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Sneaky Facial Features That Tattle Your Age

As the saying goes, “the squeaky wheel gets the grease,” so it also follows that the most prominent facial features demonstrating the signs of aging will get the fillers and Botox. Most people don’t have a hard time seeing the effects of aging on prominent features like the forehead, eyes and mouth area. However, there are areas from the neck up that are more subtle yet have an impact on the youthful harmony of the face. It takes a trained eye to spot these sneaky features that tattle your age if they’re not addressed along with the more noticeable features. I will bring those to your attention here.

Temples

While the creases and crow’s feet around the eyes scream for attention, the timid temples often go unnoticed in their affect on facial youthful harmony. The temple is defined as the area on the outside of each eye towards the hairline, stretching from the top of the cheekbone to the lower edge of the brow bone. This area is not exempt from the volume loss that occurs with age.

As a matter of fact, the temples are an area accentuated by the volume loss and the hollowing of the temples makes the whole eye area look aged and tired. Filling in this shadowy region helps to rejuvenate the eye and upper face. When only other upper face issues are treated something can look “off” or still aged about your face. If you haven’t been able to put a finger on it, it just might be your temples.

Earlobes

One of the features that sees a lot of adornment, but not attention are the earlobes. They’re draped with earrings from childhood and not a thought comes their way when considering the youth enhancing effects of fillers. However, earlobes show their age too, just like the face and neck. Gravity and pulling from earrings over the years will take their toll on the lobes. When they get thin, droopy, and wrinkly, earlobes really stand out against a face that has received treatments to be smooth, firm and full. So don’t forget about your little cartilage earring carriers and show them some injectable filler attention.

Chin

A smooth, well defined jawline and chin can lose its shape over the years by facial volume and skin being redirected downward due to gravity and loss of elasticity. While a lot of attention is given to addressing the jowls and jawline, the chin plays an important role in facial contour, too. It helps give the face its shape and balances other facial features. Using injectable fillers to correct chin volume loss or underprojection due to genetics will enhance youthful appearance, the overall facial harmony and balance.

While dominant facial features attract a lot of attention, we can disregard the subtle yet crucial effects these minor features have on the overall youthfulness of the face. Don’t let the sneaky features like the temples, earlobes and chin tattle on your age. Schedule your consultation today at www.davinciplastic.com to address these subtle changes to enhance the overall youthful harmony of your face.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Think Outside the Box…Giving the Gift of Youth

Thanksgiving week is here, but it’s already beginning to look a lot like Christmas. Christmas and Hanukkah decorations are popping up everywhere and have been filling the shelves at the retail stores. Seasonal music is piping in through the speakers as we walk down the isles. Advertisements for Black Friday and Cyber Monday sales pop up on our screens. Gift giving and receiving is on the top of people’s minds. With this in mind, here are some youth restoring gift ideas for your loved one.

Avoid the Mall

Fortunately, at Davinci Plastic, we have some great gift ideas for you. We have something for every budget, whether it’s picking up some clinically proven SkinMedica skincare, that dream surgery your significant other has been wanting or something in between like a gift certificate for a non surgical Liquid Facelift, we can take care of your gift needs. Our staff can make gift shopping easy and you won’t have to deal with the mall crowds.

What They Really Want

While the temptation is to shop for some gadget or accessory, nothing has the ability to make someone feel their best like when they know they look great. This is a priceless gift you can give. Don’t worry about it being taboo or taken wrong. If you’ve heard someone say anything related to them wanting cosmetic surgery or injectables, this is an open invitation to provide for that desire.

This is the perfect time of year for the gift of youthfulness. Events with friends, family, co workers will fill up the calendars. The season is full of social gatherings, so if you know they’d like BOTOX or fillers, you may even consider giving this special gift early so the results can be enjoyed throughout the season. Not only will they feel great while looking youthful and rejuvenated at the events, they can look back on the many photos taken this time of year and be happy about what they see.

If you think a little “outside the box,” here are some ideas of the gifts you can give so that the effects are enjoyed throughout the holidays:

  1. Luscious lips… fuller, sexy lips with gleaming red lipstick for that extra joy in all those smiles these holidays. This can be accomplished with a gift certificate for hyaluronic acid fillers like JUVEDERM.
  2. Frown free foreheads… no frown lines or furrowed brows will be present on such joyous occasions this holiday season when they’re smoothed with BOTOX.
  3. Bright eyes… that gleam and glow without being shadowed by sunken tear troughs or creepy crows feet. Injectable fillers will rejuvenated the eyes so they don’t look tired during all the festivities.
  4. Smooth smiles… without deep creases and folds around the nose and outer lips that can lighten a smile to look years younger. Fillers for the winsome smile win.

These gifts won’t require stepping out of the social holiday fun because treatment time is quick and they have no downtime or recovery. So this holiday season, think outside the box and give the gift of youthfulness. Stop by our office or visit www.davinciplastic.com to schedule a consultation to see what gift would be best for your loved one.

Wishing you a Happy Thanksgiving!

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

Botox Beauty Tricks

Botox and smoothing wrinkles has become an automatic association. But is Botox and cheek streamlining or noselift a natural connection? Maybe not yet. However, through the creative experiences of medical professionals, there have been some cool discoveries of more “beauty tricks” that Botox has up its sleeve. I’ll be covering some of those here.

Facial Slimming

Botox can actually contour your facial shape particularly, the jawline and cheeks. If you feel your cheeks are chubby looking or your jaw is blocky, Botox can help you achieve a more oval shape. Injecting in the lower cheeks and jaw to relax the specific muscles will trim the appearance of the cheeks and facial profile. Along with this cosmetic benefit, injecting Botox into the jaw muscles can actually reduce teeth grinding associated with TMJ.

Lifts

There is no substitution for the degree that a Facelift can address the areas that need lifting, tightening and tucking away loose, sagging skin. However, there is a little magic that Botox can do to help you hold off on the need for a Facelift.

  • Browlift… While smoothing out a creased forehead and frownlines is the Botox forte, it also can do a little lifting and elongating of the brow and forehead. Mild upper eyelid drooping and the drifting down of the forehead can give a tired, frustrated appearance. When expertly injected into the Orbicularis oculi muscle, Botox can actually raise the outer edge of the eyebrow. This results in a more open and awake eye area.
  • Noselift… Even the nose starts to show its age over time. Botox could help if you’d like to raise the tip of your nose either to reverse the signs of aging or to see if you can prevent rhinoplasty. A little Botox injected to the base of the nose can accomplish this.
  • Lip Flip… In combination with filler, such as Juvederm, or alone, using Botox is the newest trend to get a “poutier lip.” By relaxing the muscles around the mouth, Botox flips out the lip line to give you a plush pout you’ll rave about.

I hope you were encouraged to learn about these Botox beauty tricks that are outside the normal realm of rejuvenation associated with this injectable. Botox is such an incredibly versatile cosmetic treatment. Contact us today to see how we can use Botox or other treatments to help you reach your beauty goals, www.davinciplastic.com.

Steven Davison, M.D.

Triple Board Certified Cosmetic 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

All About Injectables, part 4: The Tortoise and the Hare

Radiesse and Sculptra are the last injectables that I’m covering in this series. While they may not have achieved the mainstream brand recognition as Botox and Juvederm, they are well known within the cosmetic industry for offering well established and proven volume restoring, wrinkle fighting results. They accomplish this through very different methods. Sometimes Sculptra and Radiesse are called the tortoise and the hare.

The Tortoise

In the Aesop’s fable The Tortoise and the Hare, the slow moving tortoise actually wins the race with a hare because of its steady effort. In a seemingly similar way, Sculptra offers visible results that are slower to appear, but achieve a big win because the results usually last a lot longer than any other fillers. It does this because it actually stimulates the skin to make it’s own collagen.

  • Medical: Sculptra is made of a poly-L-lactic acid, which is a manmade polymer that is biodegradable and biocompatible. In the medical arena, it has also been used for over a decade with FDA approval to restore the hollowed facial features caused by HIV. This material is also used in absorbable stitches and bone screws.
  • Cosmetic: The FDA approved Sculptra for cosmetic use in 2009. With 1 to 3 injections over the course of 6 to 12 weeks, Sculptra stimulates the skin’s collagen enough to effectively restore volume and smooth out wrinkles. If not under any event’s time constraints, some people prefer the gradual results because they come on less drastically and obviously. Generally, most onlookers notice the youthful results, but can’t pinpoint when or how they exactly occurred. It just looks like a mini facelift happened gradually over the course of 2 months. Also, unlike hyaluronic acid fillers, such as Juvederm or Restylane, Sculptra can last much longer, such as 2 years or more.

The Hare

Instead of hyaluronic acid, which is used by Juvederm and Restylane, Radiesse is composed of calcium hydroxylapatite microspheres suspended in a gel. Calcium hydroxylapatite is a kind of mineral that is normally found in human teeth and bones. In addition to instantly adding volume, the scaffolding created by the calcium hydroxylapatite in Radiesse promotes collagen production. This offers benefits to the skin’s foundation that lasts beyond when Radiesse dissolves.

  • Medical: In 2007, the same year it was approved for cosmetic use, the FDA approved Radiesse for treating facial wasting experienced by HIV patients. The medical community has also used Radiesse in therapeutic treatment for vocal cord deficiencies.
  • Cosmetic: Radiesse is an injectable filler that also restores volume in a thicker gel than Juvederm and Restylane. Its dense formula is great for moderate to severe facial wrinkles, nasolabial folds and volume loss. It also is a phenomenal way to take 10 years off your hands, which tattle on your age.

I hope that this blog series, All About Injectables, has informed and encouraged you about the safety and efficacy of the top injectables. Isn’t it interesting that there are such helpful medical uses for them, as well as cosmetic? I think that just adds to their credibility.

As you can tell, at Davinci Plastic, you’re certainly not lacking for great options for your cosmetic needs. Fortunately, you don’t have to be the expert in which of these injectables would be the perfect fit for you. Our expert injectors can help you find the best fit for your beauty goals. Schedule a consultation at www.davinciplastic.com today.

Steven Davison M.D.

Board Certified Plastic Surgeon

All About Injectables, part 3: Fillers

In addition to an increased awareness of neuromodulators like Botox, there is another major category of injectables called “fillers” that have become mainstream. They address wrinkles and other cosmetic issues related to volume loss. Fillers, such as Juvederm and Restylane, use hyaluronic acid to restore volume, but even within these popular fillers, there are a lot of options for different uses. We will talk about these fillers and some others in this blog.

What is Hyaluronic Acid?

The hyaluronic acid in these injectables is made from a safe bacteria protein. It is a modified, safe form of the hyaluronic acid that naturally forms in the skin. It attracts and bonds to water, creating a plumping effect within the injected area. It has the highest safety profile of all the injectables and contains no DNA from animals or humans. It is unlikely to induce an inflammatory or allergic reaction because it is similar to the natural hyaluronic acid created by the body.

What is the difference between Juvederm and Restylane?

Both are FDA approved HA fillers for smoothing the nasolabial fold (from the outer crease of the nostril down to the outer corners of the mouth) and are used “off label” effectively to restore volume in other areas. They both have an excellent safety and efficacy track record.

The main difference is the consistency. Juvederm is smooth and Restylane is granulated. They both come in a variety of thicknesses to accomplish effective revolumizing of different facial areas. Depending on how your body metabolizes hyaluronic acid, Juvederm will probably last a little longer, but this is not the case for everyone. Clinical trials demonstrate different kinds of Juvederm lasting from 1 to 2 years and Restylane lasting from 6 to 18 months. Both are excellent products, but may be better for different applications.

I would spend more time concerned with choosing an expert injector who is very familiar with correct and effective application of these products (such as who we have on staff) and let them make the recommendations. However, just so you can be familiar with all your options, here is a list of the different kinds of Juvederm and Restylane, along with their best applications.

Juvederm

  • Juvederm Ultra XC adds natural feeling and looking fullness to thin lips.
  • Juvederm Volbella XC plumps the lips subtly and smoothes the appearance of fine lip lines.
  • Juvederm Vollure XCtreats moderate to severe facial wrinkles around the mouth and nose, such as mouth corner lines, marionette, and parenthesis folds.
  • Juvederm Voluma XC is the longest lasting option for restoring youthful volume to cheeks and midface.

 Restylane

  • Restylane Defyne smoothes out the deeper facial creases and wrinkles, while still allowing for movement in areas that need it, such as the nasolabial folds and marionette lines.
  • Restylane Refyne offers the flexibility needed to maintain natural movement while filling in mild to moderate nasolabial folds and marionette lines.
  • Restylane Lyft is FDA approved for restoring volume to the cheeks and midface area. It contains a numbing agent to reduce treatment discomfort.
  • Restylane Silk is administered using an ultrafine needle to enhance accuracy for adding volume to the lips.

These are excellent fillers that can accomplish beautiful, rejuvenating results. Next week we will cover the remaining to injectables that are safe, effective and available at our office. Schedule your consultation today at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

All About Injectables, part 1: Dysport vs Botox

Most people have a general knowledge about injectables through friends, social media and celebrities. They can be a great complement to plastic surgery or even help you restore some youthful features without any recovery or downtime. Injectables can address skin smoothness, feature definition and even correct a wide range of facial imperfections.

You know Botox stops the muscles from moving so that they can’t keep making wrinkles. You know Juvederm fills in the wrinkles so the lines are less prominent. You also know that there are different kinds of injectables, but maybe not what they are and the full range of what they can do. In this blog series I’ll give you a little orientation to expand your knowledge about the injectables that are currently available and those possibilities to come. In this blog, we will compare “neuromodulators.” In the next blog, I’ll go into depth about the uses for Botox (some surprising), and later, I’ll cover the “fillers.”

NEUROMODULATORS

This is the official name for the kind of injectable that is Botox and its main competitor Dysport. This kind of injectable uses botulinum toxin A to block the nerve signal to the muscle, which prevents movement. In tiny amounts and with impeccable accuracy in the hands of my highly trained, certified expert injector, this toxin is used to relax the muscle. This results in a less prominently visible wrinkle because of minimal localized muscle movement.

The most well known neuromodulator is Botox because it has been available in the US the longest (about 30 years ago) and has many clinical studies for medical and cosmetic use. However, you may not realize that Dysport has quite a bit of safety and efficacy testing also, and it was available in Europe long before it came to the US. They both use the same kind of molecules, but Dysport’s are slightly smaller. This makes for some differences between the two.

DIFFERENCES BETWEEN BOTOX & DYSPORT

  • Dysport’s results are slightly quicker, within 3 days, while Botox’s results show in 5 to 7, so if you’ve got to get ready for a last minute event and don’t have a week to wait, Dysport might be better.
  • Dysport distributes botulinum toxin A via a smaller molecules so there isn’t “unit to unit” match up, and no universal clinically accepted conversion ratio. This often results in Dysport’s cost per unit being less than Botox, but probably more units will be needed.
  • This smaller Dysport molecule makes for a thinner solution and so it spreads out, or diffuses, a little more from the injection site. This makes it more or less suitable for different parts of the face. For example, it could be good for a larger treatment area such as the forehead, requiring less injections. However, Botox is necessary for a small area requiring exact precision, especially around the eyes and lips, as you don’t want any diffusion resulting in sagging or drooping.
  • Both will require another treatment in 3 to 6 months, but its still up for debate whether Dysport doesn’t last quite as long as the thicker, more concentrated Botox.

There are benefits to both kinds of neuromodulators, making it impossible to say definitively one is better than the other. It allows us a greater diversity of applications to benefit our patients. Also it takes an expert injector to be versatile in using both effectively. You can trust us with the skill and knowledge to recommend and inject both correctly for beautiful results. Schedule your appointment today at www.davinciplastic.com.

Steven Davison M.D.

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

The Gift of a Liquid Facelift

It’s not too late to show your love with the gift of a Liquid Facelift. The spring is coming and there is no better feeling than going into a new season with a refreshed feeling and look. The new and rejuvenating experience can catapult confidence and productivity for not only a more youthful appearance, but invigorated feeling.

The Liquid Facelift, also called a Filler Facelift, is a visible, yet subtle rejuvenation involving multiple injection locations and kinds. While it doesn’t have the complete capabilities of an actual Facelift, it does address concerns throughout the facial features to provide a no downtime “refresher” for the face. It smoothes out wrinkles and restores volume to those trouble areas that are unique to each person. These are the benefits:

  • Erasing forehead lines with Botox
  • Brow lifting by replacing volume with Juvederm
  • Revolumizing the eye area with Juvederm to minimize sunken eye sockets, hollowed temples or deepened tear troughs
  • Plumping flat cheeks with Juvederm, Radiesse or Sculptra which gently lifts the entire midface, including the effects of volume loss on nasolabial folds
  • Smoothing the “parenthesis” lines around the mouth
  • Plumping thinned out lips with Juvederm
  • Balance the chin definition with Radiesse or Sculptra

The Filler Facelift addresses these issues not in isolation, but within the facial framework and contours. This comprehensive injection session rejuvenates the entire face and not just one feature by utilizing different kinds of injectables. The Liquid Facelift is a great way to hold off the need for a surgical facelift. Results can last a couple of months to a couple of years.

The different kinds of injectables used in different areas of the face all work together for the Liquid Facelift rejuvenation. Here are the typical players we use in our office to give our patients beautiful results:

  • Juvederm naturally attract water to the plump up the cells with hyaluronic acid. This sponge like effect, plumps up the cells at the injection site to fill in the creases. Its plumping abilities are fantastic for restoring youthful facial contours and lip fullness.
  • Botox inhibits muscle action that stops the movement creating the wrinkles and creases. This stops forehead furrows and frown lines in their tracks.
  • Radiesse immediately stimulates your own collagen renewal for your skin to work on replacing volume and firmness.
  • Sculptra takes time to reveal the youth enhancing effects, but is well worth the wait. Its scaffolding stimulates the body’s own ability to rebuild collagen with long lasting results that can endure twice as long as hyaluronic fillers.

Experience the refreshing look that a Filler Facelift can offer. Give the gift to yourself or a loved one. To schedule your Liquid Facelift our highly trained injectors, visit www.davinciplastic.com

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Get a Gorgeous Smile in 2018

Want a new smile in 2018 without any cosmetic or dental surgery? There are many non surgical options to transform your smile, whether it’s whiter or straighter teeth, fuller lips or reducing a “gummy smile.” Here are some solutions to these smile problems:

  1. Gummy Smile

One way you can enhance your already beautiful smile is to reduce the amount of your gums that show between your lips and teeth. Using Botox in a very precise and careful placement, the injection is made into the muscle that is near the junction of your nostrils with the cheek, called the levator labii. Also, a very small amount can be injected into where the upper lip’s midline meets the nose at the columella (center column of the nose).

 

The necessity to use a highly experienced injector is crucial, as placement and the amount of Botox can easily ruin a smile rather than enhance it. Remember, the Botox is weakening the muscle so if too much is injected or its improperly placed, results won’t be as desired. For example, the lip will be completely flat, droopy or produce an uneven, half smile where one side lifts more than the other.

 

When properly placed, the upper lip still has movement, but won’t retract all the way to reveal the gums when you’re smiling. Botox to the upper lip can also reduce the vertical wrinkles and smokers lines. As with any injection, the results are temporary, which is actually a good thing as it gives you a chance to get used to the new look and decide if you’re more comfortable with your smile as it was naturally or would like to continue.

 

  1. Thin Lips

One of the contributors to discontent with smiles is that the lips are too thin. This can even increase the look of a “gummy smile.” This improvement is an easy one, as Juvederm can provide beautiful, natural looking plumping effect for a full, luscious lipped smile.

 

  1. Teeth Discoloration

The over the counter teeth whitenen systems are considered part of the beauty industry and not regulated by the FDA, as would a doctor prescribed system. You should proceed with caution with these. In regards to whitening procedures provided by dentists and technicians, it’s also important to consider the level of experience. Generally, you can be prescribed a custom gel with a tray to be used over night for a number of nights in order to match your desired lightening and contour to your teeth. This can be done in conjunction with certain high powered lights, but educate yourself on the kind of lights used since some can produce sensitivity and even damage the tooth’s inner pulp.

  1. Crooked Teeth

Depending on the significance of your alignment or bite correction needed, there are some good options including alternatives to metal braces. Other kinds of permanent fixtures like clear braces and removable “invisible” aligning trays, such as Invisalign or Clear Correct, can be worn over time to adjust the teeth. There are now 5 tray system options for minor alignment issues.

You can have the radiant smile you want in 2018. Let’s discuss your non surgical smile enhancements to address issues such as “gummy smile” and thinning lips. Please visit www.davinciplastic.com to schedule a consultation.

 

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Millennials Make It Known

Men and women in their 20s and 30s are heading to the plastic surgeons office in abundance like never before. The celebrity culture has removed any embarrassment or negativity regarding people knowing that they’ve had plastic surgery and injectables, like Botox and Juvederm. These treatments and the results are indeed celebrated and shared among peers and social media. The desires and needs of this group are different than other generations, which I’ll discuss below.

POPULAR TRENDS & CELEBRITY TELL ALL

Access to media and open sharing about plastic surgery among celebrities has not only removed any taboo, but created a normalcy and excitement to experience the benefits my industry can provide. The more seasoned actress Patricia Heaton was one of the early adapters to celebrity sharing about surgery. In 2003, she talked openly about her surgeries and how women shouldn’t compare themselves to Hollywood because things aren’t always as they seem. These days, more and more celebrities are talking about surgery, such as actress Kaley Cuoco and singer Iggy Azalea, who are popular among Millennials. Many express that they don’t want to keep secrets from their fans and Iggy even posted a picture of her with her surgeon thanking him for her perky breasts.

For the Millennials, Kylie Jenner has almost single handedly been the greatest influence for lip injections for young people. Her full lipped pout is one of the most requested outcomes for this age group, who happily share before and after photos on Instagram, Snapchat and Facebook (although Facebook is getting the reputation as the main platform for mostly for the “older” Millennials and above). As of 2 years ago, no one was taking selfies in the plastic surgeons’ office, but this is now commonplace.

PREVENTION ORIENTED

Millennials are viewing cosmetic treatments as preventative with hopes of putting off signs of aging. Before wrinkles even occur, men and women in their 20s are asking for Botox. This can be a great opportunity to work with relaxing the muscles before they create rhytids, however expectations need to be managed because there won’t be any drastic immediate results.

Also, it is important to keep in mind that a little bit goes a long way. Overdoing injectables can actually have the opposite affect and make Millennials look older or create distorted facial features. If done incorrectly, Botox to the forehead can result in a heavy brow. Instead, better results could be accomplished by injecting small amounts to the glabella, which is where the frown lines form in between the brows. Immediately noticeable results for someone who doesn’t have very visible wrinkles to reverse, would be a little brow lift that can be accomplished with injections to the outer eye where crow’s feet would form.

PROCEEDING WITH WISDOM

As with anyone considering surgery or cosmetic enhancements, it’s important to realize this isn’t a quick fix mentality. To really have a preventative affect, a one time Juvederm or Botox injection won’t be enough. The goal of wrinkle prevention with Botox involves weakening the muscles so they are smooth. This may take regular injections of small amounts about every 3 months for a year or 2, and then we can slow down.

In addition, the best results also involve protecting the skin from sun damage, using good skin care, eating well and drinking water. We should develop a relationship where there’s open communication and a comprehensive treatment plan. To get started, schedule a consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

No More “Turkey Neck”

Beyond the face, the neck is one of the most visible of the body’s features that can reveal age. Fortunately, there are some effective treatments to refine and rejuvenate the neck and minimize the “turkey neck” or “double chin.” This is especially important to many people coming into the holiday season where there will be pictures and parties galore. Today I’m going to highlight 2 non surgical treatments for making the neck area look younger and that won’t take you away from your busy schedule leading up to the holidays: Kybella and Botox.

Kybella

If your concern with your neck is the double chin or bulge, Kybella could be your answer. It is a non surgical alternative to liposuction since the treatment simply involves a series of injections. They contain a naturally occurring molecule called deoxycholic acid. This natural acid dissolves fat and then the body flushes it out naturally. The extensive clinical trials conducted with Kybella demonstrated a 50% improvement in fat reduction with 2 treatments a month apart.

The injection treatment itself only lasts about 15 to 20 minutes, with a little prep time before and after. These precisely placed injections can be done on any part of the neck and can treat the largest to smallest bulge. Some people have a double chin due to carrying extra weight, yet others may be thin but have a genetic predisposition to a double chin. Also, Kybella can help to slightly tighten the skin, but it cannot remedy loose, hanging skin.

Even though Kybella is considered an “in and out” procedure, it does have mild side effects to which the degree varies for each person. While some people tolerate the injections with only a level 3 of 10 pain ranking, others would consider them more painful. Also, while everyone can return to regular activity immediately, some patients will experience some temporary swelling and redness or some soreness and numbness depending on how much Kybella is being injected in a session. The winter is actually the perfect time to hide any of these issues with a turtleneck sweater or scarf.

Botox

If your concern with your neck is the prominent vertical bands, Botox may be able to help. While it is most known for eliminating frown lines between the eyebrows or forehead, the basic function of Botox is to relax the muscles so it can be used on most any muscle groups that are contracting to create lines, which includes the neck. Over time the neck develops bands in a V shape from the platysma muscle, which can accentuate any neck bulge or waddle. Botox will relax these muscles and so good clients are those who have a prominent platysma muscle along with good skin tone.

There is no need to feel self conscious of your neck even if you want to avoid surgery and don’t have time for recovery. Kybella and Botox could be your answer to get rid of your turkey neck for Thanksgiving and beyond. Schedule a consultation to see if these effective treatments are a good fit for you 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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