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Daddy Do-Overs

Men, you don’t want the ladies getting all the good looks, do you? The stigma of cosmetic procedures being just for the women was thrown out the window long ago. While the mommies are coming in for their makeovers, daddy should get a “do over”, too. Men are taking charge of their looks by getting rejuvenating treatments and procedures as part of their health, confidence and career maintaining/building regimen.

COSMETIC SURGERY CONTRIBUTING TOWARDS WORKPLACE SUCCESS…Everyone is noticing the difference that a youthful, energetic, healthy appearance makes when it comes to perception and promotion at the office and with clients. As you get to the top of the corporate ladder the pressure is even greater to “look the part.” Good looks are expected if the executive role requires any public exposure. Companies want to look good in part by being represented by people who look good.

With all the expectations at home and the office, dads can take the pressure off themselves and allow us to virtually turn back years from their face and body. These are some of the top requested daddy do over procedures:

RHINOPLASTY surgery of the nose is aimed to reestablish symmetry and unity within your unique face. At the hands of a skilled surgeon, it can:
repair and correct previous surgical problems, such as displaced implants or cartilage grafts
improve breathing issues from nasal passage blockages (maybe due to a broken nose from roughhousing as a youth),
remove unwanted bumps, asymmetries, depressions, etc.
refine the inadequate nose tip projection (e.g. age related droopy tips) or by slimming and narrowing any disproportionate aspect of the nose.

Achieve a well sculpted neck and chin using:
1. CHIN AUGMENTATION with Implants or Injectable Fillers that are tailored to your specific needs and goals. Whether your desire is for a more rugged, stronger chin, or to achieve facial Achbalance, this can restore a natural, more youthful appearance.

And don’t forget that you can say goodbye to that double chin by removing that unwelcome pocket of fat with LIPOSUCTION.

2. ABDOMINOPLASTY/BODY SCULPTING can help take off those years of sympathy weight gained while mommy gained pregnancy weight, and from choosing family time instead of gym time. Tummy tucks eliminate the bulge with liposuction, but also excess skin that has been stretched out. ABDOMINOPLASTY is the surgery of choice for men who want to rejuvenate the abs. These are some of the aesthetic and physical benefits of a Sculpting Tummy Tuck:
restores desired firmness and contour to the abdomen
Tightens relaxed ab muscles
Results in a smoother, flatter, abdomen
Sculpted “six pack” can be added

And don’t forget about those quick in and out treatments with BOTOX (Brotox) and hyaluronic acid fillers like RESTYLANE, JUVEDERM and PERLANE that can instantly get rid of those forehead and frown lines and contour the face. So dads, let’s talk about how you can take control of your image to accomplish a younger, healthier look with your Daddy Do Over.

Best to You and Yours,

Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon

Getting it right: REVISION RHINOPLASTY

 

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

Breathe Easier with Rhinoplasty

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

 

 

 

 

 

 

 

 

 

 

 

 

Liposuction…to be Bikini Body Ready

shutterstock_27425314Bikini Ready Body with Liposuction

While the snow is blowing and frozen weather is keeping us bundled up, getting into a bikini is probably a distant dream. But now is a better time than you may think to start getting your body ready for the bathing suit season. Here’s why:

  • bulky bundled up clothes hide any swelling, bruising and over night body changes
  • frigid weather makes us all want to just cozy up by the fireplace and rest our bodies
  • the extra layer of post op compression clothes fit nicely as another layer for warmth

Is liposuction right for you? Whether it’s genetics or aging, some of those stubborn fat pouches just won’t come off with diet and exercise. If you are in healthy condition, liposuction can help sculpt and smooth them away. This procedure isn’t intended to be a complete body transformation surgery, but it is safer and more effective than ever if you’re in the right hands.

The best results in the best hands… Depending on the state, some laws allow licensed physicians to designate themselves as “plastic” or “cosmetic” surgeons, even if they have no specialized surgical training. This is why is it is crucial for prospective patients to select their doctor with care. I am one of the only TRIPLE BOARD CERTIFIED surgeons in the Washington, DC area. My outstanding reputation is spoken through my satisfied patients, years as a professor at Georgetown University, hundreds of articles on surgical procedures and safety, and many awards and elections to prestigious surgical societies. Liposuction may seem like a very simplified surgery compared to others, but as with any surgery, there are risks and so the safest most effective results are accomplished in the best hands.

What does liposuction involve? After our consultation, the surgery will be schedule to take place in our state of the art surgery outpatient center. To ensure your comfort throughout the procedure, you will receive anesthesia including an infusion of saline solution with lidocaine before your surgery. Liposuction requires one or more incisions so that the cannula, a small tube used to loosen the fat, and a vacuum attached to it, safely suctions excess fat and sculpts the area. The. For small areas, such as the face, a syringe can precisely harvest fat that can be purified and used for grafting other areas.

Liposuction for the large and small areas… The advances in technology, specialized tools, and my expert techniques allow me to target large or very small localized areas with more precision and less trauma than with older techniques that still may be used by other surgeons.  Liposuction can be used to remove fat from the:

  • tummy
  • breasts
  • thighs
  • buttocks
  • back
  • face
  • neck

Liposuction along with other procedures… Liposuction is an ideal compliment to other body contouring procedures, such as a Butt Augmentation, Thigh Lift, and Tummy Tuck. Any of these could be part of a much desired Mommy Makeover to restore your body after all the changes that take place through childbearing.

Start preparing your body now for those warm weather months that may seem so far away, but will be here before you know it. Banish those stubborn bulges with liposuction. Visit www.davinciplastic.com.

Dr. Davison

 

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

Request A New Nose for Christmas

Take Years Off Your Face with Rhinoplasty

Poor Rudolph the Reindeer. All he’s known for is his bright red nose. In reality, no person suffers from a bright red glowing nose, but sometimes those humps and bumps, that droopy or bulbous tip, or crooked bridge can make some people feel like they do. Ideally, the nose is meant to fit harmoniously with your unique facial composition.

RESHAPING WITH RHINOPLASTY… Commonly called a “nose job,” Rhinoplasty plastic surgery can enhance the nose in many ways. By reducing its size or shape, or correcting injuries, the nose can become part of a pleasing facial unity. I’ve written about this before and am considered one of the experts in this area, but this time I’d like to focus on the anti aging benefits that can be provided by Rhinoplasty.

NEGLECTED NOSE NO MORE… Cosmetic procedures such as facelift, necklift, and blepheroplasty are very popular for turning back the time on the face. However, most people don’t realize that Rhinoplasty can have dramatic age reversing effects, as well. While Rhinoplasty is still predominantly considered a facial modification procedure to change the nose to be more visually pleasing, it is becoming more recognized for its age reversing effects. Predominantly it’s being done as part of an overall facial rejuvenating experience in combination with fillers and other surgeries.

HOW THE NOSE AGES THE FACE… The break down of collagen and elastin fibers in skin surrounding the nose and in the cartilage of the nose causes sagging and drooping. This can make the nose stretch and appear longer. This combination of droopy nose tip, and loss of elasticity and volume to the surrounding areas makes the nose look even larger, which amplifies the appearance of facial aging.

NOSE JOBS “THEN & NOW”… In years past, rhinoplasty involved removing most of the cartilage, which also made it more prone to aging faster. With less support structure for the tip of the nose, it would more readily fall down and forward. In today’s surgical methods, only a small portion of the cartilage may need to be removed. Even so, I also reinforce the supporting structures of the nose to make it less affected by gravity, therefore staying younger longer.

FACIAL HARMONY… The nose is the centerpiece of the face and so it really affects how well the other features are integrated. It shouldn’t distract from the lips or eyes, but if other areas of the face are receiving the anti aging attention of injectables and surgery, while the nose stays untouched, it could become a distraction.

YOUTHFUL NOSE FOR A YOUTHFUL FACE… There are some recognizable features of a youthful nose that can help rejuvenate your appearance. Here are a few:shutterstock_10125679

1. Smooth and Even rather than bumpy and bulbous.

2. Tip pointed slightly up rather than dropping down.

3. Narrower width rather than poorly defined placement.

So follow your nose for an anti aging RHINOPLASTY that can help take years off your face. Visit my website www.davinciplastic.com to schedule a consultation.

Botox nose reshaping is one of today’s most popular procedures and requires no surgery. While you’re short on time for surgical Rhinoplasty for the Holidays, if surgery is not required, Botox may be a good option for you. Otherwise, schedule your Rhinoplsty surgery now for the first of the year and start enjoying a “more youthful” facial appearance.  Rhinoplasty is popular among people of all ages, stages and ethnicities and people love giving and receiving the gift of cosmetic procedures.

Dr. Davison

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.”

Choosing Your Plastic Surgeon by Steven Davison M.D. ….DAVinci Plastic Surgery

shutterstock_59992843A recent study conducted for the American Academy of Facial Plastic and Reconstructive Surgeons reported that 80% of those people surveyed said they would prefer and choose a facial plastic surgeon rather than a general surgeon or physician.  As the numbers of people who have cosmetic procedures done each year continues to grow…so does the need for education about how to recognize and choose “qualified” cosmetic/plastic surgeons.  Thus, the reason for my blog topic this time.

Stats tell us there are over 782,000 doctors in the United States but only 3.5% are really qualified to perform aesthetic (cosmetic) procedures.  So, It’s critical that before you go…you know about your doctor/surgeon.

In addition to the right education, training and experience,  Board Certification is important in helping you identify a surgeon who is truly qualified to perform your chosen procedure.  Why?  There are multitudes of doctors who are not Board Certified nor are they members of important medical organizations/associations. So here’s the “why” about being Board Certified:  Certifiying medical boards have rigorous testing/exams based upon the highest standards possible to ensure that a doctor knows, understands and is qualified to practice medicine and perform procedures within the scope of his proven abilities.  There are different boards for different areas of specialization.  The same goes for medical societies and associations that were established decades ago.  These exist to further educate, support and monitor physician/surgeon members, also to educate the population and give them a place to seek help with problems involving member physicians.  Every doctor/surgeon who chooses to become Board certified, must submit to this high standard and the rigorous oral and written exams in order to be eligible for board certification.  Board certification does not guarantee certain results but it does ensure that the surgeon is educated, well trained, skilled and qualified to perform that surgery.

Examples of Certifying Medical Boards and associations:  1) ABMS – The American Board of Medical Specialties (every doctor should apply to this board.)  2) ABPS – The American Board of Plastic Surgery (for certification in the speciality of “plastic” surgery). 3) ASAPS – The American Society for Aesthetic Plastic Surgery (for plastic & cosmetic surgery of the face and body). 4) AAFPRS – American Academy of Facial Plastic and Reconstructive Surgery, Inc.  (World’s largest association of “facial plastic” surgeons and reconstructive surgeons)  These surgeons focus solely on plastic and reconstructive surgery of the face, head and neck. 5) American College of Surgeons, 6) The American Society of Plastic Surgeons is thousands of members strong…with only one high standard to assure you are getting a surgeon who is qualified to perform your procedure.

Do Your Due Diligence  – Surgery of any kind is a serious event and you should want the most qualified surgeon performing your procedure.  You can “google” the doctor/surgeon you are considering and check credentials, qualifications, experience, testimonials and more before making a final decision to use that physician. Surgeon’s Websites should be comprehensive including education, training, medical degree(s), fellowships, experience and qualifications.  Know before you go!  https://www.davinciplastic.com.

Cosmetic v Plastic Surgery…there is a difference.  Cosmetic surgeons have considerably less training whereas a “plastic” surgeon gets 5-7 years of specialized surgical training.  Cosmetic surgery seeks to improve the aesthetic appearance and Plastic surgery is used to improve/restore function and reconstruct after trauma or illness.  Plastic surgery can include “cosmetic” procedures also.

Ask the right questions:  1) Is the surgeon Board Certified…which boards and for how long?   2) Does he/she have hospital privileges?  3)  Is their surgical suite certified?  4)  Does the surgeon practice within the scope of their chosen field?

Look at Patient Portfolios…a picture really is worth a thousand words! 

Revision surgeries are on the rise…because unqualified doctors and beauty beauty professionals are doing procedures they have no business doing! Every year, my colleagues and I see more patients desiring “revision” surgeries to undo the disappointing, disfiguring damages inflicted upon them by the hands of unqualified doctors and so called professionals.  Please trust your face and body only to a qualified plastic surgeon!

Well, this blog is a bit long….but I couldn’t leave out any of the info included.  Please read and consider.

Enjoy the sun…with the right precautions! shutterstock_45617737

Best to you and yours,

Steven Davison M.D.

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

Get Gorgeous Lips…with curves in all the right places!

When I counsel patients about lip enhancement (augmentation) they ask questions like these:

1) How do I get fuller lips?  2)  What if the injector “overfills”,  3) Are filler injections the best way to go for lip rejuvenation  4) I want sexy lips again…I hate that my lips of my youthfulness have become thin lines,  5) How well do hyaluronic acids work to defy aging  lips and to restore beautiful, youthful lips?   …… and many other questions.

On my website: www.davinciplastic.com, you can read the whole story about lip enhancement.  It is an age defying procedure I’ve been doing for years and can achieve natural looking, youthful results for my patients.

First, you can get fuller lips with injectable fillers that restore volume, fullness and youthful shape.  Hyaluronic acid has been used for decades.  It is safe, effective and does not create/leave nodules in the skin like some other fillers can do.  For fuller lips, hyaluronic acid materials are the best.

Having an “expert injector” such as myself ensures you get accurate injections, in the right amounts and in the right places.  As a trained, qualified, experienced expert injector…I review the complex anatomy of the face with you and we design a specific treatment plan to achieve the results you want.   Patients often come to me with “overfilled” lips….commonly called duck lips.  This is typical of salon/spa or inexperienced people performing a highly skilled injectable procedure.  Know what you are getting!

SEXY LIPS at any age are possible by doing as celebrities have been doing for decades;  start early and continue having small anti aging things done on a regular basis to keep you looking several years younger no matter your age or season in life.  I work with my patients to achieve realistic outcomes that will look natural and be functional at any age.

LIPS … HOW THEY SHOULD LOOK…the lips should have a natural fullness to them with a fairly well defined cupid’s brow.  Knowing when to use fillers and how to use them is critical.  I have years of experience in creating facial balance on the complex facial canvas.

ADDED BENEFITS FROM LIP ENHANCEMENT…include eliminating lines and wrinkles around the mouth and in the nasolabial fold, and of course, the smoker’s lines above the lip can go away with HA injections for lip enhancement.

Come on in and let’s chat about what’s bothering you…I blog on all of my procedures so you can access that info easily.

I love helping people keep their best face forward!

Steven Davison M.D.

“DAVinci..it’s where we combine the supreme elements of art and surgical science.”

Lip Augmentation…the right way to enhance the lips with hyaluronic acid fillers or fat (fat is great) adds volume to make them bigger.  The key is in not adding too much volume because it can make them look “overdone” or like “duck lips” and facial balance is lost.   I’ve written about facial balance…see recent blogs to get up to speed on that.

Top Five Reasons People Choose Rhinoplasty Surgery…A.K.A. “Nose Jobs”

NO TWO NOSES ARE ALIKE!  Every Rhinoplasty surgery is individualized and is very complex and difficult.  But, the rewards are significant.  A nose surgery can offer subtle or very dramatic results to your overall look and can correct nasal function.  However, since every nose is different, an experienced surgeon and the patients’ realistic expectations are a must otherwise, some patients are disappointed with the results of their surgery and request “Revision Rhinoplasty.”  Revision Rhinoplasty differs from primary surgery and is typically a more difficult surgery.  It is performed to correct deformities or imperfections from the primary surgery which altered the nose thus making revision results less predictable.  I perform countless nose surgeries and am always grateful for good outcomes.

OK…the top 5 reasons people have nose jobs:

1) to correct asymmetries or depressions in the nose

2) for displaced implants or cartilage grafts that make the nose look bulbous/round

3) to correct nasal obstructions hindering breathing

4) Nose is too large, too small, too long, too wide, flared nostrils etc……

5) nasal tip has drooped…making projection inadequate, out of balance

The nose is the most prominent facial feature and can either enhance other facial features or distort them.  People who choose Rhinoplasty share a common concern about the appearance or function of their nose and desire for overall facial balance.

Good candidates are people with realistic expectations, who are in overall good general health and who understand that surgeries of the nose are difficult and rarely achieve “perfect” results.  We strive for safe, natural looking results.

REASONS REVISION RHINOPLASTY IS MORE CHALLENGING THAN PRIMARY RHINOPLASTY SURGERY:

  • Geography is altered due to cartilage removal during the first surgery
  • Cartilage needed for repairs then has to be borrowed from somewhere else
  • Borrowing cartilage requires an extra incision
  • Scar tissue has formed from first surgery…this presents challenges
  • Little spider veins (telangectasias) often occur in second surgeries
  • Revision is very detailed/complex as nasal form must be restored and breathing mechanisms must be repaired
  • These challenges increase surgery time
  • Few surgeons are highly trained or specialized in nasal revision surgeries

As you can see, Revision Rhinoplasty may have its own set of special considerations, but it can also be the most rewarding surgery….making it one of the most often performed procedures year after year.  See my website for complete info: www.davinciplastic.com.

NECKLIFT is at the top of the “most wanted” list also.  Many people have Necklifts done in combo with Lip Augmentation for wonderful, youthful looking results and balance in the lower face.  If done in your 50’s or 60’s, a NeckLift removes the excess, loose skin that is a dead give away to your true age! Liposuction removes the excess fat and the necklift procedure lifts, excises excess skin and tightens sagging muscles to restore 10 years of youthfulness.

Are you considering some cosmetic of functional procedure?  Are you ready for those Family Reunions, Graduations, Weddings, Spring events, beach/family times and more?  Now is the time to get started!  Let’s talk soon.

Stay Well and Keep Your Best Self Forward!

Steven Davison M.D.        20864_132933510071077_4447800_n

Ultimate AntiAging Road Map

shutterstock_54370510Men and women of all ages have a myriad of age reversing, rejuvenating options from which to choose.  Each option offers its own unique benefits.  Choosing the right one or combination of options involves figuring out what’s best for your needs and not someone elses.  No “cookie cutter” treatments offered here. MEN ARE GETTING TREATMENTS NEARLY AS OFTEN AS WOMENNO MORE TABOOS! Careers demand it and Generation X chooses to include cosmetic procedures as part of their normal health maintenance regimen because they want it.

AREAS of FACIAL AGING… THE EYES show signs of aging early.  These signs include: lines, wrinkles, furrows, hollows, severe under eye bags, sagging upper eyelids, forehead parenthesis and furrows and skin that is losing elasticity (crepey looking).

Treatment Options include:  Injectable fillers for volume replacement, to encourage collagen renewal and restore contours; Botox to stop lines and wrinkles from forming and to smooth out the skin, Blepharoplasty and Browlift surgery to correct both the upper and lower eyelids by removing excess skin, excess fatty deposits, to lift brows back up and restore youthfulness to the forehead and brow/eyes.

Blepharoplasty surgery corrects severely drooping brows and hooding of the upper eyelids. When fillers and Botox no longer work or treatments are started too late, Eyelid surgery is the best option, especially if excess skin is undermining your vision. In this case, it is done for “functional” purposes as well as cosmetic restoration.  Men, especially, seek out eye surgeries to correct these problems, to look and feel younger and healthier.

CHEEKS OFTEN BECOME FLAT, SUNKEN and SAGGY – CHEEK AUGMENTATION is among today’s most popular age reversing options.  For flat, sunken cheeks both hyaluronic fillers and collagen stimulating fillers can add dimension and nice definition.  Augmenting the cheeks improves the appearance of the eyes by addressing volume loss.   Often fillers work and if not cheek implants will. Sagging cheeks require surgical lifting and tightening of the underlying muscle and tissue and is often coupled with  injectables for ultimate and long lasting results.

INJECTABLE FILLERS and SURGERY   Injectable fillers usually offer immediate and ongoing results as collage production is stimulated and hyaluronic acid fillers replace volume by attracting water.  Surgery results can be subtle or dramatic and last indefinitely.

NOSE and RHINOPLASTY SURGERY vs FILLERS   Injectables can correct certain nasal deformities and small irregularities. For example, we can add height to make a hump less noticeable. A good looking nose improves the facial profile allowing certain features to pop out more.  Surgery is needed when there are functional issues and flaws that fillers can’t handle. Injectables are amazing, but are not curealls.  https://www.davinciplastic.com.

NOSE FLAWS MEN WANT CORRECTED include a deviated septum, bulbous nose tips, crooked noses from being broken, pitted and scarred areas, humps and bumps from injuries or birth and others. Functional correction is key with men.  They don’t like noses that don’t work right.  So, I do many Rhinoplasty surgeries and non surgical nose jobs also.

Remember the “fun in the sun” tips….lots of water to drink (stay hydrated), sun screen, umbrellas, anti oxidant snacks like raw fruits, sun glasses, avoid glare from the water…the sun is hottest between 11:00 am and 2:00 pm.

MOMMY MAKEOVERS for WEDDINGS, GRADUATIONS, CORPORATE MEETINGS,  shutterstock_56016064PTA, FAMILY REUNIONS, CLASS REUNIONS, FOR YOURSELF.  Let’s get you scheduled and looking/feeling great again.

Best to you and yours,

Steven Davison M.D.

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

FACELIFT SURGERY for SAVING FACE

Often patients ask me: “Do I need a facelift?”  Couples are having surgery together...

Besides not liking the visible age related changes when looking into the mirror, some valuable guidelines can help determine when it’s time for a surgical facelift. Unwelcome Visible signs of facial aging include: lines, wrinkles, deep etched grooves, hollow cheeks and sunken eyes, thin sagging skin, a poorly defined neck/jawline often with “Turkey Wobble”, sagging eyelids and undereye bags and more.  These are the conditions that send men and women to plastic/cosmetic surgeons for a facelift, if injectables and other mini treatments are not appropriate.

AGING and YOUR FACIAL SHAPE:  Each shape affects how a face will age.

  • OVAL FACE … will experience hollowing at the temples and in the cheeks due to fat loss.  Fillers can correct this if started early enough and if needed a Mid-Facelift corrects sagging.
  • ROUND FACE…Cheeks and lower face tend to sag.  A lower Facelift addresses this while fat or fillers resculpt the hollow cheeks.
  • RECTANGULAR OR SQUARE FACE…usually loose skin and sagging jowls are the most prominent issues.  A Traditional Facelift is usually the best option to effectively correct this extensive aging.
  • HEART SHAPED FACE…aging appears first in the forehead and upper eyes. The high cheek bones of heart shaped faces tend to age slower than in square faces  with flat cheekbones.

WHAT ABOUT SURGERY AT AN EARLY AGE?  The trend for the past decade has shifted;  people are getting cosmetic procedures sooner, some at the first signs of aging, rather than later when more extensive work is needed to restore youthfulness.  Celebrities have been teaching us for decades that starting with small procedures early can slow down the appearance of aging and…keep you younger looking always!  Seniors, Boomers and Generation Xer’s are starting mini procedures in their 30’s, with periodic maintenance, and more as needed in their 40’s and no later than 50’s.  Visit my website to peruse the many anti aging options available: HTTP//:www.davinciplastic.com.

STARTING EARLY LEADS TO BETTER, LONGER LASTING RESULTS.  It allows patients to look fresher and younger from the improvement made now rather than dealing with greater aging challenges later in life.  They are getting facelifts along with fillers and Botox and are “looking great!”

WHAT YOU NEED TO KNOW…BEFORE YOUR SURGERY  –  1) Realistic expectations are essential!  Don’t expect to look 20 if you are 50.  The goal of surgery, in particular, is to  make you look refreshed, more youthful and to fix laxity, hollows etc. Know that a facelift does not always eliminate every single line and wrinkle.   2) Scars are inevitable in spite of our refined techniques and precision instruments.  But, I hide them so often they are not visible while they fade away or blend in.   3)  There is some “downtime.”  For traditional facelift surgery plan on 2-3 weeks before resuming normal activities.  Each case is different, but that’s a reasonable norm. It can take a few months for all swelling to resolve and for your facelift to really settle in.   4)  Learn what can and cannot be fixed/corrected.  The consultation is critical for arriving at an honest understanding of my patient’s concerns, goals and expectations. I believe in educating them as to their options and outcomes.

So if when you look into the mirror you see lines, wrinkles and deeply etched grooves, sagging skin, sunken eyes, loss of facial volume, changing jawline, disappearing neckline and chin…let’s talk about your options sooner rather than later!

Best to You and Yours,

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.