The past year was filled with nude lips and scaled back lashes. The no make up look reigned supreme in 2015. But makeup lovers will be excited for 2016, as the trends have changed and the nude make up look is out. Bright bold red and sultry deep colored lips are en vogue. Create a flirty feminine look with bronze highlights to your cheeks and feminine pinks or peaches for the eyes.

Lovely Full Lips
More attention than ever will be brought to your lips this year. If you’re going to be on trend with the bright candy apple reds and sultry plum hues, you’ll want to make sure you’ve got full, luscious lips to show off. We can help you with Juvederm injections to proportionately plump and femininely fill your lips. These bright colors aren’t forgiving if you’ve over filled your lips, so go with clean lines and an expert injector, like myself, who knows how to create the perfect lips for a harmonious face.

Bronze Goddess
A bronze glow looks healthy and youthful. This bronzer trend can save your skin from sun damage. Use bronzer to get that sun kissed look instead of worshipping the sun, which results in sun spots and an older looking complexion. Also, you can give your cheeks a little help with a liquid facelift. Voluma expertly injected into the cheeks replaces lost volume so your cheek color and contour pops even more. It also results in a slight lift to the mid to lower face that can result in lightening the nasolabial folds and smile parenthesis lines.

Bright Eyes
In the spring you’ll be seeing lots of sunset hues of pink and peach. These flirty and feminine colors complement many skin tones and eye colors. You’ll also see bright blue eye shadows, liners and even mascaras that are playful and certainly can make a statement. If you’re attracting attention to your eyes with bold blues, you’ll want to be sure to smooth out crows feet. Since these wrinkles are cause by muscle movement, it’s best to first relax the muscles with Botox. Then if you want an even greater smoothing out of this area, you can add filler, such as Juvederm.

Makeup as Skincare
While you can’t replace good skincare, such as moisturizers, retinol and other powerful antioxidants, with makeup, I do encourage women to look at makeup as part of their skincare. Throughout the day, before it comes off at bedtime every night, it should be adding to the health of your skin, not taking away from it. This is why I recommend the Jane Iredale makeup line, especially to any of my patients who want to cover bruising or redness after procedures. Here are some highlights of this outstanding cosmetics line:
-uses the highest quality ingredients available to ensure satisfaction with performance, coverage, application and texture
-high performance mineral based formulas that don’t run, crease or smear
non comedogenic…does not block pores

-earned the Skin Cancer Foundation Seal of Recommendation, showing evidence that its products sufficiently and safely aid in the prevention of sun damage to the skin
-products are clinically and dermatologist tested for safety and allergies
-includes anti irritant, soothing ingredients to contribute to skin health
-uses a combination of natural preservatives, never parabens
-product guaranteed to be 100 percent free of animal testing
-no measurable amount of heavy metals in any product including lead and mercury

Being on trend with make up is great, but looking young and healthy is timeless. To schedule a consultation on how we can help you look your best in 2016, visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

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

As an expert in Fat Grafting (also known as Fat Transfer), I’ve seen how wonderful this completely native material…from your own body can naturally enhance features without the use of foreign substances. It does require great skill to be used correctly and does have some limitations. But for my natural minded patients, this could be a great option for facial volume loss and the Brazilian Butt Lift, as I’ve previously written about. Depending on my patient’s expectations it can even be an option for breast augmentation.

Managing Expectations of Fat Grafting
I like to have an extensive discussion of my patient’s expectations and their options with any procedure, but when it comes to breast augmentation, there are quite a few options to discuss. These discussions include what size breast would be harmonious for the body, the kind of implant, the type of incision used to insert the implant or whether to even use an implant. Often, fat grafting isn’t considered by my patients because it isn’t as widely publicized as implants, but I do believe that it can be a great option for many.Here are some of the reasons to consider Fat Grafting for your Breast Augmentation:
… It’s a completely natural substance coming from your own body.
… Because it’s from your own body, there is less chance of your body rejecting it.
…The results are as natural looking as you can get.
…There’s no risk of silicone leakage or integration into the body, so no follow ups years later and no worries.
…”Upkeep” surgeries aren’t necessary.
…No scalpel is required, as the fat is extracted and relocated to the breast with a needle.
…A minimal 2 to 4 day recovery time is needed, compared to weeks of recovery after a breast augmentation with implants.
…The fat used for the breast is taken from an area of the body that can spare some, so while you’re enhancing the breasts, you’re getting the benefits of liposuction elsewhere in the body.

Fat Grafting is a Less Invasive Option

When done by an expert in fat grafting, like myself, it can add natural looking volume to the breast without lumps, bumps, clumps or clusters. It also encourages a natural response, from the body, that makes it long lasting. No drainage ports, compression bands, or weeks of recovery while waiting for the pain to subside and the implants to “settle” into their place. A breast augmentation with fat grafting looks truly natural… after only a few days, when the swelling and bruising from the injections subside. And no worries if you’re needle phobic. You can remain totally comfortable while sedated under general anesthesia, as the fat is extracted from another area and injected into specific places in the breast.

Natural is Not for Everyone
While fat grafting can create lovely results, it does have limitations. It may not be able to accomplish the increase in volume or shape that some women are looking for, which is why there is a large market for implants. There are many safe options with implants that offer a beautiful and satisfying breast augmentation.

If you’d like to discuss your options for a breast augmentation, including the possibility of fat grafting, please schedule a consultation at www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

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

MYTH #1 Botox will make you look like you’ve had work done
Fortunately, Botox doesn’t have to result in a paralyzed face stuck on one emotion like Batman’s nemesis, the Joker. It’s muscle relaxing abilities can result in subtle, smooth skin that can still express emotions. It’s especially great for targeting the moderate to severe lines around your eyes and between your brows. If you’re trusting your face to an experienced, knowledgeable Plastic Surgeon like myself or my Physician’s Assistant, then you don’t have to worry about looking “worked” on.
MYTH#2 Botox and Dermal Fillers do the same thing
While they both lessen the appearance of wrinkles and restore youthful appearance, Botox and Dermal Fillers don’t work the same way. Botox addresses the muscles that create wrinkles and relaxes them. Dermal Fillers restore a youthful, plump look by adding volume to facial tissue. They both have their unique areas of the face that they are meant to address. For example, Botox is not approved for use in lips, but the hyaluronic filler Juvederm is. Dermal Fillers aren’t the best at treating crow’s feet or forehead frown line, but Botox is.

MYTH #3 Botox is only for women
While men may enjoy the distinguished look of maturity that comes with aging, there are certain features that as they age, they give the face a tired or angry appearance. This doesn’t communicate well in a personal or professional setting. As a result, there is much more acceptance of cosmetic procedures for men, especially as part of a health regimen. The nickname “Brotox” was coined for a reason: current statistics on Botox customers show that 1 in 10 are men!

MYTH #4 Botox injections are toxic to the body
Botox is one of the most widely studied and researched medical aesthetic products available today. Botox is designed to have a very localized effect of about a centimeter diameter and doesn’t spread to other areas of the body. It is completely safe when used in correct doses and in the hands of a trained, experienced injector. It is made from compounds found in nature, and not a synthetic, dangerous material as some people think. In 2002, it was the first FDA approved product for frown lines and in 2013, it became the first and only FDA approved product for crow’s feet.

MYTH #5 Botox Injections are Painful
Botox is known as the “lunchtime injection” for a reason. Treatment takes about 10 minutes and it has very little to no downtime, which is great because it can work with busy schedules. There could be minor redness or swelling at the injection site, but that quickly subsides so that you can experience the youth restoring benefits within the time span of a lunch break.

So did any of these answers bust any Botox myths you previously believed? If you’re ready turn turn back time with Botox, you can schedule a consultation at www.davinciplastic.com. Or if you’re interested in Botox, but have some more myths or questions you’d like answered, stay tuned for next week’s blog: Common Myths about Botox, part 2.
Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Most people are in a battle against fat, but fat can be your friend. I find that it is one of the best fillers for plumping areas that are sunken, hollow or flat. Using the body’s own fat by taking it from a place where it’s unwanted and putting it somewhere that needs it reaps a double benefit.

Fat as We Age… Isn’t it ironic that as we age, we often lose fat in the wrong places and gain it in unwanted areas. As a child, we have that “baby face” that includes round full cheeks, but as early as mid to late 20s the fat in the cheeks that keeps it full and firm already starts to degrade even though the narrowing of the face usually doesn’t appear until the 30s. In the 40s, fat loss usually shows itself as drooping in the midface that causes nasolabial folds and jowls. The face shape continues to change in the 50s and beyond as fat is affected by gravity and age.

Fat Vs. Other Fillers… Fat grafting is a very effective way to retain a youthful face by restoring facial contour and fullness. Compared to other fillers, fat produces longer lasting results. Additionally, it’s completely natural since it’s using your own excess body fat – that is refined, purified and relocated. This means that there isn’t the risk of an adverse reaction or allergy as with other injectables.

What Can Fat Grafting Do? Although one of the most common areas to treat with fat grafting are the creased, sunken parts of the face, it can be used to contour many areas of the body. It can enhance areas such as hands, breasts and buttocks. One of the more popular procedures recently is the Brazillian Butt Lift. I actually prefer to use fat grafting for this rather than implants, as long as there’s enough fat to take from another area of the body. I’ve also used it to successfully revise and minimize the appearance of scars, or other bodily depressions.

How Does It Work? Fat grafting involves the transfer of fat from areas that have some to spare, such as the outer thighs (saddle bags), refining it, and then injecting it into areas that need volume. It is very safe and provides long lasting results. It has minimal downtime and recovery, similar to other injectable treatments.

In Good Hands… Working with fat for grafting requires a lot of skill to extract and reinject it without lumps or sagging. I offer this safe procedure to many people every year…with great results. I know how to work with this natural filling component to create a lasting, natural look and feel. To schedule your consultation, visit www.davinciplastic.com.
Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

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

I have special compassion for my Scar Revision clients, as many of them are suffering with scars that remind them of an accident, burn, surgery or past acne problem. Through specialized study and development of specifically honed skills, employing both surgical and non surgical options, I help my patients get the best possible results. With every Scar Revision, I strive to make the scars less visible for a more pleasing appearance, as well as to restore function to the affected area.

Here’s an overview of the most common Scar Revisions I perform:

1. Hypertropic scars are raised and often red tinted. They stay within the boundary of the original wound or acne zone. These are commonly the result of acne and can diminish over time.
2. Keloid scars are slightly more raised than hypertropic scars and can be rubbery, firm and sometimes itchy. They often look inflamed and extend beyond the boundary of the original wound. Certain skin types are more prone to this type of scarring, including people with dark skin tones.
3. Contracture scars are severe, occurring as the result of a loss of skin over a large area, such as from a burn.  This can affect muscles and tendons to restrict normal movement.

Some other scarring patterns are:

1. Ice pick scarring is the most common type of acne scar. They are designated by narrow pitted indentations.
2. Boxcar scars’ defined, angular edges in a box shape look very similar to indentations of chicken pox or vaccination scars. These occur most commonly on the temples or cheeks.
3. Rolling scars create a shallow, wide indentation that looks like the rippling of waves in the skin.

METHODS FOR MAKING SCARS BETTER… While it’s important to note that scars cannot be removed completely, they can be reduced and made to look noticeably better. If they are raised or depressed, discolored or they cause contour irregularities, don’t worry, there are a variety of options to help improve the skin’s appearance and function.

Based on the type of scarring… during your consultation…we discuss the options and expected results in depth. These are some of the methods we’ve had great success with:

1. Non Surgical

• Dermabrasion gently removes the top layers of the skin to smooth out surface irregularities.
• Dermal Fillers, such as Hyaluronic Acid, fill in sunken scars.
• Silicone Gel Sheets are clear coverings that help flatten hypertropic scars over time.
• Steroid Applications and Injections alleviate the itching or pain of keloid scarring. They are applied or injected into the scar to break down the skin’s collagen that has continued to produce even after the wound has healed.
• Vascular Lesion Treatment addresses the discoloration of scars by shrinking the blood vessels connected to it.

2. Surgical

• Skin Grafts are intended for severely scarred areas. It involves taking healthy skin from another part of the body to transplant to the injured area.
• Tissue Expansion stretches a patch of skin by inserting a saline filled balloon near a scar so that the stretched healthy skin is pulled over to cover the previously scarred area.
• Z-Plasty and Related Tissue Rearrangement Techniques reorient scars to follow natural lines and creases of the skin. This makes them less noticeable and relieves pulling or pressure of contracture scars.

My compassionate staff and I look forward to the opportunity to help you feel better about how your skin looks and feels. Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Very few surgeons are truly qualified to perform the complicated procedure of Revision Rhinoplasty. Revision or Secondary Rhinoplasty is a correction, whether functional or aesthetic, to the unsatisfactory results of a previous Rhinoplasty (Nose) surgery.

WHEN TO GO FOR THE REVISION… Typically, the recommendation is to wait a year after the original Rhinoplasty so that there is ample time for healing and the nose to “settle” into its new anatomy. There can be a shorter duration to this recovery time depending on the extent of the previous surgery, which can be discussed during the consultation.

Although the decision should not be made lightly, you should consider a revision if you have any of these issues:

• persistent breathing problems
• nose still too large
• still a bump in the bridge
• new nose not in balance with the rest of the face
• too much removed
• tip of your nose needs better refinement
• tip is deflected off to one side (“twisted tip”)

WHY IS REVISION RHINOPLASTY MORE COMPLICATED?

• Changes to the typical anatomy and geography of the nose due to cartilage removal during the first surgery
• There may not be enough cartilage in the nose to work with and it has to be borrowed from behind the ear, which also requires extra incisions
• Navigating the scar tissue in the nasal lining from the primary surgery
• There is a higher risk of developing little spider veins in the nose called telangectasias
• All of these issues increase the variables and the amount of time in surgery

SURGICAL EXPERIENCE IS CRUCIAL… It is possible that the problem resulting from the original Rhinoplasty may not be the fault of the original surgeon. Anatomical variations and the healing process aren’t under their control. Although, the actual surgery is under the surgeon’s control, which is why you need the most experience surgical hands for the best possible outcome. This is especially true with navigating the altered anatomy and scar tissue present during a revision Rhinoplasty. It requires not only skill, but an artful eye, as well.

CHOOSE A SURGEON WHO:

• IS Qualified with expert training (I’m triple board certified in Otolaryngology/Head and Neck surgery, Facial plastic & General plastic surgery)
• Has many years of experience with many surgeries (almost 2 decades of surgical experience)
• Does them regularly – Our patients come from across the country to have revision rhinoplasty  – using my advanced techniques and honed skills…

This is one of those surgeries where the extra care and attention I give to my clients is crucial for discussing expectations, changes and the best technique to accomplish the goal of the Revision Rhinoplasty. To schedule a consultation to get the nose you desire, visit www.davinciplastic.com.

Steven Davison M.D.

Baord Certified Plastic/Reconstructive Surgeon

Do you have trouble breathing through your nose? One of the possible causes is a deviated septum. This can happen as a result of genetics or an impact caused by an accident or athletic event. A deviated septum makes breathing difficult because the bone and cartilage that is supposed to be down the center of the nose that divides the nasal cavity in half is crooked or drastically off center.

• The best way to confirm a deviated septum is to see a specialist like myself. The following are common symptoms of a deviated septum:
• nasal congestion on both sides or one side being more congested than the other
• difficulty or loud breathing
• repeated sinus infections or constant postnasal drip
• aching in the head or face
• issues with breathing during sleep, such as snoring or sleep apnea
• nosebleeds

The specific surgical procedure to fix a deviated septum is called a Septorhinoplasty.
TREATING A DEVIATED SEPTUM

Septoplasty is often combined with Rhinoplasty, or nose job, to correct the external effects of the crooked insides. The combination of these two procedures is called a Septorhinoplasty. Rhinoplasty is one of the most common surgical procedures and in the hands of a skilled surgeon like myself, the results can help you breath easier from both physiological and aesthetic improvement. Anyone in good overall health is a candidate, although for children needing septoplasty, it is preferable to wait until after the nose has stopped growing around age 15.

WHAT DOES SEPTORHINOPLASTY INVOLVE?
Septoplasty: By working through the inside of the nose, a small incision is made in the septum. The breathing canals of the nostrils are evened out by removing the excess bone or cartilage. Soft gauze or internal splints stabilize the nose as it heals.
Rhinoplasty: This portion of the procedure corrects any cosmetic imbalances in the bridge or nostrils to improve the nose’s appearance and overall harmony of the face. This recontour of the nose improves functionality and appearance to give optimal performance and confidence.
Both are performed on an outpatient basis and using either intravenous sedation or general anesthesia, depending on the patient’s health conditions and preferences.
RECOVERY… Oral pain medication will help mitigate the discomfort from either surgery. Septoplasty recovery should be within a week. Rhinoplasty recovery from bruising, swelling, and incision healing is longer than Septoplasty alone. It’ll last about a week or two, although some people can return to work after 1 week. Either way it’s recommended to rest of the head elevated to help with swelling. Even after the initial Rhinoplasty recovery of about 2 weeks, patients should refrain from intense exercise and contact sports for at least 1 to 2 months. This makes it imperative for athletes to correct their deviated septum in the “off season.”
Whether you’re just having trouble breathing or would also like to improve the external appearance of your nose, we can discuss which surgery technique is best for you. Please visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Going into summer, I can’t put enough emphasis on the importance of protecting your skin. It is one of the greatest causes of aging skin and skin cancer, which is the most prevalent form of cancer in the U.S.
How does the sun age skin?
The sun’s ultraviolet (UV) light harms the elastin to cause sagging skin later in life. When the elastin fibers break down over time, the skin loses its ability to go back into place after stretching, and will bruise and tear more readily. Collagen is also negatively affected by UV rays to cause a hollow, dehydrated appearance due to volume loss as we age. Skin discoloration called pigmentation comes to the surface of the skin, and this uneven skin tone also contributes to an aged appearance.

What is skin cancer?
It is the uncontrolled growth of abnormal skin cells that results in tumors. These are either noncancerous (benign) or cancerous (malignant). Of the 3 main types of skin cancer, basal cell carcinoma and squamous cell carcinoma are less serious types and very successfully treated when detected early. Melanoma, consisting of abnormal skin pigment cells, is the most serious form of skin cancer. Of all the deaths from cancer, 75% of them all are from melanoma.

Protect yourself against aging and skin cancer caused by the sun… As you can see, skin cancer can be serious and yet in many cases it is preventable. Even if you’ve damaged your skin from over exposure, which you can’t completely undo, there still is hope. The skin is regenerative, so to some extent ongoing sun protection can help in the healing process and prevent further damage.

Tips to help prevent skin damage from the sun:
• Wear protective clothing, hats and sunglasses that have UV shield.
• Stay out of the direct sun during peak UV radiation hours between 10 a.m. and 2:00 p.m.
• Protect your children, especially since the majority of sun damage happens before age 18.
• For UVB protection, use sunscreen with a sun protection factor (SPF) of 30 or more. Sunscreen with zinc oxide provides UVA protection, but should be applied 20 minutes before sun exposure. Be sure to reapply every 2 hours or more often if you are sweating or swimming.

Sunscreen Scam… A recent study done by Consumer Reports shows that many of today’s sunscreens falsely advertise levels of SPF. In some cases, certain brands had up to 70 percent less protection than advertised on the package. The test included 34 brands, 11 of which fell short of their protection claims, some of them being:

• Coppertone ClearlySheer for Beach & Pool SPF 50+ (delivered SPF 37)
• Hawaiian Tropic Sheer Touch Ultra Radiance SPF 50 (delivered SPF 28)
• Babyganics Mineral-Based SPF 50+ (delivered SPF 25)
• Banana Boat Sport Performance Clear UltraMist with Powerstay Technology SPF 50+ (delivered SPF 24)
• Yes To Cucumbers Natural SPF 30 (delivered SPF 14)

The brands that received good protection ratings were:
• Coppertone Water Babies SPF 50 lotion
• Equate (Walmart) Ultra Protection SPF 50 lotion
• Banana Boat SunComfort Continuous Spray SPF 50+
• La Roche-Posay Anthelios 60 Melt-in Sunscreen Milk SPF 60 (got a perfect score of 100 in the test)

Please perform skin self-exams regularly to be familiar with existing growths so that you notice changes. Also, if you are unhappy with the effects of elastin and collagen damage already caused by the sun and aging, I offer a variety of effective surgical and non surgical options to help rejuvenate your skin. Visit www.davinciplastic.com for more details.

Enjoy your summer!

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

Since I just finished writing about the Lower Face, I thought we’d work our way up to the Mid Face and review what we can do to rejuvenate the whole face by working on this often overlooked area. Most people start to notice gravity’s affects on their brows and upper eyelids, but the subtle effect of volume loss and sagging skin in the Mid Face or cheek area can have a ripple effect to simultaneously age the eyes and the lower part of the face.

EFFECTS OF AN AGING MID FACE… Bone loss and fat loss in the cheek area starts to become evident for most people in their 40s. This can show itself as a flattening of the cheeks. The drooping of the mid face can cause a hollowing look under the eyes as the smooth contour from lower eyelids to full elevated cheeks diminishes. The sagging skin also ends up causing nasolabial folds, marionette lines, and more prominent creases around the mouth.

OPTIONS FOR MID FACE REJUVENATION… Depending on what level of bone and fat loss you’re experiencing, the remedies can range from a non invasive to a varying degree of surgical options. During your consultation time, we will be able to determine your goals and which option(s) is best to accomplish them. Here’s an overview of the top options for correcting Mid Face aging:
1. Liquid Face Lift with the hyaluronic acid injectable Juvederm Voluma XC is a painless option that is great for milder cases of Mid Face aging and requires no downtime. This can effectively deliver improvement in cheek volume and youthful contour while minimizing the fine lines around the mouth, such as the nasolabial folds and marionette lines. Results would last about 8 to 12 months.

2. Midface Mini lift is a relatively minor surgery for moderate cases of Mid Face aging. It takes several years off your appearance by restoring youthful elevation and fullness to the cheeks, while smoothing folds and wrinkles in the Mid Face and deeper nasolabial folds. It doesn’t address the lower face issues like a full Face Lift would. Recovery time …to resume work and non strenuous daily activity is usually about a week after surgery.

3. Cheek Augmentation uses an implant to improve the overall look of your face to achieve those full, high cheek bones or it will restore the cheek contour of your youth. The filling and lifting effect in the cheeks will have a gentle pull on the sagging Mid Face skin to also soften or eliminate deep nasolabial folds. Recovery takes about a week, but the results of the beautiful contoured cheeks are permanent.

4. Face Lift is a comprehensive approach to the more severe effects of aging. Depending on the kind of Face Lift, it can address every area of the face from the forehead down to the neck. Face lifts correct fat and bone loss, and sagging skin and muscles to take 10 years off your appearance. You can see the blog series from February for more details on Face Lifts or… visit www.davinciplastic.com.

Stay Healthy!

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