Category: Juvederm

Looking ahead to 2018, what procedures do we expect to hear more about? While there is a general rise in consumer awareness and participation in the cosmetic surgery industry, some procedures have flown under the radar until recently. Such procedures as Otoplasty, Labiaplasty had begun to hit the main stream in 2017 and are expected to rise even more, but even more recently has been awareness about inverted nipple correction surgery. Last year was also big for very full, pillowy lips, which may tame down a bit in 2018, but there are more and more uses for fillers that are being requested by patients. Let’s take a look at some procedures that are going to get more play in 2018.

Otoplasty

Streamlining the ear profile with Otoplasty surfaced onto the mainstream over the summer a year or 2 ago. It has been a common surgery for children and youths, as it can take ears that stick out or fold abnormally and bring them closer to the head; therefore eliminating teasing or bullying and the resulting self esteem issues because of “Dumbo ears.” While this has continued to be the main reason for this surgery, it has expanded into “trend status” by adults perfecting their ear profile and also wanting to give the earlobes a pleasant shape, even after the holes from earrings have distorted them.

Labiaplasty

Even as this surgery addresses a very private area, it has gained more public awareness. Women want to feel confident with how their labia look and more comfortable with how they feel. There is no reason to have discomfort over elongated, uneven labia. Labiaplasty can help increase comfort, confidence and even possibly of increased enjoyment of intimacy.

Inverted Nipple Correction

It is estimated that up to 20 percent of women have inverted nipples, which means the nipple retracts inward, usually since birth. Typically it occurs because the breast tissue adheres tightly to the base of the nipple and constricts it. While this nipple status may cause some challenges with breastfeeding, they can usually be overcome, and it is otherwise harmless. The desired correction can be surgical, or combined with a nipple ring that would hold the nipple out, as well as a small fat graft or filler injection.

Fillers

While fillers, such as Juvederm for the lips have received a great amount of attention, and will continue to, there are a few other areas springing up that fillers are helping that might be surprising. For example, filling in the sunken under eyes, shriveled ear lobes, veiny thin hands, dimples of cellulite, and shrinking nipples.Keep in mind, many of these creative uses for fillers are considered “off label,” which means there isn’t a standardized protocol, so be sure you’re only working with trusted “expert injectors” like in my office.

If any of these procedures have piqued an interest in you or coincide with your beauty and rejuvenation goals for 2018, please schedule a consultation so that we can discuss your options at www.davinciplastic.com

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

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

While you may initially come into my office to address an immediate beauty need, we will take the time in our consultation to talk about your long term beauty goals and to help you with a plan. This plan may start off with some non invasive treatments, such as a Liquid Facelift using a variety of injectables to touch up and rejuvenate some crows feet, furrowed brows or mouth parenthesis creases. Then it might build into a 5 to 10 year plan for a mini facelift to address slightly sagging jowls and neck or Blepharoplasty to open up drooping eyelids for a brighter, more rested looking eye area. Either way, this plan should not only focus on immediate needs, but incorporate treatments for future youth restoration goals and maintenance.

Cosmetic surgery and non invasive treatments can easily be performed all year long, however, there are certain times of year that lend themselves to easily incorporate the rest and recovery that make it more convenient. Also, there are also certain issues you may want to address before a special event (think: high school reunion or holiday party) or time of year (think: bikini season).

Here is a seasonal surgery guide with suggestions for planning your procedure:

Fall

After the activity of summer and before the flurry of winter festivities, the fall season offers a perfect break in the social calendar for most people. This means that recovery time away is easy to schedule. Also, the cooler weather means clothes with more coverage and comfort. After getting any kids and grandkids settled into school, the scheduled routine or empty nest would allow for effortless predictability and rest for scheduling a surgery. It also will allow plenty of healing time for you to approach the holidays recovered and looking great. This is a good time for anything from Liposuction, Blepharoplasty, Facelift to Breast Augmentation. Fall is my first choice for cosmetic procedures.

Winter

This season offers some good opportunities for cosmetic surgeries. Before the new year, the injectables are the best because you can’t afford downtime between Thanksgiving and New Years, but January is the perfect month to kick off the New Year with a big step towards your beauty and healthy body goals. Winter scarves and turtlenecks easily cover the bruising or swelling from Kybella or a Facelift. Also the bulkier clothes will conceal any over night changes to the body from a Tummy Tuck or Liposuction. The Martin Luther King and Presidents Day holidays allow for long weekends and time off work without the usual holiday social schedule.

Spring

These are the months to rejuvenate and refresh yourself along with the start of a new season, and to prepare for the summer season. Body image procedures such as Liposuction, Brazilian Butt Lift, and Breast Augmentation are popular this time of year. Also, by this time, some of the results from New Years resolutions for weight loss have a chance to kick in and become a habit so that body contouring can have optimal results.

Summer

Surgery can be a success in the summer, but it’s crucial to stay out of the sun. The heat and sweat can be irritating during recovery. It’s always a great time for injectables like Botox, Juvederm, Radiesse, Sculptra since these injectables are in and out so you’re on your way to looking fabulous for your vacation. Another fabulous non invasive, body contouring rpocedure to trim away small puches of stubborn fat is SculpSure. Popular summer break surgical procedures are Rhinoplasty and Otoplasty between the school years.

Let me help you make your procedure plan for your ideal image by scheduling a consultation today at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

When you’re going for any injectable treatment, the skill of the injector makes a tremendous difference in the results. When it comes to your face, this is definitely not something you want to be bargain hunting or wheeling and dealing. A bad injector can make you look older or even distort your natural appearance.

Here are some clues you’re going to get a bad injection, and what to look for instead:

Options

There are a good variety of injectables and some are a better fit for different facial structures, skin age and rejuvenation goals. If the office doesn’t represent this beauty of choice and tries to fit everyone in the box of a one size fits all injection, then you know something is wrong. Each person’s unique needs should be addressed regarding the placement of injections and what kind of injectables are used.

Cleanliness

Infections happen easily and so it is important to be very picky about the cleanliness of the facility. Don’t just breeze in the office and get your injection. Look at it with a critical eye and especially important to assess the cleanliness of the injection room. A sterile needle and fresh vial of injectable should be shown to the patient before treatment.

Quality of Care

You can trust your face to the quality of care that can only be provided by an injector with experience, certification, specialization, consultation and confidence.

• Experience: An injector should have a lot of experience with a variety of injectables and specialize in the art of injectables. This gives the injector a true “feel” for the unique needs of each patient.
• Certification: There’s actually an industry standard that is applied to the best practitioners, qualifying them as Expert Injectors. This extra certification and licensure ensures that the injector you choose has had the training and experience to give you the best chances for the results your desiring.
• Specialization: With injections being offered at home and almost every medi spa across the country, it’s important to recognize that doctors and nurse practitioners, such as our own PA Nora, with specialization this field have an intimate knowledge of facial structure and can provide the best results.
• Consultation: While injectables generally provide a “quick fix” for addressing aging concerns, the injector should take the time discuss your desires and long term goals. This might include a treatment plan to include other anti aging procedures.
• Confidence: The training, experience and specialization required for a job well done in this field provides a confidence that the practitioner has and one that you can have also. If your injector seems shaky or unsure in the least bit, walk away.

As an expert injector with experience of working on hundreds of faces with the highest levels of satisfaction, standards and level of artistry in facial rejuvenation, you can trust your face in Nora’s hands. To schedule an appointment for your injectables consultation, visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Summer Break is over and kids from Kindergarten to College are going back to school. This is a breath of fresh air for many parents who are looking forward to some quiet time. It also allows for some more time to take care of the home necessities and even opens up the schedule for those beauty treatments that were neglected in the midst of the activities of summer. Here are some ideas for back to school celebration beauty and rejuvenation treatments for the face.

Botox

A Botox treatment is truly “in and out” within a lunch break and requires no downtime, so if you need to take your kids to soccer practice after school or help them set up their dorm room over the weekend, you can get Botox that day and you’re still good to go. By using a tiny amount of botulinum toxin type A that blocks the nerve signal to the muscle, Botox can smooth out frown lines, crow’s feet and brow wrinkles by caused by facial muscles in motion. Other popular treatment areas from the forehead down to the collarbone are those two vertical lines between the brows, nose furrows, smoker’s lines above the lips, and thick lines in the neck. This simple, safe injection can also prevents the formation of facial lines and wrinkles since those muscles won’t be moving to make the creases.

Juvederm

This injectable is a filler that smoothes out lines with hyaluronic acid that restores volume to the area. Perfect for eliminating those annoying parenthesis lines on the side of the nose and mouth.  Juvederm is offered in a variety of formulas that offer greater versatility and varying depths of injection. The smooth gel allows for treatment of more difficult folds and less discomfort during treatments. This is another treatment on the go, so it won’t interfere with your family routine. Juvederm XC Ultra and Ultra Plus formulas can help smooth wrinkles for every skin tone and type, since they are the first FDA approved hyaluronic acid dermal fillers for safe, effective treatment that includes persons of color. 

Sculptra

Sculptra is a little bit different than the previous injectables even though it can be done as a “no downtime,” “in and out” treatment, it isn’t intended to be an “overnight fix.”  Sculptra is the only facial injectable that offers results that can last 2 years and possibly longer. It restores facial volume that works gradually and subtly by stimulating the body’s own collagen renewal for long lasting results that look natural.

Celebrate the kids or grandkids going back to school by treating yourself to a quick anti aging procedure that easily fits into the every day family routine. While you’re in the office getting your non invasive treatments to rejuvenate your face, we can talk about your other youth restoring goals for remainder of this year and make a treatment plan. To schedule a consultation, call our office at 202-966-9590.

Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon