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Breast Implant Malposition Explored

Coming out of Breast Augmentation, there is much care taken for you to have the best results possible. A lot of complications can be avoided by putting yourself in expert hands. I’m triple board certified and specialize in Breast Augmentation, revision and reconstruction. You have the best chances for the best outcome with us.

One of the complications of Breast Augmentation that we strive to avoid is breast implant malposition. This is when the implants move out of their correct position, either immediately or over time. It isn’t extremely common, but when it does happen, there are usually a few reasons and options for correction. If you’re aware of them, you can help avoid or identify them as early as possible for correction with Breast Revision surgery.

Here is a guide for the possible reasons for implant malposition:

  1. Not allowing yourself to properly heal. With the pressures to return to work and daily activities, especially for mothers, you’re faced with the difficulty of allowing your body enough time to heal. Everyone heals at different rates. This can take from 3 to 6 months, up to a year to completely recover. Taking proper care of yourself during healing and wearing the correct bra support is crucial. Usually breast implants are positioned high with the intention of them dropping, or “settling” into the proper place as they heal. Wearing underwire or push up bras during this time can prevent them from doing this properly and they could stay unnaturally high. This “riding high” malposition is usually a tell tale sign of Breast Augmentation and can also cause nipples to appear irregularly low or pointed downward.
  2. Your body shape, particularly if the ribs are more prominent or uneven, they could push the implant into a different position even if the implant pocket is positioned correctly. Ribcage prominence and scoliosis are some things surgeon should take note of and make accommodations for in surgery.
  3. If breast tissue is not strong, implant size can sometimes contribute to a low malposition where the implant seems to be falling out of the breast pocket. This isn’t the only reason low malposition occurs, but there is a higher risk of this with larger implants because the extra pressure can thin out the bottom of the breast pocket. The inferior position or “bottoming out” of an implant empties out the top of the breast of any fullness and often points the nipple too high.
  4. Capsular contracture is the most common reason for implant malposition. This occurs when the tissue surrounding the pocket containing the breast implant hardens. This constricts the implant and pushes it into a variety of ways that can look abnormal and be uncomfortable:
    1. This could be one of the reasons the implant would be pushed upward.
    2. Implants squeezed laterally into the armpits will look unusually far apart.
    3. When implants are pushed inwardly toward the center of the body this is called synmastia. The breast could be positioned inward or the implant could slide out of the pocket and bubble under the skin to look like a “uniboob.”
    4. Capsular contracture could also squeeze the implant into an irregular shape with unnatural curves or indentions.

If you are experiencing any of these unfortunate malpositions, in the correct expert hands, Breast Revision surgery can restore your hope, confidence and your breasts to a beautiful, natural appearance. Let’s talk about how I can help you. Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.

Board Certified Plastic Surgeon

Choosing the Best for Your Breast Reconstruction After Cancer

One of the many considerations of breast cancer that requires a mastectomy is Breast Reconstruction surgery. This can be a time of overwhelming choices and so my goal with each Breast Reconstruction patient is to provide compassionate care and the best natural looking results possible. This is a specialty I give the utmost attention to and have developed knowledge and skills that have provided beautiful results that have been very healing and satisfying to many clients.

Why Reconstruction?

While considering being in surgery again most certainly is not appealing after going through cancer treatments, I have found that it does help empower women to regain their feelings of femininity and sense of normalcy. Most times I’m helping to rebuild a breast mound after lumpectomy or mastectomy surgery, however I can also correct previous breast surgeries and nipple replacement.

Deciding on the Surgeon

Through my many years of experience and artistry, as well as using the most sophisticated and cutting edge techniques, I can help to create natural looking breasts to enhance body shape. Breast reconstruction surgery requires a thorough understanding of the intricacies of the human anatomy, as this is not the same process as the standard Breast Augmentation. I have extensive experience and years of specialized training in Breast Reconstruction surgeries to provide my patients with the most beautiful, natural looking results possible.

Making Decisions

Working alongside your oncologist, we will patiently and thoroughly discuss your options regarding Breast Reconstruction surgery. We will cover many topics, such as the possibility of performing Breast Reconstruction at the same time as the cancer removal under the same anesthetic, or if we should wait until after other treatments.

You also have options as to what you’d like to replace the breast tissue with, including your own living tissue from an area with some extra to spare, such as your inner thigh, or implants made of silicone or saline. All of these can be used to create beautiful, natural looking breasts. The best choice differs for each individual based on many factors so we will discuss this extensively. Some of these factors are (but not limited to):

  • cancer type
  • stage of breast cancer
  • your personal preferences
  • overall health

If you’re considering Breast Reconstruction after cancer, and you’re looking for compassionate and expert care for the best results possible, please visit our website to schedule a consultation at www.davinciplastic.com.

Sincerely,

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

 

 

Choose Your Breast Augmentation Surgeon Carefully

You can do all the research on the best implant, placement and incision for your breast augmentation goals, but if you don’t have a board certified surgeon with experience and artistry, then your results likely won’t be what you’d hoped for. This is why it is so important to choose your surgeon carefully. What sets a surgeon above the rest?

Credible Education and Board Certified
The surgeon must have the appropriate training and certification. Board Certification is a must. When you choose a surgeon like myself, who is triple board certified, you can rest assured you’re in the best hands possible. I am the only such surgeon in the tri-state area and one of only a handful in the United States with this level of triple board certification.

So What Does “Board Certified” Mean?

Actually not all certifications are equal. The American Board of Medical Specialties (ABMS) has the highest standards, and is what I’m certified by. With an ABMS certification, you can be assured that the doctor has voluntarily submitted to this extra process to demonstrate a commitment to excellence in their field:
1. graduated from an accredited medical school
2. completed at least 5 years of additional training as a resident surgeon in a program accredited by the Accreditation Council for Medical Education or the Royal College of Physicians and Surgeons of Canada
3. passed comprehensive written and oral exams

Caring and Concise Consultation
Since Breast Augmentation is the most frequently performed cosmetic surgery, I get a lot of questions on the many aspects of this highly personalized surgery. Even though patient knowledge and understanding of breast implants can give us a starting point, you’re ultimately trusting the first hand experience and practical knowledge of your surgeon to help you achieve your personal goals.

Part of that experience is the ability to listen and communicate about goals and expectations. I encourage my patients to bring pictures of what they want and don’t want. Also, you are welcome to see lots of examples of my work.  In addition to discussing your health history and the results you’d like, it’s important to get to know you in terms of your lifestyle. Lifestyle choices and activities, such as drinking, smoking, diet, vitamins/herbal supplements, working out, horseback riding, etc. are important factors.

Credibility Among Peers and Clients
Besides checking patient reviews, it’s important to consider what kind of reputation the doctor has in their field amongst peers. I have always been on the cutting edge of my field, as a professor, examiner, and writer of more than 100 clinical papers in my field. Also, I have given more than 95 national and international lectures. Some of my greatest acknowledgements have been:

… Receiving the nomination by my peers in the Washingtonian for both “Best Doctor” in plastic surgery and breast reconstruction

… Being rated currently as a Castle Connolly best surgeon and an “America’s Top Surgeon”
… Have the honor of my patients choosing me as “The Best Plastic Surgeon” of DC and “Number One Doctor” for many      years in a row

As you can see, you can trust that your Breast Augmentation is in the best hands with a surgeon like myself. Visit www.davinciplastic.com to set a consultation today.

Steven Davison M.D.
Board Certified Plastic Surgeon

 

 

 

 

 

 

Breast Augmentation with Fat Grafting

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

 

 

 

 

 

Mommy Makeover: The Best Breast for You

One of the most requested aspects of the Mommy Makeover is the Breast Augmentation. This is one of the most noticeable areas of the body that takes a toll through the weight gain of pregnancy and especially breastfeeding. While breastfeeding provides the most wonderful nutrients and bonding with baby, the effects on the breast are quite evident. The most common complaint is the early aging to the breasts due to looking deflated and sagging. This is happens as the skin is stretched from being filled with milk and then when breastfeeding is done, the deflated breasts hang flatter and lower.

– If you’d like your breasts to return to their fuller, youthful, more perky pre baby days, or even to enhance your breast to be better than before, a Breast Augmentation can help.

– Breast Augmentation is the only way to increase breast size for the long term, and it also addresses the positioning and shape that can give the body an overall more proportionate look.

ARTISTRY… This is a highly personalized surgery and so there are many options to choose from regarding the material, size and shape of the breast implants. One of the main choices is to decide on Saline or Silicone implants, which both are shown to be safe, effective and dramatically improved over the last few years. The expertise of your surgeon will help you in making the right selection for your goals, and in the hands of an expert like myself, the artistry of placement and ability to understand how the implants will settle is crucial to the final result.

SURGERY…There are also incision and placement options for how the surgery is performed, based on the size, material and scar location desired. The placement of the implant can either be above or below the both the pectoral muscle and the overlying breast tissue. Which on is best for each person differs, depending on the amount of breast tissue already present, drooping, position and size desired. These factors are also considered for the incision options:

Inframammary Incision, which is the most common method. The incision is placed in the fold under the breast.
Axillary Incision is made through the armpit, which requires use of an endoscope for the implant placement.
Periareolar Incision involves inserting the implant through the incision made in the areola, or darker skin surrounding the nipple.
Umbilical Incision utilizes an endoscope to insert the implant through an incision in the belly button.

RECOVERY… It is very important for moms to have a support system in place after any surgery to help with the children and domestic affairs. The end result of a Breast Augmentation can be dramatically affected if proper healing isn’t allowed. Like with any major surgery, there will be a period of discomfort that can be managed by oral pain medication. During this time, it is necessary to wear a support bra and may be necessary to have tubes in the incisions to help drain off excess fluid for a day or so. Recovery typically takes about a week while breast shape begins to settle within six weeks, although it could take longer.
My patients have confirmed time and time again, that the recovery is worth the results. The body satisfaction and femininity restored are a great reward. To set up your personal consultation to discuss how a Breast Augmentation can help you achieve the best breasts for you, visit www.davinciplastic.com.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Bikini Worthy Belly Button

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

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

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

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

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

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

Steven Davison M.D.

Board certified Plastic/Reconstructive Surgeon

 

 

 

Lipomas Removal…Quick Squeeze Method

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

Other names for lipomas (types) include:

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

METHODS OF REMOVAL

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

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

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

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

QUICK SQUEEZE LIPOMA REMOVAL

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

 

LIPOMA STUDY

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

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

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

Dr. Davison

 

 

 

For Breast Reconstruction or Revision…Natrelle 410 Implants Will Keep Everyone Guessing!

Since Angelina Jolies public announcement, and Brad Pitt’s comments about her double breast mastectomy, removal of both breasts as a “preventive” measure against developing breast cancer…I’ve decided it’s a good time to discuss today’s most popular…most natural cohesive (gummy bear) breast implants.

Natrelle 410 Ultra Cohesive Breast Implants are the most popular in the world today…chosen 2:1 by women having breast reconstruction surgery (after cancer treatment and breast removal)…and by women having implant revision surgery.  The Natrelle 410 also has more “loyal” physician advocates than any other single breast implant in the world!

WITH NATRELLE’s 410 COHESIVE tear shaped BREAST IMPLANTS…YOU WILL ALWAYS KEEP THEM GUESSING!  shutterstock_45617737

The 410 Implant was the very first highly cohesive…anatomically shaped implants and they are now referred to as “gummy bears.”  They have been in use throughout Europe since 1993 with wonderful results.  Natrelle 410 offers 12 shapes for a given volume.  I love them…my patients love them… for many reasons!

  • Natrelle 410 Implants…mimic the natural breast the best
  • They are the implant of choice today for women having breast reconstruction surgery
  • For breast implant revision surgery…the Natrelle 410 is top choice over all implants
  • It’s “tear drop shape” contours resemble the curve of a woman’s breast
  • The highly cohesive gummy silicone filler “holds together” uniformly to prevent migration in the event of a rupture (rarely occurs according to years of studies)
  • 12 shapes for a given volume enables patient/surgeon to be very specific in shape selection…for every single patient
  • Natrelle 410’s are chosen 2:1 by patients because they feel the most natural….soft to the touch
  • It’s the #1 shaped gel implant chosen by surgeons in Europe and Canada…where it’s been available for years  (the FDA just approved it in the US in February, 2013)
  • The textured surface means it will stay where it is placed beneath the breast
  • The implant surgery requires specialized training and skill…I am one of a select group of surgeons currently allowed to offer the Natrelle 410 implants to patients.

Highly Developed Method…used for selecting the ideal implants for each individual patient….no cookie cutter methods here!  Also, incorporating my Vectra 3D Computer Imaging program empowers my patients to see actual potential results…before having surgery.

Hand in Glove Fit! Selecting the right implant is the first step to achieving your desired outcome…Second is “surgical technique and skill.”  Added years of specialized surgical training and years of great success and natural outcomes in reconstructive breast surgeries…have given my patients have the highest level of confidence in my abilities…strong enough to send their friends and loved ones to me also.

OK…been thinking about implant revision/replacement…or have you been through a mastectomy?  Let’s talk…

Spring Graduations, June Brides, New Mommies, Class Reunions, Career Changes, normal facial Aging is really showing…Beach Days are here…are you beach body ready? …and many more reasons to get that Breast Augmentation scheduled, to have a Mini Facelift, to keep them guessing with Botox treatments or have an “instant liquid facelift.”  Take 10 years off the face with an Eyebrow/Forehead Lift…removing years of aging with an Eye Job (Blepharoplasty) or a Nose Job…come on and let’s get to work. See complete info: https://www.davinciplastic.com.

Helping You Keep Your Best Self Forward….best to you and yours.

Steven Davison M.D.

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

QUICK FIXES to MAKE YOU LOOK and FEEL YOUR VERY BEST for Weddings, Graduations, Reunions, Travel, Beach Days and EVERYDAY!

shutterstock_65938825May is nearly gone but many people are still looking forward to end of year school programs, Jr. High, High School and College graduations, Proms, June weddings, Family Reunions, family travel, beach days and just everyday.

This time of year people look into the mirror and decide they don’t like what they see.  A fast paced career, Mommy responsibilities, corporate pressures, too little sleep, poor diet and more all create stress and stress shows up in the face without fail!

If you are tired of looking tired and older than you feel or really are, there are many facial quick fixes available to give you a more youthful, refreshed look, without surgery and little to no downtime. You can be ready for that big event and you can look your best!

CONSIDER: Instant Filler Facelifts. 

  • An Injectable Liquid Filler Facelift instantly erases lines & wrinkles, while lifting & contouring the face to resotre youthfulness without surgery.
  • The forehead and eyes can be refreshed by using the right products around, between and under the eyes.  Really, “The Eyes Have It.”
  • MidFace filler injections restore cheek volume, which also has a “lifting” effect.  The right filler can eliminate those deep grooves in the Nasolabial folds
  • I erase lipstick lines, smoker’s lines, jowls and augment the chin . The right filler transforms this area and you look years younger.
  • Injectable Filler Lip Augmentation instantly creates beautiful, youthful lips with curves in the right places.
  • A nose bump can disappear with a few quick injections
  • I offer my patients only today’s best, reliable products that work to rejuvenate an aging face without surgery and little or no downtime.  These include:  Juvederm, Restylane, Radiesse, Botox, Sculptra Aesthetic, Fat Grafting and more.

SPA Treatments such as microdermabrasion, facials and laser procedures can correct pigmentation issues, get rid of spots and correct problems with skin pores, lesions and more.

See my website for complete information on all procedures we offer at DAVinci.  www.davinciplastic.com.

There was quite a stir after Angelina Jolie’s announcement about her double mastectomy.    This decision, after learning she was BRCA positive, reduced her risk factor by 89% for ever getting cancer. Being BRCA positive means that mutated genes put her at high risk for several female cancers, breast cancer being the primary concern.  I’m specialized in Breast Cancer and Breast Reconstruction surgery.  I never enjoy learning that a woman needs the benefits of my skills, but I’m so glad I have the knowledge and expertise to successfully rebuild beautiful, natural looking breasts that renew her self esteem and confidence.  Natrelle 410 Breast Implants are my first choice for women in this situation.  I also recommend them to every patient desiring Breast Implant Revision Surgery.  They simply are the most natural looking, safest, longest lasting available today.  I’ll blog on Breast Implant Revision Surgery soon.

Look for a new blog on “People Traveling to DAVinci for Premium Plastic Surgery Procedures.  We help people, from around the world, to realize their anti aging goals, or to overcome challenges after cancer or trauma and for Revision Facelifts, Revision Rhinoplasty (NoseJobs) and other procedures that need to be corrected by a qualified, experienced surgeon.

ARE YOU BEACH BODY READY?   There’s still time.  Let’s talk.

Remember “Sun” precautions…hats, sun glasses, sun screen, plenty of clear water, and don’t over do it.

Best to you and yours.

Steven Davison M.D.

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

People travel to D.C. from around the world for Dr. Davison’s Premium Plastic Surgeries

shutterstock_59992843International travel for the purpose of having some “specialized” cosmetic procedure is very common today. At DAVinci we have a significant family of International patients and that trend is growing weekly.  Patients from around the world come to us for the “Premium” procedures we offer including refined surgical techniques and results they love.

Often, people book Medical Vacations because they want the privacy, a little get away and because they think “it’s a better deal.”  Many of them regret the face or bad breast job they now have to live with, until they show up in my office for “Revision” surgery.  I recently blogged about Revision Rhinoplasty (nose jobs) and Revision Facelift surgeries and Revision Breast surgeries using the premium Natrelle410 implants.  Please refer to those blogs for more info.

INTERNATIONAL PATIENTS TRAVEL TO DAVinci for “peace of mind” knowing I am skilled and qualified to perform the often delicate, difficult procedures they desire. I can and do perform these amazing procedures because I am specially trained in plastic and facial plastic surgery and am experienced to do so.   Beware of media ads promising affordable breast implants, facelifts, nose surgeries and more.  Know before you go that you are in trustworthy hands!  Look at the education, training, certification and experience of the surgeon you are considering.

PATIENTS TRAVEL to DAVinci for PREMIUM PLASTIC and FACIAL PLASTIC SURGERIES Things our international patients know about DAVinci: 1) We do complete detailed planning and a tailored treatment plan for each patient.   2) Our medical team has years of experience and are highly qualified  3) All surgeries are performed in an AAAASF or JCAHO certified surgical suite fully equipped with world class technology/precision instruments…same as a hospital  4)  I am triple board certified and fellowship trained and teach other surgeons globally the specialized techniques I developed and use  5) Each patient is followed closely with ongoing post procedure care  6) Many patients combine the medical treatments with a mini vacation to enjoy the many sights and sounds of the beautiful Washington, D.C. area  7) I only perform procedures within the scope of my ability and expertise, 8) The FDA, as overseer of all things medical in the USA protects against procedures being offered that may not be safe & effective .

Our patients proudly show off their results everywhere they go…as soon as can!

PREMIUM PLASTIC and FACIAL PROCEDURES offered at DAVinci include:  Revision Facelift Surgery,  Revision Rhinoplasty surgery and Breast Augmentation using Natrelle410 supreme implants.  This includes revision breast surgeries to replace old or problematic implants, reconstructive breast surgery following mastectomy for cancer or prevention (see blog on Angelina Jolie) and other reasons.

PEOPLE TRAVEL TO DAVINCI BECAUSE Revision Surgeries are difficult and more complex than the primary surgery.  Scar tissue and rearranged anatomical features as well as normal age related changes have to be dealt with.  Most surgeons are not educated, trained or experienced in dealing with revision surgeries.  See https://www.davinciplastic.com.

PEOPLE TRAVEL TO DAVinci because they know their results will be supreme and the support they receive is the best! From the first contact by phone, face to face or eMail, and for the rest of their lives…our patients have come to trust and rely upon the “reliable” medical skill and sensitive, caring family we are…all of us from all around the world!

FIRST TIME READING MY BLOGS?  I’m Steven Davison, M.D. specially trained in plastic and facial plastic and reconstructive surgeries.  Our office:  DAVinci Plastic Surgery is located in wonderful Washington, D.C. and here’s my website for complete info:  http:www.davinciplastic.com.

Hope everyone’s summer is going well and you are healthy and happy.

Steven Davison M.D.

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

TOP MYTHS about TOP BODY REFINING PROCEDURES…

shutterstock_50309701FLAT, TIGHT, TONED, FLAB FREE…what ever your goal is for your body sculpting treatments, especially for the midsection, knowing what really works and what is not so effective makes a big difference.  There are always “myths” attached to popular procedures whether they are surgical or non surgical.  I want to cover a few of those in this blog to empower your mission in Body Sculpting, Refining, Reshaping…or whatever it may be.  Hands Down the best way to achieve a flat, toned tummy is with a surgical Tummy Tuck (Abdominoplasty).  Read on!

TOP TUMMY MYTHS:  1)  A Tummy Tuck can make you constipated.  Wrong!  TRUTH: When done properly, a tummy tuck should have no bearing on your digestive tract since no incisions are made near the digestive system.  The only time problems arise is if a large hernia exists in a nearby space.  If so, it should be addressed.  There is always potential for some swelling in the stomach that could temporarily affect the bowels but in most cases, after healing is complete and you are no longer wearing a compression garment, no problems should exist.   2) You can’t have a Tummy Tuck right after a C Section.  TRUTH:  You should never have a Tummy Tuck right after delivery since time is needed for swelling to resolve and extra weight to be lost.  “Too posh to push” was coined when Hollywood celebrities were electing to have C Section deliveries combined with immediate Tummy Tuck surgery.  Bad Idea!  Both surgeries are invasive and require healing time.  Also, during breast feeding hormone levels are elevated and most new moms have water weight to deal with.  Tummy Tuck surgery should be done about six months post delivery.  3)  During a Tummy Tuck the belly button is removed and a brand new one is made.  Wrong!  TRUTH:  The belly button is never removed during a Tummy Tuck, only the loose, excess skin around it is removed (excised). The belly button is attached to a “stalk” that goes deep into the stomach and cannot be removed.  The belly button may be reshaped and repositioned as excess skin is removed.  In this case, the belly button is simply pulled up through the skin once the tummy has been reshaped and excess skin and fat removed and tightening is done.  It’s the original belly button you were born with attached to the tissue stalk you were given in utero.  www.davinciplastic.com.

shutterstock_45617737TOP BREAST MYTHS:  1)  A Breast Lift is the only way to lift the breasts.  Wrong!  TRUTH:  Implants are often used if your skin is in good shape and sagging is minimal.The right implants offer a nice lift, increased breast volume and reshaping.  Surgery is needed when muscles and skin are too relaxed and stretched. Then surgery can tighten and lift muscles to where they belong, excess sagging skin can be removed and the breast lifted to a naturally beautiful position.  2)  After a breast lift, your breasts will stay perky and in a high position forever.  Wrong!  TRUTH:  Nothing is forever and just like the rest of your body, the breasts continue to age and settle even after a surgical breast lift.  However, the breast lift keeps you looking years younger.  3)  Fat Transfers to the breasts makes your breasts immune to weight changes.  Wrong!  TRUTH:  Just like the rest of your body,  the breast weight can fluctuate for life.

WHAT AGE IS TOO OLD for COSMETIC PROCEDURES?  The better question is:  When is it too late?  Sadly many people wait too long and then require invasive procedures…if they had started when younger…NON INVASIVE would work to minimize the visual effects of aging.  More on that in future blogs.

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20864_132933510071077_4447800_nSteven Davison M.D.

Board Certified Plastic Surgeon

MINI EYE PROCEDURES…defy aging, renew beauty, restore balance

The eyes are one of the first areas of the face where aging becomes highly visible.  The eye area has thin skin and fat deposits, that over time often get lost or displaced, while unwelcome dark circles, hollows and bags develop and become more visible.  This blog continues my short series on “mini procedures” what they are and why they’re here to stay.

If you’re new to my blogs see my website for comprehensive information on the many age defying/health restoring procedures I offer. HTTP://www.davinciplastic.com.

MINI EYELID LIFTS are among the top procedures requested today. They are called by different names such as:  Pinch Lift, Skin Pinch, Mini Eyelid Lift or Skin Pinch Blepharoplasty. Each surgeon has usually developed special techniques for their procedure of choice.

I do full blown eyelid surgeries (Blepharoplasties) and Mini Blepharoplasty procedures.  My mini eye signature procedure is the “Skin/Pinch Blepharoplasty.  This is a conservative eyelid tuck involving skin only and is ideal for patients who desire more space for applying eye shadow as well as a more defined upper eyelid crease.  My Mini Skin/Pinch Blepharoplasty takes about 1 hour: involves some swelling and bruising that resolves by itself over 5 to 7 days, and General Anesthesia is that of choice for this surgery.

Mini Skin Pinch Blepharoplasty surgery does the following:

  • Achieves a modest but natural refreshed look
  • Increases space for applying eye shadow
  • Beautifully, naturally defines the upper eyelid crease
  • Involves the least risks possible
  • Erases a tired look in the upper facial third
  • Refreshes, rejuvenates, renews youthfulness to the eye area

The Limitations include:  bags and eye hollows are not addressed since the fat and muscle is not transposed or eliminated…only extra skin is removed with this mini procedure and it may need future maintenance as many mini’s do.

Here’s a comparison of the “Mini” and “Traditional” Eyelid Surgery:

MINI BLEPHAROPLASTY:  Best for those with good skin elasticity and minimal wrinkling on and around the eyes…without under eyelid bags.  This takes about an hour, healing about 1 week, little to no bruising and less swelling than with traditional. Results last 3 to 10 years.   TRADITIONAL BLEPHAROPLASTY:  Best for those with heavy under eye bags and loose facial skin in the eye area.  Takes from 1 to 3 hours and is one of the easiest procedures from which to recover. Swelling and bruising lasts up to 10 days at which time you are about healed.  Results typically last from 8 to 15 years.

THE EYES ARE THE MOST COLORFUL AND ENGAGING FEATURE OF THE FACE.  THEY CREATE UNIQUENESS AND DEPTH or THEY CONVEY A TIRED, AGING APPEARANCE.    Steven Davison M.D.

ASIAN EYELIDS are unique and require special knowledge, training and skill.  Asian eyelids lack a crease, usually have extra skin or epicanthal web towards the side of the nose.  I have much experience and expertise in creating the ideal eyelid for those subtle needs.

MINI PROCEDURES ARE HERE TO STAY BECAUSE:  they are practical, they work well when started early enough, and often can prevent the need for full blown procedures/surgeries. A major reason also:  our patients have demanded them and we have researched and developed and refined them.

MINI PROCEDURES CAN BE COMBINED:  more often than not patients choose to combine two or more procedures to achieve “optimal results.”  For example:  Mini Skin Pinch Bleph surgery is popular with a Liquid Facelift using today’s miracle power lifters!  Check it out!

MOMMY MAKEOVERS and DADDY DO OVERS are here to stay too!  Let’s talk about your concerns soon!

Best to you and Yours,

Steven Davison M.D.

“DAVinci…where we 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.