Call Us Today: 202.966.9590

Category: AntiAging


« Back to Blog

Injectables for a Spring Facial Refresh

Spring brings with it a desire to refresh and renew. You can experience the vitality of Spring through your own facial rejuvenation with injectables. Here’s a little information about each injectable option we offer at our office:

BOTOX is a well known, FDA approved, safe injection using botulinum toxin type A. It halts muscle movement that is the cause of the wrinkles by blocking nerve signal to the muscles. When the muscles aren’t constricted, the lines are relaxed and the wrinkles are prevented from going deeper. Optimal results are seen within a week or 2, lasting for several months. Some of the most popular cosmetic uses for Botox are for smoothing:

  • horizontal forehead creases
  • vertical lines between the eyebrows (“eleven lines”)
  • crow’s feet around the eyes
  • nose furrows
  • smoker’s lines around the lips

JUVEDERM is a volume restoring injectable filler that smooths out lines and folds using hyaluronic acid (HA). HA is a naturally occurring substance that attracts water to the area its injected. It is a highly cross linked smooth gel that is also offered in the Juvederm XC Ultra and XC Ultra Plus formulas, which are the first FDA approved HA fillers for all skin tones and color because of no risk for hyper pigmentation. Juvederm results are instant with long lasting results for 6 months and up. It is perfect for many needs of the mid to lower face:

  • fill lines on the side of your nose (nasolabial folds)
  • rejuvenate creases on the sides of the mouth
  • plump up lips

RADIESSE is a semi permanent filler that creates scaffolding for your own collagen to grow around, naturally rebuilding in a lasting way. This gives immediate and ongoing wrinkle reducing results that remain beyond when Radiesse breaks down and dissolves. It uses calcium based microspheres to rebuild your skin’s foundation with results that last a year or longer for rejuvenated:

  • cheeks
  • nasolabial folds
  • smile lines

SCULPTRA is the longest lasting filler, proven to last up to 2 years or longer. This is nearly twice as long as the majority of hyaluronic fillers. It is composed of PLLA, poly L lactic acid, that stimulates the body’s own collagen renewal for incredible enduring rejuvenation that is natural looking. Sculptra is a great base for a Liquid Facelift that offers lasting volume and skin thickness. It best addresses:

  • aging skin folds
  • indented chin surfaces
  • hollow cheeks
  • sunken eyes

VOLUMA XC is a thicker hyaluronic acid filler that instantly adds volume to the cheek area to fill in lost volume that comes with aging. It is the first FDA approved injectable filler for complete cheek volume restoration. It lifts and sculpts the cheeks for a gentle, subtle Liquid Facelift that lasts up to 2 years. Also, Voluma XC is better suited to fill more difficult folds and wrinkles. The lifting and sculpting benefits rejuvenate:

  • nasolabial folds
  • cheek volume and definition
  • chin shape and smooth lines

As expert injectors, Dr Davison, myself and our PA Nora, are ready to help you rejuvenate and refresh your face for the Spring and beyond. Please visit www.davinciplastic.com to schedule your consultation today.

Dr. Pinell

Plastic and Reconstructive Surgeon of the Face and Body

A Fresh Face for Spring

The beauty and aroma of spring is in the air with the cherry blossoms in full bloom. This is a great time of year to do some spring cleaning, spruce up your wardrobe and freshen up with some injectable treatments to restore that youthful volume and glow. You’ll want to put your best face forward because soon we will be celebrating some of the spring and summer holidays, such as Easter, Passover, Mother’s Day, Father’s Day, graduations, Memorial Day, Fourth of July, family reunions, and weddings.

INJECTABLES FOR THE PERFECT SPRING TWEAKMENT…Coming out of winter, we could all use a bit of a refresh, right? Injectables are the perfect fix for those subtle adjustments that can rejuvenate and lighten up your look. Think about a frown free forehead, twinkling youthful eyes, fuller cheeks, and a pop of color on your smiling sexy lips.

SPRING FACIAL TWEAKMENT TEAM… In addition to offering the best injectable formulas, you will be in the hands of experts who know facial anatomy through study and many years of experience. It also takes having a trained and artistic eye to get the best results possible. You can rest assured in the hands of Dr Davison, myself, and our PA Nora.

Botox, Juvederm, Radiesse, Sculptra, and Voluma XC are effective rejuvenating tools when in the hand of a skilled professionals like ourselves. These non surgical options are great for tweakments when you don’t have time for recovery. Many offer instant results with no major discomfort. You can experience a facial rejuvenation with injectables in the time span of a lunch break. With an ice pack immediately afterwards to help with any swelling and some mineral makeup to cover any redness or bruising, you’re on your way.

This variety of injectable options empower us to tailor fit the right treatment for you. In the next blog, I’ll give an overview of what differentiates each of these injectables so that you can see what great options you have for a fresh look for spring. In our expert injector hands, you can feel confident and refreshed going into the spring and summer holiday season. To schedule your appointment today, visit www.davinciplastic.com.

Dr. Pinell

Plastic and Reconstructive Surgeon of the Face and Body

 

 

2019 Trend: The “Tweakment”

This new word “tweakment” is being thrown around in fashion magazines a lot so far this year. With this being one of the biggest 2019 trends, I thought I’d spend a little time on it with you.

So what is a “tweakment?” It’s a play on the words “tweak” and “treatment.” Generally it encompasses a variety of surgical and non surgical procedures that are seemingly small “tweaks” to your appearance. You still look like yourself, but with an ever so subtle enhancement.

Previously, the way most people would communicate to me what features they wanted to accomplish through plastic surgery or non invasive treatments, would be to bring celebrity photos. They’d say “I want her lips” or “I want her nose” or “I want his chin,” etc.

Now, with the smart phone photo editing technology in the palms of our hands, we can enhance the existing features to be more appealing, at least in the cyber sense. We still look like ourselves, but with youthful, symmetric features. Now a days, the way many people are showing me what they want to look like by using these filtered photos of themselves. They want this to not just be a virtual reality on social media, but how they actually look.

This “tweakment” trend is coming from a mindset of people wanting to continue to look like themselves with a little more refinement to their features. Tweakments offer a confidence boost in our appearance, but are minor enough that they aren’t obvious to everyone else. So what are some examples of “tweakments?”

One of the most “up and coming” of the tweakments is the “non surgical nose job.” Rhinoplasty is one of the most requested of plastic surgeries, however, over the last few years more and more people are wanting non surgical alternatives for the more minor tweaks. For these cases, the fillers offer some people with a temporary yet incredibly satisfying change

Another popular “tweakment” that is expected to be the most popular one of 2019 is the Mini Facelift. While everyone wants the results, the recovery for a full Facelift can be daunting for some people. The ones who have exhausted the benefits of the Filler Facelift and aren’t in need of the dramatically rejuvenating results of a full Facelift can turn to the Mini Facelift for help. This less intense surgical option gives the face a refresher that should only require a weekend of recovery.

So have “tweakments” gotten your attention? I’ll cover more about the non surgical nose job and the Mini Facelift in following blogs. If you’re ready to talk about what a “tweakment” can do for you, please visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

The Gift of Youth: The Hottest Holiday Gift for your Valentine

Save your time perusing online or strolling the crowded malls for the hottest Valentine’s gift. You can give one of the most desired gifts that almost every adult would love without stepping into any mall or online portal… simply visit DAVinci Plastic. One of the holiday’s hottest gifts is to give a non invasive cosmetic procedure like Botox or a Filler Facelift, and we can help you with that!

Who’s a Great Recipient?

More people are dropping subtle and not so subtle hints that they don’t want another purse, shoes or box of chocolates for Valentine’s Day…well you can still include a box of chocolates. They want to turn back the appearances of time. So who might be a good recipient for the hottest holiday gift this year? Here are some criteria: 

  • Women or Men above 35 years
  • Anyone who’s expressed concern about the appearance of their wrinkles.
  • Someone who already “has everything”
  • They’ve already mentioned they’ve been wanting to try a injectables or go back for more if they’ve already liked what they got.

Don’t Forget the Fellas

When given the gift of youth, women are so happy, however they aren’t the only ones with this on their wish list. While some men might be more subtle with their hints about it, they’re totally game for trying Botox… or should we call it by its a manly code name, “Bro”tox.

For a guy, this kind of treatment is considered desirable to give a professional advantage. It’s that slight edge above the competition to build confidence and connection with clients. For example, a gruff, deeply creased and furrowed brow can put off potential clients. Brotox lightens these forehead creases to go from looking angry to contemplative. Also a little Botox or filler can take tired eyes and lighten them to communicate alertness. With a little injectable help, these features look healthier and translate to clients that are happier.

The Best Gift Giver Ever

Another reason this is the hottest Valentine’s Day gift is that you don’t have any pressure as the gift giver. You can purchase a gift certificate, put it with a brochure, bow on top, and don’t forget that box of chocolates. Then at their earliest convenience, the recipient can come for a consultation to determine their best options for using it. They have so many treatments to choose from. For you, that means no pressure, and all the gift giving pleasure.

You want to be the best gift giver ever, right? Get the hottest Valentine’s Day gift: a DAVinci Plastic gift certificate for a non invasive treatment. Visit www.davinciplastic.com or come in to our location to pick up your gift certificate today to have a happy Valentine this Valentine’s Day!

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

Healthy Habits for Maintaining Surgery Results

The mindset that surgery is a “quick fix” for your facial and body enhancing procedures isn’t complete or balanced. While surgery can get you the results not necessarily attainable through a healthy lifestyle, it is of utmost importance to take care of yourself before and after your surgery to maintain your results as long as possible. Surgery can appear to turn back decades of aging effects, but it isn’t a permanent fix for the long term effects of genetics or aging.

Fortunately it definitely helps your results to stay longer when they’re accompanied by good lifestyle choices. Here are some healthy lifestyle tips to maintain your surgery results:

Stay Active and Eat Well

Even though procedures like Liposuction permanently remove fat cells, the fat cells that are left behind can expand, taking the place of the ones removed. This results in expanding parts of the body that might appear in odd areas because the fat cells in “normal” spots have been eliminated. Also, with a Tummy Tuck, your extra skin is removed, which doesn’t leave room for expansion. If you gain weight, you’ll stretch out the skin again and negate the trim results. Don’t fear though, you can do your part to maintain your slim and trim post Lipo or Tummy Tuck figure with a healthy diet and exercise.

Make Healthy Lifestyle Choices

There’s a reason most surgeons require you to not smoke or drink before surgery or during your recovery time. Nicotine hinders your body’s immune system and response to inflammation. It can prolong or prevent proper healing, even leading to complications causing excessive bleeding and scarring. Consuming alcohol also increases bleeding and swelling because it dilates your blood vessels and dehydrates your body (causing it to retain water).

Skin Care Matters

It is crucial to take good care of your scars to aid them in healing and fading as much as possible. You don’t want to be too active and stretch them, and you should follow your surgeon’s cleaning ointment application protocol. Beyond the initial healing period, its important to have a good skin care routine. I highly recommend SkinMedica, which we sell in our office, as a clinically proven skin care line to help your skin stay hydrated and smooth.

Cosmetic surgery isn’t a one time investment into your body or face. In order to see the long term results you’ve worked hard for, I highly suggest you follow the simple healthy lifestyle tips outlined above. You’ll be glad you did!

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Me Time

The back to school season has started. Depending on your temperament and the ages of your children, you’re probably crying tears or breathing a sigh of relief to see them go… maybe a mix of both. Once you get settled with the new routine of things and get the machine moving smoothly, it’s time for you to take some time for yourself. Get some projects done and breathe a bit before the holidays kick in.

It’s important to schedule for yourself some “me time,” whether that’s working out, socializing, volunteering, pampering… or all of the above. Consider it part of your mental, emotional and physical wellbeing. When mamma is happy, everyone is happy, except toddlers and moody teenagers, but hopefully those are just phases.

There are a variety of beauty treatments you can choose to invest your resources into, but in the rejuvenating realm, there’s something so gratifying about the age defying results of getting Botox or fillers like Juvederm. The treatments are so quick you don’t have to schedule any more than a lunch break. Also, they don’t require any recovery time so you’re keeping the same pace with your schedule. Smooth forehead, no crow’s feet, a smile without the smile lines and fuller lips… how fantastic.

Another treatment with no downtime and can help you feel more confident and comfortable in your clothes is SculpSure. This FDA approved treatment is perfect for those little stubborn fat pooches that just won’t go away. You can firm up the belly or trim down those “muffin tops” to fit more comfortably in your fall jeans. With no time in your schedule to waste, you can get clinically proven results of 24% fat cell reduction in the treatment areas.

This back to school season is great for you to schedule in some “me time.” We can help you look and feel your best with “in and out” rejuvenating facial and body contouring procedures. Visit www.davinciplastic.com to schedule your consultation today!

Steven Davison M.D.

Triple Board Certified Plastic Surgeon

Mother’s Day Rejuvenation Gift

Mother’s Day is a month away and forward thinking husbands and family members are already putting their heads together about how they can honor the mothers in their lives. And rightly so. One thing for sure is that mothers work harder than most anyone I know. Their work is not only physical, but mental and emotional. They don’t get to clock out at the end of the work day or take many “vacation days,” especially in the early years of motherhood. Their job is ever evolving and lasts a lifetime. We should definitely be showing love to our mothers year round, but especially on Mother’s Day.

One thing that mother’s deserve is some pampering. For some women that means a day at the spa, a decadent brunch out with girlfriends or family, or for others they want to have lasting youthful effects from a variety of cosmetic treatments and procedures. While getting Botox injections as a gift isn’t the same kind of pampering as a day at the spa, many women prefer the enjoyment of waking up day after day to a younger looking face and demeanor. More and more women are being vocal about their desire to receive treatments like this as their gifts. This is how we at DAVinci Plastic Surgery can help.

This week we will talk about some of the quick “in and out” treatments that we offer for those mothers who would like a youth enhancing boost to last for months. Next week we will cover some options for Mommy Makeovers that involve surgeries that address moms most requested areas of help.

  • Botox is known as a wrinkle eraser because it inhibits the muscle action that causes the wrinkles. This is especially useful for allowing forehead furrows to relax and smoothing out crows feet or wrinkles between the eyebrows.
  • Juvederm fills in creases and wrinkles with water attracting hyaluronic acid. The cells plulp up like a sponge sucking up water so that those “parenthesis” around the mouth or nasolabial folds are filled in. It is also wonderful for plumping up lost volume to areas of the face, especially the lips.
  • Radiesse immediately stimulates the body to produce collagen to replace volume for youth enhancing effects
  • Sculptra may not necessarily be considered a “quick fix” because the effects build over time, but the results last twice as long as hyaluronic fillers.

Each of these treatments successfully gives the appearance of turning back the clock of time to reveal more youthful facial features. This effect is rejuvenating and confidence boosting. In combination with each other, they can have the effect called a Filler Facelift. While this doesn’t compare to the full effects of a Facelift, it’s as close as you can get without going under the knife. We will custom tailor a combination treatment to address a variety of concerns, such as to:

  • Lift up sagging brows
  • Brighten up the eyes by adding volume to hollowed temples and sunken eye sockets or tear troughs
  • Erase forehead lines
  • Lusciously fill those lips
  • Lighten the lines around the mouth
  • Plump the cheeks restore youthfulness and gently lift the midface
  • Smooth and contour the chin

You can give these as a gift certificate to allow the mother in your life to choose what she’d like or designate the gift for a specific treatment that you know she’s mentioned that she wants. Visit www.davinciplastic.com today to pamper the mother in your life this Mother’s Day.

Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon

Bikini Ready – Body Sculpting with Liposuction

Many patients are coming into my office for liposuction…because they are not happy with how they look in their bikini or swimsuit!  Liposuction has proven to be a safe, effective method for getting rid of unwanted body fat…to sculpt the body.

Is liposuction right for you? Whether it’s genetics or aging, some of those stubborn fat pouches just won’t budge even with diet and rigorous exercise. If you are in healthy condition, liposuction can help sculpt and smooth them away. Liposuction is not a complete body transformation surgery, but it is safe and effective if you’re in the right hands.

What’s Involved?

After our consultation, surgery is scheduled and will be performed in our state of the art surgery outpatient center. General anesthesia is used to ensure your comfort throughout the procedure. I do this using an infusion of saline solution with lidocaine before your surgery.

Liposuction requires one or more incisions to accommodate the cannula, a small tube with a suction vacuum, used to loosen the fat and safely suction the excess fat and which sculpts the area.  For small areas, such as the face, a syringe can precisely harvest fat that is purified and used for grafting other areas.

Liposuction for the large and small areas… The advances in technology, specialized tools, and my expert techniques allow me to target large or very small localized areas with more precision and less trauma than with older techniques.  Liposuction can be used to remove fat from the:

  • tummy
  • breasts
  • thighs
  • buttocks
  • back
  • face
  • neck

Liposuction along with other procedures… Liposuction is an ideal compliment to other body contouring procedures, such as a Butt Augmentation, Thigh Lift, and Tummy Tuck. Any of these could be part of a much desired Mommy Makeover to restore your body after all the changes that take place through childbearing.

Banish those stubborn bulges with liposuction…Call now for your appointment.
Steven Davison MD

 

 

 

 

 

 

 

 

Men Are Getting Cosmetic Procedures in 2017

More men are seeking enhancements than ever before.  
Their perspective on it has changed and they believe cosmetic surgery creates a competitive career edge… and is a confidence booster. Also, men today see plastic surgery and non invasive cosmetic treatments as part of their regular health care routine, like going to the gym or eating healthy.

Botox for Bro’s = Brotox
Botox for men has been coined  -“Brotox.” Brotox can reshape a tired or gruff appearance into a more friendly, rested look. Men also like this because there is no down time – so no productivity loss. Brotox is often done in our office during a lunch break or in between meetings. Also, Brotox allows for gradual minor – subtle changes. Men love being told that they look more rested, happier or healthier…and no one but you knows why!

Move Over– Mommy Makeovers — Here Comes Daddy Do Overs
The most recent years have seen big increase in “Mommy Makeovers” to help women get their pre- baby body back. It’s a well deserved group of rejuvenation procedures for women who have sacrificed physically and emotionally for their their family. Yes, The effects are different for men, but raising kids takes its toll on men’s bodies too. So …They want to look and feel younger and have many more years to enjoy their children and grandchildren. This is also why more men are choosing to get “Daddy Do Over” surgeries as part of their health routine.

More Popular Procedures for Men…

  • Along with Brotox, Injectables like Juvederm are popular because they don’t require down time.
  • They minimize deep forehead creases, crow’s feet or nasolabial folds.
  • They can also fill in pock marks that give the skin a smoother appearance.

Blepharoplasty reduces hooded eyelids, bulging under eyelids that can age and impede vision. This rejuvenates the upper and lower eyelids to rejuvenate a tired or gruff appearance.

Male Breast Reduction corrects the gynecomastia (male breasts) to sculpt their upper body and help restore their feeling of masculinity.

Men want that masculine “V” shaped torso again, which can be restored with Abdominoplasty (Tummy Tuck) to remove fat and extra skin or Liposuction to remove fat.

Through roughhousing and sports, guys are more likely to have their nose broken, which affects the appearance, and ability to breathe. Rhinoplasty restores the appearance and breathing caused by blocked nasal passages.

 

Men still desire a strong chin as a sign of masculinity, which can be accomplished by a Chin Augmentation with implants or Injectable Fillers. Also a double chin can be removed with Liposuction or Kybella.

 

Men, let’s talk about what I can do to help you with confidence, performance and satisfaction with your appearance and physique.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enjoy Summer….Look Trim…No Downtime…

Bikini season is in full swing. This time of year everyone is conscious of how they look in a swimsuit or more revealing summer wear. But since we’re already in the midst of the summer season, it’s not an ideal time to get surgery, such as liposuction, without having to miss out on the enjoyment of the outdoor fun. This is where a fat reducing solution like Cynosure SculpSure can help.

Trim Tummy and Summer Fun with Cynosure
Even with a healthy diet and regular work out sessions… some areas of fat just resist going away. This often “dampers”  your confidence to wear those lighter or tighter summer outfits. Fortunately, Cynosure SculpSure is a non surgical solution to reduce body fat in those stubborn areas – like the abdomen and love handles.

Cynosure SculpSure requires no downtime or recovery that will keep you from enjoying the fun outdoor summer activities. With SculpSure you can have a natural looking slimmer appearance without scars or any effect to the skin’s surface. You can also return to everyday activities immediately after a treatment, so you’ll never miss out on the fun while undergoing SculpSure treatments.

How does Cynosure Sculpsure work?
This innovative body contouring treatment is clinically proven to reduce stubborn fat in problem areas. It uses light based technology that targets and destroys these fat cells cumulatively over short 25 minute session. Each 25 minute session destroys up to 24% of treated fat cells. Results can be seen as early as 6 weeks with optimal results at 12 weeks.

Schedule a consultation today to see how SculpSure can keep you enjoying summer while looking trimmer and healthier. Visit: www. http://Davinci Plastic Surgery

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

Body Sculpting for Your Celebrity Body

Many of you have tried on your bathing suit and beach wear…and are not happy with what you see in the mirror or how the clothing fits or doesn’t fit!  This is a common problem every Spring that brings clients into my office for help with getting back into shape.  The blog that follows goes into more depth of concerns and the most commonly chosen options to deal with those challenges.   Read on…then call for your consultation!

Celebrity Body Sculpting or Body Contouring has paved the way for the general population to see, adore and emulate. With increased celebrity presence in the public eye through social media, their influence is much more far reaching. Celebrities have set the “ideal” body types and facial features that are seen as desirable in our culture. So much so, that it isn’t rare to have patients request lips like Angelina Jolie, a nose like Kate Middleton, or arms like Michelle Obama.

Social Media Influence on Younger Millennials
With 2015 seeing the celebrity rise of the younger Kardashian sisters, Kylie and Kendall, their peers took notice of their cosmetic enhancements. With the Millennial generation practically living on Instagram and Facebook, when the celebrities they follow, such as the younger Kardashians, have cosmetic procedures, this greatly contributes their desire to get these procedures as well. Also, the aging prevention mindset is much more present with Millennials who are getting injections and other non surgical procedures in their 20s. This is reflected in the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2015 survey, in which 64% of their members experienced an increase of procedures performed on this under 30 age group.

Other Generations Aren’t Immune
Boomers, GenXer’s and Millennials in their 30s certainly aren’t exempt from the influence of social media on their perception of an ideal body and face. They see the Body Sculpting procedures that celebrities have received and use this as a springboard to creating a younger looking, contoured version of themselves. Relative to their degree of aging, this would include both the non invasive procedures, injectables, as well as surgeries.

What Does Body Contouring Include?
These are some of the most common aspects of Body Sculpting, which can include one or over time, all, of these procedures:

  • Injectables
  • FaceLift
  • Rhinoplasty
  • Eyelid or Forehead Lift
  • Breast Augmentation
  • Arm Lift
  • Tummy Tuck

It’s All About You
This array of Body Sculpting cosmetic procedures can help you get the body you desire when you may not have access to a personal chef, stylist, trainer and unlimited financial resources like the celebrities. I want my patients to be healthy and feel good in their own skin. Finding the right Body Contouring procedures for you can build confidence that can help in all areas of life, including the possibility of a job promotion and finding a love connection.

Let’s talk now and design your ideal Body Sculpting Plan so that you can have your best, healthiest body for the summer swimsuit season… and beyond. Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.
Board Certified Plastic Surgeon

 

 

 

 

 

 

The Rise of Labiaplasty

There has been a tremendous growth in Labiaplasty interest. From 2011 to 2015 in the United States, there was a 400% increase, followed by an additional 39% increase in 2016 when close to 13,000 labiaplasties were performed by board certified plastic surgeons. There has been a similar increase in other English-speaking countries like Australia and the UK.1 Labiaplasty is not a fad operation of the young; the average patient is in her late 30’s and noticed changes over time and after childbirth. There have been theories that the increase in demand has been related to hair patterns such as Brazilian waxing, online pornography, media images and marketing. However, evidence suggests patients with an interest in getting the procedure are no more likely to watch porn that those that don’t, yet many have turned to online images for research purposes.

Plastic surgeons have become the go-to specialty for this designer operation. The American College of Gynecology dropped the ball for these patients with their position paper in 2007 which suggested vaginal rejuvenation and cosmetic vaginal procedures as “untenable”. Not until 2016 was there a slight relaxation of their stance for the treatment of teenagers with persistent physical concerns. The Gynecology Establishment has missed the last decade’s opportunity to train their fellows in safe, aesthetic labiaplasty. Reitsma et al.3 found that gynecologists are more likely than plastic surgeons to discourage patients from having the procedure. Interestingly, in an era of women taking charge of their own sexuality, it is male surgeons who are more likely to provide the service.

A number of studies have documented the high success with a lower than 5% complication rate.2 In the US, uncommonly high satisfaction was found to be 97%, in France 96% and in Australia the majority of patients were very satisfied.1 When surveyed, 93% of post-labiaplasty patients have reported improved self-esteem and 71% described enhanced sex lives. There is an old adage that states sex is one-part friction and nine parts fantasy. It seems reducing the friction in this case can improve the fantasy. The data shows that instead of decreased sensation, two-thirds of women have improved feeling, as labial irritation goes down.1, 4
So why are women undergoing Labiaplasty? 94% of women surveyed at the time of their labiaplasty consultation felt self-conscious over appearance, 72% reported physical discomfort wearing tight clothing, and 64% felt their labia had a negative impact on intimacy. Surveys have shown that it is a combination or multifactorial concern to patients over both feeling andappearance, the average patient having three to four complaints. Ranked in order are:

Labiaplasty Survey Results

Mean Age =+ SD, Years

Previous Child Bearing

Yes     58%

No       42%

Labia

Tugging During Intercourse     74%

Uncomfortable wearing tight clothing    72%

Uncomfortable twisting of labia     58%

Visible labia in exercise clothing  54%

Pain during intercourse     48%

Exposure in bathing suit      40%

PSYCHOLOGICAL SYMPTOMS

Self-conscience over appearance    94%

Negative self-esteem    66%

Less attractive to partner    64%

Negative Impact on Intimacy    %66

Restrictive of clothing choice    56%

TIMING OF SYMPTOMS

Increasing age    52%

After Childbirth    32%

At Puberty    22%

As long as you can remember    18%

After weight gain    2%

So what are the problems with this procedure if there is so much success? Dissatisfaction or lower satisfaction is related to those who experience complications such as over resections, scalloping, asymmetry and separation – all of which decrease with surgeon experience. Another problem arises when patients do not fully appreciate what results a Labiaplasty can provide.4 Clitoral unhooding for instance reduces clitoral show through the labia majora but does not improve the female orgasm.
In conclusion, Labiaplasty is an exciting growth area in plastic surgery with high success, patient satisfaction and minimal complication. When picking a surgeon, you want an interested, experienced board certified plastic surgeon who will listen to your concerns. Dr. Davison has contributed to the literature5, has been actively performing and teaching Labiaplasty at DAVinci Plastic Surgery since 2006, and would be happy to consult on this delicate matter.

Click here to read Dr. Davison’s article “Labiaplasty and Labia Minora Reduction” on Medscape
References
Sharp G, Tiggemann M, Mattiske J. A Retrospective Study of the Psychological Outcomes of Labiaplasty. Aesthet Surg J. 2017; 37(3): 324-331.
Sorice SC, Li AY, Furnas HJ. Why Women Request Labiaplasty. Plast Reconstr Surg. 2017; 139: 856-863.
Reitsma W, Mourits MJ, Koning M, Pascal A, van der Lei B. No (wo)man is an island: The influence of physicians’ personal predisposition to labia minora appearance on their clinical decision making. A cross-sectional survey. J Sex Med. 2011; 8: 2377-2385.

Goodman MP. Commentary on: A Retrospective Study of the Psychological Outcomes of Labiaplasty. Aesthet Surg J. 2017; 37(3): 332-336.
Davison SP, West JE, Baker CL. Labiaplasty and Labia Minora Reduction. http://reference.medscape.com/article/1372175-overview Published 8 Sept 2016. Accessed 22 May 2017.

 

 

 

 

 

 

 

 

Schedule Your Consultation With Dr. Davison

The initial consultation with your surgeon is critical! It should always be face to face with your surgeon during which time he/she listens closely to your concerns. Dr. Davison believes this time spent with you is critical to both you and to him. It is during the consultation that he comes to fully understand your concerns, evaluates them correctly and is then able to make the recommendations and develop the treatment plan thats right for you. Dr. Davison invests the time to sit down and talk to you face-to-face.

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

3301 New Mexico Ave. Suite 236

Washington D.C.