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Category: Breast Cosmetic Surgery


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ZONING in on BODY SCULPTING and ABS YOU’VE ALWAYS WANTED!

BODY SCULPTING is one of the “top” most requested procedures. Patients want surgeons to redefine, refine, reshape and contour their bodies to be more aesthetically pleasing.  Call it lipoplasty, suction lipectomy, liposculpting, body sculpting or contouring, it is safer and more effective than ever using today’s advanced, refined technology and an experienced surgeon.

WHO GETS BODY SCULPTING?  Men and women who are tired of bulges that won’t budge are having their bodies refined and reshaped!  One main reason are those annoying, frustrating bulges that limit clothing options and preventing the fit and trim body of your dreams!

BODY SCULPTING is an ideal complimentary surgical technique to various others like facelifts to body lifts.  It is the most common method of body sculpting used because it works so very well and we can now target both very large and very localized, hard to reach areas.  Liposuction is the Gold Standard for body sculpting, it is refined and here to stay.

ZONING IN ON the BODY   Common target areas include: the abdomen and hips, breasts, thighs, back, bra line, face, neck and chin and buttocks.  Men and women of all ages and stages target these areas, but Gen Xer’s and Millennials are especially into body cosmetics for health and career reasons as well as to retain more youthfulness throughout their aging process.  Mature Adults (many couples) are redefining their bodies in order to age more beautifully/handsomely.

BEACH BODIES …if you want one you must start now.  Tummy Tuck is in high demand this time of year so women (new mommies and grand mommies) can look their best and feel great about looking great!  Men, if you want the “six packs”…let’s do it now.

ABDOMINOPLASTY (Tummy Tuck) is the “Gold Standard” for rejuvenating the abdomen.  It is the surgery of choice for men and women who want to be rid of excess fat and bulging abdominal skin.  So Tummy Tuck is done to restore proper firmness and contour to the abdomen. Abdominoplasty eliminates unsightly bulges and restores fitness and health to your tummy. Look at the benefits:

·      Tummy Tuck removes excess bulging fat and sagging skin

·      Tightens relaxed ab muscles

·      Results in a smoother, flatter, abdomen

·      Often relieves back back/discomfort

·      Involves liposuction for fat removal and sculpting the abs

·      Can be a Full Abdomino, a Mini, a Marriage Abdominoplasty

·      Often combined with other body refining/sculpting procedures

·      Abdominoplasty is recommended when lipo sculpting alone is not enough

Abdominoplasty is just one example of a surgical method of body refining, contouring, reshaping that is part of the overall “body sculpting” process.  Others are listed above.  See my website for info on Tummy Tuck: www.davinciplastic.com.

TANNING BEDS….ARE IRREFUTEABLY DANGEROUS!   The AADA (American Academy of Dermatology) has encouraged the FDA to ban indoor tanning devices because they emit ultraviolet radiation proven to cause skin cancer, including melanoma, the deadliest form of skin cancer.  The science results are in, the numbers don’t lie and girls as young as 15 are presenting in doctor’s offices with skin cancers.  These girls all use tanning devices.

Hope you and your loved ones are healthy, happy and putting your best self forward!

Steven Davison, M.D.

Celebrities, Careers, Body Sculpting and the Lipstick Effect

shutterstock_54896854Body Sculpting is so popular among today’s Boomers, GenXer’s and Millennials.  Social media plays a leading role in driving patients of all ages into surgeon’s offices for invasive and non invasive procedures to sculpt and refine the body of their dreams.  Social Media, FaceBook being a primary source, has proven to dramatically influence people of all ages and from all income levels to have FaceLifts, Chin Augmentations, Nose Jobs, Eyelid/Forehead Lifts, Breast procedures, Arm Lifts, Tummy Tucks…and many more.  See my previous blogs on Body Sculpting for details on what’s involved in Body Refinement and Contouring.

Looking Good on Facebook Spikes a Rise in Plastic Surgery Requests:  Social media is about seeing and being seen. A survey of 752 surgeons revealed a 31% increase in plastic surgery requests from people wanting to look better on Social Media.  Procedures most requested were:  Botox, Rhinoplasty, FaceLifts, ArmLifts (Brachiaplasty) and Breast Augmentation.

shutterstock_88823152-1EXECUTIVES, CAREERS and PLASTIC SURGERY PROCEDURES…We live in a very visual world today and this affects even careers.  A colleague of mine, from Manhattan, sees a lot of men and women executives and high profile individuals who are in the public eye constantly.  Their pictures are taken constantly…and they are expected to always look good!  YouTube, Facebook, HD Television and public appearances demand they look their absolute best.  These people previously focused mainly on the face…but now are into Body Sculpting as well. They get paid more to look great! 

CELEBRITIES CHOICES INFLUENCE US!  We learned from the “Celebs” how to defy aging by employing anti aging treatments. The key is to start early (at the first sign of tiny facial lines, etc.) and to always maintain in order to always look about 10 years younger.  A few of today’s celebrities have heavily influenced how people want to look. 

·      Kate Middleton’s Nose is the nose of choice among the World’s female population

·      Cheryl Cole’s Dimples…well those are hard to copy

·      Robert Pattison’s jaw is the envy of scores of men

·      Brit Jude Law has the most requested nose for men

·      First Lady Michelle Obama has the most admired arms causing a spike in requests for Upper Arm Lifts (Brachiaplasty)

·      And the list goes on………….

SCULPTED BODIES and the LIPSTICK EFFECT…The economy today has also driven people in for cosmetic procedures.  We have developed a “collective vanity” per some analysts, but not  according to the younger generations today who consider looking good to be important to overall good health.  In fact,  they budget for cosmetic procedures as part of their health regimen. So they come for FaceLifts and Body Sculpting regularly.  Those who cannot afford those options choose less expensive anti aging treatments such as Botox, Injectable Fillers, microdermabrasion, chemical peels and others to reduce the visuals of aging.  This is called the “Lipstick Effect.”  We cut back on big ticket spending and opt for the “injection effect” to stave off surgery a bit longer and to allow the economy to improve.  We also indulge a bit and buy that cologne, perfume or special lipstick we’ve been wanting!

MOST POPULAR BODY CONTOURING/REFINING OPTIONS: Liposuction, Tummy Tuck (Abdominoplasty), Lower Body Lift, Mommy Makeover, Daddy DoOver, Thigh Lift, Cellulite Treatments, Buttock Augmentation, Rhinoplasty (Nose Jobs) FaceLifts, Brest Augmentation, Breast Reduction, Breast Lift, Labiaplasty (FemGen for V Zone Rejuvenation)…and more.  See my website: www.davinciplastic.com.

Well, Winter is still blasting away…but Spring will come!  Are you ready for all the events?  Bikini…Beach Season will be here soon. 

 
Let’s talk now and design your Refined Body Treatment Plan.

20864_132933510071077_4447800_nSteven Davison M.D.

Board Certified Plastic Surgeon

TOP MYTHS about TOP BODY REFINING PROCEDURES…

shutterstock_50309701FLAT, TIGHT, TONED, FLAB FREE…what ever your goal is for your body sculpting treatments, especially for the midsection, knowing what really works and what is not so effective makes a big difference.  There are always “myths” attached to popular procedures whether they are surgical or non surgical.  I want to cover a few of those in this blog to empower your mission in Body Sculpting, Refining, Reshaping…or whatever it may be.  Hands Down the best way to achieve a flat, toned tummy is with a surgical Tummy Tuck (Abdominoplasty).  Read on!

TOP TUMMY MYTHS:  1)  A Tummy Tuck can make you constipated.  Wrong!  TRUTH: When done properly, a tummy tuck should have no bearing on your digestive tract since no incisions are made near the digestive system.  The only time problems arise is if a large hernia exists in a nearby space.  If so, it should be addressed.  There is always potential for some swelling in the stomach that could temporarily affect the bowels but in most cases, after healing is complete and you are no longer wearing a compression garment, no problems should exist.   2) You can’t have a Tummy Tuck right after a C Section.  TRUTH:  You should never have a Tummy Tuck right after delivery since time is needed for swelling to resolve and extra weight to be lost.  “Too posh to push” was coined when Hollywood celebrities were electing to have C Section deliveries combined with immediate Tummy Tuck surgery.  Bad Idea!  Both surgeries are invasive and require healing time.  Also, during breast feeding hormone levels are elevated and most new moms have water weight to deal with.  Tummy Tuck surgery should be done about six months post delivery.  3)  During a Tummy Tuck the belly button is removed and a brand new one is made.  Wrong!  TRUTH:  The belly button is never removed during a Tummy Tuck, only the loose, excess skin around it is removed (excised). The belly button is attached to a “stalk” that goes deep into the stomach and cannot be removed.  The belly button may be reshaped and repositioned as excess skin is removed.  In this case, the belly button is simply pulled up through the skin once the tummy has been reshaped and excess skin and fat removed and tightening is done.  It’s the original belly button you were born with attached to the tissue stalk you were given in utero.  www.davinciplastic.com.

shutterstock_45617737TOP BREAST MYTHS:  1)  A Breast Lift is the only way to lift the breasts.  Wrong!  TRUTH:  Implants are often used if your skin is in good shape and sagging is minimal.The right implants offer a nice lift, increased breast volume and reshaping.  Surgery is needed when muscles and skin are too relaxed and stretched. Then surgery can tighten and lift muscles to where they belong, excess sagging skin can be removed and the breast lifted to a naturally beautiful position.  2)  After a breast lift, your breasts will stay perky and in a high position forever.  Wrong!  TRUTH:  Nothing is forever and just like the rest of your body, the breasts continue to age and settle even after a surgical breast lift.  However, the breast lift keeps you looking years younger.  3)  Fat Transfers to the breasts makes your breasts immune to weight changes.  Wrong!  TRUTH:  Just like the rest of your body,  the breast weight can fluctuate for life.

WHAT AGE IS TOO OLD for COSMETIC PROCEDURES?  The better question is:  When is it too late?  Sadly many people wait too long and then require invasive procedures…if they had started when younger…NON INVASIVE would work to minimize the visual effects of aging.  More on that in future blogs.

Ready for “beach time” Family Reunions, Graduations, Weddings etc.?

Let’s Talk now.

20864_132933510071077_4447800_nSteven Davison M.D.

Board Certified Plastic Surgeon

WOMEN, POLITICS/BEAUTY, BREAST HEALTH, TATTOOS and LASERS

shutterstock_10125679Women in politics are constantly in the spotlight and can’t hide their appearance and cannot avoid being frequently analyzed from every angle.  Hillary Clinton is just one example of many women in politics, or the entertainment field who are under fire over their appearance and the stigma behind the idea of these women seeking anti aging cosmetic surgery/treatments for a “refreshed” looking face.  Betty Ford is one of the bold ladies  who had cosmetic surgery decades ago and discussed it for the benefit of all women.  She chose a fresh new face to go with her beautiful life!  Hillary Clinton did likewise and others have followed. Hollywood celebs such as Nicole Kidman and Jane Fonda also blazed the trail for women and they helped remove the “taboo” against age defying cosmetic procedures.

One of the arguments has been that surgery isn’t just about improving your looks,  it is also about improving your self esteem and self confidence. Removing grumpy, fatigued, stressed, sad/angry facial aging can be positively life changing.

It is today’s trend and even renowned portrait artists have found that this generation will be young not just once…but at least twice!  Jonathon Yeo has done portraits of Tiger Woods, Paris Hilton, Sarah Palin, Nicole Kidman and others, and understands that portrait painting today is much about telling the story of a contemporary generation.   Yeo learned that this quickly growing phenomenon of “looking younger” is here to stay. To equip himself for the task, he has observed several facelift surgeries to understand the muscles being pulled in different directions.  This helped him with facial interpretation.

Our advanced techniques and instruments allow us to perform facelifts today’s that are incredibly natural looking and age defying. We don’t change you. Your traits are your traits.  We simply remove some years of facial aging to restore a refreshed, more youthful look.  See all options on my website: https://www.davinciplastic.com.

Breast Reduction Surgery improves the quality of life according to a recent survey/study. The research shows that breast reduction produces both measurable physical and psychological health benefits.  The results:

  • Gains for psychological well being includes psychosocial, sexual and physical
  • Physical relief includes relieved pain in the breast, neck, back and shoulders
  • Breast reductions also led to significant improvement in sleep and ability to exercise
  • Surgical Benefits were seen within 6 weeks post surgery
  • Decreased medical costs from chronic medical complaints were also dramatic
  • Overall improved quality of life validates insurance coverage for Breast Reduction Surgery  (check with your provider)   (Study – Ohio State University, Columbus.)

A Word about Tattoos and Laser tattoo removal.  Got a tattoo you want to lose? Think about this before deciding to get a laser tattoo removal.  Recent case studies  show that laser removal of tattoos may mask melanoma due to the pigmented skin lesions.  (More on that as info becomes available.)

August is the hottest part of summer.  Remember the “fun in the sun” rules: 1) sun screen,  2) lots of pure drinking water (stay well hydrated), 3) fresh fruits for anti oxidants, 4) hats, 5) sun glasses, 6) umbrellas, 7) avoid glare from the water and 8) don’t stay out too long.  OK…have fun!

School is started, time for Mommy Makeovers to be your best self again and Daddy DoOvers to keep that competitive career edge.  Restore a healthy, more youthful appearance either subtly or dramatically…your choice!

Best to you and yours,

Steven Davison M.D.

“DAVinci…where I combine the supreme elements of art and surgical science.”

The Perfect Body and Cultural Perceptions

shutterstock_76782826For Americans the “perfect body” includes big breasts, a small waist, a sexy butt and being fat free…for men and women. Europeans are obsessed with being dimple free…no cellulite period!  Asians prefer smaller breasts and butts but demand long, slim legs. Brazilians gave us the Brazilian ButtLift…curvy buttocks and also voluptuous Big Breasts. Perceptions vary between countries.

US CLOTHING and SOCIETY influences the plastic surgery trend. 1)  Cleavage baring tops (shirts, blouses etc) are a primary factor in breast surgeries.  2) Curvaceous butts thighs sought by American celebrities forced the surge in “Brazilian Butt Lifts”.  First Lady Michelle Obama’s Arm Lift became an inspiration for women of all colors to get their arms toned and in shape with Arm Lift surgery.

TOP SURGERIES WORLDWIDE  Breast Implants,  Leg Refining ProceduresButt AugmentationsCellulite reduction.  In 2011, Mexico led the charge among the top 5 countries worldwide with 800,000 cosmetic procedures.  America led the way with the obsession for “bigger is better” breasts and the most Breast Augmentations (Http://www.davinciplastic.com.).  Younger women want more on top while mature women and post pregnancy Moms want restored fullness.  The Best Butt for American Jeans is  the Braziliain Butt Lift and their trend for a perfectly proportioned backside with curves in all the right places!  American women love it and proved it with a 60% increase in Butt Augmentations during 2012, using their own body fat and Implants to achieve the right size and shape buttocks.

PERFECT BODY... Americans are obsessed with the breasts and being fat free..a narrow waist.  Breast Augmentations, Liposuction with Fat Grafting/Transplanting and Butt Augmentations have been the top choices for a few years now.  Men are also into sexier, fuller butts and get Butt Augmentations to fill out their pants.

EUROPEAN OBSESSIONS are about “NO CELLULITE…Period!”  All Europeans want to be dimple free with a natural looking body that looks as if it could be had easily with a healthy diet and a steady workout regimen. Many of the world’s top cosmetic procedures are born in Europe and after being proven they migrate to other places like the US.

ASIANS SEEK SLIM, TRIM, PETITE AESTHETICS   South Korea ranks #7 for women having plastic surgery before age 50, during 2011.  Their #1 obsession is super skinny, bulk free legs (Radish Legs). They clamor for long slim calves void of heavy looking muscles.  Small Breasts is their other ideal.  If they choose breast enlargement, they want only miniscule increase in size.  Breast implants, however are seeing a major advancement in Japan for reconstructive surgeries, a challenge that Japanese surgeons are overcoming as they get up to speed on the products and procedures.

BRAZILIAN SHAPE = CURVY + VOLUPTUOUS…Brazil’s #1 obsession is Full Perky Breasts and perfectly round buttocks.  They are obsessed with plastic surgery to make sure they have curves in all the right places by having Butt implants and fat augmentation  as well as large breast implants and breast lifts.  Many Brazilian women are naturally blessed with all the curves they desire, but plastic surgery is a major trend for those who are not so blessed.  My website educates you on all these procedures and many more that I offer: https://www.davinciplastic.com.

At DAVinci Plastic Surgery, I offer “Premium” procedures that  patients travel from around the world to have me perform because….I’m Board Certified, Highly Qualified, Well Experienced and have a host of happy patients…around the world.  I help people put their best self forward!

Best to You and Yours,

Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon

“DAVinci….where I combine the supreme elements of art and surgical science.”

Breast Augmentation – 4 important decisions to make!

Breast Augmentation requires four important decisions for the surgical plan. Answering the key questions clearly improves communication and helps meet patient expectation.

1 – Size of the Augmentation.

This is key to the patient’s satisfaction. It is a little like Goldilocks this one’s too big, this one’s too small and this one’s just right. Using cup size as a starting point is fine but as everyone’s perception of cup size is different, fraut with pitfalls. A better estimate is to use cc increase. As there are physical parameters such as base width of the breast and skin envelope size, a starting range should be suggested by your surgeon. Trying on sizes in a trial and error session or using state-of-the-art 3D imaging are current ways to establish size. 3D imaging now allows patients to see their own chest with and without clothes after augmentation; it is just short of amazing.

2 – Type of Implant

Silicone versus saline is the question. If you’re under 22 years of age, saline is the only option, yet any older and it’s the patient’s desire. The safety concerns stirred up in the media have had no medical science support. So now it comes down to the pros and cons. Silicone implants are softer, lighter and more natural. Saline implants are more prone to rippling unless overfilled which leads to firmness yet can be placed through smaller incisions. This advantage has been negated by the success of an implantation tool called the Keller Funnel. Type of implant is irrelevant to size unless really large implants are chosen which need a larger access incision.

 3- Placement of Margin

The location of incision is either inframammary (in the fold under the breast), periareolar or around the nipple area, transaxillary via the axilla crease or through the bellybutton.  The axilla and bellybutton offer smaller, more hidden incisions where an inflatable saline device is inserted. This benefit is not so great now that more silicone devices are used. The inframammary incision gives the surgeon the most control, yet can ride up the breast with maturity. Ideally, the periareolar incision can be almost imperceptible when it heals but a poor scar or decreased nipple sensation are potential risks. A larger silicone access incision in the axilla can be cosmetically sensitive to the women doing moderate to high intensity exercise in which the arms are raised. An experienced surgeon should consider anatomy, the size and patient desires before pitching the incision. Beware the surgeon who just uses his or her incision only.

 4 – Position of Implant

The last issue is a subglandular device which is under the breast versus the device which is partially under the muscle. The advantage of under the breast or subglandular implant is more effective in size particularly to address some mild breast ptosis. The disadvantage is the implant may show through the skin. A subglandular device is not for thin-skinned individuals or those without at least 2 cm of breast coverage in the upper pole. The partial subpectoral placement means the upper 2/3 of the implant is under the pectoralis muscle. This has the advantage  to reduce the round edge of devices being obvious. The lower third of the device is still covered by the gland alone. Muscle force and function is not affected. In conclusion, the subglandular position is ideal for a larger breasted patient who wants more fullness to correct mild ptosis. The partial subpectoral device is better for most other patients.

The Trend …Gynecomastia surgery is the Ideal solution for many men!

I’ve written several articles this year about men and cosmetic procedures…because men want the information, they appreciate the education and, they love the results they get from each procedure. The trend is that men are having more cosmetic and reconstructive procedures of every type, every year. Male Gynecomastia surgery is done to reduce the size of male breasts (same as breast reduction in women) for various other reasons.  I perform many of these operations every year to help my male patients regain self esteem, get renewed confidence and a new “physique” they can show off without embarrassment.

DATA:  40% to 60% of all men are affected with enlarged women like breasts

  • Male Breast reduction is ideal for men who are self conscious about their condition
  • Gynecomastia usually begins during adolescence & continues for life if not corrected
  • It psychologically impacts men of all ages…starting in the early teen years
  • Causes of large male breasts include:  obesity, Klinefelter’s Syndrome, Gilbert’s Syndrome, normal aging, hormone fluctuations, RX medications, anabolic steroids, impaired liver function

Male Breast Reduction Surgery… Results in a chest that is flatter, firmer, more contoured. Men and boys who suffer with Gynecomastia have found this surgery to be the ideal solution to their problem.  1) Male breast reduction is typically an outpatient surgery performed under general or local anesthesia. 2) I work through one small incision to  and remove excess fat and skin and to sculpt the breast to a masculine appearance. 3) My advanced techniques/skills and experience results in inconspicuous scars. 4) As with any operation, there is some swelling, bruising and discomfort for 2 to 3 days.   Oral pain medication manages this nicely. 5) Final results are seen when all swelling has resolved…usually 2 to 3 months.

Questions Men Ask Most Often:  See my website for info: http://www.DAVinciplastic.com

How much work will I miss?   My patients report back to work in 1 to 2 days.  Choose a long weekend for your procedure.

Will Activities be Restricted?   Yes.  No sex for 1 to 2 weeks following your surgery and no heavy, strenuous exercise for about 3 weeks.    Will Male Breast Reduction surgery change my looks?  NO.  You will look like yourself…just more fit, trim and contoured!

Will Male Breast Reduction negatively affect my sexual activity?  NO…in fact…men report to me it really enhances it due to their renewed self esteem and pumped self confidence!

OK. This gives you a good overview.  Come in soon and let’s talk.

Steven Davison M.D.

“DAVinci….where I combine the supreme elements of art and surgical science.”

Breast Reconstruction…Stage I

BREAST RECONSTRUCTION …in STAGES

Reconstructing a breast is an option chosen by hundreds of thousands of women, around the world, every year due to cancer or other trauma. The techniques we use today are more advanced allowing for less downtime, quicker healing and more natural looking outcomes. The procedure can be done in either one or two stages. I cover Stage I today.

STAGE I:  involves an “tissue expander’ that is inserted immediately following mastectomy.The expander slowly expands the tissue allowing for replacement by a breast implant a few months later.This is called immediate reconstruction since the tissue expander is placed under the same anesthesia as your mastectomy surgery.

Many women choose immediate reconstruction. Others opt to wait a few weeks or months. This is called delayed breast reconstruction.

One decision does not fit all women. Opting for breast reconstruction and the timing…is highly personal. My sensitive nature and expertise has enabled me to help many women make the wise decisions to overcome this otherwise daunting task. My patients quickly understand their options and learn how natural looking form/function and confidence can be restored.

If you or someone you know is faced with this challenge…let’s chat. During the personal consultation, I carefully listen to concerns, desires and goals before making recommendations. My experience enables me to achieve predictable and natural looking results.

IMPORTANCE of BOARD CERTIFICATION & SPECIALIZED TRAINING

Choosing a board certified surgeon, with specialized training and experience in reconstructive surgeries is critical to achieving desirable outcomes. I have the credentials, training, vast experience and many, many happy, healthy patients.

Next blog will cover Stage I…what’s involved.

Dr. Steven Davison

“At DAVinci…We combine the supreme elements of art and surgical science.”

STAGE I…Breast Reconstruction

STAGE I – Mastectomy & Expander

Breast Reconstruction usually occurs as a two-stage procedure – starting with the placement of a breast tissue expander – which is replaced several months later with a breast implant. Dr. Davison will place the tissue expander under the same anesthesia as your mastectomy surgery if possible. This is called immediate reconstruction since the process is started at the time of your mastectomy.  You may choose to “delay” the start of reconstruction and wait for a few weeks or months.  This is called delayed breast reconstruction.

Here are the steps involved in mastectomy with expanders:

  1.  During the mastectomy your breast surgeon removes skin and breast tissue – leaving the chest tissue flat and tight.  An expander (balloon type expandable device) is put into place under the chest muscle and skin – to serve as a space saver – into which a breast implant is later placed.  The expander is gradually filled with saline solution – over several weeks – and slowly stretches the remaining chest skin and muscle to allow for the future breast implant.
  2.  Expander surgery is performed under general anesthesia in an operating room. Often a Biologic tissue barrier is used to create an inner Bra to cradle the expander.
  3.  The incision used to perform your mastectomy is used for the expander placement
  4.  After placement – the incision is closed
  5.  Drains are left in place – and are removed when only 30cc fluid comes up
  6.  Healing takes 4-6 months – the surgery takes several hours and is done under one anesthesia.  If delayed expander placement is done – surgery takes 1-2 hours.
  7.  Breast implant is placed when Dr. Davison determines the space is sufficient and the expander is removed.  The same incision is used to do implant placement.
  8.  A nipple and areola is created typically 3 months later – with additional beautification for both breasts.
  9.  Dr. Davison becomes your primary care physician over the next year during this entire process.
For many women…this can be a daunting process.  Over the years I’ve been able to guide my patients through it, helping them make wise decisions, and then watching them appreciate the life changing results.  My rigorous training and years of experience made this possible.  If you or someone you know is struggling with this decision…I’m here to help.
To Your Ongoing Health and Wellbeing.
Dr. Steven Davison
At DAVinci…We combine the supreme elements of art & surgical science.

TOP DOCTOR of the YEAR AWARDS…come with responsibility

Well, here’s my chance to “shine” a bit. I don’t usually hang out or post my “brag sheet”…but being recognized among the top doctors of the nation can make a guy feel proud.  In case you’re not aware…I’ve been named as a “Top Doctor” of the Year by the Washingtonian,  the Northern Virginia Magazine, and others, for Reconstructive Breast Surgeries.  Along with that award, top docs must assume great responsibility.  First let me explain the selection process.

Castle Connolly Medical Ltd. is America’s trusted source for identifying top doctors and the best in American medicine.  Their system for selection is rigorous and includes ascertaining critical information about doctors such as: exceptional training, experience and how they are regarded by their peers etc. etc. Top Doctors can have an enormous impact on healthcare for patients and their families….a “Top Doc” can mean the difference between receiving first class medical care and substandard care.  Top Docs rank among the top 10% in the Nation.

The Washingtonian and Northern Virginia Magazine also use these rigorous guidelines for selecting “Top Doctors”…or “Top” anything e.g. restaurants.  Education (not all schools are equal), experience can make a major difference in outcomes, and most important of all…life changing procedural results that patients are happy with, along with peer recognition (being recommended by other doctors)…comes only from years of growing and honing skills while keeping up with advancements.  This is the stuff Top Docs are made of.

 I love what I do, and the greatest reward is always seeing positive outcomes for my patients.  

I am honored and blessed to be able to serve the population in and around Washington, D.C. and I thank each of you for your  years of trust, confidence and support you’ve shown to me and my family.  I look forward to many more years of helping each of you, and your family and friends…and to enjoying the friendships that grow as a result.

Thank You, Stay Well and may God richly bless each of you.

Steven Davison, M.D.

At DAVinci…we combine the supreme elements of art & surgical science.

BREAST RECONSTRUCTION (Restoration)…Stage II

STAGE TWO BREAST RECONSTRUCTION

From previous blogs you know that Stage I involves placement of the Tissue Expander…often placed under the same anesthesia as your mastectomy surgery… and called Immediate Breast Reconstruction.  Delayed Reconstruction means you choose to wait a few weeks or months before starting the restoration process.

Here are the steps leading up to Stage II Reconstruction:

During the mastectomy skin and breast tissue are removed, leaving the chest tissue flat and tight.  The “expander” is inserted under the chest muscle and skin to serve as a “space saver.” The expander is slowly filled with saline solution (over many weeks) to stretch the remaining skin and muscle to allow for the future breast implant.

Expander surgery is done under the same anesthesia as the mastectomy surgery.  (Immediate Reconstruction)  Healing takes 4-6 months

NOW Stage II begins: The new Breast Implant is placed when Dr. Davison determines the space is sufficient and then the expander is removed.  This is done through the original incision.

Stages III & IV …Begin about 3 months later and Involves A new nipple and areola…with additional breast beautification.

I become your primary care physician during this entire process…generally about a year.

Stage II Breast Reconstruction involves rebuilding a new breast mound by using what is called a Flap Procedure.  There are several options for flap procedures that I will cover in my next blog.

Every year the numbers increase of women who choose breast reconstruction.  Vast experience enables me to gently guide you through the process to eliminate frustration and confusion, until you eventually see the tremendous benefits of your choices.  During the consultation you will come to understand your options and be able to choose a course of action that restores both form and self confidence.

All we do…we do sensitively, expertly and with outstanding results to improve your health and wellbeing. The results of all surgeries should be both…functional and beautiful.

Dr. Steven Davison

At DAVinci…we combine the supreme elements of art & surgical science.

RESTORATIVE BREAST RECONSTRUCTION…Flap Methods

The reasons women choose to have restorative breast procedures are well stated in these quotes …

I need to feel whole again,” –  “You have given me back what cancer took away,” – “The reconstruction of my breasts made me feel restored…not reconstructed,”  –  “I want to look as good as I feel,”  –  “I want to look and feel sexy again…and want my husband to see me as sexy.” 

These are but a few of many thousands of thoughts from women who wanted to fully recover from their breast cancer…with a whole body.

Today, I review Flap Procedures (Stage II Breast Reconstruction/Restoration).  There are a variety of Flap Procedures used to restore breasts…not every type is right for every woman, but we determine this after careful and thorough evaluation of your needs and goals.  I tailor each flap procedure to achieve beautiful natural looking breasts. There are four muscle flap techniques as follows:


1) Latissimus Dorsi Flap 
uses a flap of skin and muscle from the back on the same side as the operated breast.  This is transferred forward to form a breast mound that will look and feel natural since it is your own living tissue.

2) TRAM Flap is the most common form of living tissue  breast restorative techniques used today.  It creates a natural looking, soft, warm breast.  TRAM Flap involves either free flap or pedicled flap techniques.  Pedicled flap means the tissue remains attached to its blood supply.  TRAM Flap procedures employ skin, fat and muscle removed from the lower abdomen and transferred to the chest.

3) DIEP Flap reconstruction employs excess skin and fat from the lower abdominal area, through an incision similar to that used for Tummy Tucks. This is a “perforator flap” technique that is muscle sparing…meaning no muscle function is sacrificed, but warm living tissue is used instead.

4) Gracilis Flap harvests excess skin and fat from the inner thigh to restore natural looking, soft, warm breasts.  This may be a TUT Flap (without muscle) which is referred to as a Transverse Upper Thigh Flap. When a small amount of muscle is required…a TUG Flap is employed.  Either flap can be harvested so the donor scar is discretely hidden inside the upper thigh.

This is a brief overview of the 4 Flap techniques used for restorative breast reconstructions.  Each of them has it’s own virtues… and all offer beautiful, natural looking and feeling breasts.  I have guided many women through making the right choices so as to ensure optimum results.

GOALS of RESTORATIVE BREAST PROCEDURES

Goals are critical to good outcomes.  You must have yours…here are mine: “all cosmetic surgery should be functional & all reconstructive surgery should be aesthetic & look as natural as possible.”  

ADVICE TO MY PATIENTS

Always ask me questions; ask to see pictures of my patients, gather information and consults with trusted mentors, make your decision.   There are NO wrong decisions. Choose a qualified, Board Certified surgeon with specialized training and expertise in reconstructive surgeries.

Next blog will cover Implant Breast Restoration.

Dr. Steven Davison

At DAVinci…we combine the supreme elements of art & surgical science.”


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.