3 Min Read:

There is an explosion in tourism medicine in the United States. I define tourism medicine as one of three types:

1. Macrotourism

Traveling to another country to get services like going to Turkey for a hair transplant.

2. Microtourism

Traveling to another state or a location within the states, like going to Miami for a brazilian butt lift.

3. Turf Tourism

Crossing into another specialty to get cosmetic services like a tummy tuck by a GYN.

Why is there such an explosion in patients seeking these services?

Well, money saving or perceived value for one. An example of this would be combining a tummy tuck or a mommy makeover with a vacation in the Dominican Republic or a trip to Mexico. Another reason may be for services that are considered a specialty in that location, like fat grafting in Miami, hair transplants in Turkey, or facial reconstruction in South Korea.

Another factor in seeking out macrotourism or traveling to another country other than cost is comfort. An immigrant or patient with family members in a plastic surgery rich country may be more comfortable getting family recommendations or support than in the United States. An example of this is persian patients or brazilian patients returning to their country of origin for surgery. This is an inverse form of tourism as surgery in the United States may be perceived as a foreign country. So these are some of the motivations.

What are the downsides?

A Significant downside is quality control. Although there may be excellent centers, hospitals and surgeons in tourism states or countries, common standards may not exist like the states. Credentialing standards may not be in place or adhered to. This is particularly sensitive when dealing with sterilization.

Safety with regards to anesthesia, surgical site infection, and bleeding are less controlled, especially if you have left the country or town to return home.

Who do you follow up with if you have a problem?

I have decided too in the past, a plastic surgeon’s medical responsibility is limited to emergency sterilization and may not be covered. Don’t consider tourism medicine unless you are adequately insured for complications. Mycoplasma tuberculum, which grows in unwashed, improperly sterilized liposuction cannulas, can be particularly difficult to diagnose.

Follow up is a major problem, particularly in tourism surgery then returning to your own community and expecting follow up care at home is an expectation about to be a disappointment. It is particularly gutting to have a patient who saw you first, travel abroad, get surgery, then come back to get the disaster fixed. In general it costs at least double of my original quote to remedy problems with multiple surgeries involved. There is no medical recourse if the outcome is suboptimal or catastrophic.

So in conclusion, travelers beware. There is no quality control, no follow up and no recourse. The revision of problems or scars are at your additional expense and this can be substantial. So planning is key if you are going to decide to do tourism medicine. It is important to set up follow ups in advance. Ask about prophylactic treatment to reduce the risk of blot clots during travel so you risk your life traveling with immobility.

Sources:

Davison, S. P., Hayes, K. D., LaBove, G., & Shaffer, P. (2018). The Price of Medical Tourism: The Legal Implications of Surgery Abroad. Plastic and reconstructive surgery, 142(4), 1075–1080.

Iorio, M. L., Verma, K., Ashktorab, S., & Davison, S. P. (2014). Medical tourism in plastic surgery: ethical guidelines and practice standards for perioperative care. Aesthetic plastic surgery, 38(3), 602–607.

Whether small or extensive, you’ll need to know the dos and don’ts of caring for your incisions after cosmetic surgery. This blog discusses incision care basics so you can be prepared and know what to expect after your surgical procedure.

4 Min Read

On the journey to be your best self, no matter what aesthetic surgery you choose to undergo, you will have at least one incision. From small incisions used in liposuction to the more extensive incisions used in a tummy tuck, you’ll need to know the dos and don’ts of caring for your incisions after cosmetic surgery. Below, we review some incision care basics so you can be prepared and know what to expect after your surgical procedure.

What Do I Need to Know About My Incisions?

Once your surgeon has completed your surgical procedure, they will close your incisions. Depending on the type of surgery you have, your surgeon may close your incisions using one or more of the following options:

• Sutures: Also called stitches, sutures are used on larger incisions and may be dissolvable or nonabsorbable. In the case of a tummy tuck, sutures are used both internally (to tighten and repair your abdominal muscles) and externally (to close the incision). 
• Steri-Strips®: Steri-Strips® are a type of surgical adhesive tape used to close more superficial wounds. Your surgeon will likely use them in addition to regular sutures for extra support in keeping the incision closed and the resulting scar flat.

What Is a Surgical Dressing?

A surgical dressing is a sterile bandage that keeps your incision clean and protected as it heals. At DAVinci Plastic Surgery, our surgeons use a clear, saran wrap-like dressing to cover your incisions. You will need to keep your surgical dressing clean and dry, and you will receive instructions on how and when to change the dressing as you heal.

How Do I Clean Around My Surgical Dressing?

After your cosmetic procedure, you cannot shower for the first 48 hours. Once you do shower, you may carefully wash above and below the surgical dressing, but avoid soaking it with water. If it gets a little wet during the cleansing process, that’s okay. Once you’ve showered, pat the area dry. Your surgical dressing should stay in place until your surgeon removes it or gives you permission to carefully remove it. If the dressing gets soaked with fluid or starts to peel off, you may carefully remove it, but DO NOT remove the Steri-Strips® underneath.

How Do I Keep My Incisions Clean?

Once the surgical dressing is removed, you must keep the incisions themselves clean to prevent infection. Your surgeon may want you to avoid soaking the incision in direct water from the shower, so you should follow their instructions regarding covering the area before showering. Baths are prohibited until the incisions have healed completely.

Some tips for keeping your incisions clean include:

• Make sure you wash your hands before touching the incisions 
• Carefully wash the incisions using gentle soap and water only (not body wash)
• Do not scrub or pull at the area around the incision 
• Gently pat the area dry using a clean towel
• Do not use hydrogen peroxide, rubbing alcohol, iodine, or herbal products on your incisions
• Do not apply any creams or lotions to the incisions
• You may use Bacitracin on any exposed incision sites

When to Call Your Surgeon With Concerns

Even if you take all of the precautions necessary and follow your surgeon’s instructions, you may experience complications after your surgery. For example, if you have excessive bleeding or draining from your incision, apply pressure using a clean cloth or gauze. If applying pressure to the wound for over ten minutes does not stop the leakage, please call your surgeon. Other reasons to call your surgeon include:

• Hematoma or asymmetrical swelling around the incision site
• Odorous or cloudy drainage coming from the wound
• Shortness of breath
• The incision is very red and warm to the touch (may signify infection)
• Significant asymmetrical swelling along with increased pain in your legs (may signify a blood clot)

Most importantly, you know your body. If something feels off or you are concerned about something as you navigate the healing process, don’t hesitate to call your provider. When it comes to your health, it’s always better to be cautious. 

Learn More About Cosmetic Surgery in Washington, D.C.

No matter if you had breast augmentation or blepharoplasty, you may feel like caring for your incisions after surgery is overwhelming. To put your mind at ease, the skilled and experienced surgeons at DAVinci Plastic Surgery will provide you with all the information and support you need from your consultation through your recovery. To discover what our expert surgeons can do to help you reach your aesthetic goals, call our office today at 202.966.9590 or complete the online contact form.

When you get plastic surgery, one of the things you may deal with during your recovery is one or more surgical drains. Below, we discuss everything you need to know about caring for your surgical drains as you recover from plastic surgery.

4 Min Read:

Recuperating from any surgery is a crucial and delicate process. When you get plastic surgery, one of the things you may deal with during your recovery is one or more surgical drains. While it may seem daunting, caring for surgical drains isn’t difficult, and they play a significant role in ensuring that you heal quickly and effectively after your procedure. Below, we discuss everything you need to know about caring for your surgical drains as you recover from plastic surgery.  

What Is a Surgical Drain?

A surgical drain is a flexible rubber tube with one end inserted into its own incision near your surgical incision. The other end of the drain empties into a small bulb, which you will empty a couple of times a day. Drains remove excess fluid from your surgical site after specific plastic surgery procedures. There is too much fluid for your body to absorb, and without a drain, it would accumulate and prevent your wound from healing correctly. By giving the excess fluid a way to exit your body, surgical drains help minimize the risk of complications like seromas (fluid buildup under the skin). 

What Types of Plastic Surgeries Use Drains?

Surgical drains are used after procedures that involve skin and tissue removal. Depending on the type of plastic surgery, you may have one or more drains placed after your procedure. For example, a tummy tuck usually requires two drains, one on each side of the body, while an upper body lift will likely require more than that. 

How Do I Care For My Surgical Drain After Plastic Surgery?

As the fluid accumulates in the drain, you will need to empty it periodically. Before emptying the drain, note how much fluid is in it by looking at the measurement marks on the side of the bulb. Your surgeon will have you keep a log of the amount of fluid drained each day so that they know how well the healing is progressing and when they can remove the drain. At the top of the bulb is a seal that you can pull out (just like you would on an inflatable pool toy), and you can empty the fluid completely by squeezing the bulb. When all the fluid is out of the bulb, keep it pressed flat and close the seal. Keeping the bulb flat creates a bit of suction to help pull more excess fluid from your body.

What Do I Do if My Surgical Drain Gets Clogged?

The drain is secured into the incision with sutures, which helps to keep it stabilized and in place. There shouldn’t be any leaks from the incision site, but even if there’s just a small amount of seepage, it’s not a cause for concern. If the bulb end of the drain leaks, you likely didn’t replace the seal firmly enough. 

You can use a safety pin to carefully attach it to your clothes to keep the drain from getting in your way or pulling at the incision site. 

If you notice that your drain bulb isn’t filling up or can see fluid accumulating in the tube, you may have a clog in your surgical drain. To unclog the drain, follow these steps:

• After washing your hands, use one hand to pinch the tubing at the incision site.
• With your other hand, use your thumb and forefinger to pinch the tube just under where you’re holding it, and, using firm pressure, slowly push your pinched fingers down the tube. 
• When you reach the bulb end of the tube, stop and repeat the process as often as needed until the blockage is cleared. 

When Can I Get My Surgical Drain Removed?

Just like the number of surgical drains you have is influenced by what plastic surgery you had, removal of the drains works the same way. The general rule is that you can remove your surgical drains when the fluid accumulation is no more than 30cc (about two tablespoons) per day for two days. In the case of multiple drains, you may get one removed after a week, and the others removed later. In most cases, you won’t have your surgical drains in for more than two weeks, though more extensive surgeries may require a longer duration. 

Once you remove your surgical drains, your surgeon will put a bandage over the small incision where the tube was inserted, and you’re ready to go on your way. 

Want to Learn More About Plastic Surgery in Washington, D.C.?

Whether you need a breast reduction or a Mommy Makeover, the expert surgeons at DAVinci Plastic Surgery will leave you looking gorgeous. If you’re ready to explore what cosmetic procedures might benefit you, call our office today at 202-966-9590 to schedule a consultation or complete the online contact form.

When you choose to undergo cosmetic surgery, board certification in plastic surgery is the most important credential your surgeon can have. This blog helps potential patients understand what it actually means to be a board-certified plastic surgeon and why it is so important.

5 Min Read:

When you’re ready to enhance your appearance with plastic surgery, the first step is to do your homework. You need to spend significant time and effort to find a plastic surgeon with experience in the type of surgery you want and one with qualifications you can trust. Researching surgeons in your area can be overwhelming, especially if you’re unsure what to look for. 

There are several criteria you should consider when narrowing down your list of potential plastic surgeons–with education and training at the top of the list. You want a surgeon with outstanding credentials, and deciphering what that means can often be confusing. Board certification in plastic surgery is the most important credential your surgeon can have, so we’re diving in to help you understand what it actually means to be a board-certified plastic surgeon and why it is so important.

The Difference Between Plastic Surgery and Cosmetic Surgery

While the terms “plastic surgery” and “cosmetic surgery” are often used interchangeably, they are not the same thing. 

Plastic Surgery

Plastic surgery, while often performed for aesthetic reasons, is a surgical specialty dedicated to the reconstruction of face and body defects that occur due to congenital disorders, trauma, or disease. Plastic surgery and reconstructive surgery are the same and are designed to restore form and function to your body. Some plastic surgery procedures include breast reconstruction, scar revision, and congenital defect repairs. Some plastic surgeons may also choose to complete additional training specifically for cosmetic procedures, but it is not required for board certification. 

Cosmetic Surgery

The first thing to understand is that cosmetic and aesthetic surgery are the same. Cosmetic and aesthetic surgery can improve your features’ symmetry and balance, as they focus solely on enhancing your appearance. They are also considered elective procedures because they address parts of your body that already function correctly. 

What Does “Board Certification in Plastic Surgery” Mean?

When choosing a plastic surgeon, the most important thing to look for is if they are board certified in plastic surgery by the American Board of Plastic Surgery (ABPS). This is the only organization recognized by the American Board of Medical Specialties (ABMS), which is considered the “gold standard” in certification. ABMS assists the boards of 24 recognized medical specialties in developing and implementing standards to evaluate and certify physicians in those specialties.

Earning board certification is entirely voluntary, and not all doctors elect to pursue it. However, choosing a board-certified plastic surgeon means selecting a physician who has gone above and beyond the minimum requirements for licensure, as well as in their education, training, and commitment to continuing education in plastic surgery. 

How Does a Surgeon Earn Board Certification in Plastic Surgery?

To become board certified in plastic surgery, a physician must meet the following criteria:

• Graduate from an accredited medical school.
• Complete at least six years of surgical training after medical school, with at least three of those years in a plastic surgery residency program.
• Pass rigorous written and oral exams.
• Perform surgery in appropriately accredited surgical facilities. 
• Commit to completing continuing education and periodic recertification requirements. 
• Abide by a stringent code of ethics. 

An Explanation of Plastic Surgery Societies

There are a lot of similar acronyms describing the various plastic surgery societies, so we’ve compiled a list to help you keep them straight.

American Board of Plastic Surgery (ABPS)

As referenced above, the ABPS is the only board that can grant legitimate board certification. To see if the plastic surgeon you’re interested in is board certified, you can verify their standing on the ABPS website. 

American Society of Plastic Surgeons (ASPS) 

This association provides continuing medical education and advocates for patient safety with federal and state agencies. Surgeons who belong to the ASPS must be board certified by ABPS, so choosing a member of ASPS ensures that your surgeon has undergone the education and training required for board certification. 

American Society of Aesthetic Plastic Surgeons (ASAPS) 

Another association whose members are plastic surgeons who focus on cosmetic procedures, ASAPS, also requires its members to be board certified. Additionally, ASAPS allows qualified plastic surgeons from outside the United States and Canada to become members of the international association.

Is a Board-Certified Cosmetic Surgeon the Same as a Board-Certified Plastic Surgeon?

NO. There is no such thing as a board-certified cosmetic surgeon. Some doctors may advertise that they’re board-certified by the American Board of Cosmetic Surgery (ABCS). However, that doesn’t mean they’ve been trained in plastic surgery. The requirements to become board certified by ABCS are much less stringent, so much so that in 2018, the Medical Board of California voted unanimously to prohibit diplomates of ABCS from advertising themselves as board certified. 

Remember that any physician can legally perform cosmetic surgery, whether or not they have board certification and the associated specialized training and education.

Learn More About Plastic Surgery in Washington, D.C.

When searching for a plastic surgeon to perform your cosmetic procedure, take your time to find the best in the field. At DAVinci Plastic Surgery, our doctors fit the bill and then some. Dr. Davison is a triple board-certified surgeon, and Dr. Pinell is a double board-certified surgeon, so you can be sure you’re receiving the highest standard of experience, knowledge, and patient care. To schedule a consultation, call today at 202-966-9590 or fill out the online contact form.

As the year ends and you look forward to achieving your goals in the new year, treating yourself to a Mommy Makeover might be at the top of your list. While most Mommy Makeovers focus on breast augmentation, abdominoplasty, and liposuction, another exciting option can also be included. Did you know that you could add a labiaplasty procedure to your plan? 

What Is Labiaplasty?

Your labia is made up of two folds of skin: the labia majora and the labia minora. The labia majora are the larger outer lips designed to protect your external genitals, while the labia minora are the smaller inner lips designed to protect your vagina and urethra. 

Labiaplasty is a surgical procedure to reduce the size of your labia, most often the labia minora. Some women may be genetically inclined to have a larger labia, while others may experience an increase in size over time. Weight fluctuations, childbirth, and age all contribute to changes in the appearance of your labia that sometimes make women feel less confident in their most vulnerable, intimate moments.

Why You Might Consider Labiaplasty

There are several reasons why women choose labiaplasty surgery. Medically, an elongated or protruding labia may cause discomfort when you’re exercising or wearing certain clothes.

Sexual intercourse may be painful due to the excess tissue, and you may be more likely to develop an infection. 

Aesthetically, you may be embarrassed about the appearance of your labia. If your labia appears asymmetrical or looks different after childbirth, it impacts your confidence. Enlarged labia may even be visible through a swimsuit or other clothing, causing you to avoid swimming or form-fitting pants.

Benefits of Labiaplasty

As more women learn of the benefits of labiaplasty, the more they choose to undergo the procedure. In 2019, nearly 13,000 women decided on labiaplasty surgery to restore their confidence in their bodies, an increase of almost 30% since 2015.

Some of the benefits of labiaplasty include:

• Improved appearance: Labiaplasty reduces the size of the labia, leaving you with a beautiful but natural look.
• Improved color: Darkening and discoloring skin issues over time may make you self-conscious about your labia. Labiaplasty trims away excess tissue, for a more evenly colored and youthful appearance.  
• Reduced visibility of your labia: Eliminating excess labial tissue reduces the size of your labia and allows you to comfortably wear tighter clothing without the fear of an unsightly “camel toe.”

Adding Labiaplasty to Your Mommy Makeover

If you’re considering a Mommy Makeover, it’s a great time to talk to Dr. Davison or Dr. Pinell about adding labiaplasty to your planned procedure. You’ll already be at our fully-accredited surgical suite and prepped for your Mommy Makeover, and labiaplasties typically take under two hours to perform. 

Dr. Davison and Dr. Pinnell will decide if adding labiaplasty to your Mommy Makeover is feasible depending on what other procedures you choose to undergo as part of your Mommy Makeover. Labiaplasty, breast augmentation, and abdominoplasties are all performed using anesthesia, so your surgeon wants to ensure your safety by only keeping you under anesthesia for a certain amount of time. 

If your surgeon approves, adding a labioplasty might be a great idea. You’ll have some time to rest while you recover from your other Mommy Makeover procedures, so there’s no additional downtime needed for labiaplasty recovery. Additionally, any minor discomfort from your labiaplasty is easily managed with the pain medication recommended after your Mommy Makeover.   

Interested in Finding Out More About Labiaplasty in Washington, DC?

If you have questions about adding labiaplasty to your Mommy Makeover or undergoing labiaplasty on its own, call DAVinci Plastic Surgery today at 202-966-9590 or scroll down to fill out our online contact form and schedule your consultation with one of our highly experienced surgeons.

Once you’ve decided to undergo plastic surgery, it’s time to start preparing for your recovery. Taking care of yourself properly after surgery helps ensure your results turn out exactly how you imagined and keeps you safe and healthy overall.

Below, we touch on just a few steps you can take to get ready for post-surgery recovery. That way, you can undergo your procedure confident that a comfortable, relaxing experience is waiting once you get home.

1. Prepare Your Recovery Spot

Make sure your space is ready for you when you walk in the door after your procedure. Whether your “home base” for recovery is a hotel room with room service at your fingertips, or you’re recovering in your living room or bedroom, having everything you need within easy reach after surgery is essential. You will want to have someone with you for the first 24 hours after surgery as you are coming off of anesthesia and adjusting to pain medication. If you have forgotten anything, your helper can bring it to you.

Some of the things to consider having in your recovery area include:

• Pillows—extra pillows will help elevate the surgical site or provide additional support. Depending on your procedure, you may have to lie on your back, stomach, or side. Pillows can help ensure you maintain your prescribed position.
• Medication—both prescription and over-the-counter pain relievers should be on hand.
• Phone charger—you want to avoid being stuck with no battery left on your phone, especially if you’re alone at any point in your recovery.
• Books and remote controls—whether you’re binge-watching “Suits” or finally getting to the pile of books next to your bed, make sure your entertainment needs are at your fingertips.
• Water and snacks—staying hydrated after surgery is necessary for several reasons. It helps flush the last remnants of anesthesia out of your system and carries vital nutrients to the wound site for healing. It also helps stave off constipation, a common side effect of pain medication after surgery.

2. Choose the Right Clothing

From what you wear to your procedure to preparing for your recovery at home, having suitable clothing is crucial to a comfortable recovery. For rhinoplasty and facelift patients, consider button-up tops to ensure you’re not pulling a shirt over your head and bumping your surgical areas.

For body procedures, loose and comfortable clothing is essential. For breast augmentation, button-up shirts are your best bet, as you want a top that doesn’t require you to lift your arms over your head. Soft, elastic waistlines are best for recovery after abdominoplasty or liposuction, as you don’t want tight clothing rubbing against incisions.

3. Fill Prescriptions Before Your Procedure

If possible, fill post-op prescriptions ahead of your surgery. Most surgeons will send in prescriptions for necessary pain medications before your surgery date for this exact purpose. While you’re at the drugstore, pick up any over-the-counter pain relievers and incision care supplies you may need, so that you’re fully prepared for recovery. Once you’re headed home after your procedure, the last thing you want to do is stop and try to navigate a store, looking for supplies.

4. Follow All Pre- and Post-Surgical Instructions

Remember that your surgeon is knowledgeable and experienced, so all of their pre- or post-op instructions come from extensive training and expertise. These instructions are designed to provide you with the smoothest surgery and recovery possible, so make sure you follow them to the letter.

You will receive your instructions well before your surgery. Read them closely and familiarize yourself with them. Doing so will help you know what to expect in the days leading up to your surgery, during the surgery, and in your recovery. The more you know, the better prepared you will be to ensure a comfortable and safe recovery period free of complications.

5. Contact Your Surgeon with Concerns

When it comes to taking care of yourself after plastic surgery, remember that no questions are off-limits. For some people, their aesthetic procedure will be their first surgical experience, so they have no idea what to expect from their recovery. Contact your surgeon’s office if you are concerned about anything you think is unusual or may be worth checking out. They want you to have the most uncomplicated and comfortable recovery possible, so they’re happy to answer your questions.

If you experience a complication, don’t delay treatment. Leaving something unaddressed can lead to further complications and even adversely affect your health and surgical results. Again, following your surgeon’s instructions closely and attending all your follow-up appointments go a long way toward ensuring a problem-free recovery. However, if anything crops up, let your surgeon know immediately.

Learn More About Plastic Surgery in Washington, DC

At DAVinci Plastic Surgery, our highly skilled and experienced surgeons take you through the surgical process with care and compassion from start to finish. They address any concerns you may have, ensure you’re prepared, and know what to expect from pre-op through recovery. We even have an “After Care” section on our website featuring several videos that touch on common questions during recovery.

To learn more about the procedures we offer or to schedule a consultation, call us today at 202-966-9590 or fill out our online contact form.

3 Minute Read: 

Today, women and men have the ability to easily change things about their bodies they dislike. No one is forced to live with uncomfortable features anymore as plastic surgery progresses as a cultural norm. 

If you dislike the size, position, or protrusion of your nipples, nipple reduction surgery is a simple and effective procedure to restore your confidence and improve your breasts’ overall aesthetics.

What Is Nipple Reduction Surgery?

Nipple reduction surgery is a cosmetic procedure that changes the size, shape, and protrusion of the nipples and areolas. Men and women who feel uncomfortable with the appearance of their nipples can benefit from this effective procedure. 

Nipple reduction surgery can help with the following issues: 

• Nipples that are long, droopy, and overly prominent
• Nipples that are asymmetrical or an unappealing shape
• Puffy nipples
• Nipples that make it difficult to wear certain clothes 
• Nipples that are disproportionate to the rest of the breast 

Nipple reduction surgery may be especially beneficial for women who have been pregnant or breastfed. During pregnancy, nipples typically become larger and darker in color, which may be displeasing to some women. Breastfeeding also can make the nipples more elongated or stretched. 

If you are experiencing any of these issues or are uncomfortable with the appearance of your nipples for any reason, nipple reduction surgery can help you feel more confident. 

What Goes Into the Nipple Reduction Procedure?

The first step to any cosmetic procedure is the consultation. At this time, you can speak with your board-certified plastic surgeon at DAVinci Plastic Surgery and explain your concerns and goals. Once your surgeon has assessed your nipples and developed a surgical plan, it’s time for surgery!

During the nipple reduction procedure, your surgeon will make small incisions around the areola to remove tissue, change the nipple length and diameter, and improve the nipple for an overall aesthetic enhancement. 

If you have asymmetrical nipples, your surgeon may discuss performing the surgery on just one nipple to make it more uniform. Additionally, if your areolas are too puffy, your surgeon can reduce the tissue to minimize this concern. 

The results of your nipple reduction surgery will reveal more even, shapely nipples with an appropriate contour. As this is a very specialized procedure, your results will depend on the overall goals you discuss with your surgeon during the consultation. 

Can You Combine Nipple Reduction Surgery With Other Procedures?

It is very common to combine your nipple reduction surgery with other cosmetic breast procedures, such as breast augmentation and breast lift surgery.

• Breast augmentation – Add volume and shape to naturally small breasts or breasts that have lost volume due to weight fluctuations and pregnancy. 
• Breast lift surgery – Address breast sagging and laxity due to aging, pregnancy, or weight loss. If your breasts and nipples are drooping or sagging, combining breast lift surgery with nipple reduction can revitalize your breasts. 
• Breast reduction surgery – Reduce the size of the breast tissue, which can cause pain, skin laxity, and discomfort. Women with disproportionately large or heavy breasts commonly suffer from downward pointing or large nipples, so a combination of these two procedures can enhance the shape, size, and aesthetic of the breasts.

Interested in Nipple Reduction Surgery in Washington D.C.?

DAVinci Plastic Surgery offers a wide range of breast and body contouring procedures to help you look and feel your best. Our board-certified Washington D.C. plastic surgeons, Dr. Pinell and Dr. Davison, will guide you through the process and listen to your questions, concerns, and goals for your procedure.

Call us today at (202) 966-9590 or fill out our online contact form to schedule your consultation. We look forward to hearing from you!

3 Minute Read: 

There’s no hiding your face from the world. 

This means that facial imperfections can make women and men feel self-conscious, and whether from genetics or age, underdeveloped or thinned-out parts of the face can really be frustrating. 

The good news is that there’s no need to worry about the thin appearance of your face since facial implants can help recontour your face so that you look and feel your absolute best. 

Whether you want to reshape your chin or cheeks, there’s an implant to help. 

This blog will look at each of these types of implants and discuss how they can benefit you!

What Are Facial Implants?

Just as breast implants improve the size, shape, and volume of the breasts, facial implants enhance the structure of specific areas of the face. These implants are made of silicone, meaning they will be long lasting and can give you the specific shape and appearance you’re looking for. 

Chin implants (chin augmentation) give women and men a stronger, more pronounced chin. This is helpful for patients with a naturally recessed and underdeveloped chin, which can often make the entire face look unbalanced or weak. 

Cheek implants (cheek augmentation), on the other hand, can be used to fill the cheeks, which often suffer from volume loss over time. 

With each implant option, Dr. Davison or Dr. Pinell will make an incision inside the mouth (for no external scarring) and tunnel the implant into place before closing the incision. 

Since there is minimal downtime with these procedures, you’ll be ready to show off your stunning and transformed appearance in little time.

What Are the Benefits of Facial Implants?

Besides improving confidence in how you look, facial implants offer a variety of benefits for women and men. 

First and foremost, women and men of all ages can benefit from facial implants. Because these implants typically last a lifetime, young patients can have an implant procedure and know they will continue to look their best for years. And older patients who have experienced volume loss (especially in the cheeks) can look forward to a healthier, fuller appearance.

Another benefit is that your implants are completely customizable to your desires. Because no two patients have the same needs and aesthetic goals, your plastic surgeon at DAVinci Plastic Surgery will work with you to find a facial implant that matches your needs. 

Whether for the chin or cheeks, facial implants help women and men achieve a more proportionate, balanced, and attractive appearance. 

What About the Lips?

Another area of the body that causes many people to feel self-conscious is the lips. Maybe you were born with thin lips, or maybe your lips have become thin as you age. Either way, non-surgical injectables can augment the size of the lips to give you the perfect pout you want. And injectables can do more than just improve the volume of the lips.

Dermal fillers (like JUVÉDERM® and Restylane®) and neuromodulators (like BOTOX® Cosmetic and Dysport®) can help smooth unwanted lines and wrinkles in your face to improve your overall appearance.

Are There Alternatives to Facial Implants?

Facial implants offer long-lasting and customizable facial augmentation results; however, they are not the only options available. 

Women and men who are interested in a less permanent facial augmentation option can consider non-surgical dermal fillers or facial fat transfer. These options can add volume to the face, including the cheeks and chin. 

However, unlike implants, these alternative options are not permanent. Dermal fillers tend to last between 12 and 18 months. Facial fat transfer lasts much longer (several years or more); however, because it is your natural fat, it will be susceptible to natural weight changes over time. 

Want to Learn More About Implants?

If you have questions about facial implants or any of the other procedures we offer at DAVinci Plastic Surgery, then give us a call at 202-966-9590 or fill out our online contact form to schedule your consultation.

5 Minute Read: 

Cosmetic nose surgery (rhinoplasty) continues to be the most performed cosmetic surgical procedure for men and women. This is because aesthetic frustrations with the nose can cause people to feel self-conscious and embarrassed about their appearance, and unlike other physical imperfections, there’s really no way to cover an unsightly nose with makeup or clothing. 

Whether your cosmetic concerns with your nose are genetic or biological (something you were born with) or result from trauma (a broken nose), corrective nose surgery can help you achieve the facial appearance you’ve always wanted. 

However, there are some important details that are important to consider and understand before you go under the knife to achieve the nose of your dreams.

What Exactly Is Rhinoplasty?

Rhinoplasty is an invasive procedure that can help correct issues with the nose. The benefits of this procedure are both physical and psychological, as you can feel more comfortable and confident with the way you look. Rhinoplasty can help correct any number of nose concerns, including:

• A crooked nose  
• A nose that is too large or small for the face
• Nasal humps or bumps
• An upturned or downturned nasal tip

What Should You Know About the Procedure?

1. Rhinoplasty Isn’t Just for Aesthetic Purposes

A common misconception that many people have is that they tend to think that a “nose job” can only correct cosmetic issues with the nose (some of which are noted above). 

And while rhinoplasty is largely aesthetic in purpose, it can also help correct functional issues with the nose. A nose injury can greatly affect a person’s breathing ability. Rhinoplasty can help men and women who suffer from a deviated septum, as the structure of the nose can be adjusted to help patients breathe easier. 

2. It Affects the Entire Face 

Because the nose is located in the center of the face, its shape and size has an effect on the entire facial aesthetic. This is often the reason why many people choose to have a rhinoplasty procedure (their nose is negatively affecting the way their entire face looks). However, it is important to understand that changing the look of your nose may alter how you perceive the rest of your face.

3. Revision Surgery Is a Possibility

While your cosmetic surgeon will do everything possible to ensure a safe and successful procedure, there is always the possibility of healing irregularities that can negatively affect your results. 

When this happens, rhinoplasty revision surgery can be performed to correct the irregular healing and make sure that you end up with the nasal appearance that you desire.

4. Not All Procedures Are the Same 

Like many plastic surgery procedures, no two rhinoplasty procedures are the same. This is largely because no two patients are the same. 

Each patient has a unique and specific cosmetic issue that they want to address (while some patients want a smaller nose, others may desire a larger nose, etc.). Additionally, rhinoplasty differs from some other procedures in that there are multiple procedure techniques that can be used. 

Corrective nose surgery can be performed through an open rhinoplasty technique or a closed rhinoplasty technique. 

With open rhinoplasty, the incision is made on the strip of skin between the nostrils (the columella) to allow your cosmetic surgeon more visibility during the procedure. 

With a closed rhinoplasty, the incisions are made within the nostrils, which conceals resulting scars. The specific technique used will be chosen by your cosmetic surgeon and is dependent on the type of correction you are having done. 

5. Your Nose Is Specific to You 

Many patients look at other people’s noses (whether it be celebrities, family, or friends) and want to replicate that same nasal appearance for themselves. However, no two noses are the same. 

The nose shape and size that works for one person does not always (and, in fact, rarely) works for another. That is why your consultation is so important. Your cosmetic surgeon will have the chance to help you decide which nose aesthetic best compliments the rest of your facial features.

6. Choosing the Right Surgeon Is Crucial 

Nose surgery is a complicated procedure that should be performed by a cosmetic surgeon who has the experience, knowledge, and ability to give you the results you deserve. You don’t want just anybody operating on your nose (especially because, as we’ve discussed above, your nose affects the entire look of your face). 

It is important that you do some research and find a plastic surgeon that you feel comfortable with. Dr. Steven P. Davison and the professionals at DAVinci Plastic Surgery are dedicated to their patients, making sure to put their patients’ health and the quality of results at the forefront of everything they do.

7. Your Consultation Is So Important

Like any plastic surgery or cosmetic treatment, your rhinoplasty consultation is the first and most important step in achieving your aesthetic goals. Not only will you be able to share your cosmetic concerns and desires with your surgeon, but your surgeon will have the opportunity to examine your nose to decide which specific techniques are required to help you look your absolute best. 

While many people are nervous about plastic surgery, your consultation is a chance to meet your cosmetic surgeon and have all your questions about plastic surgery answered. 

Want to Learn More About Rhinoplasty?

If you are frustrated with the appearance of your nose and are ready to make a change, then give DAVinci Plastic Surgery a call at 202-966-9590 or fill out our online contact form to schedule your consultation.

4 Minute Read: 

There’s a reason that tummy tuck surgery (abdominoplasty) is one of the most effective and transformative cosmetic surgical procedures available to men and women. 

Not only can this procedure get rid of sagging skin around your midsection, but fat can be removed and your abdominal muscles tightened to give you a stronger, more toned look and feel. 

All you have to do is look at the results to know just how beneficial this procedure can be and why some of our favorite celebrities have undergone tummy tuck surgery. 

However, while this procedure achieves stunning results, the simple reality is that a tummy tuck is an invasive procedure that requires anesthesia and internal sutures. 

Because of this, it is important to be careful during your tummy tuck recovery period, which includes knowing what kinds of exercises are good and which can be harmful when performed too soon. 

What Do You Need to Know About Yoga After a Tummy Tuck?

Yoga stretches are a part of many men and women’s normal exercise routines. And there’s no disputing that yoga is one of the very best practices you can do for your physical and emotional health. 

These stretching exercises are known to strengthen, tighten, tone, and firm your contours; however, as with other forms of exercise, certain yoga poses can be a case of “too much, too soon” after tummy tuck surgery. That is because many yoga stretches require you to bend deeply (at the waist), which places unneeded stress on your incisions and internal muscles. 

This is not to say that you should never do yoga after having a tummy tuck, nor is this saying that you shouldn’t do any stretching during your recovery period. 

Rather, it simply means that you need to be smart with the physical choices you make during this time.

Which Yoga Stretches Can Be Harmful After a Tummy Tuck?

One of the most important post-surgical instructions that you will get for your abdominoplasty procedure is that it is important to not push your body too much. Instead, you want to allow your body to heal itself. 

If you practice yoga, then you know that there are numerous stretches and positions, each with varying levels of difficulty and requiring differing levels of flexibility. While some (very gentle) stretching is good and even encouraged during your tummy tuck recovery, anything that requires any form of bending at the waist should be avoided until you are fully recovered. Even seemingly simple stretches like the Standard Forward Bend should be avoided, not to mention some of the more advanced positions. 

What Are Some of the Best Things to Do During Your Tummy Tuck Recovery?

Just because you should avoid performing full yoga stretching until after you are completely recovered from your tummy tuck procedure doesn’t mean that you shouldn’t be active or stretch during your recovery. 

In fact, it is important that you remain active as you recover, since this helps you recover faster and can improve your final tummy tuck results. 

During the first two weeks of your recovery, it is important that you allow your body as much rest as it needs. In truth, the most physical activity that you should be doing during this period is sitting up, standing, and taking extremely short and slow walks. 

However, after the third week, many patients are able to start pushing their bodies a bit more. Walking longer distances at a quicker speed and doing light stretches with the arms and legs can help promote circulation in the body, which only helps your body heal better. 

Additionally, some of the breathing exercises (Pranayama) promoted during yoga can help your recovery. Deep breathing exercises promote blood circulation and can purify the body (and mind).

Whatever activity you choose to perform after your tummy tuck, the most important thing to remember is to listen to your body. Through pain and discomfort, your body will let you know which exercises are safe and which ones you should hold off on until you are fully recovered. 

Additionally, by following Dr. Davison’s and Dr. Pinell’s post-op instructions, you will be able to get your body healed so that you can resume the normal, daily activities (like yoga) that you love!

Interested in Learning More About Tummy Tuck Surgery?

If you have questions about tummy tuck surgery, tummy tuck recovery, or any of the other plastic surgery procedures we offer at DAVinci Plastic Surgery, then give us a call at 202-966-9590 or fill out our online contact form to schedule your consultation.

3 Minute Read: 

One of the most common cosmetic complaints from men and women of all ages revolves around wrinkles and lines on the face. These facial imperfections often make people look much older than they actually are. 

And what makes matters worse is that some of these wrinkles and lines are not even caused by age! 

Instead, they are dynamic wrinkles. Dynamic wrinkles are those creases in the skin that are caused from consistent muscle contractions in the face, which can happen from squinting or facial expressions (such as smiling and frowning). 

While these wrinkles are frustrating to have, the good news is that there is a treatment to help stop these wrinkles from showing: BOTOX® Cosmetic injections!

BOTOX® Cosmetic is the most popular cosmetic procedure by far. In fact, in 2020, nearly 4.5 million botulinum toxin-A treatments (like BOTOX® Cosmetic) were performed!! 

However, even with this popularity and the stunning results that can be achieved from BOTOX® Cosmetic, many people are still hesitant to have BOTOX® Cosmetic treatments for themselves, and one of the main reasons for this is possible side effects caused by this procedure. 

Below, you will find more information on exactly what BOTOX® Cosmetic is, how it’s performed, and what to expect as far as side effects go.

What Is BOTOX® Cosmetic?

BOTOX® Cosmetic is an injectable treatment made up of botulinum toxin type A. 

This treatment is a neuromodulator, which means that the injected neurotoxin (BOTOX® Cosmetic) actively blocks the signals from your muscles to your brain. When this happens, the muscles are unable to contract, and since frustrating dynamic wrinkles are caused from muscle contractions, the wrinkles are unable to form. 

In essence, BOTOX® Cosmetic temporarily and effectively paralyzes the injected muscles to allow you to have smooth and wrinkle-free skin.

How Is BOTOX® Cosmetic Performed?

The BOTOX® Cosmetic treatment is very simple. 

Your injector will inject the BOTOX® Cosmetic solution into various parts of your face where dynamic wrinkles are present. Unlike other injectable treatments, like dermal fillers (JUVÉDERM® and Sculptra® Aesthetic) the BOTOX® Cosmetic solution is injected directly into the muscle. Once the injections are complete, your treatment is done! 

Though it varies for each patient and procedure, most BOTOX® Cosmetic sessions take less than 20 minutes, and since there is no downtime associated with this treatment, you can  effectively and safely treat your pesky wrinkles during your lunch break!

What Are the Side Effects of BOTOX® Cosmetic?

No plastic surgery procedure or cosmetic treatment comes without some form of side effects. The three most common of these side effects include: pain or discomfort, swelling, and bruising at the injection site. 

The good news with these side effects is that they are extremely temporary and can be managed with ice, over-the-counter medications, and time (usually a few days). 

There are other side effects associated with BOTOX® Cosmetic injections, including:

• Headaches
• Flu-like symptoms
• Droopy eyelids
• Cockeyed eyebrows
• Eye dryness
• Muscle weakness

It is important to note two things about these side effects: first, these are very rare, and two, these are temporary, usually dissipating within a few days to a week. 

In addition to offering stunning and dramatic results, BOTOX® Cosmetic has been proven in countless studies to be safe to patients with no long-term or life-threatening adverse effects. In short, BOTOX® Cosmetic offers you the chance to look and feel the way you desire without much worry of detrimental side effects.  

Interested in Learning More About BOTOX® Cosmetic?

If you are looking to get rid of those frustrating wrinkles on your face, then give us a call at 202-966-9590 or fill out our online contact form to schedule your consultation.

3 Minute Read: 

Breast augmentation is one of the top cosmetic surgeries sought by women worldwide. It is performed for patients who want to increase the size of their bustline or improve its shape. 

Over the last few decades, many advancements have been made in the way breast implants are produced. Because of this, more options have become available.

Early Breast Implants

In 1961, two Houston surgeons created the first breast prosthetic. It was made from a rubber sack filled with silicone gel. This basic model became the standard for 30 years until safety concerns were posed in the early 90s, marking a temporary shift to only saline-filled implants.

For many years after that, numerous research studies were conducted into new ways to create breast implants without associated health issues, and in 2006, the FDA approved silicone gel-filled breast implants and affirmed they were safe with little to no safety risks. 

Today’s Breast Implant Options

Currently, it’s safe to say there is a breast implant to suit every woman. Obviously, there are multiple sizes (implant volumes measured in cubic centimeters, or CCs); however, in addition to volume, there are the following considerations:

1. Shell Material 

The shell of your implant will always be silicone and poses no health risks. This shell is filled with either saline, silicone gel, or a cohesive (more solid) silicone gel. 

2. Implant Fill Material

• Silicone: Modern silicone breast implants now resist leaking, even if a tear occurs. Because of their ability to hold their form, choosing silicone implants does require you to receive bi-annual MRI imaging scans to check for unknown (or “silent”) ruptures. 
• Saline: Saline breast implants are typically less expensive than silicone and offer a rounder shape. These implants are filled during surgery, requiring a smaller incision to be made, and offer other advantages, such as not requiring biennial (every two years) MRIs to check for the integrity of the implant. 

3. Implant Shape   

• Round: Both silicone and saline come in the traditional round shape.
• Teardrop: Also known as gummy bear or anatomical implants, this option comes in various shapes similar to natural breasts.

4. Implant Texture

• Smooth: A smooth texture is available for round implants and has the lowest risk of both common and serious complications.
• Textured: Textured implants have a rougher surface to help prevent implants from rotating in the breast pocket, especially anatomically-shaped breast implants. However, some brands of textured implants carry a higher risk of complications, such as BIA-ALCL.
• Nano-textured: Nano-textured implants are the newest options on the market for silicone and may lower the risk of capsular contracture. This texture is designed to resemble the basal layer of skin, providing breast tissue cells with better biocompatibility with the implant. 

Breast Implant Options: Pros and Cons 

Saline Breast Implant Pros

• Require smaller incisions, leading to less scarring
• Less expensive
• Size can be adjusted
• Ruptures are easily detected
• Lower risk of serious complications

Saline Breast Implant Cons

• More prone to rippling (the ability to see or feel the edges of the implants under the skin)
• May not be appropriate for women with very little natural breast tissue
• Only available in round shape

Silicone Breast Implant Pros

• Generally appear and feel more natural than saline implants
• Available in multiple shapes and textures

Silicone Breast Implant Cons

• While uncommon, silicone breast implants carry a higher risk of complications
• Bi-annual screenings are necessary to check for leaks

Other Crucial Breast Augmentation Factors

Other aspects of breast augmentation surgery factor significantly in the final outcome of your procedure. These include:

• Incision type
• Implant placement

Learn more about these options here.

Choosing a reputable board-certified plastic surgeon can help you achieve the results you desire and lower your chances of experiencing problems with your breast implants.

Breast Augmentation in Washington, DC | DAVinci Plastic Surgery

The surgeons at DAVinci Plastic Surgery are double or triple board-certified and dedicated to providing exceptional and personalized care for their breast augmentation patients in Washington, DC.

Call us today at (202) 966-9590 to learn more, or scroll down to reach us online.