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! 

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.”

I’ve written several articles this year about men and cosmetic procedures…because men want the information, they appreciate the education and, they love the results they get from each procedure. The trend is that men are having more cosmetic and reconstructive procedures of every type, every year. Male Gynecomastia surgery is done to reduce the size of male breasts (same as breast reduction in women) for various other reasons.  I perform many of these operations every year to help my male patients regain self esteem, get renewed confidence and a new “physique” they can show off without embarrassment.

DATA:  40% to 60% of all men are affected with enlarged women like breasts

• Male Breast reduction is ideal for men who are self conscious about their condition
• Gynecomastia usually begins during adolescence & continues for life if not corrected
• It psychologically impacts men of all ages…starting in the early teen years
• Causes of large male breasts include:  obesity, Klinefelter’s Syndrome, Gilbert’s Syndrome, normal aging, hormone fluctuations, RX medications, anabolic steroids, impaired liver function

Male Breast Reduction Surgery… Results in a chest that is flatter, firmer, more contoured. Men and boys who suffer with Gynecomastia have found this surgery to be the ideal solution to their problem.  1) Male breast reduction is typically an outpatient surgery performed under general or local anesthesia. 2) I work through one small incision to  and remove excess fat and skin and to sculpt the breast to a masculine appearance. 3) My advanced techniques/skills and experience results in inconspicuous scars. 4) As with any operation, there is some swelling, bruising and discomfort for 2 to 3 days.   Oral pain medication manages this nicely. 5) Final results are seen when all swelling has resolved…usually 2 to 3 months.

Questions Men Ask Most Often:  See my website for info: http://www.DAVinciplastic.com

How much work will I miss?   My patients report back to work in 1 to 2 days.  Choose a long weekend for your procedure.

Will Activities be Restricted?   Yes.  No sex for 1 to 2 weeks following your surgery and no heavy, strenuous exercise for about 3 weeks.    Will Male Breast Reduction surgery change my looks?  NO.  You will look like yourself…just more fit, trim and contoured!

Will Male Breast Reduction negatively affect my sexual activity?  NO…in fact…men report to me it really enhances it due to their renewed self esteem and pumped self confidence!

OK. This gives you a good overview.  Come in soon and let’s talk.

Steven Davison M.D.

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

The reasons women choose to have restorative breast procedures are well stated in these quotes …

“I need to feel whole again,” –  “You have given me back what cancer took away,” – “The reconstruction of my breasts made me feel restored…not reconstructed,”  –  “I want to look as good as I feel,”  –  “I want to look and feel sexy again…and want my husband to see me as sexy.” 

These are but a few of many thousands of thoughts from women who wanted to fully recover from their breast cancer…with a whole body.

Today, I review Flap Procedures (Stage II Breast Reconstruction/Restoration).  There are a variety of Flap Procedures used to restore breasts…not every type is right for every woman, but we determine this after careful and thorough evaluation of your needs and goals.  I tailor each flap procedure to achieve beautiful natural looking breasts. There are four muscle flap techniques as follows:

1) Latissimus Dorsi Flap uses a flap of skin and muscle from the back on the same side as the operated breast.  This is transferred forward to form a breast mound that will look and feel natural since it is your own living tissue.

2) TRAM Flap is the most common form of living tissue  breast restorative techniques used today.  It creates a natural looking, soft, warm breast.  TRAM Flap involves either free flap or pedicled flap techniques.  Pedicled flap means the tissue remains attached to its blood supply.  TRAM Flap procedures employ skin, fat and muscle removed from the lower abdomen and transferred to the chest.

3) DIEP Flap reconstruction employs excess skin and fat from the lower abdominal area, through an incision similar to that used for Tummy Tucks. This is a “perforator flap” technique that is muscle sparing…meaning no muscle function is sacrificed, but warm living tissue is used instead.

4) Gracilis Flap harvests excess skin and fat from the inner thigh to restore natural looking, soft, warm breasts.  This may be a TUT Flap (without muscle) which is referred to as a Transverse Upper Thigh Flap. When a small amount of muscle is required…a TUG Flap is employed.  Either flap can be harvested so the donor scar is discretely hidden inside the upper thigh.

This is a brief overview of the 4 Flap techniques used for restorative breast reconstructions.  Each of them has it’s own virtues… and all offer beautiful, natural looking and feeling breasts.  I have guided many women through making the right choices so as to ensure optimum results.

GOALS of RESTORATIVE BREAST PROCEDURES

Goals are critical to good outcomes.  You must have yours…here are mine: “all cosmetic surgery should be functional & all reconstructive surgery should be aesthetic & look as natural as possible.”  

ADVICE TO MY PATIENTS

Always ask me questions; ask to see pictures of my patients, gather information and consults with trusted mentors, make your decision.   There are NO wrong decisions. Choose a qualified, Board Certified surgeon with specialized training and expertise in reconstructive surgeries.

Next blog will cover Implant Breast Restoration.

Dr. Steven Davison

“At DAVinci…we combine the supreme elements of art & surgical science.”

Well, here’s my chance to “shine” a bit. I don’t usually hang out or post my “brag sheet”…but being recognized among the top doctors of the nation can make a guy feel proud.  In case you’re not aware…I’ve been named as a “Top Doctor” of the Year by the Washingtonian,  the Northern Virginia Magazine, and others, for Reconstructive Breast Surgeries.  Along with that award, top docs must assume great responsibility.  First let me explain the selection process.

Castle Connolly Medical Ltd. is America’s trusted source for identifying top doctors and the best in American medicine.  Their system for selection is rigorous and includes ascertaining critical information about doctors such as: exceptional training, experience and how they are regarded by their peers etc. etc. Top Doctors can have an enormous impact on healthcare for patients and their families….a “Top Doc” can mean the difference between receiving first class medical care and substandard care.  Top Docs rank among the top 10% in the Nation.

The Washingtonian and Northern Virginia Magazine also use these rigorous guidelines for selecting “Top Doctors”…or “Top” anything e.g. restaurants.  Education (not all schools are equal), experience can make a major difference in outcomes, and most important of all…life changing procedural results that patients are happy with, along with peer recognition (being recommended by other doctors)…comes only from years of growing and honing skills while keeping up with advancements.  This is the stuff Top Docs are made of.

 I love what I do, and the greatest reward is always seeing positive outcomes for my patients.  

I am honored and blessed to be able to serve the population in and around Washington, D.C. and I thank each of you for your  years of trust, confidence and support you’ve shown to me and my family.  I look forward to many more years of helping each of you, and your family and friends…and to enjoying the friendships that grow as a result.

Thank You, Stay Well and may God richly bless each of you.

Steven Davison, M.D.

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

BREAST RECONSTRUCTION …in STAGES

Reconstructing a breast is an option chosen by hundreds of thousands of women, around the world, every year due to cancer or other trauma. The techniques we use today are more advanced allowing for less downtime, quicker healing and more natural looking outcomes. The procedure can be done in either one or two stages. I cover Stage I today.

STAGE I:  involves an “tissue expander’ that is inserted immediately following mastectomy.The expander slowly expands the tissue allowing for replacement by a breast implant a few months later.This is called immediate reconstruction since the tissue expander is placed under the same anesthesia as your mastectomy surgery.

Many women choose immediate reconstruction. Others opt to wait a few weeks or months. This is called delayed breast reconstruction.

One decision does not fit all women. Opting for breast reconstruction and the timing…is highly personal. My sensitive nature and expertise has enabled me to help many women make the wise decisions to overcome this otherwise daunting task. My patients quickly understand their options and learn how natural looking form/function and confidence can be restored.

If you or someone you know is faced with this challenge…let’s chat. During the personal consultation, I carefully listen to concerns, desires and goals before making recommendations. My experience enables me to achieve predictable and natural looking results.

IMPORTANCE of BOARD CERTIFICATION & SPECIALIZED TRAINING

Choosing a board certified surgeon, with specialized training and experience in reconstructive surgeries is critical to achieving desirable outcomes. I have the credentials, training, vast experience and many, many happy, healthy patients.

Next blog will cover Stage I…what’s involved.

Dr. Steven Davison

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