Monthly Archives: November 2016

Few people enjoy spending hours in holiday traffic and crowded shopping malls. Fortunately, you can save yourself the time shopping around for that mystical “perfect gift”… a gift almost every adult would love… a more youthful face. The injectables Botox, Juvederm or Voluma et al, make an awesome gift. It’s no secret that more and more people want cosmetic treatments for special occasions like birthdays, anniversaries and winter holidays…and for everyday!

There’s still time if you act now, to get the treatment that’s right for you and to go into the Holiday’s with a more youthful, glowing appearance- minus the sagging, bagging and those unwelcome lines and wrinkles.

Who Would Like This Gift?
The real question is who wouldn’t want to rejuvenate squinty, tired looking eyes by banishing crow’s feet? Or who wouldn’t want to smooth out the wrinkles on the forehead and in between the eyes to take years off their appearance? At age 30  clients already see these signs of aging and would enjoy the benefits of smoother, fuller skin. A gift certificate to our office to choose any injectable treatment could also be a great gift for that close friend or family member who already “has everything.” Especially if they’ve expressed concern about wrinkles, such as crow’s feet or forehead. They may have even mentioned they’re open to trying a non invasive procedure or are already receiving Botox for their forehead, but would want to try a different area of the face, such as plumping the lips with Juvederm.

A Gift that’s Not Just for the Ladies
Even though it is more thought of as a gift for women, don’t discount those hard to shop for men in your life. Most women are very open to request Botox or Juvederm (and might even jump for joy at receiving this as a gift!), but so are men – even though they may not be as vocal about it.

Men feel the pressure to keep their competitive edge and looking good is part of that. Looking healthier, happier and more alert is a professional advantage. They might not be willing to go to the office and purchase a treatment for themselves, but deep down they are concerned about how their skin is aging. Receiving this as a gift can be just enough of a nudge to do what he’s seriously been thinking about.

Our non invasive treatments like Botox, Juvederm or Voluma offer fast results with no down time, which is very appealing to men. Juvederm can even be used to fill in the deepening folds around the nose, the indentations caused by acne scars of previous years and more…. and Brotox is Botox for Men…

Gift Certificate for Rejuvenation
So whether you’re shopping for that special lady or man in your life, a close friend or family member, give them the “gift of youth.”  while saving yourself the time and frustration of shopping!  Visit www.davinciplastic.com to learn more or stop by our office to purchase a gift certificate.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

When you look at yourself in the mirror do you see dark circles, deep hollows, and tired looking eyes? If the hustle and bustle of the holidays is putting extra stress on you and it’s showing, you can turn to one of the most under estimated areas of the face – to restore some youthfulness to your tear troughs.

What are tear troughs?
The tear trough is the area under the eye that extends from the inner corner of the eye, arching down in a semicircle. The technical term is the nasojugal groove. Sunken tear troughs can cast a shadow under the eye that looks like dark circles and gives the face a worn out appearance. This sunkenness also ages the face by creating a visible separation from what should be the smooth transition – from the lower eyelid to the cheek.

Why do tear troughs happen?
The skin under the eyes is very thin and delicate. It shows signs of distress more easily than thicker skin. It is also more prone to the aging effects of gravity. The tissue laxity and volume loss under the eyes, as we age, leads to the tear trough becoming more prominent. Also, as fat gets displaced from behind the eye, or possibly increases and bulges under the eye, this can accentuate the aging of the eye area.

How can the under eye be rejuvenated?
Try …
– getting more rest
– cutting down on salty foods
– minimizing your exposure to environmental pollutants
– not rubbing your eyes so much

While these tips can prevent the tear troughs and under eye bags from getting worse, you can also reverse their appearance with hyaluronic acid fillers.

Rejuvenate Your Tear Troughs with HA Fillers
While there are surgical options to reversing tear troughs, more people prefer to try non invasive treatments first. This has led to the use of hyaluronic acid (HA) fillers, such as Restylane, Juvéderm or Belotero. When they are injected on top of the orbital bone, the HA attracts water to the area to restore volume. This gives the eyes a fresh, rested appearance by the next day after treatment. These results will last 6 months to a year, and you can go right back to your daily routine with no downtime or recovery.

Subtle Solutions for Significant Youthfulness
Today’s patients realize that facial rejuvenation can happen from restoring volume loss in subtle areas … such as the earlobes, temples, chin, melolabial folds and tear troughs. I definitely see a more rested, fresh, and youthful appearance for the whole face using HA fillers to rejuvenate the under eyes.

There’s still time to make your eyes look alive and bright again….before the Holidays!  Call to schedule your treatment today!

Steven Davison, M.D.

Board Certified Plastic/Reconstructive Surgeon

Using fillers to rejuvenate the lips, cheeks and creases around the mouth.is common.  These are very prominent and important areas for a youthful appearance, but fillers for more subtle places can make a big difference in your face, too. A little filler in some of the inconspicuous places, such as the ear earlobes, temples and chin can make a slight subtle change that can improve  your overall appearance.  Here are three of those areas:

Earlobes
Earlobes are definitely not the first body part that comes to mind when thinking of ways to restore  youthfulness, but the earlobes show signs of aging just like the face and neck. Gravity and many years of wearing heavier earrings are the main aggravators of earlobe aging. It is important not to forget these little pieces of cartilage when getting treatments for your face. Thin, droopy, and even wrinkly earlobes look out of place when the face is smooth, full, and firm.

Fortunately earlobe support can be added with the plumping achieved by injectable fillers such as Restylane, Juvederm, Perlane or Radiesse. This Fillers can also help a stretched out earring hole appear smaller. Botox can smooth out wrinkles and Sculptra corrects volume loss gradually but steadily. So, with immediate results and no recovery time, you can enjoy your earrings and this subtle youthful enhancement right away.

Temples
The area outside of each eye between the top of the cheekbone and the brow bone is the region called the temple. The hollowing of the temples due to volume loss can contribute to a tired, weary appearance. This is definitely one of those areas where a filler makes a subtle yet significant difference in highlighting the eyes and eliminating shadows for a rejuvenated face. Radiesse, Juvederm, Perlane and Restylane can all be options depending on the your face and desired results.

Chin
A well defined chin helps shape the face. It adds balance to the other facial features, and helps define the jawline and neck. A chin augmentation with injectable fillers is an excellent way to optimize the tightened, contour that the chin adds to the face. It can also correct an underprojected chin that you were born with or volume loss caused by normal aging.

We can restore a youthful appearance to the face and …while people notice an improvement… but can’t put their finger on what was done. If you’ve had other treatments and still feel like you dot have that look – that you need a little something more, come in for a consultation so we can decide if one of these subtle changes can make that difference for you… visit www.DAVinciplasticsurgery.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

I have had satisfied patients with both Silicone and Saline implants. But one of the most common disparities between the two is the difference in how the breast feels with each. I’ve heard a saline implant described to feel like a water balloon and the silicone to feel more like the supple breast tissue. Fortunately, saline implants have claimed major ground with the Ideal Implant.

This year, the Ideal Implant became available to the public through a select number of plastic surgeons, including myself. This occurred after many years of testing and trials to prove safety and patient satisfaction. I believe it is going to be immensely popular since it satisfies  patients’  safety concerns and… they don’t have to compromise on the feel.

Why Some Women Prefer Saline:

-Natural: Saline implants provide peace of mind. Since the sterile salt solution is of no risk to the body and in the case of any leakage, it would be absorbed with no ill effect. While the FDA has ruled silicone is safe, the saline solution being a completely natural substance is preferred by many women.

-Rupture: Also, many women prefer to know if there is any leakage in their implant, which can be nearly impossible without an MRI of a silicone implant. On the other hand, it can be very evident when a saline implant needs to be replaced because as the saline leaks out, the implant deflates and breast returns to its size before the augmentation.

-Flexibility: Saline implants are filled after they’re in the chest, so the size can be easily customized. Even if breasts are different sizes, the saline can even them out as close as possible. There is also more flexibility on choosing the incision site, since the saline implant can be placed through the armpit, areola, or the crease under the breast.

Natural Look and Feel with Ideal Implant
Some women just didn’t like how the saline implants felt, but that has now changed with the Ideal Implant. The innovative design of the Ideal Implant includes a series of implant shells nested together and two separate chambers. This holds the saline filler in place and controls the movement of the saline within the implant… so that it maintains an aesthetically appealing position and shape within the chest wall. This feels natural.

This design with the inner chambers is called a Structured Breast Implant because the inner compartments control the flow of saline, providing the structure not available in previous saline implants. This gives the Ideal Implant a more natural look and feel. It also prevents rippling, wrinkling and folding at the edges that gave away the implant outline.

You can feel beautiful and not have to compromise on your convictions with this saline implant. With Ideal Implant, you get the best an implant can offer: complete peace of mind with a beautiful natural look and feel.

Let’s talk about whether the Ideal Implants are a good fit for you. Schedule a consultation by visiting www.davinciplastic.com.

Steven Davison M.D.
Board Certified Plastic Surgeon

One of the hardest situations in the plastic surgery industry is to have a patient’s results not go as expected. This may or may not be the fault of the physician, but the best results are directly correlated to the most credentialed, experienced surgeon. This is why it is crucial to only trust your face and body to an experienced, Board Certified Plastic Surgeon…someone like myself.
In my area, I’m the only triple Board certified plastic surgeon, a member of multiple prestigious medical societies, and a published professor at Georgetown University. Along with my many years of experience, compassion and patient care, these credentials have led to my ability to provide a very high level of patient satisfaction. As a result, I’m often called upon to correct the concerns that arise from unsatisfactory surgeries, at the hands of other physicians, and the unforeseen side effects that happen from improper healing.

For example, an occasional unwelcome side effect after beast augmentation surgery is Capsular Contracture. This occurs when the scar tissue that has formed around breast implants tightens and hardens around the implants to create an imbalanced external appearance. This means that the affected breast will look a different shape or be at a different height on the chest. While meticulous surgical precision can help prevent capsular contracture, as with any surgical procedure there will be scar tissue and there are factors outside of the physician’s control.
Here are some tips that can contribute to avoiding Capsular Contracture:

…Avoid smoking is one of the most predictable ways to reduce your chances, as you’re twice as likely to have Capsular contracture if you smoke.
…Two weeks prior to surgery, start taking Vitamin E and possibly Prednisone, a prescription corticosteroid drug.
…Breast implants in a submuscular position, or under the pectoral muscles, may be less likely to develop capsular contracture than when breast implants are placed in a subglandular position, or over the pectoral muscles.
…There’s a slightly higher percent of Capsular Contracture with silicone implants over saline.
…Upon the instruction of surgeon, massaging and compression of the breast implants can help keep the capsule flexible and loose.

Capsular contracture may develop at any time, but can occur as early as 4 to 6 weeks after surgery, and usually not later than 6 months. It can affect just one or both breasts. Fortunately, it can be corrected with Revision Breast Surgery.  There is a special art and skill to correct Capsular Contracture… because of the difficulty of working with scar tissue. It’s a puzzle figuring out what possibly went wrong and then to skillfully correct it.

Revision Breast Surgery to correct Capsular Contracture can involve a variety of ways for releasing the interior scar tissue. These ways may include capsulotomies, capsulectomies, implant exchange or placement behind the pectoral muscle. A Capsulotomy is a surgical procedure that releases scar tissue without removing it from the pocket. This gives room for the breast pocket to expand, relieving the scar tissue contraction that is squeezing the breast implant. A Capsulectomy is a more aggressive approach, as it completely removes the scar tissue surrounding a breast implant. This procedure is more often used when the scar tissue is very thick and calcified or when a silicone breast implant has ruptured.

If you’ve experienced the disappointment of your breast augmentation not going right and want to trust your body to one of the leading plastic surgeons to correct it, please set up a consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon