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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

Bikini Worthy Belly Button

Bikini season can bring awareness to a lot of ageing and tightening the areas of the midsection. Along with the attention to this area comes a keen awareness of the small yet significant belly button.

THE IDEAL BELLY BUTTON…This makes sense because the as of our body that we’d like to improve. Most commonly are trimmcenterpiece of your stomach is the belly button. Does it tuck into a nice tight oval, or does it bulge and ripple? Is it perky or protruding? Are the edges smooth and vertical or irregular and sagging? These are some of the characteristics of the desirable navel versus the ones that usually are repaired.

NOT YOUR DESIRABLE NAVEL…Besides being the victim of a bad newborn umbilical cut, the belly button can go through a lot of changes over the years with weight gain and loss, hernia, pregnancies, piercings, etc. You may have never liked its shape, depth or protrusion, or the changes over the years may not have been kind to it. Now more than ever is the time to take care of your belly button, to repair it to look great in a bikini or today’s low waist fashions.

GETTING A BETTER BELLY BUTTON…Belly button repair, also known as Umbilicoplasty, is one of the most popular surgeries being performed today. It safely corrects distortions for beautiful, natural looking belly button. Belly button repair surgery can help you to feel even more confident to show off your efforts after working hard for that flatter stomach at the gym or gained through the help of a tummy tuck. Either way, you’ll want to show off your new navel.

ABOUT UMBILICOPLASTY… A combination of issues may be causing your less than desirable belly button. There may be extra skin from the stretching of weight gain, a hernia bulging under the surface, or even the muscles may have separated and so the integrity of the abdominal wall may need to be addressed. Generally, if a tummy tuck isn’t needed,

I can correct the belly button within an hour. I work through a very small incision in the belly button to remove excess fat and skin. If a hernia exists, that can be addressed, whichwill diminish any bulging. Then the belly button is crafted into a more desirable, attractive shape. Sutures close the incisions, which are tucked within the belly buttons so they aren’t visible. During the very mild recovery, the area will be tender with some swelling and soreness, but depending on the extent of the surgery, most patients can return to work soon within one to three days. This is a surgery that can have one of the shortest down times so you can enjoy the beautiful results almost immediately.
BIKINI READY WITH A BEAUTIFUL BELLY BUTTON … Umbilicoplasty can help you get the belly button you desire which can give you the confidence boost to get you into that bikini you’ve always wanted. You can be enjoying your new belly button this summer, into fall and during your winter getaway to a warm, sunny place!  So don’t delay. To set up a consultation please visit www.davinciplastic.com.

Steven Davison M.D.

Board certified Plastic/Reconstructive Surgeon

 

 

 

The “Mommy Tuck”

The warnings about “life never being the same” after kids never stops, and rightly so because they’re true. This is good in many ways, but sometimes the warnings to new moms about their body postpartum and post-nursing gets overlooked.

CELEBRITY SUPER MOM BODIES AREN’T “THE NORM”… This is especially true with all the gossip and fashion magazines highlighting the celebrities’ flat stomachs and curvy breasts within weeks of having a baby. Some celebrities, such as Kourtney Kardashian, have even admitted that the tabloids airbrushed their postpartum bodies to look better. This can give a false expectation to many moms, even those who are extremely fit and healthy, about how their body will look after having one or multiple children.

THE ABS THAT NO NUMBER OF CRUNCHES WILL FIX… Realistically, the stretched skin has to go somewhere and sometimes the extra tummy bulge isn’t just from the stubborn baby fat that won’t go away. Sometimes the tummy bulge is a result of a hernia or loose abdomen muscles that separated during the time of extra stress, called diastasis recti. Unfortunately, no matter how much you work out and even get back to your pre baby weight, if you’re abdomen muscles have been torn, the belly won’t be able to go back to being flat.

TUMMY TUCK TO THE RESCUE…Ideally, a patient who’d like a tummy tuck, aka abdominoplasty, is in great shape and just needs a little help with that small bulge that won’t go away, whether it’s a little fat, loose skin or from diastasis recti. Even if you’re not completely toned, a tummy tuck is that perfect boost to get you over the hump of achieving a flat stomach, especially if you’re within 10 pounds of your ideal weight. Moms sacrifice so much of themselves to bear, birth and bring up children that a tummy tuck is a well deserved confidence builder to have a stomach they’re not ashamed of.

WE WON’T LEAVE OUT THE BELLY BUTTON… Also, if the belly button got stretched out during pregnancy weight gain, a belly button repair is a simple revision to add to a tummy tuck. It is sometimes even necessary, depending on how much loose skin will be removed during the tuck. This will give the belly button an ideal shape and position on the abdomen.

TUMMY TUCK IS NOT ONE SIZE FITS ALL… Depending on your body’s unique needs, there are a variety of abdominoplasty techniques to help you achieve your ideal abdomen. They will address the skin, fat and muscles in the stomach area to contour for your unique physique. Your health, the technique and extent of the surgery will also determine whether the recovery is 1 to 4 weeks, but either way there will be a recovery period. Oral pain medication, arnica, and rest will help the swelling, bruising and soreness resulting from surgery.

EVEN SUPER MOMS NEED HELP AFTER SURGERY… Since moms wear many hats, extra help should be scheduled with the normal household and children needs that are typically juggled among the many other things they do. If you over do it right after surgery, your recovery will take longer, so don’t hesitate to ask for assistance.

Your body has changed since having children and that’s normal, but that doesn’t mean you’ll have to forego a beautifully contoured abdomen. Schedule a consultation today to discuss your ideal “Mommy Tuck” results, www.davinciplastic.com.

Steven Davison M.D.

Board certified Plastic/Reconstructive Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

The Perfect Profile

Since I addressed the youthful contour of the neck the past two weeks, I thought we’d work our way up to the chin and the important role it plays in attaining the “perfect profile.” Generally speaking, our society appreciates different features in men and women, but an aesthetic profile… regardless of gender… is harmonious and balanced.

These profile characteristics are popular among Americans:
• Upper face: a forehead that isn’t entirely round, flat or elongated, and a browbone structure that isn’t overbearing
• Mid face: straight nose with some concavity to it, not too long, wide or bulbous
• Lower face: full lip projection, well defined chin, neck and jaw line

MAKING THE CASE FOR THE CHIN … It is the framework and support system for the entire face. Too weak or strong of a framework can distort the rest of the facial structure, throwing off the balance and proportion. For example, a chin that is too small or recessed can make the nose look too big, or on the other hand, a chin that is too prominent can draw too much attention and be unbalanced with the rest of the facial features.

BRINGING PROFILE BALANCE WITH THE CHIN…Usually the chin is a feature that men are known for, and is therefore attributed as a masculine focused feature. But the lack of a chin can even throw off the harmony in a feminine profile and can increase an aging appearance caused by that lack of definition between the face and neck.

HOW THE CHIN AGES…Most people first notice the signs of aging in the upper face, such as wrinkles on the forehead and around their eyes. But, even though they may be more subtle in some people, the signs of aging don’t skip over the lower face. With age, the chin begins to look different:
• sagging skin, volume loss from the mid face and upper jaw ends up hanging from the lower jaw
• fat and sagging skin accumulation under the chin
• bone loss in the chin and jaw

One solution for mild repair would be use of injectables to restore volume and contour to the chin area. Another option could be chin augmentation surgery.

CHIN IMPLANTS FOR RESTORING FACIAL BALANCE… This is one of the most popular options to restore facial balance and a youthful, natural appearance. Chin implants are a safe and effective surgical modification that can be tailored to your unique facial needs. It can also be combined with other surgeries, such as a Facelift, Eyelid Lift (Blepharoplasty) or Nose Reshaping.

CHIN IMPLANT SURGERY, SAFE AND QUICK… Of all the facial plastic surgeries, this is one of the fastest to perform, and for my patients, a quick recovery. Chin implants are made from a variety of materials and come in various shapes and sizes. This allows for custom tailoring in order to create your perfect profile!

For complete information about Chin Implants and your consultation, visit www.davinciplastic.com. Let’s talk about your perfect profile goals.

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

Spring Facial Rejuvenation

With a touch of warm weather that gives us hope for the spring season to be upon us, it’s also time to consider that with the warmth comes wedding season, graduation parties and family reunions. These gatherings will be the perfect opportunity for you to put your best face forward. Especially since there will be lots of photo opportunities where you’ll want to be remembered in your best light.

In our office, you will be in the hands of an expert injector who will help you select from a variety of safe, effective, non invasive treatments. You will be in and out and able to enjoy the spring festivities with a younger, fresher appearance.

YOUR BEST OPTIONS FOR NON INVASIVE REJUVENATION… We offer Juvederm, Voluma XC, Botox, Radiesse, and Sculptra. Theses are all non surgical injectables, and you can resume regular activity immediately afterwards. Some people even get these treatments on their lunch break and cover any slight bruising or redness with mineral makeup.

JUVEDERM… instantly smooths out lines and folds using hyaluronic h attracts water to the area. This filler is perfect for the mid to lower face. It can fill lines on the side of your nose and mouth, or to plump up lips. Juvederm gives long lasting results for up to a years.

  • VOLUMA XC is a thicker hyaluronic acid filler that instantly adds volume to the cheek area to replace lost volume. This can create a gentle, subtle mini facelift that can reduce the appearance of marionette lines around the mouth. Voluma XC is the only FDA approved filler for the cheeks that restores the fullness of a youthful face, and is better suited to fill more difficult folds and wrinkles.
  • BOTOX is a simple, safe injection using botulinum toxin type A to block nerve signal to muscles. This relaxed lines and prevents them from getting deeper. Botox is perfect to smooth out those two vertical lines between the brows, crow’s feet around the eyes, smoker’s lines above the lips, nose furrows and thick lines in the neck. Optimal wrinkle relaxing is seen within 7 to 14 days of treatment, and you can expect the results to last for several months.
  • RADIESSE uses calcium based microspheres to rebuild your skin’s foundation. It is a semi permanent filler that creates scaffolding for your own collagen to grow around, so that the wrinkle reducing results last long after the Radiesse breaks down.
  • SCULPTRA is not a quick fix, but this PLLA injectable lasts twice as long as hyaluronic acid fillers and stimulates the body’s own collagen renewal. It is great for restoring volume loss and can act as a liquid facelift.

IN THE HANDS OF EXPERTS… These injections are administered by myself or my Physicians Assistant. Our specialized training enables us to perform filler facelifts and injections with ease, precision and great artistic skill after many years of experience. While the study of facial anatomy is crucial, it’s also important to have a precise hand and artistic eye.

With this variety of choices, you can target the area of your face that needs rejuvenation, and be on your way to normal activity. In the hands of an expert injector, you can get the results to help you feel confident and fresh going into the spring season when new life and rebirth is the norm. To schedule your appointment today, visit www.davinciplastic.com.

Happy Spring!

Steven Davison M.D.

 

 

 

 

 

Manly Chest for Guys to Look Their Best…

Despite more emphasis on female breast augmentation, Male Breast Reduction Surgery is a sensitive yet important issue to help boost the self image of many men. About 40 to 60 percent of all men have some degree of Gynecomastia, or womanly breasts. Male Breast Reduction Surgery can restore a sense of manliness and confidence, especially coming into the spring and summer swimsuit seasons.

CAUSES OF GYNECOMASTIA…This common condition usually begins in adolescence. Some possible causes include:
Puberty
Obesity
Klinefelter’s Syndrome
Gilbert’s Syndrome
Aging
problems with testicular hormone production
prescription medications
anabolic steroids
impaired liver function

SAY GOODBYE TO GYNECOMASTIA… Social angst about the feminine appearance of your upper body can be replaced with confidence with a flatter and firmer chest area. Male Breast Reduction surgery removes fat, glandular tissue, and excess skin to create a masculine chest contour. Creating a natural looking, manly chest area is an art in the hands of an expert, triple board certified surgeon like myself.

STEPS OF MALE BREAST REDUCTION SURGERY…After our consultation to discuss your desired outcome and all that encompasses Male Breast Reduction, the surgical date will be set. Usually this surgery is performed in our state of the art surgical center…equipped with the most advanced technology and surgery is performed under general or local anesthesia.

What to expect:

If liposuction is used, I will make a tiny incision, or a larger incision if excision (scalpel) removal is required.
The incisions will be made on the edge of the areola or in the armpit. Your scars are inconspicuous.
Once the fat is liposuctioned or excised, excess skin will be removed.
The chest is then sculpted into a masculine appearance.

RECOVERY FROM MALE BREAST REDUCTION SURGERY… Final results are enjoyed after all swelling resolves in about 3 months. In the mean time, as with most any surgery, you will experience some swelling, bruising and discomfort, although this is short in duration. During the 2 to 3 days after surgery, the major part of these symptoms will subside and are easily mitigated with oral pain medication. It is even common for men return to work within 1 to 2 days after surgery, as long as the job doesn’t require heavy lifting. For the best recovery results, you will need to avoid:

-sexual activity for about 1 to 2 weeks following surgery
-heavy exercise for about 3 weeks
-job or physical activity that could cause a blow to the chest
-sun exposure to prevent darkening the scars

For most men, the upper body, including the chest is a major contributor to their feelings of masculinity. This surgery can have a significant, permanent effect not only physically, but emotionally in regards to self confidence and performance.

Get your firm, flat manly chest in time for the swimsuit season by scheduling a consultation today. Visit www.davinciplastic.com.

Let’s Talk Soon!

Steven Davison M.D.

DAVinci Plastic Surgery

Washington, D.C.

 

 

 

 

FACIAL AGING, INJECTABLES/FILLERS vs SURGERY…and the HOLIDAYS

Well, we’ve written tons of material about facial aging and ways to restore youthfulness. That’s because, no matter what we do we will all continue to age…some people simply put, age more gracefully and beautifully than others.

Cosmetic enhancement is all about using procedures, techniques and products to stave off the “signs” of aging or by actually removing lines and wrinkles, sagging skin and more using the right option(s). The main question the past couple of years has been: “Dr. Davison, do I need surgery or can fillers get the job done?” So let’s look at this today:        shutterstock_10125679

FILLERS/INJECTABLES vs SURGERY

First, it’s critical that your surgeon thoroughly understands the complex facial anatomy. Secondly, fillers require much knowledge also. The key is in knowing which filler(s) to use at a given time by knowing what they do and how they work. These simple guidelines remain foundational:

1)    Know when to use fillers – they are excellent to correct initial gauntness from volume loss and the right fillers can restore volume and definition while smoothing out early lines and wrinkles. They work well as long as there is no loose skin.

2)    When to choose surgery – Fillers can offer long lasting results, but if skin elasticity is poor the muscles slip and fillers cannot deal with these issues. Surgery is the right option at this stage. It can effectively deal with loose, sagging skin and reposition relaxed muscles to their more youthful positions.

While nothing replaces good genes, a good surgeon can help guide you in making the correct choices no matter what age or stage you are currently enjoying.

Men and women today, Boomers and Millennials, are choosing to have age defying cosmetic enhancements because they can, and because they want to look as good and youthful as they feel!

FALL IS HERE IN ALL ITS GLORY…and the calendars are filling up with social events for school, work, church, family etc. You can start now and breeze through a hectic season looking vibrant, radiant and healthy. In fact, it’s possible to look up to 10 years younger without surgery…and no one will know except you!

INJECTABLES mini REVIEW:

I’ve been doing non surgical facelifts and rejuvenating the cheeks, nose, eyes, chin and lips for years…using injectable fillers for wonderful natural looking results that can last up to 2 years.

Here’s what I use, how and where I use it:

  • Lips   Nasolabial folds   Hollow cheeks
  • Weak jawline     Nose job       Brow lift
  • Marionette lines   Crow’s feet     Forehead lines/wrinkles
  • Undereye shadows     Backs of hands

TODAY’S INJECTABLES OF CHOICE:

  1. Juvederm (Voluma is fabulous!)
  2. Radiesse
  3. Restylane
  4. Sculptra
  5. Botox/Brotox/Dysport

OK…CALL TO SCHEDULE YOUR CONSULTATION SOON! You have choices to make to look fabulous.   See www.DAVinciplastic.com.

Dr. Davison

 

Lipomas Removal…Quick Squeeze Method

Lipomas are the most common form of soft tissue tumors and they are formed with adipose (fatty) tissue. Lipomas can form in many shapes, sizes and places on the body and they occur more often during middle age (40 to 60) but they are often diagnosed in children as congenital lipomas. They are soft to the touch, moveable and usually painless. Typically they grow just between the skin and underlying muscle but can also be found in the deeper muscle tissues such as the intermuscular septa, or in organs like the abdominal organs, the oral cavity, the internal auditory canal, the cerebellopontine angle and the thorax. They require treatment by a plastic surgeon for safe, effective removal. Lipomatosis, also called liposis, adiposis or lipomatoza and simply refers to groups of lipomas in one location on the body.

Other names for lipomas (types) include:

  1. Adenolipomas are associated with the sweat glands
  2. Conventional lipomas are the most common type composed of mature white fat
  3. Hibemomas are made up from brown fat
  4. Fibrolipomas are fat and fibrous tissue
  5. Angiolipomas are mostly blood vessels and fat tissues
  6. Myelolipomas are fat and the tissues that make blood vessels
  7. Spindle Cell lipomas are rod shaped, seen mostly in elderly men
  8. Intradermal spindle cell lipomas is most common in women
  9. Pleomorphic lipomas are the various shapes and sizes
  10. Atypical lipomas are composed of a large number of “deeper” fat cells
  11. Neural lipomas are fibrous, fatty tissues
  12. Others include: Proteus Syndrome, Cowden Syndrome caused by PTEN gene mutations, Familial lipodystrophy, Hibernomas and Familial angiolipomatosis.

METHODS OF REMOVAL

Lipoma cases are nearly always referred to a surgeon who is skilled and qualified in their removal.

Typical Treatments:1) endoscope assisted removal: 2) suction assisted removal, 3) minimal incision removal and 4) remote incision lipoma extraction.  These all work and have been used by surgeons for decades to remove lipomas of all types.  But, some of these techniques are tedious and require extra equipment (even though they are advanced treatments) and are not always necessary since a quicker, simpler method is now in use.

I helped pioneer a very simple, safe and effective method that involves a “simple incision and a quick squeeze” to remove lipomas without all the extra instruments used in other methods.

Once surgeons learn the quick squeeze method and start using it, they realize it’s great benefits. It’s safe, quick, simple and effective.

QUICK SQUEEZE LIPOMA REMOVAL

1) The lipoma is identified by palpation and its margins are outlined.  2) The area is then infiltrated with local anesthesia and is prepared and draped in standard fashion.  3) An incision approximately one quarter to one third the diameter of the lipoma is made (carried down to the lipoma capsule).  4) The lipoma is then squeezed out through the incision…without any additional dissection.

 

LIPOMA STUDY

Involved 140 lipomas removed, in 50 patients, over the life of this study.These lipomas were located on the face, scalp, neck, thorax, back and flanks, hips/pelvis and on both the upper and lower body extremities.  Of the 140 removals, there were only two recurrences, no complications, no revisions.

Simple Incision, Quick Squeeze technique for lipoma removal makes them gone in 30 seconds!

See complete information about this method of lipoma removal at: www.DAVinciplasticsurgery.com.

Dr. Davison

 

 

 

Brotox (Botox) for Men…Career Booster by looking peppy, alert, energetic!

Not just for women…Men also are getting Botox to regain lost youth. In fact, it’s become a phenomenon, because of the staggering numbers of men who are lining up to get these safe, exacting injections in an all out effort to defy aging.  Thus doctors have renamed it “Brotox.”  shutterstock_88823152-1

Aging Men and Job Hunting Men are finding it absolutely necessary to feel and look their best, and the younger, more alert, more energetic one appears, the better the likelihood of getting that promotion…or that job. In 2010 alone nearly one half million men opted to get Botox thereby making it the leading cosmetic procedure choice among men.

Men are getting Botox to look younger, to keep their face free of emotion or movement, to appear more relaxed and friendly, to ease or erase forehead wrinkles, to get rid of a tired, angry look and for a myriad of other legitimate reasons.

The Stigma is gone and today’s men are taking advantage of the various age defying cosmetic procedures we can offer.

Botox for BrowLifts

It’s the eyebrow that is getting the most attention since men’s emotions become easily etched in their foreheads over time.  Men want to ease the forehead wrinkles that make them look angry.

One 47 year old man recently commented: “It’s become harder to stay fresh in my highly competitive career field and Botox got the job done.!” 

Brotox has exploded as older men turn to cosmetics to compete with the younger generation.  Men have had to become more open to new ideas, but it has caught on and it taking off like wildfire.

But, not just older men...In fact, younger men even in their 30’s are asking for “gifts” from wives and sweethearts for…you guessed it…Brotox.  And these are not the stereotypical guys you would expect to show up in a plastic surgeon’s office…these are guys from all walks of life and career backgrounds.  Recently a chemical worker from Detroit and a guy who restores old cars showed up on offices of colleagues for…Brotox.

According to the American Society of Plastic Surgeons there was a 10 percent increase last year alone in male Botox treatments.

Look and Feel Younger in Days…No Discomfort…No Downtime…Subtle Changes

Botox injections are done in my office, often during a lunch hour.  There is little to no discomfort and no downtime.  Men and women walk in for treatment, walk out after treatment and return to normal activities/routines if they want to.  Results last for months but are not permanent, so if you want changes you can get them next go around.  Botox has been around for decades and used in various life changing treatments around the world.  We have perfected its use for cosmetic uses over the past several years with millions of users globally.  The safety and efficacy are well documented.

See my website for more complete info on Botox: http://www.DAVinciplastic.com. 

Just a few minutes in my office, a few tiny precisely targeted injections and a few days later….lines, wrinkles, angry look and more disappears!  

Come on in and let’s get you started.  I am a qualified Expert Injector, specially trained, skilled and get truly natural looking results men and women love wearing.

20864_132933510071077_4447800_n  Steven Davison M.D.

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

Lipomas…this safe, simple treatment makes them “gone in 30 seconds!”

Lipomas can form in many shapes, sizes and places on the body.

Lipomas are the most common soft-tissue tumors formed with adipose tissue.  They also require a referral to plastic surgeons for safe, effective removal and to minimize and conceal scars.  A few facts about lipomas include:

  • Lipomas are a common reason for referral to a plastic surgeon
  • They occur more often in adults between 40 to 60 years of age
  • Lipomas are soft to touch, moveable and usually painless
  • Lipomas often grow to more than 6 centimeters in diameter
  • They can also occur in younger adults and children

TREATMENTS for REMOVAL of LIPOMAS have typically included ….1) endoscope assisted removal: 2) suction assisted removal, 3) minimal incision removal and 4) remote incision lipoma extraction.  These all work and have been used by surgeons for decades to remove lipomas of all types.  But, some of these techniques are tedious and require extra equipment (even though they are advanced treatments).   I helped pioneer a very simple, safe and effective method that involves a simple incision and a “quick squeeze” to remove lipomas without all the extra instruments used in other methods.

THE QUICK SQUEEZE METHOD FOR LIPOMA REMOVAL….deserves attention amid today’s array of modern, advanced techniques…that require extra time, attention and technology.  Once surgeons learn the quick squeeze method and start using it…they realize it’s great benefits….it’s safe, quick, simple and effective with a very low rate of recurrence.

QUICK SQUEEZE LIPOMA REMOVAL…how it works:  1) the lipoma is identified by palpation and its margins are outlined.  2) The area is then infiltrated with local anesthesia and is prepared and draped in standard fashion.  3) An incision approximately one quarter to one third the diameter of the lipoma is made (carried down to the lipoma capsule).  4) The lipoma is then squeezed out through the incision…without any additional dissection.

LIPOMA STUDY…140 lipomas removed, in 50 patients, over the life of this study. These lipomas were located on the face, scalp, neck, thorax, back and flanks, hips/pelvis and on both the upper and lower body extremities.  Of the 140 removals….there were only two recurrences.  There were no complications or revisions.

Dr. Samir S. Rao, M.D., Department of Plastic Surgery, Georgetown University Hospital, Washington, D.C. and I… Steven P. Davison, M.D….DAVinci Plastic Surgery, Washington D.C.  setup and carried out this study to demonstrate the efficacy of our “simple lipoma squeeze method.”  This method was first described by Kenawi in 1995 and this exposure encouraged the literature to focus more on minimally invasive lipoma removal methods.  This method is best suited for subcutaneous lipomas with overlying mobile skin.  Deep intramuscular lipomas often found in the back or shoulder region may require longer incisions and more dissection for complete removal.  The method is still safe, simple and effective in spite of these factors.  Also, our method does leave a small scar directly over the lipoma, but most incisions can be hidden along skin tension lines.  Scars typically fade of time…and today we have cosmetic scar topicals that help this process move along quicker.

SQUEEZE DELIVERY TECHNIQUE…for lipoma removal gets them gone in 30 seconds!  We successfully demonstrated, and continue to do so with our patients, that with only a small incision and a safe, effective procedure, lipoma removal can be performed quickly without complications!    Certainly, this deserves more attention!

OK…next blog will cover Lipomatosis…to help you better understand lipomas and the need for their removal.  Also, I will present info on “keloids” in the next few blogs.  These are not exciting topics….but the information is certainly beneficial for those who suffer with these problems.

THE SUN is coming…The days of beach going and picnics etc will soon be upon us…skin cancer awareness month is May…look for helpful info so you can enjoy your playtime.  Now is the time to schedule those procedures that will get you “beach body ready!    

Steven Davison M.D.

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

KELOIDS…require expert attention to deal with the pain, itching and physical disfigurement.

KELOIDS are a type of scar that results from an overgrowth of collagen type tissue at the site of a healed skin injury.  Keloids can be firm, rubbery lesions or shiny, fibrous nodules that vary in color….some are pink, others flesh colored or they may be red to dark brown in color.  Keloids are benign (not cancerous), are not contagious but often cause severe itching and changes in skin texture.  Severe keloids can affect movement of the skin.

Keloids are often confused with “hypertropic scars.”  They are not the same. Hypertropic scars are raised and they do NOT grow beyond the boundaries of the original wound.

Since I have specialized training and years of experience in surgery and reconstructive surgeries, I have dealt with so many patients in need of Keloid removal and scar revision…I couldn’t begin to number them.  Just know, that dealing with Keloids is serious business and you should see a surgeon with expertise in this area…in order to get desirable results.

KELOIDS…WHERE THEY OCCUR ON THE BODY...Keloids can develop anyplace where an abrasion (injury) has occurred.  They can even result from pimples, insect bites, scratching ones self, from burns or other skin trauma.  They can develop post surgery.  They most commonly occur:

  • On the central chest
  • The back & shoulders
  • On Ear lobes
  • On arms & over the collar bone after body piercings
  • From shaving…razor bumps may become keloids
  • Bottom of feet
  • Can occur at any age…but generally don’t until past age 11
  • Keloids…may be linked to hereditary tendencies

COMMON TREATMENTS FOR KELOID REMOVAL

1)  Corticosteroid injected directly into the tissue – typically 3-4 treatments spaced about 1 month apart – will reduce a raised Keloid to a flat scar and reduce redness, itching and burning.

2)  Surgical Removal is used for larger, more extensive formations.  Technique involved may employ a scalpel, electric knife or laser removal.

3) Post-Surgical Complimentary Treatments are often used to minimize Keloid recurrence after surgical removal.  These treatments include:   -silicone sheet dressings applied directly to the skin around the incision; -compression therapy the mechanically flatten the scar formation, – topical imiquimod or advanced injectables such as bleomycin,  -interferon or 5-fluorouracil.  These drugs work at the cellular level to disable the Keloid tissue formation process.

4)  Laser Excision followed by monthly intralesional steroid injections alone or in conjunction with imiquimod.

These are my treatment preferences…even though others may exist.  I stay with the tried and true…those options proven to get desirable results.

OK….last two blogs have covered skin problems….lipomas and keloids.

Next blog I’ll move back into FEMGen options….today they are no longer “taboo.”  Women are lining up to have life changing treatments that restore their confidence, youthfulness, that rev up their love lives…and restore health and well being in many cases.  Don’t suffer any longer in silence.   Women everywhere are stepping up and speaking out….the embarrassment is gone, Designer Vaginas are in and complete health and vitality for the “V Zone” is here to stay! 

More on that next blog!

Stay Well.

Steven Davison M.D.

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

Revision Rhinoplasty (Nose Job) corrects undesirable form and function from a previous surgery

Since I’m specially trained and very experienced in reconstructive and revision surgeries I do a lot of “Nose Jobs.”  Patients of all ages, stages in life and from all cultures come to me because they are unhappy with a previous nose (rhino) surgery.
Couples are having surgery together...

Rhinoplasty surgery is done to change the size, shape  and form of the nose and/or to correct functional problems such as difficult breathing caused by a broken nose (deviated septum), fracture or disease.  So, when the outcome from a nose surgery is not desirable, often I am asked to fix it.  Following are some very important points you need to know and understand about revision nose jobs.

Revision Rhinoplasty is always more challenging than the original (primary) rhinoplasty surgery.  Several reasons for this are as follows:

  1. The geography of the nose was altered during the first surgery.  This involved removal of cartilage which provides form and structure for the nose
  2. The cartilage needed for the revision surgery must then be borrowed from someplace else
  3. An extra incision is required to allow for borrowing the needed cartilage
  4. The nasal lining has typically turned to scar tissue in the operated nose
  5. Risk of little spider veins increases with a second surgery (telangectasias)
  6. Revision Rhinoplasty is very complex and detailed since nasal form has to be restored and function (breathing mechanisms) have to be repaired
  7. These challenges increase the time involved in the surgery
  8. Very Few surgeons are qualified to perform these highly specialized revisional surgeries

Even though Revision Rhinoplasty has its own set of unique considerations, it is among the most rewarding of all surgeries.  The nose is the most prominent feature on the face so getting it right is most rewarding to people having this surgery.

HOW I PERFORM REVISION RHINOPLASTY:  There are 2 methods used for nose surgeries:  Open Technique and Closed Technique. Open involves incisions made inside the nose and 1 under the nose between the nostrils.  Closed means incisions are inside the nose only.

Revision Rhinoplasty surgery is frequently performed using the open approach which allows for more “complex” nose jobs to be corrected with natural looking, desirable outcomes.  Borrowed cartilage is taken from behind the ear, when needed,to restore nasal form and function.  This incision is well hidden.  The under the nose incision is barely visible and fades to a very faint thin line over time.

Here are 3 frequent questions I’m asked:

1. About anesthesia…I use local with sedation or general.  We determine that during your consultation to choose what’s best for you.

2.  Who can have Revision Rhinoplasty?  Men and women of all ages (must be in good health) and teen boys and girls who are fully grown.

3.  How long does the surgery take?  This depends upon the complexity involved.  It could be from 45 minutes to 3 or 4 hours.  The important thing here is to achieve a pleasing outcome with restored function.

These are the top three questions.  The rest are on my website: https://www.davinciplastic.com.

If you have nose problems from a previous surgery and have been afraid to approach it again…let’s talk.  I am specially trained in these surgeries and have been performing them for years. I still perform them on a regular basis using today’s most refined instruments and techniques…those that are proven safe and reliable. My patients get the results they desire and deserve.

HAVE FUN in the SUN.  BUT REMEMBER THE HATS, GLASSES, SUN SCREEN, WATER, UMBRELLAS ETC.

Steven Davison M.D.

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

Schedule Your Consultation With Dr. Davison

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

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3301 New Mexico Ave. Suite 236

Washington D.C.