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Monthly Archives: April 2013


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Lipomas…this safe, simple treatment makes them “gone in 30 seconds!”

Lipomas can form in many shapes, sizes and places on the body.

Lipomas are the most common soft-tissue tumors formed with adipose tissue.  They also require a referral to plastic surgeons for safe, effective removal and to minimize and conceal scars.  A few facts about lipomas include:

  • Lipomas are a common reason for referral to a plastic surgeon
  • They occur more often in adults between 40 to 60 years of age
  • Lipomas are soft to touch, moveable and usually painless
  • Lipomas often grow to more than 6 centimeters in diameter
  • They can also occur in younger adults and children

TREATMENTS for REMOVAL of LIPOMAS have typically included ….1) endoscope assisted removal: 2) suction assisted removal, 3) minimal incision removal and 4) remote incision lipoma extraction.  These all work and have been used by surgeons for decades to remove lipomas of all types.  But, some of these techniques are tedious and require extra equipment (even though they are advanced treatments).   I helped pioneer a very simple, safe and effective method that involves a simple incision and a “quick squeeze” to remove lipomas without all the extra instruments used in other methods.

THE QUICK SQUEEZE METHOD FOR LIPOMA REMOVAL….deserves attention amid today’s array of modern, advanced techniques…that require extra time, attention and technology.  Once surgeons learn the quick squeeze method and start using it…they realize it’s great benefits….it’s safe, quick, simple and effective with a very low rate of recurrence.

QUICK SQUEEZE LIPOMA REMOVAL…how it works:  1) the lipoma is identified by palpation and its margins are outlined.  2) The area is then infiltrated with local anesthesia and is prepared and draped in standard fashion.  3) An incision approximately one quarter to one third the diameter of the lipoma is made (carried down to the lipoma capsule).  4) The lipoma is then squeezed out through the incision…without any additional dissection.

LIPOMA STUDY…140 lipomas removed, in 50 patients, over the life of this study. These lipomas were located on the face, scalp, neck, thorax, back and flanks, hips/pelvis and on both the upper and lower body extremities.  Of the 140 removals….there were only two recurrences.  There were no complications or revisions.

Dr. Samir S. Rao, M.D., Department of Plastic Surgery, Georgetown University Hospital, Washington, D.C. and I… Steven P. Davison, M.D….DAVinci Plastic Surgery, Washington D.C.  setup and carried out this study to demonstrate the efficacy of our “simple lipoma squeeze method.”  This method was first described by Kenawi in 1995 and this exposure encouraged the literature to focus more on minimally invasive lipoma removal methods.  This method is best suited for subcutaneous lipomas with overlying mobile skin.  Deep intramuscular lipomas often found in the back or shoulder region may require longer incisions and more dissection for complete removal.  The method is still safe, simple and effective in spite of these factors.  Also, our method does leave a small scar directly over the lipoma, but most incisions can be hidden along skin tension lines.  Scars typically fade of time…and today we have cosmetic scar topicals that help this process move along quicker.

SQUEEZE DELIVERY TECHNIQUE…for lipoma removal gets them gone in 30 seconds!  We successfully demonstrated, and continue to do so with our patients, that with only a small incision and a safe, effective procedure, lipoma removal can be performed quickly without complications!    Certainly, this deserves more attention!

OK…next blog will cover Lipomatosis…to help you better understand lipomas and the need for their removal.  Also, I will present info on “keloids” in the next few blogs.  These are not exciting topics….but the information is certainly beneficial for those who suffer with these problems.

THE SUN is coming…The days of beach going and picnics etc will soon be upon us…skin cancer awareness month is May…look for helpful info so you can enjoy your playtime.  Now is the time to schedule those procedures that will get you “beach body ready!    Http://www.davinciplastic.com.

Steven Davison M.D.

“DAVinci….where I combine the supreme elements of art and surgical science.”

Lipomatosis…nobody wants it….many people get it…one simple “squeeze technique” can remove it in 30 seconds!

LIPOMATOSIS…is the presence of multiple lipomas on the body.  Lipomas are adipose tumors….these are tumor growths filled with mature fat cells.  Lipomatosis is also referred to as: liposis or adiposis.  Whatever it is called…it simple means an abnormal localized tumor like accumulation of fat in the tissues.  Many discrete, encapsulated lipomas form on the body trunk and extremities with very few on the head.  In 1993, a genetic defect within lipomas was localized to chromosome 12q15, where the HMGIC gene encodes the high-mobility-group protein isoform 1-C.  This is one of the most commonly found mutations in solitary lipomatous tumors, while lipomas often have multiple mutations.  Other chromosomes have also been observed.

Other entities often accompanied by multiple lipomas include Proteus syndrome, Cowden syndrome and related disorders due to PTEN gene mutations, benign symmetric lipomatosis (Madelung disease), familial lipodystrophy, hibernomas and familial angiolipomatosis.  Below I outline some symptoms….because more people are presenting today with lipomas….it is important to educate on this subject.

SYMPTOMS of FAMILIAL LIPOMATOSIS (FML)…FML is a rare disorder that tends to run in families and affects both men and women.  It is hereditary and shows up as groups of fat cells in the subcutaneous tissues that begin to grow and produce multiple fatty lumps of “benign” fatty tumors (lipomas).

  • Usually appear on the abdomen, arms, thighs, neck
  • Can also appear on the face, buttocks, lower legs
  • Tend to vary widely in size…& may or may not be surrounded by connective tissue
  • May or may not be attached to the skin & nearby muscle
  • They are rubbery, moveable & ovoid to round in shape
  • Are not usually painful (unless in an irritated area)
  • Can appear singularly or in clusters
  • Typically appear during of soon after adolescence
  • Extreme cases can grow to appear grotesque & can interfere with mobility, movement & cause disfigurement

LIPOMA REMOVAL REQUIRES THE SKILLS OF A QUALIFIED SURGEON…LIPOMA cases are nearly always referred to a surgeon who is skilled and qualified in their removal.

My previous blog covered methods of Lipoma’s removal…surgical excision, endoscopic removal, liposuction and a simple “squeeze” technique I have developed that safely and effectively removes many lipomas within just seconds through a small incision.

LIPOMATOSIS….NOBODY WANTS IT…WE CAN DEAL WITH IT!  If you, a friend or loved one has been suffering with Lipomas.  Please know there is help!  Come in and let’s get your treatment plan going so you can be free again.

OK….MY NEXT BLOG WILL COVER KELOIDS….THEN WE’LL GET OFF THIS TRACK AND GET BACK INTO BEACH BODY TOPICS!

HOPE EVERYONE IS HAVING A WONDERFUL SPRING!

Steven Davison M.D.

“DAVinci….where I combine the supreme elements of art and surgical science.”

KELOIDS…require expert attention to deal with the pain, itching and physical disfigurement.

KELOIDS are a type of scar that results from an overgrowth of collagen type tissue at the site of a healed skin injury.  Keloids can be firm, rubbery lesions or shiny, fibrous nodules that vary in color….some are pink, others flesh colored or they may be red to dark brown in color.  Keloids are benign (not cancerous), are not contagious but often cause severe itching and changes in skin texture.  Severe keloids can affect movement of the skin.

Keloids are often confused with “hypertropic scars.”  They are not the same. Hypertropic scars are raised and they do NOT grow beyond the boundaries of the original wound.

Since I have specialized training and years of experience in surgery and reconstructive surgeries, I have dealt with so many patients in need of Keloid removal and scar revision…I couldn’t begin to number them.  Just know, that dealing with Keloids is serious business and you should see a surgeon with expertise in this area…in order to get desirable results.

KELOIDS…WHERE THEY OCCUR ON THE BODY...Keloids can develop anyplace where an abrasion (injury) has occurred.  They can even result from pimples, insect bites, scratching ones self, from burns or other skin trauma.  They can develop post surgery.  They most commonly occur:

  • On the central chest
  • The back & shoulders
  • On Ear lobes
  • On arms & over the collar bone after body piercings
  • From shaving…razor bumps may become keloids
  • Bottom of feet
  • Can occur at any age…but generally don’t until past age 11
  • Keloids…may be linked to hereditary tendencies

COMMON TREATMENTS FOR KELOID REMOVAL

1)  Corticosteroid injected directly into the tissue – typically 3-4 treatments spaced about 1 month apart – will reduce a raised Keloid to a flat scar and reduce redness, itching and burning.

2)  Surgical Removal is used for larger, more extensive formations.  Technique involved may employ a scalpel, electric knife or laser removal.

3) Post-Surgical Complimentary Treatments are often used to minimize Keloid recurrence after surgical removal.  These treatments include:   -silicone sheet dressings applied directly to the skin around the incision; -compression therapy the mechanically flatten the scar formation, – topical imiquimod or advanced injectables such as bleomycin,  -interferon or 5-fluorouracil.  These drugs work at the cellular level to disable the Keloid tissue formation process.

4)  Laser Excision followed by monthly intralesional steroid injections alone or in conjunction with imiquimod.

These are my treatment preferences…even though others may exist.  I stay with the tried and true…those options proven to get desirable results.

OK….last two blogs have covered skin problems….lipomas and keloids.

Next blog I’ll move back into FEMGen options….today they are no longer “taboo.”  Women are lining up to have life changing treatments that restore their confidence, youthfulness, that rev up their love lives…and restore health and well being in many cases.  Don’t suffer any longer in silence.   Women everywhere are stepping up and speaking out….the embarrassment is gone, Designer Vaginas are in and complete health and vitality for the “V Zone” is here to stay! 

More on that next blog!

Stay Well.

Steven Davison M.D.

DAVinci….where I combine the supreme elements of art and surgical science.”

America’s Top Doc’s and Today’s Designer Female Surgeries…Taboos are gone!

shutterstock_27425314I’ve written a few blogs about female genital (V Zone) surgeries and how they have been life changing for so many women today.  This blog covers “Monsplasty”…the benefits of it and what some Top Docs are saying and doing in this arena of female health and wellness.

MONSPLASTY…what it is and the benefits you enjoy. Also called a Pubic Lift, Monsplasty is a surgical procedure used to reduce the size of and tighten the Mons Pubis. It is often done in tandem with a Tummy Tuck and Body Lift surgery to achieve maximum satisfaction.  Or it can be combined with other V Zone procedures such as Labiaplasty and Vaginoplasty.

Childbirth, weight gain or normal aging affect the Pubic Area.  Women with an overly large Mons Pubis complain that it interferes with getting clothes to fit right, it often hinders normal urination and can really hinder sexual intimacy.  I correct a sagging, enlarged Mons Pubis by reducing the sagging skin and tightening muscles and tissue to improve the appearance and restore normal function and enjoyment!

TABOO YESTERDAY…POPULAR TODAY!  MONSPLASTY SURGERY IS ONE OF TODAY’S MOST “IN DEMAND” SURGICAL PROCEDURES!

COMMENTS BY OTHER TOP DOCS:   DR. GARY ALTER …AMERICA’S POPULAR AND AGGRESSIVE SURGEON…dealing with sex changes, male/female genital corrective and designer procedures, and much more…is a West Coast surgeon and pioneer in his field of life saving/life changing procedures for both men and women.  He has invented a new labia surgery technique for reducing the labia majora…and is calling it the “Alter Labia Contouring Procedure.” Simply put, it reduces the size of the LM while preserving the contour, color and anatomy of the Labia’s edge. His new technique is loved by his patients who say…the surgery is virtually undetectable but the wonderful improvements….are clearly detectable and enjoyable!

Dr. Alter’s patients have removed the word “taboo” or embarrassment, or pain and suffering, ugly signs of aging and more from their vocabularies….because his Male and Female procedures are life changing….without embarrassment.  Dr. Alter along with many other notable “top Docs” widely promote their corrective and designer surgeries…around the world.  The younger generation in particular…is totally uninhibited, according to Dr. Alter and Dr. Christine Hamori...another front runner in the Vagina Designer arena. Dr. Hamori specializes in helping women of all ages and stages regain function, sexual satisfaction, youthful appearance, self confidence and more.  As a much sought after speaker/presenter….she is asked to explain her procedures and teach her techniques also.

IT’S ABOUT HEALTH AND HAPPINESS…and their patients all agree!  Aging, weight fluctuation, childbirth, illness, trauma, genetics etc. all factor into the changes our bodies endure across the lifespan.  Used to be…certain things absolutely were not talked about….women and men suffered in silence until they died.  The tide has changed!  An educated, enlightened population is choosing total health and the pleasures it offers.  Dr. Hamori works with women to correct female genital issues….to  restore health, function and a youthful appearance.  She is an educator and pioneer…highly respected among her peers and loved by her patients, their families and friends!

Dr. Alter has several other procedural techniques that he has not yet published…but his peers and patients are excited to learn about them. Both “Top Docs” are fulfilling a vital area of need in healthcare today.  I appreciate them and all they have brought to the table.

about sunbathing and sunburns! Vacations have already begun (Spring Break this past month) meant many bodies on the beach….or poolside.  After being in all winter…or enduring a gray winter as many parts of the country did…be smart when enjoying the sun.  Here are a few tips: 
1.  A stumpy shadow means the sun is directly overhead and UVB exposure is up to 50% greater during this time.  2. Wear hats that throw a shadow over your face and neck.   3. Be generous with sunscreen…a thin layer does nothing!    4.  Summer white/pastel gauze type fabrics absorb rays because they lack color pigments…when wearing them wear a layer of sunscreen also.  5. Apply sunscreens indoors….to allow them to “bind to” skin proteins….otherwise they don’t work!   Come back next blog for more tips!

Stay well….and let’s get you going on your “beach body” procedures!  Weddings, graduations and more are also around the corner.  Want to look your very best….let’s talk!

Steven Davison M.D.

DAVinci…where I combine the supreme elements of art and 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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