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Monthly Archives: March 2019


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Non Surgical FemGen Rejuvenation

Childbirth, age and hormone changes can dramatically affect a woman’s vulvovaginal region. This most intimate area can be a source of embarrassment and discomfort, but it is such a vital part of who women are and shouldn’t cast that shadow on their identity and confidence. Fortunately, there are a variety of options to address some of the issues causing discomfort. I’m going to highlight a new non surgical option that we offer at Davinci Plastic with great results: ThermiVa.

What is ThermiVa?

Vaginal tissue can get stretched during childbirth. This can have a negative affect on many things such as urinary continence, sensation of pleasure during sex, and lack of general vaginal comfort. Labia also may have been stretched due to labor or age and can cause discomfort during intercourse and even wearing certain clothes, such as tight jeans, swimwear and athletic wear.

ThermiVa is a non surgical radiofrequency treatment to the vaginal canal and labia that is not painful nor requires any down time. It tightens the tissues to relieve women of many issues including:

  • Urinary incontinence
  • Orgasmic dysfunction
  • Thinning, drying and imflammation of vaginal walls (vaginal atrophy)
  • Intimate tissue laxity (vaginal laxity /vulvar laxity)

How does ThermiVa work?

ThermiVa uses radiofrequency energy transmitted by hand-held device that is lubricated and inserted into the vagina. The device is ergonomically shaped with a square metal tip electrode that emits the collagen stimulating energy. ThermiVa does not use any lasers so there should be no burns, blisters or open sores. It is not painful, so there is no anesthesia needed. The device does heat up as it emits the energy, however the temperature can be adjusted to maintain comfort. The procedure is done in a matter of 30 minutes in our office by one of our skilled practitioners. You can resume all normal activities, including sex, that day.

What kind of results can be expected?

You can notice an improvement almost immediately with one 30 minute treatment. However, ThermiVa stimulates collagen production so results continue to improve over time. It is also recommended for most patients to receive three 30 minute treatments a month apart to receive maximum results. A touch up treatment every so often could also help. For some women, this is needed in 6 months, others it could be a year or more.

We are happy to offer ThermiVa to help our women patients experience more comfort and confidence about their FemGem area. If you’d like to have a discreet, confidential consultation regarding what ThermiVa can do for you, please contact us at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

Introduction to Dr. Ximena Pinell

We have had the pleasure of working with Dr. Pinell for a little while now and I realized that I have yet to sing her praises on the blog. She is a wonderful addition to Davinci Plastic. I’m so grateful that she is a key part of the team for helping patients with their aesthetic and reconstructive needs. Dr. Pinell has breadth and depth of knowledge, skilled hands, and a huge heart.

Head

Dr. Pinell completed medical school at Emory University and remained there for General Surgery residency and a subsequent fellowship in Plastic Surgery. She learned the most advanced techniques under some of the greatest leaders and innovators in Plastic and Reconstructive Surgery worldwide.

Hands

In addition to a wide breadth of skill in body contouring, Dr. Pinell has specialized in breast reconstruction techniques that offer cutting edge choices for Breast Augmentation and Breast Reconstruction patients. She is able to help patients with a variety of oncoplastic techniques in conjunction with either a mastectomy or lumpectomy. She is grateful to offer women such options as using their own tissues to recreate the breast, as well as the prepectoral (above the pec muscle) technique for implants.

Heart

Dr. Pinell came to the medical field to make a difference in people’s lives after a time in D.C. working in health policy research. She has studied advanced techniques in order to best serve breast cancer clients with breast reconstruction. She considers it a privilege to come alongside women who are fighting this battle.

Although she grew up in the Washington D.C. area, Dr. Pinell’s heart to help people has stretched across the sea to her country of heritage, Bolivia. Here she has volunteered her time and surgical expertise to help needy children with reconstructive surgery for cleft lip and palate.

As a mom of 3 young boys, she also personally understands the physical sacrifices of motherhood. Dr. Pinell can really empathize as she offers solutions for helping mothers to feel confident again with their post baby body.

I’m confident you’ll love her as much as we do at Davinci Plastic, www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

Top “Tweakment” 2019: Non Surgical Rhinoplasty

“Non surgical nose jobs” have been popping up more and more on Instagram over the last year. As awareness and interest increases, the amount of people asking for this procedure, formally called Non Surgical Rhinoplasty, is bound to increase simultaneously. It is positioned to be one of the top “tweakments” of 2019.

What is a “tweakment”?

A tweakment is an adjustment to your looks to align it with your ideal self. It’s not a complete change of who you are or what you look like, but a small change to enhance your existing features. Tweakments are usually less invasive procedures (though sometimes still surgical) and don’t involve as much recovery or downtime. These usually are performed to help your actual appearance line up with the filtered, photoshopped self on social media.

What is Non Surgical Rhinoplasty?

Rhinoplasty is one of the most popular surgeries because the nose is a flagship feature of the face. When the nose is put into facial harmony, it offers one of the most greatly satisfying results. The change can be quite drastic to one’s appearance, but it usually what is desired. On the other hand, the Non Surgical Rhinoplasty is a quicker, no downtime route to achieving your preferred nose. It uses injectables to achieve the desired small changes, so there is no sedation or recovery time. With topical numbing and extremely precise injections over the course of a lunch break, you’re on your way.

What can Non Surgical Rhinoplasty do?

The injectables fill in curves and bumps, adjust the shape of the tip, and increase the hight of the bridge, which minimizes the appearance of width. Even though hyaluronic acid filler is adding volume, the precisely placed injections can actually make your nose look smaller and straighter.

Who is not a candidate?

Someone who has already had Rhinoplasty or a nose break, may not be a candidate depending on the fragility of the nose blood vessels. Also, if the desired adjustment to the bump or width of the nose is just too drastic, traditional Rhinoplasty would be needed to achieve desired results.

Any downsides?

As with any injectable treatment, there are risks and the results are temporary. Results usually last around a year, give or take, depending on the filler used. Also, if price is a factor then, Rhinoplasty is more cost effective in the long run due to the temporary nature of the fillers. However, some people are willing to incur the cost in order to avoid surgery.

Using injectables for Non Surgical Rhinoplasty is called an “off label” use of the hyaluronic fillers, so this use of them hasn’t been endorsed by the FDA and comes with health risks. For safety reasons, treatments should only address concerns along the bridge of the nose and only be done by expert injectors familiar with nasal anatomy. This ensures that any blood flow is not inadvertently blocked, which can have severe negative affects to the eyes and surrounding skin.

Refining the nose is the one of the most harmonizing effects for refreshing the face. If you feel like your nose is our of balance with your facial symmetry, and you’re deciding if Rhinoplasty or Non Surgical Rhinoplasty is for you, let’s talk it over. Visit www.davinciplastic.com to schedule a consultation.

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.

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3301 New Mexico Ave. Suite 236

Washington D.C.