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Fall Season is Facelift Season

The summer season is coming to a close and it is time to prepare for fall… which is an ideal time to squeeze in a cosmetic procedure. Most people enjoy active summer months with vacations, fun outdoor activities and events. For those people, it’s a great time to stay up to date with rejuvenating procedures that don’t involve any downtime, such as Botox or Juvederm. Once the back to school flurry settles, there’s a nice 2 to 3 month window – in the fall -before the holiday festivities kick in. This is an ideal time to do a cosmetic surgery that requires some downtime/recovery… the Facelift.

Facelift in the Fall
As the weather is starting to cool down, the calendar is as well. Taking advantage of this pre holiday season of rest is the perfect occasion for a Facelift.

The Facelift is one of the most time tested and perfected procedures in plastic surgery. It is extremely customizable, yet requires significant technical and artistic skill. This combination can only be achieved by an experienced board certified surgeon, such as myself.

Also, the ease and time frame of the Facelift recovery can be greatly determined by the skill of the surgeon, the quality of the skin and the type of Facelift that is performed. Having your Facelift in the late summer – early Fall phase gives your body a good chance to heal and reveal great results in time for Thanksgiving and the winter festivities.

What a Facelift Can Do for You…
I spend time with my patients – one on one, face to face (the consultation),  to understand their desires and to explain what kind of results to expect. There are many options and techniques to give you the most harmonious, youthful results possible.

On the minimal end of the spectrum is the Mini Facelift. The Mini Facelift offers a subtle rejuvenation to younger patients in their 40s with minor signs of aging and loose skin. Your face will look refreshed and more youthful, but most people won’t be able to pinpoint that you’ve had surgery.

On the end of the Facelift spectrum providing more dramatic results is a Traditional or Full Facelift. A Full Facelift is a comprehensive way to rejuvenate every area of the face from the forehead down to the neck. It provides smoother, tighter, lifted skin that can take 10 years off your appearance.

Facelift Recovery…From weeks to months to over a year, there are different stages of recovery.

Someone may be able to go back to work with makeup on in a matter of a week after a Mini Facelift. On the other hand, the tightness, sensation and swelling of the internal tissue may take more than a year to completely heal after a Full Facelift, even though superficially the face looks great after about 3 months. As mentioned previously, the recovery depends on the:
skill of the surgeon to execute the surgery with gentle, precise technique,
quality of the skin to bounce back and heal,
type of Facelift surgery to determine the amount of tissue, muscle and skin affected.

A younger, refreshed face is waiting for you this Fall. Now is the perfect time to talk about, plan and perform your Facelift. Visit www.davinciplastic.com today.

Steven Davison M.D.
Board Certified Plastic Surgeon

 

 

 

 

 

 

 

 

Melanoma/Skin Cancer Detection/Prevention …Early Detection Increases Chances for Survival

One in every five Americans will develop skin cancer during their lifetime and every hour…one person in America dies from skin cancer. Melanoma is the most deadly form of skin cancer and it is preventable/treatable.

National Skin Cancer Awareness is promoted by several organizations such as the National Cancer Institute, Skin Cancer Foundation, Centers for Disease Control and the American Academy of Dermatology. I won’t belabor the facts…just want to remind you of them and offer some helpful and important tips for skin cancer prevention.

Review of Skin Cancer Facts:
– We try to raise the public awareness of the importance of prevention, early detection and immediate treatment of skin cancer. They are: 1) basal cell, 2) squamous cell 3) melanoma.
– More than 3.5 million skin cancers are diagnosed annually in more than 2 million people.
– Melanoma (unlike other cancers) has a wide age distribution…it occurs in young people & seniors.
– Rates of occurrence increase with age- they are highest among 80 years olds.
– One bad burn during childhood doubles the risk for getting melanoma skin cancer later in life.
– Skin cancer is the most deadly for African Americans, Asians & Latinos.

RISK FACTORS
Everyone is at risk…but some people with certain factors are more likely than others to develop skin cancer. The risks include:

Lighter natural color skin
Family history of skin cancer
Personal history of skin cancer
Exposure to the sun through work & play
History of sunburns early in life
Skin that burns easily freckles, reddens easily or becomes painful in the sun
Blue or Green eyes

IMPORTANT TIPS FOR PROTECTION/PREVENTION
1. AVOID the sun between 10am and 2pm…this is the when the rays are at their peak
2. Damage occurs all day long…so be wise and use sunscreen or sunblock
3. Take more precautions when it is hot, humid and windy as these conditions enhance harmful effects of UV rays
4. Cloudy day are dangerous days…we tend to be out more, longer and use less protection. Understand that UV Rays pierce the clouds and cause serious damage (burns)
5. TANS are NOT healthy! No tan, whether from sun exposure or tanning beds, is healthy. The darkened skin is merely a protective measure (performed by your skin). It provides only minimal levels of protection and does not cancel out the need for using other sun protective methods.
6. Short Term Symptoms of over exposure include: blistering, peeling, tanning
7. Long Term Symptoms= increased risk for skin cancer along with dry, wrinkled skin.

Early diagnosis & immediate treatment can mean the difference between
life and death…when dealing with melanoma skin cancer.

Please read and heed this important information.

Ask us to recommend top of the line products to protect your precious skin…and allow you to enjoy your fun in the sun.

Dr. Steven Davison

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

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.

 

 

 

 

 

Hot Cosmetic Procedures for 2015!

COSMETIC and PLASTIC SURGERY TRENDS FOR 2015  Couples are having surgery together...

Some of the hottest procedures of 2014 will continue to grow this year, but there are some new predictions about what will be “in” for 2015. Last year buttock augmentation and neck rejuvenation showed some of the greatest increases. So what is in store for this year? Read on to learn about the trends for 2015.

FROM TOP TO BOTTOM… Increasing over 50% in previous years, the popularity of the buttock augmentation will continue to grow. The safest way to improve shape and volume with a buttocks augmentation is from using your own excess body fat. Fat grafting is rising in popularity, but it’s very important to choose a surgeon such as myself, who understands the art of body sculpting and has the surgical skill to achieve each individual’s desired result.

Also, the neck lift and neck liposuction will continue to grow, as people realize that no matter how smooth and wrinkle free the face is, a droopy neck and jowl is a sure tell tale sign of age. Depending on the specific concern about the neck, there are a variety of techniques to smooth, lift and thin out this area and restore a youthful, elegant neck profile.

MORE FOR MEN… Men aren’t missing out on the opportunities that come from looking young and healthy. They are looking for more kinds of procedures ranging from non invasive to plastic surgery. Gynecomastia (male breast reduction) has risen as have facial procedures. Men tend to prefer “in and out” procedures that don’t keep them from productivity, especially line smoothing injectables like Botox, so much that Botox for men has been nicknamed “Brotox.”

DON’T FORGET ABOUT THE MOMS… After sacrificing their body to grow and nurse the miracle of a baby, moms deserve to feel good about themselves. This has led to an increase in Mommy Makeover procedures to help them return to their pre pregnancy body. Mommy Makeovers can restore confidence, the feeling of body normalcy and beauty. This can mean different things for everyone, but usually includes a combination of procedures like a tummy tuck to tighten the stretched out abdomen muscles, liposuction to address baby weight that just won’t go away, and breast augmentation to create a more harmonious upper body.

FILLING IN THE FACE…The effect of volume loss on an aging face is becoming more and more understood by the general population. Facial contouring to restore volume can make a subtle yet significant difference in the youthful appearance. Fillers like Voluma XC are perfect for cheek augmentation that can provide a slight lift to the entire face, even decreasing the appearance of marionette lines.

LUSCIOUS LIPS… This popular treatment will likely remain a top request for 2015. Although, the trend is changing so that more and more requests are for a natural looking fullness rather than the over filled lumpy lips of years past. This more natural lip look can be achieved with (lip augmentation) involving the judicious injection of hyaluronic acid fillers like JuvedermDo this now to look fabulous for Valentine’s Day.

What will your new look be in this new year? If you’d like to discuss any of these popular procedures for 2015 or another more personalized need, please schedule a consultation with me. Visit www.davinciplastic.com.

Dr. Steven Davison

BREAST AUGMENTATION…the most popular women’s procedure in the United States!

Breast Augmentation, Breast Enhancement, Mammoplasty Augmentation is a surgical procedure to increase the size and shape of the breast and can offer breast lifting benefits as well.  Breast lift today employs “breast implants” or “fat grafting” to achieve the desired size, shape, symmetry and restored youthfulness.

Many women are born with breasts that are too small, not their ideal size and shape and are not as sexy as they ideally would like.  Other women experience age related changes, changes due to hormones, genetics, childbirth, illness, disease, trauma or weight fluctuation.  Each woman, despite the reasons for the changes they experience, has a mental picture of their “ideal breast”…hence the reason so many women today are lining up for Breast Augmentation surgery.

Breast Augmentation…What Is Involved?  I do many, many Breast Augmentations with women choosing to use “implants.”  Many others prefer to augment the size, shape and contour of the breast using their own natural body fat. (Fat Grafting)  The procedures involves surgically placing the implant into a pocket created in the breast in front of the chest wall.  the incision is typically made in the crease underneath the breast, allowing for more precise placement and easy access should future revision or replacement be needed.

Implants come in a host of shapes and sizes allowing for “customizing” to your personal needs and goals.  Today’s implants are the safest ever and feel as natural as your own body tissue.

Implants are either saline or silicone…Saline implants are soft shells filled with saline (salt water).  The shell is inserted first and then slowly filled.  This requires an additional tiny incision which is well hidden also.  If the shell leaks (rarely happens today) the saline is absorbed by your body tissue.  Saline implants look quite natural but don’t feel as natural as silicone.  Silicone implants have a similar shell as saline implants, but are pre filled with silicone which is a natural earth substance.  Silicone is a cohesive gel with a strong bond that prevents the gel from migrating through the body if the implant should leak or rupture. Silicone implants feel more natural with less rippling than saline implants.

Leaking or Rupturing of breast implants rarely occurs with todays advanced implants, and they last longer than their older versions.

Incision Placement…you have options.    Here are your placement options:    

  1. Inframammary, this is an incision place in the crease of the breast (underneath the breast).  Most surgeons agree this is the best placement for creating breast symmetry.  Also, should revision surgery or implant replacement be needed, this has worked well….instead of having to make a new incision.
  2. Periareolar…around the nipple is chosen by many surgeons because it heals the best and is small. Most scars with this incision placement are virtually invisible.
  3. Axillary is an incision placed in the armpit.  This is your choice if you want to be virtually scar around or on the breast.
  4. Their are advantages and disadvantages to each placement and type of implant. These should be well understood when making your decision.  I take the time to educate my patients thoroughly on these important issues and help guide them through the process.

OK, my next blog will cover Breast Reduction, another procedure chosen by men and women.  Look for it soon!

I’m here to help you achieve health and well being…and to be your absolute best!

Let’s talk soon.

Steven Davison M.D.

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

Last Minute Beauty Fixes and Healthy Tips for 2013 Holidays

Christmas is just 9 days from today and I thought we could all use some reminder tips on how to avoid overeating, under exercising and staying out of trouble. As with Thanksgiving, we tend to overeat, skip our workout sessions and end up with a few unwelcome pounds, a muddy complexion, often with breakouts, sluggishness and regrets that we lacked the self discipline to avoid these problems.   shutterstock_36660592

Start applying these tips today and enjoy Christmas, all the parties, events and galas and coast through New Years festivities unscathed! See https://www.davinciplastic.com. To overview procedures offered at DAVinci.

1.  Understand your metabolism.  Each person is different and will burn calories at a different rate.

2.  Avoid repeated high calorie meals…for example enjoy Christmas dinner and avoid ongoing eating of the heavy foods.

3.  Eat more living foods (raw fruits & vegetables) like salads.

4.  Eat a filling low calorie meal before heading into the kitchen to cook for the crowd.

5.  Diet before the big day and after it….never diet on party or family reunion days.

6.  Eat smaller portions and still satisfy hunger by chewing your food until it is “liquid.”

7. Immediately freeze leftovers so you’re not tempted to keep eating these rich, calorie dense goodies too handy.

8.  Get back on track with a lighter, healthy diet the next day.

9.  Exercise to suppress hunger pangs.  Often, we’re not really hungry but may be thirsty instead. Drink plenty of pure water and walk 45 minutes each day on a treadmill.  This is scientifically proven to suppress false hunger and rev up your metabolism.

 

The average American adult gains 2+ pounds per year. This starts early in life. Healthy lifestyle, healthy, living foods and pure water help the body maintain strength, vitality and health.

LAST MINUTE BEAUTY FIXES

There is still time to get Botox or Brotox for an instant forehead/eye lift or an Injectable FaceLift to rejuvenate all three zones of the face, or just do target areas to take years off an aging face.  Microdermabrasion and chemical peels are great for resurfacing the face to allow a brighter, clearer more youthful you to shine through.

 POPULAR QUICK FIXES:  Lip Augmentation using injectable fillers for gorgeous lips now!  Chemical Peels and Dermabrasion resurfacing to rejuvenate dull, tired looking faces and refresh your own youthfulness.  Fat Transfer and Liquid Lift for instant facelifts without surgery and other age defying options to help you put your best self forward during the Holidays.

MORE TIPS for GORGEOUS SKIN … 1) clean your smart phone daily!  It attracts and carries as much bacteria as a toilet bowl according to new data from Stanford University scientists.  2) Clean your face daily – Morning and evening.  3) Be sure to get enough sleep.  It is true lack of sleep affects your entire body’s ability to repair and renew.  This process only occurs during sleep cycles.  4) Eliminate or minimize dairy products (bovine) since cow hormones stimulate our oil glands and pores.  Learn to love Soy, Almond milk and or Rice milk products.

 BABY BOOMERS REACH A NEW PLATEAU!  There were more babies born in 1946 than any other time, totaling 3.4 million and rising steadily every year.  As of 2008 there were 77.3 million American Baby Boomers. This was 40% of the population. It’s understandable why the Boomers have impacted our way of life so strongly.  They claim they are changing the way we live and are just getting started!  This is clearly evident in every developmental field…science, engineering, healthcare,  anti aging research and the list goes on. Boomers believe that aging is “breakdown”, but broken things can be fixed!  Needless to say, this generation firmly believes in “being ageless” and they choose cosmetic procedures to achieve that.  In fact, they are budgeted for every year as part of their routine healthcare regimen.  Boomers believe that if people stay youthful longer, our social systems are stressed less.  Boomers have it right.

More Next Time.20864_132933510071077_4447800_n

Best to You and Yours,

Steven Davison M.D.

SURVIVE THE HOLIDAY PARTIES

AVOID LETTING PARTIES RUIN YOUR DIET

This time of year is filled with parties, family gatherings and lots of food.  With a little help and a conscious effort, you can continue with a healthy, nutritious diet and keep on feeling and looking your absolute best!  shutterstock_90467752

EAT RIGHT TO SURVIVE THE HOLIDAYS

1)  Don’t skip meals.  Many people think skipping breakfast or lunch can help them “bank” calories for holiday parties.  But, this can make you crabby, tired and often result in a headache that could put a damper on your evening fun.  Plus being really hungry, we often over eat unwisely.

2)  Keep your brain fueled by eating a low calorie breakfast, mid morning snack of nuts/raisins etc and a healthy salad or sandwich on whole grain bread for lunch.

3)  Eat high fiber foods before the party to help you feel more satisfied and full. Choose low calorie vegies, a small salad, a piece of fruit or a bowl of high fiber oatmeal.

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4)  Eat small amounts of the foods you love and take one piece of pie or cake or a cookie but not both. Fill your plate with healthy vegetables, fruits,whole grain crackers, cheese and lean meats.

5)  Don’t Hang Around the Buffet

Choose your foods and drink then move away and visit.  This causes yo to have to think about refilling your plate instead of mindlessly grazing.

6) Slow Down – Pace Yourself

Most people fill their plates then inhale their food.  It actually takes a few minutes for the brain to realize and signal the stomach that it’s getting full.  The slower you eat, the more you chew, the less you eat. This leads to improved digestion too.  Set your fork down between bites,sip some water and visit a bit before taking another bite.

7)  Drink Plenty of Water

To avoid dehydration that can feel like hunger, drink plenty of water to stay hydrated.  Take regular sips of water throughout the meal also to slow down eating.  Drink a full glass of water before consuming any alcohol and in between each drink to slow down alcohol consumption.

8)  Keep Healthy Snacks at Work…To avoid over indulging on goodies brought in by co workers, keep healthy snacks handy.  Nuts, raisins, fresh fruits, carrot/celery sticks and low sugar protein bars are a good way to go.

9)  Don’t Linger at the Coffee Shop

Know what you want. Order it. Get it and get out.  Don’t give in to the donuts, cookies and other pastries in the case.  They are high calorie and loaded with sugars that add unwelcome pounds.

ENJOY YOURSELF!  Just Plan ahead by eating less, and consume high quality, high fiber foods to stay satisfied while cutting calories.  Remember, our stomachs don’t tell us when we’re hungry, our brains do.  It takes 6 to 8 hours before we experience “tummy hungry”.  This is when our body really is out of fuel and ready for food.  Most of our hunger comes from thinking about, smelling, seeing and being reminded about food.  This sets our mind on food so we are ready to eat. So, follow the tips and enjoy the sights, sounds and tastes of Christmas and new Years!

MERRY CHRISTMAS TO YOU AND YOURS!

STEVEN DAVISON M.D. 558831_562149740482783_2107121592_n

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

Your 50’s and 60’s Age Defying…Anti-Aging Plan

This decade ushers in droopy brows, volume loss in the lower facial third and deep neck bands from loose, baggy skin. These changes will be much less drastic if you started doing anti aging procedures in your 30’s or 40’s.  But, it’s never too late to start.

The goal is balance.  Each part of the face ages at a different pace. If you can address these changes, as they occur in each area…you can maintain a natural balanced look, which allows the face to continue aging as a whole.  For example:  if you focus only on the eyes and do not include the brows or upper cheeks, you will age with a disjointed look between one facial feature and another.

ANTI AGING OPTIONs – Traditional Facelift Having a facelift in your 50’s and 60’s slows facial aging so you’ll always look at least 10 years younger than you really are.  There are several facelift variations (see previous blog) but the goal is: to restore natural curvatures to your facial features while maintaining the right amount of volume in the right places.  Men and women in this season of their lives opt for facelifts when injectables and other noninvasive treatments fail to work as effectively as they once did. A facelift done at this age lasts for years and may only require minor touch ups such as excess skin removal later in the 70’s.

Blepharoplasty – Corrects hollows, under eye bags and volume loss around the under eye area and sagging, bags and deep grooves of the upper eye area as well as volume replacement.

Browlift is the option of choice when injectables fail to give the needed lift.  Browlift restores the brows back to a more elevated and natural looking, more youthful position.

Necklift removes loose skin and fat, which is always a dead giveaway to your true age. Liposuction is often used to remove excess fat deposits and help sculpt this area.  The results are long lasting and help to restore facial balance.

Many Hollywood celebrities in their 60’s look 40ish. Many admit they have had work done all through the aging process in order to stay looking younger, healthier and more vibrant.  Goldie Hawn, Susan Sarandon & Morgan Fairchild look fabulous…just to name 3 of the many celebs.

Fillers vs. Surgery…this is of course the most common question.  I answer in my next blog.

Helping You Keep Your Best Face Forward,

Dr. Steven Davison

IS IT THIS ONE…OR IS IT THAT ONE?

A quite frequent problem involved in the removal of small lesions such as moles, nevi and other lesions is…correct identification.  Correct identification and confirmation of the exact site for these small lesions is paramount.  But often, this is a problem when a patient is referred from a dermatologist and presents in our office.

Identification and Clinical Notes The most common way of locating and identifying the correct site is by asking the patient to identify the site in conjunction with clinic notes.  This method is used to help maximize accuracy in the ID process.  Problem is…this can backfire.

I’ve actually had a patient blow up at me when I asked them to confirm which mole the dermatologist wanted biopsied.  But there is an easy solution to this problem.

Smart Phone’s High Pixel Camera! The Smart Phone’s high pixel camera does not require additional lighting, so you can take a photo in the dermatologist’s office without hassle.  Here are the steps I recommend:

  1. Take a photo (or have someone on staff do it)…of the marked lesion.
  2. Include a frame of reference – e.g. the nose, right ear, left ear, belly button – something discernible.
  3. If the lesion is hard to find, include a ruler located by the lesion so we can measure from the landmark.
  4. This prevents hours of anguish caused from having to revisit the dermatologist and from incorrect lesion biopsy mistakes.

Be thankful for modern technology…quite amazing!

Happy Thanksgiving!

Dr. Steven Davison

Breast Augmentation – 4 important decisions to make!

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

1 – Size of the Augmentation.

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

2 – Type of Implant

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

 3- Placement of Margin

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

 4 – Position of Implant

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

RADIESSE, JUVEDERM, BOTOX, SCULPTRA FACELIFT, NOSE JOB, AGE ERASER…without SURGERY!

Look fabulous and 10 years younger for Christmas and New Years without surgery and no one know will know…except you.

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 with maintenance.

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

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

JUVEDERM comes in three formulas to plump, fill in and smooth wrinkles.  Injected at varying depths it fills in space beneath the skin instantly to create new shape and erase lines and wrinkles. I use it for:  Crow’s Feet, Cheekbones and Nasolabial folds, and to restore luscious lips by instantly removing smoker’s lines and bleed lines. I restore definition to the jaw line by replacing lost volume in the chin area…and more.  It can even do a quick “nose job” such as hump removal.

BOTOX injected between the brows inhibits the muscles in motion, smoothes out existing lines and subtly “lifts” sagging eyebrows.  Yes, an eyebrow lift without surgery!  Injected around the eyes, Botox relaxes muscles that cause Crow’s feet (Juvederm is then used to fill in and plump up this area.)

RADIESSE is a hyaluronic acid based filler that fills and plumps instantly but keeps working for months to promote your own collagen renewal.  It’s great for Marionette lines and naso labial folds or the backs of your hands.

SCULPTRA is long lasting (up to 2 years) and works by restoring volume also.  Used in the cheek area or for naso labial folds it can restore lost fullness.  It’s used in the midface area primarily to boost collagen production.

Newest studies prove that injectables last longer when used with Botox.

EXPERT INJECTOR…injectables are only as good as the injector!  In fact, using someone who is not specially trained and highly skilled can be damaging.  I am an expert injector as is Nora, my assistant.  When you see Nora, you’ll know we know what we’re doing.

I match the right treatment and product to your specific needs as we create your personalized treatment plan…for your instant facelift.

YOU CAN TRUST YOUR FACE TO THIS PLASTIC SURGEON!

Want to look radiant, refreshed and years younger for the Holidays…don’t wait…let’s get you an instant makeover now.

Happy Holidays!

Dr. Steven Davison

Labiaplasty—an acceptable cosmetic procedure

Labiaplasty is a plastic surgery of the external (outer) female genitalia.  The predominate reason women seek this operation is increased size of the labia minora (or inner lips). As fashions become more form fitting, hair patterns more revealing and mean of comparison more common, more women are seeking this operation for cosmetic reasons.  Problems with pain, on sitting or in thigh clothes, toilet habits and sexual discomfort are functional reasons patients seek a surgical solution to elongated labia.

The problem may be exacerbated by age or activity (horse or bike riding) and atrophy of the labia majora (outer lips).  Current grading suggests any length more than 5 cm is abnormal by comparison in size with what is considered anatomically normal. The goals of labiaplasty are a minimally invasive way to reduce the enlarged lips while maintaining the sensation, color, texture and adequate opening of the lips. The edges of the labia have a very unique pigmented, corrugated mucosa skin junction that cannot be replicated.

Different techniques exist from amputation of the excess lip, simple wedge excisions and more complex wedge excisions tailored to remove the excess tissue while preserving the edge.  The technique that works the best is one that is tailored to the patient’s own anatomy, yet wedge technique which I use leaves more normal color, appearance and sensation.

The surgery takes about an hour and can be performed under local, sedation or general anesthetic based on patient comfort.  Recovery is about a week of surgical healing with avoiding heavy exercise and sexual activity for two weeks.  Care is minimal involving sitz baths and antibiotic ointment only.  I utilize layers of absorbable sutures which avoid the need for removal and minimize the risk of dehiscence or the wound falling apart which is the most common of this procedure and is a rare complication.

This is one of plastic surgery’s offerings with which patients are undeniably delighted. Large series report 95-98% of patients if happy or would undergo the operation again, a solid testimonial.

The operation is not difficult, yet requires appreciation of genital esthetics, tissue handling and plastic surgery techniques. Seek help from a surgeon with understanding and experience. Ask about techniques they use to preserve mucosa to skin border to maintain texture, color and sensation especially if you have pigmented skin. The surgeon needs to leave at least 1 cm of labial length to avoid retraction and scarring.  I have seen this type  of problem once when serving as an expert witness for another surgeon and it is hard to fix without complex further surgery.

Price is important in all choices but make sure you are comparing the true expenses.  Is this being offered in an office or operating room, is anesthesia included or is it going to require a number of sensitive injections.

In conclusion, this surgery can be combined with other minor procedures to plump up the outer lips or clitoral hooding to remove excess skin from around the clitoris.

Please visit our website for more information.

Dr. Steven Davison

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.