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Should I use Fillers or…have Surgery?

I’ve been blogging about facial aging and what to do now, no matter what decade of aging you are experiencing.  Facelifts, Necklifts, Eyelid lift, Blepharoplasty, Cheek Augmentation and more have been offered as safe, effective age defying options.  But, I’m frequently asked: “Dr. Davison, should I use injectables or should I have surgery?”

Injectable fillers and Botox or Dysport have their specific benefits as does surgery.  The key to knowing which to use at a given time is knowing how they work, how effectively they’re working and when to switch from one to the other.  There are some simple guidelines as follows:

WHEN TO USE FILLERS Fillers are excellent to correct initial gauntness in the face, especially cheeks that are starting to lose volume and become hollow.  The right filler restores volume and definition while smoothing out early lines and wrinkles.  Fillers work well as long as there is no loose skin.

WHEN TO CHOOSE SURGERY Fillers can offer long lasting results, but as with all good things, the time comes when skin loses its elasticity, muscles slip and fillers can’t deal with these things.  Surgery then is the correct option to deal with loose, sagging skin and relaxed muscles.

Nothing replaces good genes which dictate how we age, however, the right surgery performed by a qualified, skilled surgeon can dramatically improve how you age.  Times have changed from women arriving at a certain age and undergoing plastic surgery.  Now, the new trend in anti aging is men and women are having facial procedures done sooner…at an earlier age to allow for more graceful, aging…naturally.

I help men and women keep their best face forward.

Let’s talk about your best face.

Dr. Davison

IS IT THIS ONE…OR IS IT THAT ONE?

A quite frequent problem involved in the removal of small lesions such as moles, nevi and other lesions is…correct identification.  Correct identification and confirmation of the exact site for these small lesions is paramount.  But often, this is a problem when a patient is referred from a dermatologist and presents in our office.

Identification and Clinical Notes The most common way of locating and identifying the correct site is by asking the patient to identify the site in conjunction with clinic notes.  This method is used to help maximize accuracy in the ID process.  Problem is…this can backfire.

I’ve actually had a patient blow up at me when I asked them to confirm which mole the dermatologist wanted biopsied.  But there is an easy solution to this problem.

Smart Phone’s High Pixel Camera! The Smart Phone’s high pixel camera does not require additional lighting, so you can take a photo in the dermatologist’s office without hassle.  Here are the steps I recommend:

  1. Take a photo (or have someone on staff do it)…of the marked lesion.
  2. Include a frame of reference – e.g. the nose, right ear, left ear, belly button – something discernible.
  3. If the lesion is hard to find, include a ruler located by the lesion so we can measure from the landmark.
  4. This prevents hours of anguish caused from having to revisit the dermatologist and from incorrect lesion biopsy mistakes.

Be thankful for modern technology…quite amazing!

Happy Thanksgiving!

Dr. Steven Davison

Rhinoplasty Surgery…Nose/Nasal Reshaping

There are a host of reasons people come to me for Rhinoplasty (Nose) surgery. These include, but are not limited to, injuries…sports, accidents etc., illness or disease that has changed the shape and functioning of the nose,…or people simply want the nose of their dreams.  Whatever the reason, I am specially trained in all cosmetic and reconstructive surgeries of the nose and face and have performed a host of nose surgeries.

Since, I’ve blogged quite a bit on “facial” procedures, I think it’s important to educate you on surgeries of the nose because…

Rhinoplasty is one of the most elegant and complex surgeries being performed today. People of all ethnicities, genders and ages/stages in life decide to have rhinoplasty surgery for one or more reasons.

Rhinoplasty…Nose surgery… is done for either cosmetic or functional reasons and sometimes for both reasons.  Nose reshaping can reduce or increase the overall size of your nose…change the angle between the nose and upper lip…remove a hump…narrow the nostrils span…reshape the tip or the bridge of your nose….and more.

Sports injuries of the nose are common and usually result in a deviated septum…this hinders your ability to breathe and changes the facial landscape…often dramatically. Sometimes a nose becomes distorted from disease or illness…or an accident…or even previous nose surgery at the hands of an unqualified professional.  Some people were born with misshapen noses….other people watch their noses changes size and shape as part of normal aging.

The concerns and reasons are many and varied. However, I have been helping people with their nose problems for decades now….and can safely, effectively and skillfully improve the appearance of a nose.

HERE’S A SHORT LIST OF THE BENEFITS OF RHINOPLASTY SURGERY:

  • Rhinoplasty is a delicate surgery…a surgery of illusion & balance
  • The nose is the most focal point of the face & adds or subtracts from facial balance
  • Over 1/2 million people of all ethnicities, ages, genders have nose surgery
  • Seniors often want their noses restored to a more youthful size & shape
  • Rhinoplasty restores function to an injured nose (deviated septum etc.)
  • Rhinoplasty can change the size, shape & or angle of the nose
  • Rhinoplasty corrects damage from previous nasal procedures
  • One “nose job” does not fit all faces…I skillfully create a nose that fits your face without altering ethnic characteristics…

That’s a good start or overview on Rhinoplasty.  I use the most advanced techniques and technology to achieve the desired results and the enhance youthfulness and natural beauty.   Next time I’ll get into FAQ’s…and procedure overview.

Until then, stay well and watch out for “nose jobs.”

Dr. Steven Davison

At DAVinci…I combine the supreme elements of art & sugical 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.