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

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.       

International 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.”

Because time and facial aging does not stop after you get a facelift procedure, I get many, many requests for facelift “do-overs” correctly called Revision FaceLifts. There are many reasons patients become dissatisfied with their previous facelift and these distortions often cause self consciousness.  Be it the poor technique chosen, the surgeon’s lack of experience and skills, trauma or illness experienced by the patients, age related changes, no matter the reason, a Revision FaceLift can correct the sagging, aging features and restore a refreshed youthful appearance once again.

Revision FaceLifts are more difficult than the primary surgery due to scar tissue, altered anatomical positions and other unknown factors from the previous surgery that we may have to deal with.  When patients come to me asking for correction of a past facelift, it’s always helpful if they bring the operative report from the primary surgery.  This can give a baseline of information about the exact procedures that were performed and techniques used to do so.

Trusting Your Face to to a Qualified Facial Plastic Surgeon is critical!  Revision FaceLifts are a very complex surgery requiring maximum training and the expertise and skills of someone who has performed many, many facelifts and who does them regularly.  Also, being able to match the right surgery to your specific needs is imperative!  I know.  I see the unhappy results from the hands of unqualified physicians and the despair it causes those wearing the face with less than desirable results.  So, don’t be fooled by the mass advertising today being used to brand certain kinds of facelifts as the latest and greatest…Please understand that “one surgery/procedure does not fit all faces.”

• Revision FaceLifts Correct disappointing results and freshen a previous facelift from years ago.
• Employs new, proven techniques to restore youthfulness
• Is customized to your specific needs & realistic expectations
• Rejuvenates the face & neck again with longer lasting results
• Dr. Davison is highly esteemed among his peers & patients for his vast knowledge, honed skills & surgical expertise
• Patients travel from around the globe to entrust their face to my skilled hands

Revision FaceLift Overview:  After matching the right facelift and technique to your specific needs, I customize your facelift to match your desired outcomes, goals and dreams.  The surgery will be designed to tighten and lift muscles, remove excess skin, remove and/or distribute and sculpt fat to replace volume and restore curves for a truly natural looking outcome.  What to expect after your facelift surgery:  swelling, bruising, numbness and some discomfort is normal and to be expected for several days. Discomfort is easily managed with oral pain medication.  Every day, these issues resolve a little more until one day, you forget about them.   Surgery is performed in a state of the art out patient surgery center that is fully accredited and equipped with all the necessary technologies to perform all surgeries and to handle any situation.

CHOOSING A QUALIFIED SURGEON IS CRITICAL!  Visit my website to check out my credentials: www.davinciplastic.com.

OK.  Feels like summer is here so please remember to “sun protections” I’ve talked about in previous blogs and then go enjoy your family time!

Many patients “travel” to Washington, D.C. for the premium plastic surgery  procedures I offer, including: Revision FaceLift, Revision Rhinoplasty, Breast Implants (revision) and Breast Augmentation…using the revolutionary and superior Natrelle 410 Breast Implants.  Advanced, refined techniques and superior technology is life changing.  Watch for these blogs.

Stay safe and be healthy.

Steven Davison M.D.

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

Long Lasting Facial Makeovers…Nose Jobs

Well, I’ve been getting you up to speed on long lasting Facial Makeovers, using techniques that effectively remove 10 years from your face, and keep you looking years younger always.  Today, we look at the importance of the nose and how aging affects it and…facial balance.  Nose jobs (Rhinoplasty) is one of the most elegant surgeries performed and can dramatically restore youthfulness, symmetry and balance to any aging face.

Why Rhinoplasty?  Each year hundreds of thousands of men and women decide to have their noses reshaped, repaired and done over for a host of reasons including: injuries that caused a deformed nose and hindered normal nasal function and/or left the nose misshapen (Deviated Septum) etc. Noses change with aging causing a droopy tip or bulbous tip, there may be humps and bumps or “ski slope” appearance; the nose may be too wide, to narrow, too weak and much more.  All these and other concerns  about form and function affect overall facial appearance and often…self esteem suffers.

Facial Balance & the Nose…When the nose is a problem (see above) it usually affects facial balance and symmetry…which is crucial to looking young.  Also, an out of balance nose can highlight a weak chin or other facial defects.  Bringing the nose into correct balance and proportion for your face is done by correcting size, shape and position.

The nose is the most defining characteristic on the face…for this reason nearly one million Americans have nose jobs every year.

Benefits of Nose Reshaping (Rhinoplasty) include:

• To create or restore function
• Give you the nose you’ve always wanted and never had
• Change the size, shape & position of the nose
• Create a more youthful overall facial appearance
• Achieve a harmonious blend with your other facial features
• Can be combined with other facial procedures to optimize your results