you’re abdomen muscles have been torn, the belly won’t be able to go back to being flat.

TUMMY TUCK TO THE RESCUE…Ideally, a patient who’d like a tummy tuck, aka abdominoplasty, is in great shape and just needs a little help with that small bulge that won’t go away, whether it’s a little fat, loose skin or from diastasis recti. Even if you’re not completely toned, a tummy tuck is that perfect boost to get you over the hump of achieving a flat stomach, especially if you’re within 10 pounds of your ideal weight. Moms sacrifice so much of themselves to bear, birth and bring up children that a tummy tuck is a well deserved confidence builder to have a stomach they’re not ashamed of.

WE WON’T LEAVE OUT THE BELLY BUTTON… Also, if the belly button got stretched out during pregnancy weight gain, a belly button repair is a simple revision to add to a tummy tuck. It is sometimes even necessary, depending on how much loose skin will be removed during the tuck. This will give the belly button an ideal shape and position on the abdomen.

TUMMY TUCK IS NOT ONE SIZE FITS ALL… Depending on your body’s unique needs, there are a variety of abdominoplasty techniques to help you achieve your ideal abdomen. They will address the skin, fat and muscles in the stomach area to contour for your unique physique. Your health, the technique and extent of the surgery will also determine whether the recovery is 1 to 4 weeks, but either way there will be a recovery period. Oral pain medication, arnica, and rest will help the swelling, bruising and soreness resulting from surgery.

EVEN SUPER MOMS NEED HELP AFTER SURGERY… Since moms wear many hats, extra help should be scheduled with the normal household and children needs that are typically juggled among the many other things they do. If you over do it right after surgery, your recovery will take longer, so don’t hesitate to ask for assistance.

Your body has changed since having children and that’s normal, but that doesn’t mean you’ll have to forego a beautifully contoured abdomen. Schedule a consultation today to discuss your ideal “Mommy Tuck” results, www.davinciplastic.com.

Steven Davison M.D.

Board certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

Getting it right: REVISION RHINOPLASTY

 

Very few surgeons are truly qualified to perform the complicated procedure of Revision Rhinoplasty. Revision or Secondary Rhinoplasty is a correction, whether functional or aesthetic, to the unsatisfactory results of a previous Rhinoplasty (Nose) surgery.

WHEN TO GO FOR THE REVISION… Typically, the recommendation is to wait a year after the original Rhinoplasty so that there is ample time for healing and the nose to “settle” into its new anatomy. There can be a shorter duration to this recovery time depending on the extent of the previous surgery, which can be discussed during the consultation.

Although the decision should not be made lightly, you should consider a revision if you have any of these issues:

  • persistent breathing problems
  • nose still too large
  • still a bump in the bridge
  • new nose not in balance with the rest of the face
  • too much removed
  • tip of your nose needs better refinement
  • tip is deflected off to one side (“twisted tip”)

WHY IS REVISION RHINOPLASTY MORE COMPLICATED?

  • Changes to the typical anatomy and geography of the nose due to cartilage removal during the first surgery
  • There may not be enough cartilage in the nose to work with and it has to be borrowed from behind the ear, which also requires extra incisions
  • Navigating the scar tissue in the nasal lining from the primary surgery
  • There is a higher risk of developing little spider veins in the nose called telangectasias
  • All of these issues increase the variables and the amount of time in surgery

SURGICAL EXPERIENCE IS CRUCIAL… It is possible that the problem resulting from the original Rhinoplasty may not be the fault of the original surgeon. Anatomical variations and the healing process aren’t under their control. Although, the actual surgery is under the surgeon’s control, which is why you need the most experience surgical hands for the best possible outcome. This is especially true with navigating the altered anatomy and scar tissue present during a revision Rhinoplasty. It requires not only skill, but an artful eye, as well.

CHOOSE A SURGEON WHO:

  • IS Qualified with expert training (I’m triple board certified in Otolaryngology/Head and Neck surgery, Facial plastic & General plastic surgery)
  • Has many years of experience with many surgeries (almost 2 decades of surgical experience)
  • Does them regularly – Our patients come from across the country to have revision rhinoplasty  – using my advanced techniques and honed skills…

This is one of those surgeries where the extra care and attention I give to my clients is crucial for discussing expectations, changes and the best technique to accomplish the goal of the Revision Rhinoplasty. To schedule a consultation to get the nose you desire, visit www.davinciplastic.com.

Steven Davison M.D.

Baord Certified Plastic/Reconstructive Surgeon

Schedule Your Consultation With Dr. Davison

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

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3301 New Mexico Ave. Suite 236

Washington D.C.