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Breast Augmentation: A result well worth the recovery

Last blog I discussed the recovery for Facelift. Here we will cover Breast Augmentation surgery recovery. Breast Augmentation is the most popular cosmetic surgery in the USA, and even in the world.

With so many women electing this procedure, there are numerous ways to hear about different recovery experiences, however you need to remember each patient and surgeon is different, therefore so is the recovery. In my precise hands, you can rest easy knowing that you’ll have the best possible surgery outcome.

Generally, the healthier and more physically fit you are, the recovery will be easier for any surgery. Regardless of your health status, it’s important to not rush recovery time, follow your surgeon’s instructions and listen to your body. In this blog, you can learn about what to consider regarding Breast Augmentation surgery recovery and how to make your recovery the best possible experience.

First Couple Days

With Breast Augmentation, I tell everyone to expect a total rest time of 3 to 5 days because this is the period of most inflammation and discomfort. Fortunately, you will have pain meds to help take the edge off, but don’t allow yourself to overdo it. Your movements will be restricted and you shouldn’t drive. I recommend you have an extra person to stay with you and care for you in the beginning.

Definitely no work or much activity during these first couple days. Short walks around the house after day 2 is good to keep the blood flowing and prevent blood clots. But take it real easy, as the breasts are supported by an elastic bandage or special bra and wrapped in gauze to protect the incision sites. While these help with support and swelling, they won’t prevent blood pooling inside if you are too active too early.

Early Weeks

Healing varies by person, but if you have a desk job, you can probably go back to work after a week or 2. In 2 to 3 weeks you should be able to wear more normal fitting clothes. You’re going to have to restrain yourself from shopping just yet because you might feel like buying a bunch of pretty new bras for your new shape and size.

Hold off for a bit longer because the breasts will still change as swelling resolves and settling occurs. Don’t be surprised or worry if the swelling has moved lower to your torso by the end of the first week, it should be significantly less by 2 to 3 weeks.

Also, around 3 weeks the nerves start to “wake up” and cause some possible tingling in the nipples, while other areas still feel numb. You shouldn’t need much help from pain medication at this point, but something over the counter can usually do the trick with any lingering discomfort.

After the First Month

Generally around 6 weeks after a Breast Augmentation, you should be able to resume working out, except heavy lifting. By 3 to 6 months you should be used to your new breasts and they should feel comfortable. By 6 to 9 months, almost all swelling should be resolved and in the desired position. Your breasts shouldn’t look too high, but should look settled and natural. The scars will continue to heal and fade by a year to 18 months. How much they disappear will depend on your skin genetics and how well you take care of them.

As you can see, recovery is a process. Along with good self care during recovery, you will be so happy you trusted yourself to the hands of an expertly qualified surgeon like myself. Schedule a Breast Augmentation consultation today at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Breast Cancer Detection with Breast Implants

With October being Breast Cancer Awareness month, I thought it would be appropriate to address common questions I get about breast cancer and implants. It is very wise to address all angles of questions about your Breast Augmentation so that you can have complete confidence and peace going into the surgery and from there on after.

Do breast implants cause cancer?

No. Breast implants are one of the most rigorously studied medical implants. Expansive medical studies of women with and without breast implants show no difference in cancer. There is not a higher of a prognosis of any kind or size or frequency in the group with breast implants. Therefore it is safe to conclude that the breast implant itself is not the cause.

Do breast implants prevent breast cancer detection?

No. The methods for breast cancer detection, such as self examination, ultrasound and mammography, are not hindered by breast implants. You should perform regular self exams to know your breasts before and after your augmentation. If the implant placement is below the muscle you should have no problem with palpating the breast tissue around the implant. It is also recommended for women over age 35 to have a mammogram before receiving implants in order to have a baseline comparison.

When receiving a mammogram, it is important to select a radiologist who is experienced with the methods necessary for an effective reading of breasts with implants. They should be competent in the Eklund technique and oblique view mammography.  Whether the implant is placed subglandular or submuscular, the Eklund technique significantly increases the amount of breast tissue that can be scanned.

Will mammograms damage breast implants?

This is very unlikely. When in the hands of an experienced radiologist, the pressure exerted by the mammogram should not be enough to burst the implant. Both Silicone and Saline implants are designed with the durability to withstand pressures and compression.

Does breast augmentation with fat grafting prevent cancer detection?

While fat grafting as a form of Breast Augmentation doesn’t prevent cancer detection, it makes detection more complicated. The die off rate of fat cells leaves behind irregularities within the breast tissue and calcifications that can look very much like breast cancer. Fat grafting is not causing cancer, however it is easy to mistake the fat calcification for cancer calcification. The truth usually needs to be clarified via biopsy, although it can cause much worry in the mean time.

How much of a risk is a Breast Augmentation regarding the likelihood of cancer?

If you have a Breast Augmentation with implants, you no longer can get good enough cancer detecting results with a regular 2 view mammography screening. However, the specialized methods, such as the Eklund technique, are available to still get a good view of the breast tissue hidden behind the implants. Studies demonstrate that there is no proven additional risk of getting breast cancer if you have breast implants, but you need to take advantage of the additional techniques for detection.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Reducing Chances of Capsular Contracture

Capsular contracture is one of the most common complications of Breast Augmentation. It is the hardening of the breast area around the implant so that the tissue tightens. Depending on the degree of capsular contracture, the breast area becomes uncomfortable and distorts the look of the breast. The highest percentage of women who would experience this, do so within the first 4 years, but it can also occur many years after the initial Breast Augmentation. Certain kinds of incisions have lower rates of capsular contracture, as well as submuscular placement of the implant, rather than subglandular.

There are many studies that propose different ways to reduce the incidence of capsular contracture. One of them is a recent study that demonstrates using a Keller funnel for a statistically significant decrease in capsular contracture when employing a periareolar incision to place the impant. The rate of capsular contracture occurrence is highest within the first year when using a periareolar incision, so this istudy provides a welcome bit of information, and a confirmation to the Keller funnel enhancement to the “no touch” method that use.

When placing a breast implant using a periareolar incision, the cut is made along the circumference of the areola. This incision method is usually chosen because the incision scar blends right in with the demarcation line of the areola. The periareolar incision is the second most common incision site chosen by my patients, with the most common being along the inframammary fold (the bottom crease of the breast).

However, with the periareolar incision, the implant has higher chances of being exposed to bacteria from the milk ducts and skin. This creates a biofilm around the implant and inflammation, ultimately leading to a higher chance of capsular contracture. “No touch” techniques where there is no patient skin contact or surgeon glove contact on the breast implant has reduced the chances of implant exposure to unwanted bacteria. This lessens the possibility of complications.

The use of a Keller funnel for inserting the implant takes the “no touch” technique to another level. It is a mechanical insertion device developed in 2009 as an alternative to hand placement of the breast implant into the chest pocket. The Keller funnel is sized to fit the implant exactly. Once the funnel is lubricated, the implant is poured directly from the packaging through the funnel where it advances down into the pocket in the chest. The Keller funnel shields the implant from any bodily contact until it rests inside its final location in the breast.

Since there is a higher incidence of capsular contracture in patients who’ve chosen a periareolar incision for their Breast Augmentation, I’m pleased to offer the advanced “no touch” technique of employing the Keller funnel for placing the breast implants. As this new study demonstrates, this will result in less incidence of capsular contracture for my patients. Visit www.davinciplastic.com to schedule a consultation for your Breast Augmentation.

Steven Davison M.D.

Board Certified Plastic Surgeon

Tell Your “Tank Toppers” Goodbye

One of those subtle but annoying body issues many women deal with are those pooches of fat that bulge between the breast and armpit when they wear a tank top, swim suit or bra. This troublesome pooch can be called “bra bulge,” “tank toppers,” “armpit rolls” or the official name, which is axillary roll. What most women don’t realize is that this is an issue often exacerbated by a Breast Augmentation. If you have them before getting breast implants or a Breast Lift, they will likely be even more prominent.

This fatty tissue is often present even when there is little breast tissue, making it applicable for women who even have small upper bodies. Fortunately, getting rid of this little pocket is very simple and can even be done at the same time as the Breast Augmentation is completed. It would simply require a little touch of Liposuction.

When this axillary roll is reduced at the time of the Breast Augmentation or Breast Lift, the Liposuction smoothes out the upper sides of the breast and armpit areas. With less bulk in this region, there is better breast definition and upper body contour for overall greater happiness with the Breast Augmentation results.

This add on axillary roll Liposuction will increase surgery time by an hour or 2, but it’s for such a small pocket that it only includes a little more bruising and swelling to the sides of the breast and armpit during the recovery time.

Doing multiple procedures at one time definitely has its benefits. You’re in surgery one time, under anesthesia once and going through recovery once. For example, with the Mommy Makeover, women are addressing multiple issues at one time to restore their post partum bodies. Depending on individual goals, this can include Breast Augmentation, Breast Lift, Liposuction, Tummy Tuck, and Vaginal Rejuvenation.

Tell your “tank toppers” goodbye. To eliminate your armpit bulge and have smoother breast definition, consider adding on axillary Liposuction to your Breast Augmentation or Breast Lift. Schedule your consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

The Degree of Tummy Tuck

I customize an adaptation of the Tummy Tuck for each patient depending on the degree of loose skin, separated abdomen muscles, excess fat and other factors. However, for general understanding, there are terms that describe the degree of surgery, which involves how much of an area the Abdominoplasty is to address.

For example, while the names of the different degrees of Abdominoplasty wouldn’t be exactly the same thing for every patient, generally they would acknowledge how high on the abdomen or how far around the torso that the surgery would address. Here is a general definition of the types of Abdominoplasty and the differences between them:

  1. Mini Tummy Tuck addresses a smaller abdominal region, usually just a little pooch under the belly button. This is an area that, despite consistent healthy diet and exercise, just won’t go away. It can be a combination of any or all of excess skin from weight loss, stubborn adipose tissue, and the lower separation of the abdominal muscles due to pregnancy or injury. A mini Tummy Tuck only addresses the lower abdomen, so it doesn’t require moving the belly button. This option has a smaller incision and recovery is the fastest.
  2. Full, Complete or “Classic” Tummy Tuck addresses fat, muscle and skin from a larger region. It contours the full abdomen area from just below the breasts down to the pubic area. This is necessary for more extreme contouring scenarios were there is a pouch or skin flap above and below the belly button. Since the complete abdomen is being contoured, the reconstruction of the navel is possibly necessary. A naval area incision hidden within the belly button can address upper abdominal region and a lower incision from hip to hip (which can usually be hidden within the bikini line) will allow for full frontal contouring. This results in a smooth, flat abdomen with a beautiful, tight, anatomically correct belly button.
  3. Extended Tummy Tuck contours the abdomen and waist to address both belly and love handles. It addresses the frontal abdomen area with the Full Tummy Tuck, but extends the incision so that liposuction and skin tightening can occur further around the body to contour the flanks, as well.

As long as weight at the time of the surgery is maintained, the smooth, flattened abdomen results should be permanent. This is why its recommended for women to wait to have a Tummy Tuck until after their done having children. Some women combine Abdominoplasty with Breast Augmentation, Breast Lift or Liposuction to other areas for a complete body makeover.

 Having a smooth, flat abdomen is healthier, and looks great for both men and women. Feel great about you look in a swimsuit or form fitting clothes. Schedule your Tummy Tuck consultation today at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Mothers Love Mommy Makeovers

Mother’s Day is approaching soon and it is time to show love and honor the mothers in our lives. Last blog we talked about giving the gift of youthfulness to moms. For some, they’re satisfied with a day at the spa, for others, they’d like longer term youth enhancing effects of a Filler Facelift. And yet there’s another more entailed way to give the gift of rejuvenation to the mother in your life, and that’s with a cosmetic procedure.

Making the decision for plastic surgery is not an overnight decision nor something to just “pop up” with as a gift. However, there are mother’s who’ve been talking about wanting a procedure to help restore confidence and some youthfulness to their face or figure. These are the women who would be over the moon ecstatic if you said for Mother’s Day “go for it” on that surgery to help revitalize and restore her physically and in turn, emotionally.

The physical toll a mom has on her body manifests in different ways. Most often the act of bearing and breastfeeding children catalyze the most drastic changes any woman’s body will go through. More often than not, this miraculous act leaves some marks. These signs of motherhood are something many women are proud to bear, but others would rather see things looking back to an earlier time frame.

These procedures are particularly helpful for the body issues that moms deal with:

  1. Breast Augmentation and Breastlift restores and improves breasts that really can take a toll through the weight fluctuations of pregnancy and breastfeeding. Often breasts end up deflated and sagging after childbearing years, which can be a real bummer for moms who still are young.
  2. Tummy Tuck (Abdominoplasty) addresses the issues from damaged abdomen muscles, residual stubborn adipose fat and stretched skin. Growing a baby requires extreme expanding and contracting of the abdomen, which leaves unwanted effects for many women. Tummy tuck restores confidence and a smooth abdomen.
  3. Liposuction eliminates those stubborn fat pockets that came with pregnancy and hormone changes that sometimes a healthy diet and exercise just don’t address. With liposuction, those undesirable bulges in on the abdomen, hips, and thighs can be streamlined and contoured for satisfaction with those body curves.
  4. Labiaplasty is a FemGen procedure that is gaining more popularity. Even after healing from a vaginal birth, that area can remain uncomfortable and not aesthetically preferable. Labiaplasty can help the nether regions feel normal again to restore confidence and comfort.

For those mothers who’ve already expressed an interest in surgery, giving the gift of a restored body for Mother’s Day could be the best way to honor and encourage them. It can say, “I love you how you are and appreciate the sacrifices you’ve made as a mother, but want you to love and feel confident in your motherhood and body, too.” To talk about how to go about supporting the mother in your life in this way, you can schedule a consultation to talk about any of these Mommy Makeover procedures at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

Breast Implant Malposition Explored

Coming out of Breast Augmentation, there is much care taken for you to have the best results possible. A lot of complications can be avoided by putting yourself in expert hands. I’m triple board certified and specialize in Breast Augmentation, revision and reconstruction. You have the best chances for the best outcome with us.

One of the complications of Breast Augmentation that we strive to avoid is breast implant malposition. This is when the implants move out of their correct position, either immediately or over time. It isn’t extremely common, but when it does happen, there are usually a few reasons and options for correction. If you’re aware of them, you can help avoid or identify them as early as possible for correction with Breast Revision surgery.

Here is a guide for the possible reasons for implant malposition:

  1. Not allowing yourself to properly heal. With the pressures to return to work and daily activities, especially for mothers, you’re faced with the difficulty of allowing your body enough time to heal. Everyone heals at different rates. This can take from 3 to 6 months, up to a year to completely recover. Taking proper care of yourself during healing and wearing the correct bra support is crucial. Usually breast implants are positioned high with the intention of them dropping, or “settling” into the proper place as they heal. Wearing underwire or push up bras during this time can prevent them from doing this properly and they could stay unnaturally high. This “riding high” malposition is usually a tell tale sign of Breast Augmentation and can also cause nipples to appear irregularly low or pointed downward.
  2. Your body shape, particularly if the ribs are more prominent or uneven, they could push the implant into a different position even if the implant pocket is positioned correctly. Ribcage prominence and scoliosis are some things surgeon should take note of and make accommodations for in surgery.
  3. If breast tissue is not strong, implant size can sometimes contribute to a low malposition where the implant seems to be falling out of the breast pocket. This isn’t the only reason low malposition occurs, but there is a higher risk of this with larger implants because the extra pressure can thin out the bottom of the breast pocket. The inferior position or “bottoming out” of an implant empties out the top of the breast of any fullness and often points the nipple too high.
  4. Capsular contracture is the most common reason for implant malposition. This occurs when the tissue surrounding the pocket containing the breast implant hardens. This constricts the implant and pushes it into a variety of ways that can look abnormal and be uncomfortable:
    1. This could be one of the reasons the implant would be pushed upward.
    2. Implants squeezed laterally into the armpits will look unusually far apart.
    3. When implants are pushed inwardly toward the center of the body this is called synmastia. The breast could be positioned inward or the implant could slide out of the pocket and bubble under the skin to look like a “uniboob.”
    4. Capsular contracture could also squeeze the implant into an irregular shape with unnatural curves or indentions.

If you are experiencing any of these unfortunate malpositions, in the correct expert hands, Breast Revision surgery can restore your hope, confidence and your breasts to a beautiful, natural appearance. Let’s talk about how I can help you. Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.

Board Certified Plastic Surgeon

Reasons for Breast Revision Surgery

These days my patients are quite informed about the procedures they are requesting from me. They’re reliant on my professional advice on the details and implementation of their goals, but most Breast Augmentation patients have an idea about what the procedure entails. The lesser known sister of Breast Augmentation is Breast Revision surgery. There are a variety of reasons someone might need this “surgery after the surgery,” and I’ll cover those here.

Breast Revision surgery is for someone who’s already had a Breast Augmentation and needs a change that requires another surgery to the breast area at any point in time near or distant from the original Breast Augmentation. The majority of women love their new breasts with no complications and often experience satisfaction for many years.

However, a Breast Revision surgery is a great option for a variety of reasons, such as:

  1. Address the natural effects of aging and gravity on the breasts. The breasts with the implant still will sag over time and so a Breast Lift could help restore perkiness and placement.
  2. Breasts change as a result of pregnancy, weight loss or gain. If the Breast Augmentation occurred before these events, a Revision can be intended to restore your breasts to their former stature.
  3. Change the implant size with a Breast Implant Exchange to go smaller or larger. Fortunately, the Breast Implant Exchange is less intense of a surgery than the original augmentation. The space or pocket for the implant has already been created so there’s not the stretching discomfort experienced during the initial surgery. Also, the recovery time is usually shorter.
  4. Repair breast implant malposition. The implant didn’t settle where it should be and has caused the breasts to look unnatural.
  5. Correct capsular contracture where the tissue surrounding the implant contracts and squeezes the implant into an awkward and uncomfortable position. In this case, the constricting tissue would be removed and the implant replaced.
  6. Change the implant type. Some women who got saline implants and experience rippling or wrinkling, prefer to exchange them for the consistency of a silicone gel. This is particularly common for women who got a Breast Augmentation when the silicone option was off the market from 1993 to 2006.
  7. Breast Implant Exchange for prevention or in the case of leakage. Implants do not have a lifetime guarantee to not leak. It is recommended to exchange for a new implant every 10 years. If a saline implant is leaking, it’s easy to detect because the breast will appear deflated. However, in most cases, a silicone implant leak would require an MRI to detect leakage, so regular checks are recommended.
  8. Breast cancer treatments may require the implant to be removed. This is a decision that should be made along with your medical support team.

In conjunction with considering the need for a Breast Revision surgery, I can’t emphasize enough the importance of choosing an experienced plastic surgeon to perform it. Maintaining aesthetics of the breasts while navigating prior surgery effects is an art that requires much technical skill and expertise. To discuss the possibility of putting yourself in the hands of a triple board certified surgeon, such as myself, you can schedule a consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic Surgeon

 

Before and After Virtual Reality for Breast Augmentation

Everyone wants to have an idea of what they’ll look like after their cosmetic procedure. It used to be all conjecture, but fortunately now with 3D technology, you can get a really good idea of your results. I’m pleased to offer Vectra Breast Imaging as a state of the art imaging program to help in the process of creating the best Breast Augmentation results achievable.

See What Can Be… This state of the art computer program, along with our trained implementation of it, can give you realistic images to explore your options in a hypothetical visual sense of what your body could look like. This can better help you set your goals while allowing for the benefits and conditions of your options to sink in. This significantly improves your decision making ability by allowing you to get the best possible idea of what you could look like after your Breast Augmentation. We can also be sure to manage expectations and be on the same page for the best possible treatment plan.

Customized to You… Vectra Breast Imaging takes exact measurements of the current body contours and proportions, and uses this to adjust volume with just one click. The degree of change is highlighted with a color distance map. It offers 3D views from any angle of your body with superimposed images to see “before and after” views before the actual possible reality of it. This means you can seamlessly rotate from front, side and back views to get a complete picture. Also, the “before and after” views can be formatted in side by side or as a faded overlay.

Easy Consideration of Choices… This tool also allows you to compare multiple scenarios with different size and implant types. It uses the implant shape, size, placement and factors in gravity. Vectra Breast Imaging’s dynamic capabilities allow for the correction of ptosis (sagging) and breast asymmetry.

Visualize in Office and at Home… These images are not only available in our office consultation, but through the ViewMyConsult portal. You can visually soak in the different options and review treatment recommendations in the comfort of home. While I strive to offer a compassionate, complete, relaxed office consultation, these types of decisions have multiple levels of consideration and having all the information and images at your finger tips is so reassuring.

Vectra Breast Imaging empowers our patients with confidence, manages expectations, and improves our communication to get your Breast Augmentation journey off to a great start. But to make sure the actual outcomes are the best possible, you need to be in the best hands… our hands. To begin your successful Breast Augmentation journey with me, visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

All About The Breasts: Surprising Facts, part 2

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

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

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

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

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

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

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

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

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

All About The Breasts: Surprising Facts, part 1

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

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

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

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

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

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

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

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

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Looking Into Liposuction?

This tried and true surgery for removing fat has proven its effectiveness over decades. If you’re looking into Lipo, there are a few ways to tell if it’s the best option for you. It may be perfect alone or in combination with other procedures for your ideal results.

WHAT IT IS:

Goodbye Stubborn Bulges

Liposuction is great for people who have already reached or are near their ideal weight yet are struggling to lose those fat bulges in stubborn spots. After getting healthy with a good diet and exercise routine, Liposuction is perfect for contouring those areas of the body with that hard to lose fat. Liposuction has these wonderful effects:

  • smoothes the thighs to eliminate saddle bags or create less inner thigh friction
  • lumps above or behind the knees are contoured so that this area of the leg is not prominent
  • flattens out that lower abdomen to take care of fat, for example from that stubborn post baby belly pooch
  • minimizes the hip’s muffin top for a more comfortable and flattering fit in your clothes
  • bra fat bulges aren’t detracting from the upper body curves that should be there
  • even eliminates double chin if the skin has good elasticity

Farewell Fat Cells

Liposuction permanently removes fat cells from the body so they are gone forever. This gives you a great benefit in keeping the weight off because we don’t produce any new fat cells. However, the fat cells that aren’t removed can expand, so this means it’s incredibly important to maintain a healthy lifestyle to continue enjoying the beautiful benefits from Liposuction.

 

WHAT IT IS NOT:

Skin and the Scale

A common misconception is that Liposuction can be used to remove fat instead of healthy diet and exercise. It is not intended as a way for you to lose weight. You might actually not see a huge difference in that number on the scale. However, you will see it in inches and how your clothes fit.

Another consideration is the elasticity of the skin. We don’t want to have loose, hanging skin left in the area where the fat was removed. If there is stretched skin from previous weight loss, and liposuction is needed to eliminate those last stubborn fat cells, it can be combined with Abdominoplasty (tummy tuck), Neck Lift or other skin trimming procedure for the best body contouring results. It also can be combined with the non invasive laser treatment SculpSure to melt away small mounts of fat and slightly tighten the skin.

MAKING THE MOST OF LIPO

An additional benefit of Liposuction is that you can use the fat that is removed from where you DON’T want it and insert it to areas where you DO want it. Using your own fat is the most natural way to restore volume to the areas of your face and body that you’d like to plump up. This could be used to enhance your breasts, butt, facial features and even boost the look of your six pack or other muscles. This additional body rejuvenation can be done in the same session as the Liposuction for an overall body benefit.

So if you’re looking into Liposuction as a body contouring option, let’s talk about what it can do for you. Schedule a consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Schedule Your Consultation With Dr. Davison

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

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3301 New Mexico Ave. Suite 236

Washington D.C.