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Monthly Archives: December 2011


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Breast Augmentation – 4 important decisions to make!

Breast Augmentation requires four important decisions for the surgical plan. Answering the key questions clearly improves communication and helps meet patient expectation.

1 – Size of the Augmentation.

This is key to the patient’s satisfaction. It is a little like Goldilocks this one’s too big, this one’s too small and this one’s just right. Using cup size as a starting point is fine but as everyone’s perception of cup size is different, fraut with pitfalls. A better estimate is to use cc increase. As there are physical parameters such as base width of the breast and skin envelope size, a starting range should be suggested by your surgeon. Trying on sizes in a trial and error session or using state-of-the-art 3D imaging are current ways to establish size. 3D imaging now allows patients to see their own chest with and without clothes after augmentation; it is just short of amazing.

2 – Type of Implant

Silicone versus saline is the question. If you’re under 22 years of age, saline is the only option, yet any older and it’s the patient’s desire. The safety concerns stirred up in the media have had no medical science support. So now it comes down to the pros and cons. Silicone implants are softer, lighter and more natural. Saline implants are more prone to rippling unless overfilled which leads to firmness yet can be placed through smaller incisions. This advantage has been negated by the success of an implantation tool called the Keller Funnel. Type of implant is irrelevant to size unless really large implants are chosen which need a larger access incision.

 3- Placement of Margin

The location of incision is either inframammary (in the fold under the breast), periareolar or around the nipple area, transaxillary via the axilla crease or through the bellybutton.  The axilla and bellybutton offer smaller, more hidden incisions where an inflatable saline device is inserted. This benefit is not so great now that more silicone devices are used. The inframammary incision gives the surgeon the most control, yet can ride up the breast with maturity. Ideally, the periareolar incision can be almost imperceptible when it heals but a poor scar or decreased nipple sensation are potential risks. A larger silicone access incision in the axilla can be cosmetically sensitive to the women doing moderate to high intensity exercise in which the arms are raised. An experienced surgeon should consider anatomy, the size and patient desires before pitching the incision. Beware the surgeon who just uses his or her incision only.

 4 – Position of Implant

The last issue is a subglandular device which is under the breast versus the device which is partially under the muscle. The advantage of under the breast or subglandular implant is more effective in size particularly to address some mild breast ptosis. The disadvantage is the implant may show through the skin. A subglandular device is not for thin-skinned individuals or those without at least 2 cm of breast coverage in the upper pole. The partial subpectoral placement means the upper 2/3 of the implant is under the pectoralis muscle. This has the advantage  to reduce the round edge of devices being obvious. The lower third of the device is still covered by the gland alone. Muscle force and function is not affected. In conclusion, the subglandular position is ideal for a larger breasted patient who wants more fullness to correct mild ptosis. The partial subpectoral device is better for most other patients.

RADIESSE, JUVEDERM, BOTOX, SCULPTRA FACELIFT, NOSE JOB, AGE ERASER…without SURGERY!

Look fabulous and 10 years younger for Christmas and New Years without surgery and no one know will know…except you.

I’ve been doing non surgical facelifts and rejuvenating the cheeks, nose, eyes, chin and lips for years…using injectable fillers for wonderful natural looking results that can last up to 2 years with maintenance.

Here’s what I use, how and where I use it and how it works:

  • Lips    Nasolabial folds    Hollow cheeks
  • Weak jawline     Nose job       Brow lift
  • Marionette lines    Crow’s feet     Forehead lines/wrinkles
  • Undereye shadows     Backs of hands

JUVEDERM comes in three formulas to plump, fill in and smooth wrinkles.  Injected at varying depths it fills in space beneath the skin instantly to create new shape and erase lines and wrinkles. I use it for:  Crow’s Feet, Cheekbones and Nasolabial folds, and to restore luscious lips by instantly removing smoker’s lines and bleed lines. I restore definition to the jaw line by replacing lost volume in the chin area…and more.  It can even do a quick “nose job” such as hump removal.

BOTOX injected between the brows inhibits the muscles in motion, smoothes out existing lines and subtly “lifts” sagging eyebrows.  Yes, an eyebrow lift without surgery!  Injected around the eyes, Botox relaxes muscles that cause Crow’s feet (Juvederm is then used to fill in and plump up this area.)

RADIESSE is a hyaluronic acid based filler that fills and plumps instantly but keeps working for months to promote your own collagen renewal.  It’s great for Marionette lines and naso labial folds or the backs of your hands.

SCULPTRA is long lasting (up to 2 years) and works by restoring volume also.  Used in the cheek area or for naso labial folds it can restore lost fullness.  It’s used in the midface area primarily to boost collagen production.

Newest studies prove that injectables last longer when used with Botox.

EXPERT INJECTOR…injectables are only as good as the injector!  In fact, using someone who is not specially trained and highly skilled can be damaging.  I am an expert injector as is Nora, my assistant.  When you see Nora, you’ll know we know what we’re doing.

I match the right treatment and product to your specific needs as we create your personalized treatment plan…for your instant facelift.

YOU CAN TRUST YOUR FACE TO THIS PLASTIC SURGEON!

Want to look radiant, refreshed and years younger for the Holidays…don’t wait…let’s get you an instant makeover now.

Happy Holidays!

Dr. Steven Davison

BE HOLIDAY READY…with REFRESHED, REFINED FACIAL BEAUTY

December Beauty tips from Dr. Steven Davison

With Christmas only a few short weeks ago, life gets busy with more activities, commitments, engagements, parties, school plays and family times. Stress and fatigue are common this time of the year and this, along with too little sleep, too much rich food, more wine than usual and too much to do all takes a toll on how we look and feel.  It shows in the face first with tiny lines and wrinkles, loss of a healthy glow and slower cell regeneration.

First…the tried but true tips you get every year…reminders are good:

  1. Stay hydrated.  There is no substitute for good, pure water.
  2. Get as much sleep as possible.
  3. Be patient…crowds, noise, and too many demands are going to happen.  Roll with it.  Play relaxing music, sing and laugh.
  4. Exercise…keep up with your workout routine.
  5. Eat highly nutritious…living foods. Raw fruits and veggies, unprocessed nuts, avocados, salads and proteins.  Reduce the carbs!
  6. Monitor the alcohol intake.  Alcohol is dehydrating.
  7. Manage stress…don’t over commit, overdo, overshop…enjoy this season.
  8. Treat yourself to an anti aging procedure and skincare products that really rejuvenate by taking years off your face to restore youthfulness and health.

Smooth Wrinkles, Refine Skin, Increase Facial Radiance Your Face is your “first impression maker.”  Your eyes and skin condition speak volumes about your age and many patients opt for a quick “eye job” and fillers.

We can smooth out lines and wrinkles with an injectable filler…such as Botox, Juvederm, Radiesse or Sculptra, results last for months.  Add to that an Obagi skin care regimen and you will go beyond just doing skin care…to seriously improving your skin’s health.  

We make sure our clients are really “Holiday Ready.” At Davinci…my staff and I are committed to helping you put and keep your best face forward.

Call now and let’s talk about your instant beauty innovations.  You only get one life and one face.

Best Wishes to you and your loved ones.

Dr. Steven Davison on December Beauty Tips

Couple now grow “Younger” together

Now, Couples are showing up in my office (husbands and wives) expecting that I help them grow younger together.  I am delighted to be able to help these wonderful people reclaim some youthfulness and enable them to look as good and as young as they feel.

Today’s couples are choosing to share anti aging together! It’s no longer a secret that husbands and wives have started a new trend of having plastic surgery and other age defying procedures done together.  Years ago, the wife would secretly appear and have some age defying things done, and later the husband would come in asking me not to tell his wife…and he would have some anti aging treatments.  Since cosmetic procedures has been destigmatized for men over the past decade, male procedures have doubled since 1999…and couples are choosing to share this part of life together too.

HERE’S WHAT COUPLES ARE HAVING DONE:

  • Botox & Injectableserase lines, wrinkles, plump up areas of lost volume, stimulate collagen renewal.
  • Facelift/Necklift/Liposuctionlift away 5, 10, 15 years of aging.
  • Chin Implantsrestores facial balance.
  • Rhinoplasty (Nose Job)…to resize, reshape and balance the nose.
  • Blepharoplasty (Eyelid Lift)…rejuvenate the eyes by removing excess skin, fatty tissue, lifts upper lids to reduce hooding, gets rid of under eye bags, restores a more youthful, refreshed appearance.
  • Liposuction & Body Sculptinggets rid of excess, unwanted fat and flab, sculpts certain areas of the body.

Dr. Steven Davison, MD

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.