Call Us Today: 202.966.9590

Monthly Archives: November 2017


« Back to Blog

Millennials Make It Known

Men and women in their 20s and 30s are heading to the plastic surgeons office in abundance like never before. The celebrity culture has removed any embarrassment or negativity regarding people knowing that they’ve had plastic surgery and injectables, like Botox and Juvederm. These treatments and the results are indeed celebrated and shared among peers and social media. The desires and needs of this group are different than other generations, which I’ll discuss below.

POPULAR TRENDS & CELEBRITY TELL ALL

Access to media and open sharing about plastic surgery among celebrities has not only removed any taboo, but created a normalcy and excitement to experience the benefits my industry can provide. The more seasoned actress Patricia Heaton was one of the early adapters to celebrity sharing about surgery. In 2003, she talked openly about her surgeries and how women shouldn’t compare themselves to Hollywood because things aren’t always as they seem. These days, more and more celebrities are talking about surgery, such as actress Kaley Cuoco and singer Iggy Azalea, who are popular among Millennials. Many express that they don’t want to keep secrets from their fans and Iggy even posted a picture of her with her surgeon thanking him for her perky breasts.

For the Millennials, Kylie Jenner has almost single handedly been the greatest influence for lip injections for young people. Her full lipped pout is one of the most requested outcomes for this age group, who happily share before and after photos on Instagram, Snapchat and Facebook (although Facebook is getting the reputation as the main platform for mostly for the “older” Millennials and above). As of 2 years ago, no one was taking selfies in the plastic surgeons’ office, but this is now commonplace.

PREVENTION ORIENTED

Millennials are viewing cosmetic treatments as preventative with hopes of putting off signs of aging. Before wrinkles even occur, men and women in their 20s are asking for Botox. This can be a great opportunity to work with relaxing the muscles before they create rhytids, however expectations need to be managed because there won’t be any drastic immediate results.

Also, it is important to keep in mind that a little bit goes a long way. Overdoing injectables can actually have the opposite affect and make Millennials look older or create distorted facial features. If done incorrectly, Botox to the forehead can result in a heavy brow. Instead, better results could be accomplished by injecting small amounts to the glabella, which is where the frown lines form in between the brows. Immediately noticeable results for someone who doesn’t have very visible wrinkles to reverse, would be a little brow lift that can be accomplished with injections to the outer eye where crow’s feet would form.

PROCEEDING WITH WISDOM

As with anyone considering surgery or cosmetic enhancements, it’s important to realize this isn’t a quick fix mentality. To really have a preventative affect, a one time Juvederm or Botox injection won’t be enough. The goal of wrinkle prevention with Botox involves weakening the muscles so they are smooth. This may take regular injections of small amounts about every 3 months for a year or 2, and then we can slow down.

In addition, the best results also involve protecting the skin from sun damage, using good skin care, eating well and drinking water. We should develop a relationship where there’s open communication and a comprehensive treatment plan. To get started, schedule a consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

No More “Turkey Neck”

Beyond the face, the neck is one of the most visible of the body’s features that can reveal age. Fortunately, there are some effective treatments to refine and rejuvenate the neck and minimize the “turkey neck” or “double chin.” This is especially important to many people coming into the holiday season where there will be pictures and parties galore. Today I’m going to highlight 2 non surgical treatments for making the neck area look younger and that won’t take you away from your busy schedule leading up to the holidays: Kybella and Botox.

Kybella

If your concern with your neck is the double chin or bulge, Kybella could be your answer. It is a non surgical alternative to liposuction since the treatment simply involves a series of injections. They contain a naturally occurring molecule called deoxycholic acid. This natural acid dissolves fat and then the body flushes it out naturally. The extensive clinical trials conducted with Kybella demonstrated a 50% improvement in fat reduction with 2 treatments a month apart.

The injection treatment itself only lasts about 15 to 20 minutes, with a little prep time before and after. These precisely placed injections can be done on any part of the neck and can treat the largest to smallest bulge. Some people have a double chin due to carrying extra weight, yet others may be thin but have a genetic predisposition to a double chin. Also, Kybella can help to slightly tighten the skin, but it cannot remedy loose, hanging skin.

Even though Kybella is considered an “in and out” procedure, it does have mild side effects to which the degree varies for each person. While some people tolerate the injections with only a level 3 of 10 pain ranking, others would consider them more painful. Also, while everyone can return to regular activity immediately, some patients will experience some temporary swelling and redness or some soreness and numbness depending on how much Kybella is being injected in a session. The winter is actually the perfect time to hide any of these issues with a turtleneck sweater or scarf.

Botox

If your concern with your neck is the prominent vertical bands, Botox may be able to help. While it is most known for eliminating frown lines between the eyebrows or forehead, the basic function of Botox is to relax the muscles so it can be used on most any muscle groups that are contracting to create lines, which includes the neck. Over time the neck develops bands in a V shape from the platysma muscle, which can accentuate any neck bulge or waddle. Botox will relax these muscles and so good clients are those who have a prominent platysma muscle along with good skin tone.

There is no need to feel self conscious of your neck even if you want to avoid surgery and don’t have time for recovery. Kybella and Botox could be your answer to get rid of your turkey neck for Thanksgiving and beyond. Schedule a consultation to see if these effective treatments are a good fit for you at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

All About The Breasts: Surprising Facts, part 2

The more you learn about your breasts the better you can care for them and appreciate them. Here are some more fun facts to help you know more about your girls.

Side sleeping is best for breast shape. They even could use some pillow support while you sleep. This is just another reason that belly sleeping isn’t best for your body.

Breasts can be a breeding ground for bacteria. This happens because sweat can collect and the abundant oil glands above and between your breasts to make the area vulnerable to clogged pores and pimples. Prevent problems by wiping the area right after workouts or if you’ve been outside sweating a lot, and never staying long in sweaty bras because they can harbor bacteria that love dark, damp places.

They have growth potential through your early to mid 20s. This is especially important for younger women when considering breast augmentation. Though most breast growth does happen through the puberty years, they do continue to grow into early adulthood. How big they do get is actually determined by genetics from both parents. After the mid 20s, it’s unlikely for them to grow unless you gain weight, get pregnant, breastfeed (however they will go back down afterwards) or sometimes with birth control.

Nipples usually get darker during pregnancy. The body does this because it is anticipating breastfeeding the baby, which can better see darker colors. The darker nipple makes it a more visible target. No reason to freak out though, most women’s nipples lighten back to normal a little while after baby is born, while some may stay just slightly darker.

The creation of cleavage isn’t just based on breast size. While the larger ladies do have a cleavage creating advantage, breast shape and location on the torso also come into play. This means that the same cup size can vary in their ability to create cleavage. If the breasts are fuller in the outer breast or positioned wider apart, cleavage may not come as readily. A narrow torso, breasts set closer together or fuller in the center have an easier time creating cleavage.

Exercise can’t increase breast size, but the right ones can help their appearance. Breasts aren’t made of muscle, but they’re resting on top of muscle. These exercises can help firm up the pectoral muscles, which can slightly perk up the breasts: pushups, bench presses, dumb bell flies, medicine ball slams or pullovers. If this doesn’t provide enough of the lift and firmness you’re looking for, a Breast Lift can definitely enhance the positioning and perkiness of the breast.

If you’re considering any cosmetic surgery related to the breasts, it’s worthwhile to talk to an expert in this area. As a triple board certified plastic surgeon, I’ve had extensive training and expertise in all areas of Breast Augmentation and Reconstruction. Schedule a consultation to see how I can help you enjoy your desired breasts, by visiting www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

All About The Breasts: Surprising Facts, part 1

Your precious pair can surely be assets of enjoyment and wonder. Hopefully, you’ll have your set for life, so it’s a great idea to get to know them more. Here are some facts about your bosom buddies that may be surprising.

Breasts have their own monthly cycle so there is a better time of the month to schedule your breast exam. Fluctuating hormones cause changes in breast tissue. Level hormones in the week after your period help even out any lumpiness or swelling, which makes it easier to diagnose any abnormalities. They’re also less sensitive, making the exam more comfortable.

You should be using anti aging cream on your breasts. Breasts consist of fat, milk glands and firm, connective tissue called collagen. As we age the glands shrink, collagen decreases and fat may increase. Along with gravity, this results in the drooping over time. It doesn’t help that the skin of the breasts is quite thin. This means that you shouldn’t neglect to moisturize your breasts and nipples and event can use collagen building creams to help keep the skin supple.

They weigh less than you think, but still need support. Surprisingly, with an A cup size, you’ve got about a half pound of weight all together in your breasts, a pound total for B cups, C cups add up to about a pound and a half, and about 2 pounds total for D. Even though it doesn’t sound like a lot of weight, the thin skin and loss of collagen with age, mean that it’s best to help your girls with supporting them with a bra, especially during exercise.

Nipple hair is completely normal. It’s very common to have 2 to 20 nipple hairs on each breast. Heritage, skin and hair darkness, and hormonal stages play a big part in how much hair each woman deals with. Generally, darker skin and hair on the head means more nipple hair. To remove them, waxing and plucking is completely fine, just be sure to clean the area before and after to prevent infection.

They come in different sizes, shapes and directions even on the same person. No one is completely symmetrical with any part of their body. Most women actually have their left breast with a little more tissue so it’s slightly larger. Also, nipples point in different directions and come in varying shapes and sizes.

Breast implants are more common than you may think because they can look more natural than you may realize. The statistics say that about 250,000 women get them every year and estimates are that currently 2 million women have them. While the extreme makeover cases get the most attention, most women simply wanting to go back to their before children breasts or just making slight improvements, with just a 2 cup size increase on average.

Learn more about your breasts and if you’d like to talk about improving them, schedule a consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Touch Up on Breast Reconstruction Techniques

When considering Breast Reconstruction after cancer, I will guide you through the possibilities for creating the most natural, beautiful breasts. There are a couple of different types of surgery that you may want to familiarize yourself with beforehand. These are the kinds of Breast Reconstruction surgeries available through my office. Some options utilize the body’s own tissue taken from areas with a little extra, such as the abdomen or thighs, and the others use silicone or saline implants.

DIEP Flap Breast Reconstruction

DIEP stands for Deep Inferior Epigastric Perforator. This technique uses excess skin and fat from the lower abdominal area. The incision is similar to the one used for a Tummy Tuck and can be easily hidden by clothing or bathing suit. Another benefit to this surgery is that it flattens the abdomen for an overall beautiful body contour. It spares the abdominal muscle and there is significantly less pain in the shorter recovery process. Since the muscles are in tact, the abdominal wall strength is not affected.

Tram Flap Breast Reconstruction

This is another technique that uses the abdominal tissue to rebuild the breasts, however the difference from the DIEP is that it does use abdominal muscle in addition to the skin and fat. The incision will still be discreet and hidden by the clothing or bathing suit, but recovery will take longer due to harvesting muscle. I am skilled in offering options within this surgery, which are to take the tissue connected to a blood supply, which is called pedicled, or not attached to the original blood supply and requires connection to a new one, which is called free flap. Both of these methods require immense skill and unique challenges. For example the pedicled technique is to avoid muscle rotation, which can create an abdominal bulge, and the free flap technique is even more intricate of a surgery as it requires successful reconnection of arteries using microsurgery.

Gracilis Flap Breast Reconstruction

This surgical technique uses excess skin and fat from the inner thigh to reconstruct a natural appearing breast. This can be done without taking any muscle, which it would then be called the Transverse Upper Thigh Flap surgery. Sometimes the inner thigh flap requires a small amount of muscle in order to assure an adequate blood supply to the flap. The muscle that’s used to do this is the gracilis muscle, which is what the surgery is named after. Unlike missing a part of the abdomen muscle, the gracilis muscle is often not missed unless you do a lot of exercises or sports mostly depending on quick changes of going side to side. A side benefit of taking tissue from the inner thigh is that it often can reduce inner thigh friction.

Latissmus Flap Breast Reconstruction

This surgery reconstructs the breasts using a flap of skin and muscle from the back of the same side as the operated breast. This living tissue is used to recreate the breast mound. It is mostly used for women who don’t have enough abdominal tissue or have had previous abdominal incisions. There are usually no complications and the blood supply is highly dependable. The use of the latissmus flap can be combined with implants.

Breast Reconstruction with Implants

Because of the familiarity with implants for Breast Augmentation, this is an option chosen by thousands of women each year who undergo a mastectomy. It is also commonly used for women who are thin and don’t have extra tissue to use. A major benefit is that this can be done sequentially under the same anesthesia as the mastectomy surgery, called immediate reconstruction. This process still usually requires 2 or more surgeries, as we will have to navigate unique issues with the skin stretching (possible loss of elasticity due to radiation treatments) and addressing scar tissue.

You can rest assured that I am using the most cutting edge and advanced techniques along with my immense experience to help guide you to the right surgical options for your Breast Reconstruction. Please schedule a consultation to discuss what might be the best option for you, www.davinciplastic.com.

Sincerely,

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

Choosing the Best for Your Breast Reconstruction After Cancer

One of the many considerations of breast cancer that requires a mastectomy is Breast Reconstruction surgery. This can be a time of overwhelming choices and so my goal with each Breast Reconstruction patient is to provide compassionate care and the best natural looking results possible. This is a specialty I give the utmost attention to and have developed knowledge and skills that have provided beautiful results that have been very healing and satisfying to many clients.

Why Reconstruction?

While considering being in surgery again most certainly is not appealing after going through cancer treatments, I have found that it does help empower women to regain their feelings of femininity and sense of normalcy. Most times I’m helping to rebuild a breast mound after lumpectomy or mastectomy surgery, however I can also correct previous breast surgeries and nipple replacement.

Deciding on the Surgeon

Through my many years of experience and artistry, as well as using the most sophisticated and cutting edge techniques, I can help to create natural looking breasts to enhance body shape. Breast reconstruction surgery requires a thorough understanding of the intricacies of the human anatomy, as this is not the same process as the standard Breast Augmentation. I have extensive experience and years of specialized training in Breast Reconstruction surgeries to provide my patients with the most beautiful, natural looking results possible.

Making Decisions

Working alongside your oncologist, we will patiently and thoroughly discuss your options regarding Breast Reconstruction surgery. We will cover many topics, such as the possibility of performing Breast Reconstruction at the same time as the cancer removal under the same anesthetic, or if we should wait until after other treatments.

You also have options as to what you’d like to replace the breast tissue with, including your own living tissue from an area with some extra to spare, such as your inner thigh, or implants made of silicone or saline. All of these can be used to create beautiful, natural looking breasts. The best choice differs for each individual based on many factors so we will discuss this extensively. Some of these factors are (but not limited to):

  • cancer type
  • stage of breast cancer
  • your personal preferences
  • overall health

If you’re considering Breast Reconstruction after cancer, and you’re looking for compassionate and expert care for the best results possible, please visit our website to schedule a consultation at www.davinciplastic.com.

Sincerely,

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

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.

  • This field is for validation purposes and should be left unchanged.

3301 New Mexico Ave. Suite 236

Washington D.C.