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Monthly Archives: March 2012


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TO ACHIEVE BALANCED FACIAL BEAUTY…KNOW YOUR FACIAL THIRDS

Today, I want to explain facial harmony and balance to help you understand why we make certain recommendations…and why you should only employ a surgeon who has mastered the complex facial anatomy…and  who can tailor a treatment plan to meet your needs.

FACIAL BALANCE (symmetry) and FACIAL THIRDS:

The eyes, nose and chin are three distinct facial components yet all three are on one face and must work together to create your personal profile.  If you were blessed with great genes, good aging and no trauma in life…then you may be beautifully balanced.  Aging, disease, injury etc. affects this balance. Thus, the goal in facial rejuvenation is to treat the face as a whole…so the results are balanced.

For example: if you correct a sagging brow, but neglect the hooded upper eyelids and baggy under eyelids and the lines and wrinkles, these defects will detract from the nicely lifted brows and distort the youthful appearance you wanted.  More aging requires more correction.

Many men and women come to talk to me about their nose and we always end up talking about their chins or other facial areas because all of these elements contribute to overall facial harmony. Surgeons do a big disservice if they fail to explain this.  I am expertly skilled in all facial rejuvenation and reconstruction procedures of the face, and my patient photo archives speak volumes.

There’s no one right answer.  Each individual requires individual analysis.  Some want dramatic change…others want subtle changes.  But what I, and expert surgeons worldwide, know today is that there is an advantage to combining procedures:  All areas of the face look like they’re in harmony and have aged together naturally.

Let’s strive for natural, balanced facial harmony and beauty in 2012!

Dr. Steven Davison

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

Natural Fat Injections…Take Years off Your Face…Naturally

NATURAL FAT INJECTIONS for NATURALLY YOUTHFUL FACES

Not all fat is bad. In fact, loss of facial fat (due to aging) causes loss of facial definition, sunken temples, forehead and brow wrinkles, a down turned mouth and accentuates  “puffy” lower eyelids. Facial fat deteriorates naturally with age, weight loss and hormonal changes, which tends to speed up the process.

Three ways to restore facial volume and achieve smoother, younger looking skin:

1)Fat Transfer is a great non invasive option with long lasting…natural looking results.

2)Injectable Fillers, such as Juvederm and Sculptra offers immediate results and requires maintenance treatments.

3)Implants (if you are considering a Facelift) restore volume and definition to the cheeks…making you always look 5 to 10 years younger.

FAT TRANSFER is a very popular facial, age defying procedure today because it uses your own natural body fat. I use it all the time to redefine and contour aging faces of both men and women…while filling in lines, wrinkles, hollows and creating natural looking definition. Autologous fat transplantation (fat injections) may involve liposuction for fat removal.

FAT TRANSFER is a wonderful age defying procedure, but it is not suitable for everyone…dramatic aging requires surgery, but we try to consider the least invasive first.

I am specially trained and skilled in all Fat Grafting/Transfer techniques and get results that look natural…because they are.

Men are having FaceLifts using their own body fat.

At DAVinci…my mission is to help you get and keep your best face forward…naturally.  I do that by combining… the supreme elements of art & surgical science.

Let’s Talk Soon.

Dr. Steven Davison

VECTRA 3 D IMAGING…see now what real results look like!

VECTRA 3D COMPUTER IMAGING

Well, I am proud  to offer the benefits of this revolutionary break through technology.  Since, more and more men and women of all ages and stages in life are coming in for anti aging procedures, it became clear that a more effective way of conveying information…and showing them their likely results… was essential.

The Vectra 3D computer imaging system can determine the correct breast implant size and shape, design the nose of your dreams, or take years off your face…before you’ve even committed to any procedure.  Clearly…these pictures are worth thousands of words.

VECTRA 3 D IMAGING…BRIEF OVERVIEW:

•Vectra 3D computer imaging has increased patient confidence

•You participate in creating your personal treatment plan

•3D Imaging by Vectra establishes a clear treatment plan

•Vectra’s 3D system offers unparalleled accuracy & flexibility

•Dr. Davison is able to convey more information…more clearly

•Allows you to see simulations of actual outcomes

•Vectra 3D demos procedures so you envision your likely results

•AND…here’s what some patients are now saying:

•  Unbelievable!  It was like seeing my new body in a 3D movie.

•  You can make all the changes you want…until you find the look that’s right for you.

•  The Breast simulation showed me how much better I would look with a lift and implants.

•  It’s impressive to realize how close the simulations are to the actual results.

•  It helped me make a crystal clear decision about breast augmentation and the right implants for me… based upon science.

Here’s how it Works:

Vectra’s 3D system employs three dimensional photos of your body.  Once captured and uploaded, you can view the images and procedure simulations on a large screen.  The simulations can be rotated and viewed from many different angles allowing you to actually see the full effect of your procedure.  Breast augmentation is a great example of this process.  The 3D system even selects various breast implant sizes and shapes, simulated over your own anatomy to help you choose the right one. And Rhinoplasty or  “nose job” outcomes are much easier to understand. For example: A nose with a hump, whether wide or crooked, should be viewed from several angles to more accurately see what needs to be done.  The 3D system makes this happen. It has erased frustration and concern for so many patients.

Have you been putting off a procedure due to being fearful about the outcomes?  Come in…let’s talk and then simulate them for you.  You will see it all clearly….and love it.

Dr. Steven Davison

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

Breast Reconstruction…Stage I

BREAST RECONSTRUCTION …in STAGES

Reconstructing a breast is an option chosen by hundreds of thousands of women, around the world, every year due to cancer or other trauma. The techniques we use today are more advanced allowing for less downtime, quicker healing and more natural looking outcomes. The procedure can be done in either one or two stages. I cover Stage I today.

STAGE I:  involves an “tissue expander’ that is inserted immediately following mastectomy.The expander slowly expands the tissue allowing for replacement by a breast implant a few months later.This is called immediate reconstruction since the tissue expander is placed under the same anesthesia as your mastectomy surgery.

Many women choose immediate reconstruction. Others opt to wait a few weeks or months. This is called delayed breast reconstruction.

One decision does not fit all women. Opting for breast reconstruction and the timing…is highly personal. My sensitive nature and expertise has enabled me to help many women make the wise decisions to overcome this otherwise daunting task. My patients quickly understand their options and learn how natural looking form/function and confidence can be restored.

If you or someone you know is faced with this challenge…let’s chat. During the personal consultation, I carefully listen to concerns, desires and goals before making recommendations. My experience enables me to achieve predictable and natural looking results.

IMPORTANCE of BOARD CERTIFICATION & SPECIALIZED TRAINING

Choosing a board certified surgeon, with specialized training and experience in reconstructive surgeries is critical to achieving desirable outcomes. I have the credentials, training, vast experience and many, many happy, healthy patients.

Next blog will cover Stage I…what’s involved.

Dr. Steven Davison

“At DAVinci…We combine the supreme elements of art and surgical science.”

STAGE I…Breast Reconstruction

STAGE I – Mastectomy & Expander

Breast Reconstruction usually occurs as a two-stage procedure – starting with the placement of a breast tissue expander – which is replaced several months later with a breast implant. Dr. Davison will place the tissue expander under the same anesthesia as your mastectomy surgery if possible. This is called immediate reconstruction since the process is started at the time of your mastectomy.  You may choose to “delay” the start of reconstruction and wait for a few weeks or months.  This is called delayed breast reconstruction.

Here are the steps involved in mastectomy with expanders:

  1.  During the mastectomy your breast surgeon removes skin and breast tissue – leaving the chest tissue flat and tight.  An expander (balloon type expandable device) is put into place under the chest muscle and skin – to serve as a space saver – into which a breast implant is later placed.  The expander is gradually filled with saline solution – over several weeks – and slowly stretches the remaining chest skin and muscle to allow for the future breast implant.
  2.  Expander surgery is performed under general anesthesia in an operating room. Often a Biologic tissue barrier is used to create an inner Bra to cradle the expander.
  3.  The incision used to perform your mastectomy is used for the expander placement
  4.  After placement – the incision is closed
  5.  Drains are left in place – and are removed when only 30cc fluid comes up
  6.  Healing takes 4-6 months – the surgery takes several hours and is done under one anesthesia.  If delayed expander placement is done – surgery takes 1-2 hours.
  7.  Breast implant is placed when Dr. Davison determines the space is sufficient and the expander is removed.  The same incision is used to do implant placement.
  8.  A nipple and areola is created typically 3 months later – with additional beautification for both breasts.
  9.  Dr. Davison becomes your primary care physician over the next year during this entire process.
For many women…this can be a daunting process.  Over the years I’ve been able to guide my patients through it, helping them make wise decisions, and then watching them appreciate the life changing results.  My rigorous training and years of experience made this possible.  If you or someone you know is struggling with this decision…I’m here to help.
To Your Ongoing Health and Wellbeing.
Dr. Steven Davison
At DAVinci…We combine the supreme elements of art & surgical science.

TOP DOCTOR of the YEAR AWARDS…come with responsibility

Well, here’s my chance to “shine” a bit. I don’t usually hang out or post my “brag sheet”…but being recognized among the top doctors of the nation can make a guy feel proud.  In case you’re not aware…I’ve been named as a “Top Doctor” of the Year by the Washingtonian,  the Northern Virginia Magazine, and others, for Reconstructive Breast Surgeries.  Along with that award, top docs must assume great responsibility.  First let me explain the selection process.

Castle Connolly Medical Ltd. is America’s trusted source for identifying top doctors and the best in American medicine.  Their system for selection is rigorous and includes ascertaining critical information about doctors such as: exceptional training, experience and how they are regarded by their peers etc. etc. Top Doctors can have an enormous impact on healthcare for patients and their families….a “Top Doc” can mean the difference between receiving first class medical care and substandard care.  Top Docs rank among the top 10% in the Nation.

The Washingtonian and Northern Virginia Magazine also use these rigorous guidelines for selecting “Top Doctors”…or “Top” anything e.g. restaurants.  Education (not all schools are equal), experience can make a major difference in outcomes, and most important of all…life changing procedural results that patients are happy with, along with peer recognition (being recommended by other doctors)…comes only from years of growing and honing skills while keeping up with advancements.  This is the stuff Top Docs are made of.

 I love what I do, and the greatest reward is always seeing positive outcomes for my patients.  

I am honored and blessed to be able to serve the population in and around Washington, D.C. and I thank each of you for your  years of trust, confidence and support you’ve shown to me and my family.  I look forward to many more years of helping each of you, and your family and friends…and to enjoying the friendships that grow as a result.

Thank You, Stay Well and may God richly bless each of you.

Steven Davison, M.D.

At DAVinci…we combine the supreme elements of art & surgical science.

BREAST RECONSTRUCTION (Restoration)…Stage II

STAGE TWO BREAST RECONSTRUCTION

From previous blogs you know that Stage I involves placement of the Tissue Expander…often placed under the same anesthesia as your mastectomy surgery… and called Immediate Breast Reconstruction.  Delayed Reconstruction means you choose to wait a few weeks or months before starting the restoration process.

Here are the steps leading up to Stage II Reconstruction:

During the mastectomy skin and breast tissue are removed, leaving the chest tissue flat and tight.  The “expander” is inserted under the chest muscle and skin to serve as a “space saver.” The expander is slowly filled with saline solution (over many weeks) to stretch the remaining skin and muscle to allow for the future breast implant.

Expander surgery is done under the same anesthesia as the mastectomy surgery.  (Immediate Reconstruction)  Healing takes 4-6 months

NOW Stage II begins: The new Breast Implant is placed when Dr. Davison determines the space is sufficient and then the expander is removed.  This is done through the original incision.

Stages III & IV …Begin about 3 months later and Involves A new nipple and areola…with additional breast beautification.

I become your primary care physician during this entire process…generally about a year.

Stage II Breast Reconstruction involves rebuilding a new breast mound by using what is called a Flap Procedure.  There are several options for flap procedures that I will cover in my next blog.

Every year the numbers increase of women who choose breast reconstruction.  Vast experience enables me to gently guide you through the process to eliminate frustration and confusion, until you eventually see the tremendous benefits of your choices.  During the consultation you will come to understand your options and be able to choose a course of action that restores both form and self confidence.

All we do…we do sensitively, expertly and with outstanding results to improve your health and wellbeing. The results of all surgeries should be both…functional and beautiful.

Dr. Steven Davison

At DAVinci…we combine the supreme elements of art & surgical science.

RESTORATIVE BREAST RECONSTRUCTION…Flap Methods

The reasons women choose to have restorative breast procedures are well stated in these quotes …

I need to feel whole again,” –  “You have given me back what cancer took away,” – “The reconstruction of my breasts made me feel restored…not reconstructed,”  –  “I want to look as good as I feel,”  –  “I want to look and feel sexy again…and want my husband to see me as sexy.” 

These are but a few of many thousands of thoughts from women who wanted to fully recover from their breast cancer…with a whole body.

Today, I review Flap Procedures (Stage II Breast Reconstruction/Restoration).  There are a variety of Flap Procedures used to restore breasts…not every type is right for every woman, but we determine this after careful and thorough evaluation of your needs and goals.  I tailor each flap procedure to achieve beautiful natural looking breasts. There are four muscle flap techniques as follows:


1) Latissimus Dorsi Flap 
uses a flap of skin and muscle from the back on the same side as the operated breast.  This is transferred forward to form a breast mound that will look and feel natural since it is your own living tissue.

2) TRAM Flap is the most common form of living tissue  breast restorative techniques used today.  It creates a natural looking, soft, warm breast.  TRAM Flap involves either free flap or pedicled flap techniques.  Pedicled flap means the tissue remains attached to its blood supply.  TRAM Flap procedures employ skin, fat and muscle removed from the lower abdomen and transferred to the chest.

3) DIEP Flap reconstruction employs excess skin and fat from the lower abdominal area, through an incision similar to that used for Tummy Tucks. This is a “perforator flap” technique that is muscle sparing…meaning no muscle function is sacrificed, but warm living tissue is used instead.

4) Gracilis Flap harvests excess skin and fat from the inner thigh to restore natural looking, soft, warm breasts.  This may be a TUT Flap (without muscle) which is referred to as a Transverse Upper Thigh Flap. When a small amount of muscle is required…a TUG Flap is employed.  Either flap can be harvested so the donor scar is discretely hidden inside the upper thigh.

This is a brief overview of the 4 Flap techniques used for restorative breast reconstructions.  Each of them has it’s own virtues… and all offer beautiful, natural looking and feeling breasts.  I have guided many women through making the right choices so as to ensure optimum results.

GOALS of RESTORATIVE BREAST PROCEDURES

Goals are critical to good outcomes.  You must have yours…here are mine: “all cosmetic surgery should be functional & all reconstructive surgery should be aesthetic & look as natural as possible.”  

ADVICE TO MY PATIENTS

Always ask me questions; ask to see pictures of my patients, gather information and consults with trusted mentors, make your decision.   There are NO wrong decisions. Choose a qualified, Board Certified surgeon with specialized training and expertise in reconstructive surgeries.

Next blog will cover Implant Breast Restoration.

Dr. Steven Davison

At DAVinci…we combine the supreme elements of art & surgical science.”


Schedule Your Consultation With Dr. Davison

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

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3301 New Mexico Ave. Suite 236

Washington D.C.