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Monthly Archives: October 2014


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Look Fabulous for the Holidays..Schedule Cosmetic Surgery Now

Schedule  Surgery Now … to be Ready for the Holiday’s

Our social calendars fill up quickly this time of year. Celebrating the holiday season is a fun, festive time, and you want to look great at each of these social appearances, right? If you’re considering cosmetic surgery, you’ll want to keep in mind the recovery time needed for healing. The priority is to be enjoying the holidays to the fullest and not worrying about any bruising or healing that could hold you back.

Here’s a guide on the recovery time, during which you’ll need to rest and/or take off work. It’s better to schedule a little more time than you’ll need and be pleasantly surprised if you recover faster.

Procedures that need at least…

1 week… Breast augmentation, reduction or lift, arm lift (brachioplasty), liposuction, male chest reduction (gynecomastia)           Couples are having surgery together...

2 weeks… brow/forehead lift, facelift, eyelid surgery (blepharoplasty)

3-4 weeks… tummy tuck, “mommy makeover,” body lift

The recovery time frame can be influenced by your health and habits. Having plastic surgery would be the perfect reason to stop smoking – at least 2 months prior to your surgery. Two weeks prior and after surgery, stop taking anything that enhances bleeding, such as aspirin, Motrin, Vitamin E and some herbs (I’ll provide a full list). You can also do some things before surgery to help recovery go smoothly and to ease your mind going in and coming out of your procedure.

BEFORE SURGERY… try to set up your household to be on autopilot, such as electronic bill paying and have lawn or pool maintenance prescheduled. Stock up on groceries, but also give yourself a break on cooking the first few days and have your favorite restaurant delivery menus handy. Ideally you’ll need to have someone stay with you, at least the first couple days post surgery. Don’t be afraid to ask for help.

AFTER SURGERY

  • I know recovery isn’t fun, but think positive and surround yourself with people, music, movies, aromatherapy, etc. that will uplift your spirits.
  • Have some natural bruising recovery gel on hand, such as Arnica Montana and Bromelain…both can help reduce discoloration. Save rubbing Vitamin E on the incisions until after sutures are removed usually within 5-10 days post op.
  • Stay well hydrated (non-alcoholic beverages please) and well nourished with whole foods so your body has nutrients to repair itself. I know you’re going to want convenient and comfort foods, but try to keep greasy or processed foods to a minimum.
  • It’s perfectly fine to do a little moving around after a few days, but avoid all activities after surgery that increase your heart rate and blood pressure for 2 full weeks.
  • Allow yourself time to sleep. When your body is physically at rest it can focus more energy on repairing itself.
  • Follow instructions on caring for your dressings and drains. Call if you have any concerns.
  • Keep your follow up appointment with me (usually within a week) so that we can make sure you’re recovery is on track and I can answer any questions.

You still have time for cosmetic surgery before the holidays, but if surgery is not an option for you, then consider our non surgical options to rejuvenate your face, such as Botox, Juvederm/Voluma, Radiesse, Fat Transfer/Grafting. Visit www.davinciplastic.com to learn more.  Today’s Men and Women are having cosmetic procedures.  Couples show up in my office on a regular basis, requesting today’s most advanced anti aging treatments.  Baby Boomers and Millennialls are aging more youthfully…together!

Let’s get you looking your absolute best so you can look younger and more vibrant…everyday!

 

Dr. Steven Davison

Board certified Plastic and Reconstructive Surgeon

 

FACIAL AGING, INJECTABLES/FILLERS vs SURGERY…and the HOLIDAYS

Well, we’ve written tons of material about facial aging and ways to restore youthfulness. That’s because, no matter what we do we will all continue to age…some people simply put, age more gracefully and beautifully than others.

Cosmetic enhancement is all about using procedures, techniques and products to stave off the “signs” of aging or by actually removing lines and wrinkles, sagging skin and more using the right option(s). The main question the past couple of years has been: “Dr. Davison, do I need surgery or can fillers get the job done?” So let’s look at this today:        shutterstock_10125679

FILLERS/INJECTABLES vs SURGERY

First, it’s critical that your surgeon thoroughly understands the complex facial anatomy. Secondly, fillers require much knowledge also. The key is in knowing which filler(s) to use at a given time by knowing what they do and how they work. These simple guidelines remain foundational:

1)    Know when to use fillers – they are excellent to correct initial gauntness from volume loss and the right fillers can restore volume and definition while smoothing out early lines and wrinkles. They work well as long as there is no loose skin.

2)    When to choose surgery – Fillers can offer long lasting results, but if skin elasticity is poor the muscles slip and fillers cannot deal with these issues. Surgery is the right option at this stage. It can effectively deal with loose, sagging skin and reposition relaxed muscles to their more youthful positions.

While nothing replaces good genes, a good surgeon can help guide you in making the correct choices no matter what age or stage you are currently enjoying.

Men and women today, Boomers and Millennials, are choosing to have age defying cosmetic enhancements because they can, and because they want to look as good and youthful as they feel!

FALL IS HERE IN ALL ITS GLORY…and the calendars are filling up with social events for school, work, church, family etc. You can start now and breeze through a hectic season looking vibrant, radiant and healthy. In fact, it’s possible to look up to 10 years younger without surgery…and no one will know except you!

INJECTABLES mini REVIEW:

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.

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

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

TODAY’S INJECTABLES OF CHOICE:

  1. Juvederm (Voluma is fabulous!)
  2. Radiesse
  3. Restylane
  4. Sculptra
  5. Botox/Brotox/Dysport

OK…CALL TO SCHEDULE YOUR CONSULTATION SOON! You have choices to make to look fabulous.   See www.DAVinciplastic.com.

Dr. Davison

 

SOLUTIONS FOR KELOIDS…the SCARS THAT DON’T STOP!

SCARS  often come with a myriad of emotions.  Some scars remind us of pain, others of joy; of accidents or medical emergencies, or the miracle of ew life emerging via c-section deliveries.

In the eyes of a plastic surgeon, a scar is not our friend.  We want to leave the most minimal, if not invisible trace of our work, so a scar is not desirable.  In the case of keloids, I have the pleasure of helping to remove a scar, but not just any scar.  Keloids are scars that don’t stop!  They are not pleasant at all for the afflicted, and so it is personally rewarding to help individuals find relief from keloid scars.

WHAT ARE KELOIDS?   Keloids are scars that are usually discolored and raised.  They can be pink, flesh colored, or darkly colored in hues of red, purple and brown.  Keloids don’t blend in with the rest of skin texture since they’re often shiny, thick and fibrous.  They feel firm and rubbery to the touch, but can be uncomfortable.  They often cause severe itching and due to their thickness, can impair skin movement.  Keloids are not cancerous but result from an overgrowth of collagen type tissue at the site of a healed skin injury.  Here are some characteristics of Keloids:

  • extend past the borders of the original incision or cut into surrounding areas that weren’t injured                                                           shutterstock_72411928-1
  • irregularly shaped and tend to enlarge progressively
  • hard to treat and eradicate
  • can reoccur…even after year of being dormant
  • do not subside over time
  • typically appear following surgery or injury but can also appear due to slight inflammation, minor injuries or even spontaneously
  • can be triggered by burns, body or ear piercings, pimples, insect bites and simply scratching ones self

KELOID vs HYPERTROPIC SCARS … Skin’s normal healing process usually leaves a flat scar that fades over time.  Sometimes as the skin heals there appears a thicker scar, which could possible be a hypertropic scar.  Hypertropic scars exist only where the original wound was, although they may be more reddish and slightly raised.  They will blend in more with regular skin over time, although aggressive massage and steroid injections help them along.  To minimize Keloids, on the other hand, usually requires more treatment.

Here are some of the most “tried and true” treatments for Keloid removal:

  • Corticosteroid injected directly into the tissue once a month for about 3-4 months
  • Laser Excision followed by monthly intralesional steroid injections alone or in conjunction with Imiquimod
  • Surgical removal via scalpel, electric knife or laser for larger, more extensive formations

TREATING KELOIDS REQUIRE SKILL and EXPERIENCE…I have thousands of hours of surgical experience and specialized training.  Over the years, I have successfully been able to help many people who’ve suffered with Keloids.  I also take special care to offer complimentary post surgical treatments to minimize Keloid recurrence.

If you, or someone you  know is suffering with the discomfort of unsightly Keloids, let’s talk about the best options I can offer for your relief.

Dr. Steven Davison

Board Certified Plastic and Reconstructive Surgeon

Lipomas Removal…Quick Squeeze Method

Lipomas are the most common form of soft tissue tumors and they are formed with adipose (fatty) tissue. Lipomas can form in many shapes, sizes and places on the body and they occur more often during middle age (40 to 60) but they are often diagnosed in children as congenital lipomas. They are soft to the touch, moveable and usually painless. Typically they grow just between the skin and underlying muscle but can also be found in the deeper muscle tissues such as the intermuscular septa, or in organs like the abdominal organs, the oral cavity, the internal auditory canal, the cerebellopontine angle and the thorax. They require treatment by a plastic surgeon for safe, effective removal. Lipomatosis, also called liposis, adiposis or lipomatoza and simply refers to groups of lipomas in one location on the body.

Other names for lipomas (types) include:

  1. Adenolipomas are associated with the sweat glands
  2. Conventional lipomas are the most common type composed of mature white fat
  3. Hibemomas are made up from brown fat
  4. Fibrolipomas are fat and fibrous tissue
  5. Angiolipomas are mostly blood vessels and fat tissues
  6. Myelolipomas are fat and the tissues that make blood vessels
  7. Spindle Cell lipomas are rod shaped, seen mostly in elderly men
  8. Intradermal spindle cell lipomas is most common in women
  9. Pleomorphic lipomas are the various shapes and sizes
  10. Atypical lipomas are composed of a large number of “deeper” fat cells
  11. Neural lipomas are fibrous, fatty tissues
  12. Others include: Proteus Syndrome, Cowden Syndrome caused by PTEN gene mutations, Familial lipodystrophy, Hibernomas and Familial angiolipomatosis.

METHODS OF REMOVAL

Lipoma cases are nearly always referred to a surgeon who is skilled and qualified in their removal.

Typical Treatments: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) and are not always necessary since a quicker, simpler method is now in use.

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.

Once surgeons learn the quick squeeze method and start using it, they realize it’s great benefits. It’s safe, quick, simple and effective.

QUICK SQUEEZE LIPOMA REMOVAL

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

Involved 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, no complications, no revisions.

Simple Incision, Quick Squeeze technique for lipoma removal makes them gone in 30 seconds!

See complete information about this method of lipoma removal at: www.DAVinciplasticsurgery.com.

Dr. Davison

 

 

 

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.