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7 Things to Know About Rhinoplasty

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. 

Profile of a woman's nose against a gray background.

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. 

Woman on the operating table while a cosmetic surgeon puts a bandage on her nose.

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.

Is It Safe to Do Yoga After a Tummy Tuck?

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. 

Attractive woman stretching her arm while sitting on a yoga mat.

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.

Are There Side Effects From BOTOX® Cosmetic?

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! 

Beautiful woman having BOTOX® Cosmetic injection in between her eyebrows

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.

Want Breast Augmentation? Your In-Depth Guide to Understanding Breast Implants

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. 

A variety of breast implants o n a table.

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. 

Illustration of breast implant shapes.

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.

Does SculpSure® Give You the Same Results as Liposuction?

4 Minute Read: 

One of the most common cosmetic frustrations that brings both men and women to plastic surgery offices is having excess fat in localized areas of their bodies. These men and women may desire a slimmer, more toned appearance but have found that the natural method of diet and exercise just isn’t working. 

That’s because some fat is resistant to these methods. This stubborn fat remains in the body, no matter what you do…unless you have the help of cosmetic procedures.

Woman admiring her contoured body in the mirror as she wears jeans that are too big for her

While liposuction is one of the most trusted body contouring cosmetic procedures, with over 210,000 liposuction surgeries performed in 2020, many patients are hesitant to undergo a surgical procedure that involves anesthesia, incisions, and recovery time. 

That’s why many men and women consider non-surgical body contouring procedures like SculpSure®. 

But are these non-surgical options as good as liposuction? 

Below, we’ll explore this question along with taking a look at how these procedures are performed.

What Is Liposuction?

Liposuction surgery is one of the most versatile cosmetic surgical procedures available. That’s because it can be performed as a standalone procedure or as part of other procedures, such as tummy tuck surgery (abdominoplasty), buttock augmentation (Brazilian Butt Lift), and Mommy Makeover surgery

For liposuction, Dr. Davison or Dr. Pinell will make a small incision in the treatment area. Then, a thin tube called a cannula will be inserted through the incision to loosen the subcutaneous fat

Once the fat is loosened, it is vacuumed/suctioned out of your body through the cannula. And the best part is that these fat cells are gone for good, allowing you to enjoy your trimmed and toned results.

What Is SculpSure®?

SculpSure® is a non-invasive treatment that is designed to get rid of subcutaneous fat in your abdomen and/or love handles with the use of laser energy. 

For your procedure, the SculpSure® applicator will be applied to the skin in the treatment areas. Laser energy is then delivered through the skin to heat and essentially melt the targeted fat cells without affecting any of the surrounding skin or tissue. 

Over the next several weeks, your body will eliminate these destroyed fat cells to leave you with a more toned look and feel. 

The Pros and Cons of Each…


Liposuction is one of the most performed procedures for a reason. The results obtained from liposuction are dramatic. 

However, it is important to understand that this procedure does require surgery (even though it is not the most invasive plastic surgery option), which means that you will be given anesthesia, small incisions will be made, small scars may be left, and downtime will be required.


With SculpSure®, you do not need to worry about surgery, since there are no incisions being made. And because of this, you can enjoy your results with little to no recovery time. This means that you can get back to work and your normal, daily activities in no time. 

However, patients usually require two to four SculpSure® treatment sessions before they see optimal results.  

So, Which Procedure Is Better?

You can achieve a thinner, more contoured aesthetic with both of these procedures, which can make you look more youthful and can improve your confidence and self-esteem. 

After either of these procedures, you can look forward to wearing the clothes you’ve always wanted but never had the figure to wear, and you can find yourself feeling more comfortable in social situations (especially at the beach or pool). 

However, it needs to be understood that while SculpSure® offers stunning results, these results cannot truly match the results that can be achieved with liposuction. And it is because of liposuction’s invasive method that this is the case. 

Before and after showing liposuction results in Washington DC.

Before and after results showing SculpSure in Washington DC.

To see more body contouring transformations, visit our liposuction before and after gallery or our SculpSure® before and after gallery.

Your plastic surgeon is able to remove more fat with liposuction than they are with SculpSure®. And liposuction can be used on numerous areas of the body, where SculpSure® is limited to the midsection.

With that being said, SculpSure® can be the best option for qualifying men and women who are looking for a less extensive procedure to help them look and feel their best.

Ultimately, if you are looking to contour your body with either of these procedures, you need to think about your aesthetic goals and what you feel comfortable having performed. 

At your body contouring consultation, your plastic surgeon will be able to help discuss the benefits and drawbacks of each of these options as they apply directly to you to help you decide which procedure is best for you. 

Interested in Learning More about Body Contouring Procedures in Washington DC?

If you have questions about SculpSure®, liposuction, or any of the other procedures we offer, give DAVinci Plastic Surgery a call at 202-966-9590 or scroll down to fill out our online contact form and schedule your consultation.


When Is the Right Time for a ThermiVa® Treatment?

3 Minute Read: 

It is not uncommon for women to notice changes in their more intimate areas as they age and experience life events like having children. While these changes are normal (and expected), they are not welcome and, fortunately, do not have to simply be accepted.

Instead, treatment for vaginal laxity and dryness exists!  

Bodice of woman in lace underwear.

ThermiVa® is a great option for women over the age of 18 who have noticed a decline in vaginal tightness and vulvovaginal function. The common causes of a decline in vulvovaginal function include childbirth, aging, chronic disease, and hormonal changes from the menstrual cycle.

To determine if a non-surgical ThermiVa® treatment is right for you, discuss your medical history with a doctor qualified to perform ThermiVa®.

What Are the Benefits of ThermiVa® for Vaginal Laxity?

Vaginal laxity affects up to 76 percent of women at some point in their life. This can be as emotionally troublesome as it is physically uncomfortable. 

Fortunately, ThermiVa® is available for women to relieve the discomfort and insecurities associated with vaginal laxity. 

ThermiVa® can be performed to:

  • Tighten the labia and vaginal tissues
  • Reduce vaginal dryness
  • Reduce incontinence or leakage accidents
  • Increase sexual satisfaction

How Often Should ThermiVa® Be Done?

ThermiVa® uses RF technology. Essentially, radiofrequency energy is emitted into the vagina to heat and contract the tissues. This helps to tighten the area. 

Like many non-surgical treatments, many patients do best with a series of treatment sessions followed by routine maintenance sessions.

Following the initial three-month, three-treatment protocol, most patients can expect to undergo continuing maintenance treatments for a few years.

Individual needs vary from one woman to the next, and the frequency of any maintenance treatments will be based on the patient’s specific needs and doctor’s recommendations.

Is ThermiVa® Painful?

No. ThermiVa® is a non-surgical, non-ablative procedure that uses RF energy to gently heat the vagina and improve its shape and tone by tightening vaginal tissue.

Our patients describe the process as a gentle, relaxing, and warm internal massage.

ThermiVa® patients do not require a recovery process. Since the procedure is non-surgical and no anesthesia is involved, patients are free to return to their daily activities immediately after the procedure.

How Soon Will I See Results?

ThermiVa® takes effect quickly. And although results vary from one patient to the other, some patients report improvements as soon as two weeks after the procedure.

Is ThermiVa® Covered by My Insurance?

While ThermiVa® can effectively tighten tissues, your health insurance will most likely not cover it. ThermiVa®, like most cosmetic procedures, is considered to be an elective treatment that is not medically necessary. Therefore, insurance will not cover the cost.

If you would like to learn more about this treatment’s cost to see if it’s included in your insurance benefits, contact our facility to request a consultation or price estimate.

How Long Does ThermiVa® Last?

Although the results vary with each patient, many patients find that their vaginal tightening results may last for more than one year.

Factors that might affect the length of the results may include (but are not limited to) age, hormone levels, body weight and muscle mass, frequency of the treatments, and the type of lifestyle you live after your treatment.

Interested in Learning More?

Please feel free to call DAVinci Plastic Surgery at (202) 966-9590 or schedule an appointment right here on our website. 

How Does a Facelift Actually Work?

5 Minute Read: 

For many people, facelift surgery is one of the first procedures that comes to mind when asked to think of anti-aging plastic surgery procedures

And that’s because facelift surgery is one of the most trusted and popular cosmetic procedures available. In fact, in 2020 alone, the facelift was the third most common cosmetic surgical procedure, with nearly 235,000 procedures performed. 

Beautiful middle-aged woman looking at her face in the mirror

However, many people do not really understand what a facelift actually involves. They may be under the false impression that a facelift is simply tightening the facial skin

While a facelift does involve tightening the skin on the face, there is much more to the procedure. 

So, to help you better understand what a facelift is and what it can do for you, here is some information about facelift surgery.

What Can a Facelift Correct?

Whether from age, lifestyle, or life events, many men and women develop excess skin, unwanted facial fat, and sagging tissues (particularly around the midface and jawline) along with wrinkles and fine lines, on their faces. 

These facial issues can be embarrassing for a lot of people. 

However, facelift surgery can help address these issues by smoothing wrinkles and fine lines, getting rid of sagging skin, and lifting the underlying tissues to eliminate the presence of jowls

And what’s more, facelift surgery doesn’t just address these problems on a surface level, but instead, treats these issues below the surface so that you can have long-lasting and natural results. 

How Is a Facelift Performed?

Facelift surgery is a complex surgical procedure that requires skill and extensive knowledge of the facial structure.

While all facelift surgeries are tailored to the patient, there are commonalities between procedures. In general, the surgery is performed with the following steps:

  1. Facelift surgery is generally performed under general anesthesia, so you won’t feel any pain or discomfort. 
  2. After the anesthesia has been administered, Dr. Davison or Dr. Pinell will make an incision that begins at your temples and continues along the contours in front of your ear, ending at the base of your scalp. 
  3. An additional incision may be made under your chin to address any issues that may be present there. This is an incision made with all neck lift patients. Neck lift surgery is commonly performed in conjunction with facelift surgery to address vertical neck banding and excess skin or wrinkles on the décolleté area. This incision also allows for the removal of submental fat (also known as a double chin). Neck liposuction is also available to address unwanted submental fat for patients with good neck skin elasticity and health.
  4. Your surgeon will then tighten the underlying tissues and muscles with internal sutures
  5. Once the underlying issues are addressed, excess and sagging skin will be trimmed away. 
  6. Before the incisions are closed, your surgeon will tighten the remaining skin to give your face a more contoured and defined appearance.

Because the entire face (surface and below surface) is addressed, you can expect to have complete facial rejuvenation after your facelift. 

Facelift surgery addresses the bottom two-thirds of the face (beneath the eyes to the jawline). Additional surgical procedures are needed to address the upper region of the face. These include brow lift surgery and eyelid surgery (blepharoplasty)

Before and after image showing the results of a facelift performed in Washington DC.

To see more transformative examples of facelift surgeries performed by the experts at DAVinci Plastic Surgery, view our before and after photo gallery

What Extra Non-surgical and Minimally Invasive Enhancements Are Available for the Face?

As we age, we can lose volume in our face (especially in our cheeks, jawline, and under our eyes), which makes us look gaunt and older than we are. 

And while facelift surgery can transform the appearance of your face, this procedure cannot correct volume loss. Instead, dermal fillers and facial fat transfer are two options you have to restore lost volume in your face. 

And the best part about these options is that they can be performed to enhance a facelift or performed as standalone procedures. 

Dermal Fillers

Dermal fillers (or facial fillers) are injectable treatments that use hyaluronic acid (HA) to attract and retain moisture in your skin, creating increased volume in your face. 

At DAVinci Plastic Surgery, we are proud to offer different dermal filler options, including JUVÉDERM®, Restylane®, and BELOTERO BALANCE®

Each of these fillers can be used to address specific facial issues, including lost volume and wrinkles such as marionette lines, smile and frown lines, and issues with the nasolabial folds. 

Dermal filler results can last up to one year before requiring maintenance treatments.

Facial Fat Transfer

Also known as facial fat grafting, facial fat transfer offers a longer lasting improvement to facial volume than what can be attained with dermal fillers. 

For facial fat transfer, fatty tissue is extracted from an area of your body (usually the abdomen, hips, or flanks) through liposuction surgery

This fat is then processed and purified before it is strategically injected into areas of your face. With this procedure, the fat from your own body fills in areas of lost volume while also smoothing wrinkles and fine lines to give you a more balanced and youthful appearance.

Alternatively, some patients choose to combine their facelift with volume enhancement procedures like cheek augmentation (with cheek implants).

Interested in Learning More about Facelift Surgery in Washington DC?

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

5 Reasons to Remove Your Breast Implants

4 Minute Read: 

Breast augmentation (implant surgery) is designed to provide long-lasting results, but they aren’t permanent. There comes a time when a woman may want or need to have her implants removed. 

Woman covering naked breasts with her hands.

There are several things to think about when considering breast implant removal or revision, and these will depend on your unique circumstances.

The most common reasons we see for patients wanting to have their breast implants removed include the following:

1. You Want to Change the Size of Your Breast Implant  

The number one complaint after breast implant surgery is that the implants aren’t big enough. Alternatively, another issue is that they may be larger than you thought they would be. 

Either way, at some point, after recovery is complete and you are clearly unhappy with your results, talk to your surgeon about when you could undergo a breast augmentation revision (secondary breast surgery).

If you want to go smaller, your doctor may suggest you have the procedure soon to avoid the breast tissue from being stretched any more than it has. 

When this happens, you may need a breast lift as well.

2. You Want to Change the Type of Implant

If you opted for saline implants, you might be unhappy with the shape of the implants, or you may have experienced implant rippling, and the edges are showing through your skin. 

In this case, you may want them replaced with silicone implants. 

Breast revision allows you to swap any aspect of your implants, be it filling material, size, shape, or profile.

3. You Have Developed Capsular Contracture

In some cases, a hard tissue capsule forms around one or both implants. The capsule tightens and squeezes the implant causing chronic pain and breast implant distortion. 

Treatment involves surgical removal of the implant and breaking up the scar tissue. A new implant can often be placed into the new pocket immediately. 

To prevent a recurrence, post-augmentation implant massages are recommended.

4. You Are Experience Other Complications: BII, Rupture, and Distortion

Other complications can cause women to have their breast implants removed. One is breast implant illness or BII; this is a collection of symptoms that many believe are caused by breast implants. 

These include:

  • Chronic fatigue
  • Headaches
  • Joint and muscle pain
  • Respiratory symptoms
  • Hair loss
  • Skin rashes
  • Dry mouth and eyes
  • Poor memory and difficulty focusing
  • Depression and anxiety
  • Insomnia

Alternatively, breast implants can develop tears, causing them to leak or rupture. Ruptures are easier to detect with saline breast implants because of the noticeable deflation (the saline is harmlessly absorbed by the body). 

Silicone implants require an MRI to determine if a leak exists. Modern silicone implants are made of form-stable cohesive silicone gel which helps the material stay within the shell and breast pocket in cases of rupture.

5. Your Implants Are Old and Worn Out

Implants are not expected to last forever. Eventually, they will likely need to be replaced.

If you have had your implants for over a decade and notice some changes, you may opt to replace the implants with bigger implants or undergo a breast lift with or without replacement implants.

You really don’t need a specific reason to have your implants removed;  you may just want to have natural breasts. However, if you do choose to have your breasts removed and not replaced, you are likely to need a breast lift to tighten the natural breast tissue.

Before and after image showing the results of a breast revision performed in Washington DC

Visit our breast revision before and after gallery to see more transformations.

Why Choose DAVinci Plastic Surgery for Your Breast Revision?

At DAVinci Plastic Surgery, we have worked hard to create a relaxing and trusting environment for our patients and are committed to their wellbeing. You can trust our plastic and cosmetic surgeons to bring you the highest level of quality in each and every procedure they perform. 

Dr. Steven P. Davison is one of the only triple board-certified plastic surgeons in the Washington, DC, area. He is also a Fellow of the American College of Surgeons

Dr. Ximena Pinell is double board-certified in aesthetic and reconstructive surgeries. 

Interested in Learning More about Breast Revision in Washington DC?

If you want to discuss any concerns about your breast implants or other aesthetic goals, give us a call at 202-966-9590 or scroll down to fill out our online contact form and schedule your consultation.

Plastic Surgery Under Local Anesthesia

1 Minute Read: 

Dr. Pinell performing eyelid surgery in OR.When patients are considering a plastic surgery procedure, they understandably want to minimize their downtime. In some cases, doing the procedure under local anesthesia—instead of general anesthesia, which involves a breathing tube—can simplify the procedure and the recovery. 

Local anesthesia involves numbing the surgical field, i.e. where we are working, with lidocaine injections, such that the patient is wide awake but completely comfortable. In other instances, we might add an oral sedative or pain medication to take the edge off, but the patient is still awake or at most a little drowsy. Avoiding IVs and breathing tubes makes for a lighter recovery. No hangover from anesthesia, no nausea or prolonged sleepiness. We chat or listen to music during the procedure, and the patient literally walks his or herself out of the procedure room. Easy enough!

So which procedures can reasonably be done under local anesthesia?

Most skin surgery, like mole removals, skin cancer reconstructions, or scar revisions are done with the patient wide awake. Lesion excisions, such as lipomas, can also be done under local if they are not too deep. Upper eyelid surgery can be comfortably done awake, as can chemical peels, lip lifts, and skin rejuvenating treatments. I do most labiaplasties awake since the area we are treating can be very effectively anesthetized with lidocaine. When a patient wants liposuction for a discrete area—like the chin or a small abdominal pooch, a more dilute lidocaine preparation allows us to do it safely and comfortably with the patient awake. More extensive liposuction is better done asleep to ensure patient comfort and optimal results. In general, when surgeries address a more expansive area—like a breast lift or tummy tuck, the whole field is difficult to numb with local anesthesia and the procedure takes a bit longer, so general anesthesia is preferred. 

In my experience, procedures under local anesthesia tend to be easier on patients. There are fewer pre op requirements, like no clearances or requirements for fasting. After a few short pinpricks to deliver the local anesthesia, the procedure is generally painless. The patient is awake and can see their results right away. And no fogginess from anesthesia! In the right patient and procedure, local anesthesia is an excellent option with predictable, great results.

Ximena Pinell, MD

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So When Can I Work Out After Plastic Surgery?

3 Minute Read: 

Like it is for me, exercise is extremely important to many of my patients. It keeps us fit and frankly, sane. So when we are talking about plastic surgery and the recovery that a patient can expect, this question comes up a lot.

Woman stretching on a bridge before going on a run.

While it varies from procedure to procedure, the good news is that I really try to minimize downtime for my patients. As soon as it is safe to get back into routines, I am all for it. Bedrest is a thing of the past. In fact, I cannot think of a procedure in which a walk outside the day after surgery isn’t a good thing. Ok, maybe a calf augmentation. 

Exercise After Breast Surgeries

For most breast surgeries—including breast augmentations, lifts, and reductions, patients can expect to be back to cardio by four to six weeks. In the meantime, long walks, Peloton (without getting in and out of the saddle!) and lower body workouts are encouraged. Avoid heavy lifting and more dynamic (read: bouncing) exercises. This is because we want to give enough time for the internal scar tissue to form properly for a pretty and lasting result. I also tend to hold off on submerging in a pool or the ocean until about six weeks, so that incisions are 100% healed.

Exercise After Body Sculpting

With liposuction, the biggest factor to consider is swelling. You may feel well enough to hit the gym after a week, but remember to keep your compression garments on and dial back the exercise if you notice increased swelling. You aren’t likely to impact your long-term results, but you may prolong swelling if you do too much. 

Tummy tucks are a bit tougher recovery because of the core tightening that is generally performed. It is extra important after this operation to get up and walk, even the evening of surgery. This promotes circulation and prevents scary complications like blood clots. 

Most patients are taking long walks a couple weeks after surgery. Since so many exercises engage the core—like an exercise bike, running, elliptical, Crossfit—we hold off on these until the six-week mark. Core strengthening exercises, like sit-ups and planks, are sometimes pushed off even further, like eight to 10 weeks, if a big muscle separation or hernia was fixed at the time of the tummy tuck. 

After most face procedures, like eyelid surgery or a facelift, patients are advised to limit strenuous activity and exercise for about four weeks to prevent excess swelling and bruising. Non-invasive procedures like BOTOX® Cosmetic and fillers, have almost no downtime. Give yourself a day to minimize swelling after filler treatments. 

A VERY important rule of thumb for all types of surgical recovery is if it hurts, you aren’t ready. If you have a sensation of tugging, pulling, or discomfort, ease off that movement for the time being. It is also a good idea to gradually ramp up your activity: 20 minute jog, yes; Crossfit burpee challenge, no. 

Lastly, every patient is different. We will look over everything together to make sure you are sufficiently healed to resume unrestricted activity and fitness. Recovery is a process, but you will get back to it. Promise!

Ximena Pinell, MD

What Should You Look for in a Plastic Surgeon?

4 Minute Read: 

So, you’ve seen how plastic surgery and cosmetic treatments have worked on some of your favorite celebrities and have decided that you want to correct aesthetic issues that you are struggling with. 

That’s a great first step in attaining a more rejuvenated appearance! 

However, the next step in your journey is one of the most important (if not the most important) aspects in having cosmetic surgery, and that is choosing the right plastic surgeon

A line-up of different doctors looking directly at the camera and smiling

The unfortunate truth is that not all plastic and cosmetic surgeons are the same, so you want to make sure that the plastic surgeon you have operating on you is the right one. 

Below, you’ll find some information on why you need to be picky about your plastic surgeon and some tips for how to make the right choice for you!

Why Is It Important to Choose the Right Plastic Surgeon?

Think about it: you wouldn’t want a dermatologist to perform open-heart surgery on you, nor would you want a dentist doing brain surgery. 

The same is true about plastic surgeons. 

Like medical doctors, plastic surgeons specialize in different types of procedures and treatments. 

Because of this, you want to make sure that you are choosing a cosmetic surgeon who specializes in the correction you are looking to have. 

How Should I Pick the Right Plastic Surgeon?

After you have come up with a list of plastic surgeons who specialize in the procedure or treatment you want, then you should make sure that they have significant experience and success in performing that procedure. 

One of the easiest ways of finding a plastic or cosmetic surgeon with experience is to make sure that they are board certified and have significant experience. 

While all plastic surgeons need to start somewhere and get practice, do you really want to be the patient they are practicing on? Probably not. So, choose a plastic surgeon who has a long list of successful procedures and be happy knowing that you will be added to that list.

What Are Other Tips for Choosing the Right Plastic Surgeon?

In addition to choosing a successful board-certified plastic surgeon who specializes in the procedure you are looking to undergo (such as breast augmentation, tummy tuck surgery, or liposuction), here are some other tips for making sure your plastic surgeon is the right one for you:

Ask Questions

During your consultation, it is so important that you ask the plastic surgeon questions. 

These questions should include their professional track record and background as well as the techniques they use and the reasons why they perform the procedures that way. 

A consultation allows you to essentially interview the plastic surgeon, and you want to make sure that you choose one that you feel comfortable with.

Ask to See Before and After Photos

One of the best ways to decide whether or not to choose a particular plastic surgeon is to see the results from their previous work

Before and after image showing the results of a tummy tuck performed in Washington, DC.

If you are not happy with the way previous patients look, then chances are you won’t be happy with your own results. Make sure that the results you see match up with your goals and expectations for your results.

Look at Reviews

Luckily, in our day and age, it is very easy to find reviews and ratings for just about anything, and this includes plastic and cosmetic surgeons

It is important to see what other patients say about their experiences. See if they are happy with their plastic surgery results and with the care and treatment that they received from that particular plastic surgeon.

Why Choose DAVinci Plastic Surgery?

At DAVinci Plastic Surgery, our plastic and cosmetic surgeons put you, the patient, first. This means creating a relaxing and trusting environment while also bringing the highest level of quality to each and every procedure they perform. 

Dr. Steven P. Davison is one of the only triple board-certified plastic surgeons in the Washington, DC, area. He is also a Fellow of the American College of Surgeons

Dr. Ximen A Pinell is double board-certified in aesthetic and reconstructive surgeries. 

Interested in Learning More?

If you are looking to undergo plastic or cosmetic surgery and want to discuss your aesthetic goals, then give us a call at 202-966-9590 or fill out our online contact form to schedule your consultation.

Considering Liposuction? Don’t Miss Out on Your Chance to Be Recovered by Summer

3 Minute Read: 

Let’s be honest, nearly each one of us has some extra fat on our bodies that we’d love to get rid of. And while nothing beats a healthy diet and regular exercise, sometimes these just aren’t enough to remove pockets of stubborn fat from our bodies. 

This is where plastic surgery comes in. Liposuction is one of the most trusted and commonly performed cosmetic procedures each and every year. 

attractive couple having fun on the beach while wearing straw hats

Liposuction can help you shed that extra flub so that you’ll be ready to show off your newly sculpted body to the world. And what better time than summer to do that, right? 

Summer means pool parties and hanging out at the beach, and you want to have a beach body just like your favorite celebrity! With liposuction, you’ll be able to feel comfortable with your appearance so that you can show off your contours in bathing suits, bikinis, and cute summer outfits. 

What Is Liposuction?

With over 210,000 procedures performed in 2020, liposuction is one of the most popular and successful plastic surgery procedures available. Liposuction removes stubborn subcutaneous fat from various areas of your body. 

And the best part is that once the fat is removed, it is gone for good!

Liposuction surgery takes anywhere from one to several hours to be completed and is performed under local or general anesthesia so that you don’t feel any pain during the procedure. 

Liposuction is a minimally invasive procedure, which means that Dr. Davison or Dr. Pinell will only make small incisions in your skin. This will result in only minor scarring that will fade over time. It is through these small incisions that your plastic surgeon will insert a cannula (a thin tube) to break up the fat deposits under your skin. After this fat is loosened, it is vacuumed out of your body through the cannula.

Because liposuction offers such dynamic results, it is often used in conjunction with other plastic surgery procedures, such as:

What Are the Benefits of Liposuction?

The benefits of liposuction are both physical and mental. Stubborn fat that diet and exercise can’t get rid of will be gone, and you’ll be left with a thinner and more contoured physique. 

In addition to that, you’ll be able to feel confident about the way you look. Instead of covering up with clothing or towels, you’ll be able to enjoy the water, sun, and sand this summer!

Why Do I Need to Act Now?

As much as we’d like them to be, liposuction results aren’t immediate. Generally speaking, it takes one to three months for your liposuction results to become final (and for all swelling to subside), which means that you’ll need to schedule your consultation soon so that you can have that summer body ready for those hot months.

Before and after image showing the results of a liposuction treatment performed in Washington, DC.

You can see more transformations by visiting our liposuction before and after photo gallery.

Interested in Learning More About Liposuction?

If you are looking to finally get that beach body you’ve always wanted, then give us a call at 202-966-9590 or fill out our online contact form to schedule your consultation.

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.

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