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Triple Benefits to the Tummy Tuck

Warmer weather is on its way and soon after is bathing suit season. For some, the excitement is stifled by anxiety over body image. One big concern is the belly bulge from fat or due to loose skin because of weight loss. While there are some non surgical fat melting options now, they have limitations and don’t have a strong affect on stretched out skin or any affect on abdominal muscle repair. This is why Abdominoplasty, also known as the “Tummy Tuck” is the most effective and desired means of contouring the stomach area. But the benefits are triple fold and we will discuss them here.

No Shame in the Belly Pooch Game

While some cases of flabby tummy are due to excess fat, there are many reasons that contribute to this problem that are difficult to control. One example of a good reason you may be left with a belly bulge is from weight change. It could be from modifying an unhealthy lifestyle to a healthier one or even from pregnancy. Even though losing weight or having a baby are wonderful things, most people still don’t like the end result of extra flabby skin and maybe a little stubborn belly pooch that won’t go away. Other causes are:

  • normal ageing
  • previous surgeries
  • gravity
  • illness
  • abdominal separation also called diastasis recti

Farewell to the Belly Flab

While Liposuction alone may be a great option for some people, Abdominoplasty doesn’t just address removal of fat. It has a multi faceted approach to address all factors causing the bulge. Abdominoplasty contours flatter abs by any or all of these means:

  • removing fat
  • removing excess skin
  • tightening muscles
  • contouring the firmness and shape of the abdomen

Triple Benefits to Tummy Tuck

Your tummy bulge may be caused by a separation in the abdominal muscles, also known as diastasis recti. It can happen in anyone, but commonly is a result of the extra pressure put on the abdomen but the expanding uterus in pregnancy. This separation of the core abdominal muscles not only causes a belly bulge that won’t go away after weight loss and exercise, but it can have other uncomfortable side effects.

An Australian study with 214 women demonstrated that Abdominoplasty with muscle repair helped the majority of patients with their back pain and urinary incontinence. So the triple benefit of Abdominoplasty in the cases of diastasis recti is that you’ll have:

  • a flat tummy resulting from closing the bulging gap between the abdominal muscles
  • repaired core muscles and the ability to strengthen them unlike before so that you could also have less or no more back pain
  • better urinary control because of the abdominal muscles’ link to the pelvic floor muscles

Abdominoplasty can help you look and feel better. Flat abs can be yours in time for swimsuit season if you start the process now. Schedule a Tummy Tuck consultation to determine the best options for you at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Beauty Routines for Supple Winter Skin

As Winter is persisting, our skin really pays the price. Heat, cold, and dryness really takes their toll, and we feel it. Irritated winter skin isn’t just uncomfortable, it can look noticeably aged and dull. Giving your skin some extra TLC during this season can assist your cosmetic procedures in helping your skin look its best. Here are some ideas for your skin to stay soft and supple in the winter.

 

Moisture Reviving Skin Care

Your skincare routine cannot remain the same in the winter. Here are some beauty habits to replenish your skin of moisture:

  • Stay away from very sudsy washes, as the soaping agent is sodium laurel sulfate, which is irritating. Also, toners containing alcohol are too harsh for already dry skin. Use a cream or gel cleanser and a gentle toner that helps the skin keep its natural oils rather than stripping it.
  • If you’re using a lotion as your moisturizer, it’s time to switch to a cream. If you’re already using a cream, you can add a moisture tincture to it or a mid day moisture mister will hydrate without disturbing makeup.
  • Speaking of makeup, this would be a great time of year to try cream eye shadow and cream blushes, so you can limit the oil absorbing powders you put on. You won’t have to worry about sweating and it not staying put.
  • Using a wax based lip balm may actually be contributing to your dry, chapped lips. Try a lipstick or gloss with healing agents like vitamin E, not wax.
  • Gently exfoliating away the dull, dead skin will help your moisturizers absorb and keep your skin glowing. The key is not to overdo it this time of year and cause irritation. Exfoliating wash or mask no more than once a week, and alternate with a moisturizing mask along with your moisturizing creams to keep your skin hydrated and radiant.
  • Be sure to moisturize both morning and night. Especially your face, neck and hands, but don’t forget to take care of your skin everywhere.
  • We’ve all seen the “ski mask” tan lines. It’s a good reminder that the even though the winter skies are gray and the sun seems to be gone, you should continue to use your sunscreen. The snow can actually reflect up to 80 percent UV.
  • Although a steaming hot shower or bath always feels great after coming in from the cold, this strips the skin’s natural lubrication. Keep it short or not too hot.

 

You can have supple, healthy skin this winter. Keep these beauty routine tips in mind, and also consider one of the premier medical grade, physician prescribed skincare, SkinMedica. Its products effectively address many skin issues for every season of the year and season of your life. Learn more at 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

2018 Procedure Trends

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

 

The Rise of Labiaplasty

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

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

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

Labiaplasty Survey Results

Mean Age =+ SD, Years

Previous Child Bearing

Yes     58%

No       42%

Labia

Tugging During Intercourse     74%

Uncomfortable wearing tight clothing    72%

Uncomfortable twisting of labia     58%

Visible labia in exercise clothing  54%

Pain during intercourse     48%

Exposure in bathing suit      40%

PSYCHOLOGICAL SYMPTOMS

Self-conscience over appearance    94%

Negative self-esteem    66%

Less attractive to partner    64%

Negative Impact on Intimacy    %66

Restrictive of clothing choice    56%

TIMING OF SYMPTOMS

Increasing age    52%

After Childbirth    32%

At Puberty    22%

As long as you can remember    18%

After weight gain    2%

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

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

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

 

 

 

 

 

 

 

 

Play It Safe in the Summer Sun…

There are a lot of myths and misunderstandings about the sun and sunscreen…and with summer right around the corner, it’s necessary that I remind you of a few things to help you avoid burning or developing skin cancer.

20 Minutes Because You Don’t Even Realize You Are Burning Until It’s Too Late!
When I recommend limited sun exposure, I don’t mean for you to completely avoid the sun…but I strongly recommend protecting yourself from too much sun exposure which can quickly cause your skin to burn. The ideal amount is about 20 minutes every day, not in the heat of the day (10am to 2pm) when the sun’s UV rays are strongest.

Benefits of the Sun
Why 20 minutes? This is the average amount of time in the sun that our body needs to naturally generate a sufficient amount of Vitamin D3 – which has many benefits for the body both physically and emotionally.

 

Benefits of the Sun
Why 20 minutes? This is the average amount of time in the sun that our body needs to naturally generate a sufficient amount of Vitamin D3, which has many benefits for the body physically and emotionally.

Research on Vitamin D3 has demonstrated its ability to:
naturally fight cancer
boost the immune system
improve mood

Dangers from the Sun
While there are benefits from the sun, there are also dangers. The long term negative effects predominantly come from the ability of the sun’s UV radiation to damage cellular DNA. This leads to genetic mutation and cellular malfunction that causes premature aging, and ultimately can cause cancer. As our understanding has increased we’ve learned that we need to protect our skin from both the sun’s longer ultraviolet A (UVA) and shorter ultraviolet B (UVB) rays.

A short blog…but powerful information that I want you to really get it.

This rest of this blog will follow shortly.

Have fun in the sun safely!

Steven Davison

Board Certified Reconstructive Plastic Surgeon

 

 

 

 

 

 

 

4 Tips for Looking Great in Photos

 

Everyone takes photos to capture holiday memories…so this is the time to put your best face forward and be “picture posing saavy” for socialite magazines and social media like Facebook and Instagram.  We are seen by hundreds, possibly thousands, of people on Social media venues.  To help you with this…a few tips from photography experts, as well as some of my own advice on how to look great in photos.

Be a picture posing pro… Tips to help you look great in photos:

A Perfect Pout… along with bright pearly whites you must have shiny lips or your smile won’t look as good as it could.  Also, thin lips can add years to perceived age and distort facial balance and harmony. But good news….You can get that plush pout with JUVEDERM. This HA injectable instantly increases lip volume… and in the hands of an Expert Injector, like myself, precise application achieves natural, sexy, supple lips you’ll  really want to show off.

 

Eyes Youthful and Bright… You’ve heard it said that you should smile with your eyes. Well this is true! And if you’ve got some crow’s feet and forehead wrinkles, you can take years off your eyes with a little BOTOX to smooth out those creases.  Your forehead is part of your “T zone” and often looks shiny in pictures. Remember to apply a light dusting of translucent powder to prevent that shine.

Do Away with the Double Chin…
One of the most common picture blunders is to accentuate the double chin. This unflattering profile can show up in photos even when you really don’t have a problem here. Voluma is great to restore volume and contour to the chin.  Then…you just need to use “slimming poses” such as tilting your head down and angling your chin a tiny bit.

 

One solution for accentuating your real chin would be to use injectables like VOLUMA to restore volume and contour to the chin area. You can also trick the camera into slimming down your face by slightly tilting your head down and angling your chin out just a little bit. This will give the perception of a sharper jaw line and higher cheekbones.

The Three “P’s” of Pictures: Position, Posture and Pose…
– Position yourself in the middle of a group photo. The people on the end always look bigger.
– Good posture makes you look thinner and your stomach flatter. Simply stand up straight, lengthen your neck, roll your shoulders back, and lift up your chest.

– Pose in a natural, slimming position by resting your weight on one leg. Rest your hand on the hip with shoulder and elbow pointed back or allow your hands to fall naturally at your side while slightly lifting your elbow back and away from your body. This prevents the illusion of a “fat arm” that happens when the arm is pressed against the body. This will prevent your hands from looking larger than normal.

-Follow these tips and look years younger in photos!  Call to schedule your appointment today! www.davinciplastic.com

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

Mini-FaceLift for Mother’s Day

Mother’s Day is Sunday May 8. Most moms sacrifice their bodies, sleep, possibly a lucrative career, and much physical, mental and emotional energy for their children. While it’s all worth it, most moms want to restore some of the youthfulness and refreshed appearance that has been given up to time and family sacrifice. This is why more and more moms want cosmetic procedures as their Mother’s Day gift. Giving the gift of youthfulness as a gift certificate or as a specific procedure, such as a Mini Facelift, is growing in popularity and can make for a very happy mommy.

Putting your best face forward
A Facelift is the gold standard of facial rejuvenation. It’s one of the most common surgical procedures I perform. There’s definitely an art to realigning the facial tissue so that the skin doesn’t look stretched or “wind blown” and lays in a naturally firmer, more rested and youthful position. Each surgery is unique due to individual facial structures and skin condition. For those dealing with the early signs of loose sagging skin who want a faster recovery time, a Mini Facelift could be an option.

What is a Mini Facelift?
A Mini Facelift is a shorter surgery with a hidden incision that is smaller than a full Facelift. It is best for those who have minimal aging of the forehead and neck and relatively good skin elasticity. (You can simulate the effects of a Mini Facelift by placing a finger on either side of the jaw and pulling skin back toward the earlobe by about a centimeter on each side.) It can also be a great refresher for people who’ve already had a Facelift.
What aging issues does a Mini Facelift address?
…A Mini Facelift mostly addresses loose skin in the mid face that has dropped.

...It refines the skin in the lower face for a smoother, tighter jawline.

…Marionette lines, which are the folds around the corners of the mouth, can also be slightly reduced with this procedure, although the nasolabial folds will not.
How is a Mini Facelift different from a full Facelift?
During the Mini Facelift, the sagging skin and tissue is repositioned and attached in a very slightly higher. These factors make the Mini Facelift very comforting to anyone weary of any complications or recovery from surgery:

While there is some variance in what this procedure involves, the Mini Facelift primarily takes place above the parotid salivary gland, which reduces the risk of nerve damage.

The surgery has minimal downtime with swelling and discomfort resolving over just a few days to a week. It’s sometimes referred to as the “weekend lift” because the recovery is so fast.
Mini Facelifts are also performed using local anesthesia.

When is a Mini Facelift not enough?
The success of a Mini Facelift requires firmness of the tissues otherwise results can be disappointing or short lived. A full Facelift will be the right choice in the case where there is substantial skin laxity and droopiness This procedure would require a longer recovery time and a larger incision, but the full Facelift would provide the desired results of a long lasting youthful appearance when there is more loose skin.

To see if a Mini Facelift is a good fit for you personally or to give as a Mother’s Day gift, schedule a consultation at our newly updated website www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

Holiday Rejuvenation…the Gift of Youth

Not many people enjoy spending hours in holiday traffic and crowded shopping malls. Fortunately, you can save yourself the time shopping around for that mystical “perfect gift” by choosing one of the gifts adults love receiving today. Nearly everyone appreciates the gift of a more youthful face…such as those achieved by Botox, Juvederm or Voluma injectables. It’s no secret that more and more people today love receiving cosmetic treatments as gifts for those special occasions like birthdays, anniversaries and winter holidays.

Who Would Like This Gift?
The real question is who wouldn’t want to rejuvenate squinty, tired looking eyes by banishing crow’s feet? Or who wouldn’t want to smooth out the wrinkles on the forehead and in between the eyes to take years off their appearance? Millennials in their 30 years and up age range are already seeing these signs of aging and would enjoy the benefits of smoother, fuller skin. A gift certificate to choose an injectable treatment could also be a great gift for that close friend or family member who already “has everything.” Especially if they’ve expressed concern about wrinkles, such as crow’s feet or on the forehead. They may have even mentioned they’re open to trying a non invasive procedure or are already receiving Botox for their forehead, but would want to try a different area of the face, such as plumping the lips with Juvederm.

A Gift that’s Not Just for the Ladies
Even though it is more thought of as a gift for women, don’t discount those hard to shop for men in your life. Most women are very open to request Botox or Juvederm (and might even jump for joy at receiving this as a gift!), but so are the men even though they may not be as vocal about it.

Men feel the pressure to keep their competitive edge and looking good is part of that. Looking healthier, happier and more alert is a professional advantage. They might not be willing to go to the office and purchase a treatment for themselves, but deep down, many men are concerned about how their skin is aging… and receiving this as a gift can be just enough of a nudge towards doing what he wanted to anyway.

The non invasive treatments like Botox, Juvederm or Voluma offer fast results with no down time, which is very appealing to men. Botox for men is commonly called “BroTox.” Juvederm can even be used to fill in the deepening folds around the nose, the indentations caused by the acne scars of previous years.

Gift Certificate for Rejuvenation
So whether you’re shopping for that special lady or man in your life, a close friend or family member, you can give them the “gift of youth.” Save yourself the time and frustration of shopping this time of year, and bring them the joy of feeling great about their appearance. A gift certificate to choose the age reversing, non invasive treatment they desire. Visit www.davinciplastic.com to learn more or stop by our office to purchase a gift certificate.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Earn Points and Save Money Towards Anti Aging Injectables at DAVinci Plastic Surgery

Earn Points and Save Money Towards Anti Aging Injectables at DaVinci Plastic Surgery!

We are pleased to offer the Brilliant Distinctions program… so that you can save money on wonderful age reversing treatments, such as Botox, Juvederm and Voluma. Everyone loves a good deal, which is one reason medi spa injectable treatments are so popular these days. But getting a deal is not a good reason to trust your face to an unskilled injector who got started after a Friday afternoon course! Our Brilliant Distinctions program offers some great savings…and injectable treatments from the skilled, experienced hands of a trusted plastic surgeon like myself and my experienced staff.

What is Brilliant Distinctions? It is a program managed by Allergan (company who owns Botox, Juvederm, Voluma, etc.) and accepted by certain practitioners who administer these injectables. Through this program, clients can accrue points by receiving treatments at participating offices, like DaVinci Plastic Surgery.

Registering for Brilliant Distinctions is quick, free and easy…
Visit https://www.brilliantdistinctionsprogram.com and click the purple “Register” button on the right
Fill out the required information in the online registration form
Click the “Enroll Now” button at the bottom of the form
You’ll receive your Member ID and you’ll be able to select products, receive information and promotional offers.

How to earn and redeem Brilliant Distinctions points… Each qualifying treatment has a designated number of points and these points add up to dollars. These dollars can be printed off as coupons and cashed in at our office on qualifying Allergan treatments and products. To print a coupon, simply log into your Brilliant Distinctions homepage and click “Create a Coupon.” Print your coupon and be sure to bring it to your appointment, which should be scheduled within 60 days.

Even more benefits… If you love the savings you’re getting through the Brilliant Distinctions program, you can share it with friends to earn even more points. You can earn up to $100 in credit this way! You can also access the Brilliant Distinctions mall to shop and earn points at retailers’ websites, like Target, Kohls, Nordstrom Rack, Staples, Best Buy, and more. You can even use your points to make a charitable donation. Download the iphone app and you’ll be able to keep track of your points while you’re on the go.

Let us know you’re a member… Keep in mind, we don’t offer technical support for Brilliant Distinctions. This is a program managed completely by the Allergan company. So, you must bring your coupon in order to get the discount.

We do however love being able to accept Brilliant Distinctions coupons and to offer this program to our patients. You simply notify our staff of your membership and we will bank your points each time you have a qualifying treatment in our office.

Schedule your treatment today to look fabulous for the holidays and start earning points to save on future treatments. Visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Common Myths About Botox, part 2

MYTH #6 Botox is Permanent

Some people actually wish Botox was permanent, but it isn’t. Your muscles, that have been relaxed by Botox, will eventually regain movement after about 3 months. Fortunately, the benefits of Botox can last for 6 to 12 while the muscle memory gradually returns.

MYTH #7 You are never too young or old for Botox

There’s not an age where Botox magically stops working, and not everyone’s skin ages the same, so there isn’t an exact age on when to start or stop Botox. As a matter of fact, some plastic surgeons report success with Botox patients more than 65 years old. Botox will always work to relax the muscles, but in older patients, it may not be enough or it may throw off facial harmony – if other treatments are not done in other areas of the face. On the other side of the timeline, I’d say there definitely is a lower limit on the age. I’d advise teenagers against it. There certainly is value to preventative Botox in the 20s, but until then, there really isn’t enough constant muscle movement to warrant this treatment for cosmetic reasons.

MYTH #8 The best time for Botox is when the lines appear

As stated in the previous question, there is surging interest in using Botox for wrinkle prevention starting in the 20s. Getting started early, rather than waiting until the wrinkles get deeper and more noticeable, can help you in the long run. Getting Botox early can also help make you conscious of the facial expressions that cause those wrinkles – and can raise your awareness to avoid or limit them. To not frequently furrow your brows or frown is a good habit anyway!

MYTH #9 You can become addicted to Botox
It’s true that you’ll probably love the results from Botox so much you will want to keep coming back. You’ll feel great about looking fabulous and won’t want to stop, but Botox has nothing in it that would make you physically addicted. There’s no “withdrawal” or negative side effects from stopping Botox. You’ll just return to your usual “wrinkling pattern” as before you started getting Botox treatments.

MYTH #10 If you stop getting Botox, your wrinkles will be worse

In contrast to how smooth your skin will be while getting Botox, it might seem like it’s gotten worse once you stop, but really, it’s just resumed the same muscle position as prior to receiving treatment. Once you start Botox, it will relax the muscles so the wrinkles seem to disappear. Even though they don’t actually disappear and normal development of wrinkles, with muscle movement will resume… they won’t be any worse.

I hope this has helped clear up any Botox “myths.” You can schedule a consultation at www.davinciplastic.com if you’re ready to stop those wrinkles in their tracks and smooth out those lines with Botox. We can take care of you during a normal lunch break.
Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

NIPPLE BEAUTIFICATION

There used to be body concerns that we would just have to live with and the size, shape, orientation etc. of our nipples was one of them. Now, cosmetic surgery on the nipples is a very common practice. The nipples contribute to the overall aesthetics of the breast, and it is an aspect that can greatly affect self confidence, sexuality and satisfaction with appearances.

There are many reasons why someone would want to get cosmetic surgery on their nipples. Nipple appearance can cause “a feeling of being out of balance” with ones breasts (e.g. large nipple in relation to breast size) including general embarrassment, difficulty in clothing selection and activities. Here are some of the aspects of the nipple that I’ve helped correct:

  • asymmetrically shaped (one bigger than other)
  • long, droopy or overly prominent (common changes from pregnancy and breast feeding)

Nipple Surgery, How it’s Done… Cosmetic surgery on the nipples addresses the aesthetics of the nipple and the areola, which is the pigmented area around the nipple. Often this surgery is done in combination with an overall breast rejuvenation, including a Breast Lift or Breast Augmentation. The nipple surgery is done through very small incisions to minimize the appearance that any surgery even occurred. Depending on the modification, tissue is removed from the nipple and/or areola, and the length and/or diameter of the nipple are improved. The overall contour and balance of the nipple will be aesthetically enhanced.

Recovery from Nipple Surgery…Although any surgery does involve some discomfort, the recovery from nipple surgery is moderate to mild due to the use of tiny instruments, advanced techniques and my many years of refining skills and artistry. Within a few days any bruising, stiffness, achiness and soreness will dissipate, and based on our follow up consultation, most people can return to normal activity after a few days.  In the mean time, oral pain medication is available if needed to mediate the discomfort.
Does Nipple Surgery Affect Breastfeeding? Breastfeeding after nipple and breast augmentation is definitely possible, although there may be some additional challenges such as nipple vasospasm. A great resource for researching more about breastfeeding after surgery is the website
www.bfar.org. In general, there are many factors that affect the ability to breastfeed after surgery, such as:

  • how long since the surgery and the time of  breastfeeding
  • the method of surgery’s impact to the ducts and nerves
  • post surgery healing process
  • how well the milk glands functioned prior to surgery

Nipple & Breast Reconstruction after Mastectomy… I have a special tenderness towards breast cancer survivors and have a website completely dedicated to helping these special clients, www.breastreconstructiondc.com. There are many options to address all the different affects of cancer removal and still achieve the most natural, feminine results possible.

If you’re not happy with how your nipples look, nipple surgery can improve self esteem, confidence and feelings of sexuality. Schedule a consultation at: www.davinciplastic.com to discover how you can have rejuvenated, beautiful, natural results.

 

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Schedule Your Consultation With Dr. Davison

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

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3301 New Mexico Ave. Suite 236

Washington D.C.