“Non surgical nose jobs” have been popping up more and more on Instagram over the last year. As awareness and interest increases, the amount of people asking for this procedure, formally called Non Surgical Rhinoplasty, is bound to increase simultaneously. It is positioned to be one of the top “tweakments” of 2019.

What is a “tweakment”?

A tweakment is an adjustment to your looks to align it with your ideal self. It’s not a complete change of who you are or what you look like, but a small change to enhance your existing features. Tweakments are usually less invasive procedures (though sometimes still surgical) and don’t involve as much recovery or downtime. These usually are performed to help your actual appearance line up with the filtered, photoshopped self on social media.

What is Non Surgical Rhinoplasty?

Rhinoplasty is one of the most popular surgeries because the nose is a flagship feature of the face. When the nose is put into facial harmony, it offers one of the most greatly satisfying results. The change can be quite drastic to one’s appearance, but it usually what is desired. On the other hand, the Non Surgical Rhinoplasty is a quicker, no downtime route to achieving your preferred nose. It uses injectables to achieve the desired small changes, so there is no sedation or recovery time. With topical numbing and extremely precise injections over the course of a lunch break, you’re on your way.

What can Non Surgical Rhinoplasty do?

The injectables fill in curves and bumps, adjust the shape of the tip, and increase the hight of the bridge, which minimizes the appearance of width. Even though hyaluronic acid filler is adding volume, the precisely placed injections can actually make your nose look smaller and straighter.

Who is not a candidate?

Someone who has already had Rhinoplasty or a nose break, may not be a candidate depending on the fragility of the nose blood vessels. Also, if the desired adjustment to the bump or width of the nose is just too drastic, traditional Rhinoplasty would be needed to achieve desired results.

Any downsides?

As with any injectable treatment, there are risks and the results are temporary. Results usually last around a year, give or take, depending on the filler used. Also, if price is a factor then, Rhinoplasty is more cost effective in the long run due to the temporary nature of the fillers. However, some people are willing to incur the cost in order to avoid surgery.

Using injectables for Non Surgical Rhinoplasty is called an “off label” use of the hyaluronic fillers, so this use of them hasn’t been endorsed by the FDA and comes with health risks. For safety reasons, treatments should only address concerns along the bridge of the nose and only be done by expert injectors familiar with nasal anatomy. This ensures that any blood flow is not inadvertently blocked, which can have severe negative affects to the eyes and surrounding skin.

Refining the nose is the one of the most harmonizing effects for refreshing the face. If you feel like your nose is our of balance with your facial symmetry, and you’re deciding if Rhinoplasty or Non Surgical Rhinoplasty is for you, let’s talk it over. Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Many of you have tried on your bathing suit and beach wear…and are not happy with what you see in the mirror or how the clothing fits or doesn’t fit!  This is a common problem every Spring that brings clients into my office for help with getting back into shape.  The blog that follows goes into more depth of concerns and the most commonly chosen options to deal with those challenges.   Read on…then call for your consultation!

Celebrity Body Sculpting or Body Contouring has paved the way for the general population to see, adore and emulate. With increased celebrity presence in the public eye through social media, their influence is much more far reaching. Celebrities have set the “ideal” body types and facial features that are seen as desirable in our culture. So much so, that it isn’t rare to have patients request lips like Angelina Jolie, a nose like Kate Middleton, or arms like Michelle Obama.

Social Media Influence on Younger Millennials
With 2015 seeing the celebrity rise of the younger Kardashian sisters, Kylie and Kendall, their peers took notice of their cosmetic enhancements. With the Millennial generation practically living on Instagram and Facebook, when the celebrities they follow, such as the younger Kardashians, have cosmetic procedures, this greatly contributes their desire to get these procedures as well. Also, the aging prevention mindset is much more present with Millennials who are getting injections and other non surgical procedures in their 20s. This is reflected in the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2015 survey, in which 64% of their members experienced an increase of procedures performed on this under 30 age group.

Other Generations Aren’t Immune
Boomers, GenXer’s and Millennials in their 30s certainly aren’t exempt from the influence of social media on their perception of an ideal body and face. They see the Body Sculpting procedures that celebrities have received and use this as a springboard to creating a younger looking, contoured version of themselves. Relative to their degree of aging, this would include both the non invasive procedures, injectables, as well as surgeries.

What Does Body Contouring Include?
These are some of the most common aspects of Body Sculpting, which can include one or over time, all, of these procedures:

• Injectables
• FaceLift
• Rhinoplasty
• Eyelid or Forehead Lift
• Breast Augmentation
• Arm Lift
• Tummy Tuck

It’s All About You
This array of Body Sculpting cosmetic procedures can help you get the body you desire when you may not have access to a personal chef, stylist, trainer and unlimited financial resources like the celebrities. I want my patients to be healthy and feel good in their own skin. Finding the right Body Contouring procedures for you can build confidence that can help in all areas of life, including the possibility of a job promotion and finding a love connection.

Let’s talk now and design your ideal Body Sculpting Plan so that you can have your best, healthiest body for the summer swimsuit season… and beyond. Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.
Board Certified Plastic Surgeon

Celebrity Body Sculpting or Body Contouring has paved the way for the general population to see, adore and emulate. With increased celebrity presence in the public eye through social media, their influence is much more far reaching. Celebrities have set the “ideal” body types and facial features that are seen as desirable in our culture. So much so, that it isn’t rare to have patients request lips like Angelina Jolie, a nose like Kate Middleton or arms like Michelle Obama.

Social Media Influence on Younger Millennials
With 2015 seeing the celebrity rise of the younger Kardashian sisters, Kylie and Kendall, their peers took notice of their cosmetic enhancements. With the Millennial generation practically living on Instagram and Facebook, when the celebrities they follow, such as the younger Kardashians, have cosmetic procedures, this greatly contributes their desire to get these procedures as well. Also, the aging prevention mindset is much more present with Millennials who are getting injections and other non surgical procedures in their 20s. This is reflected in the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2015 survey, in which 64% of their members experienced an increase of procedures performed on this under 30 age group.

Other Generations Aren’t Immune
Boomers, GenXer’s and Millennials in their 30s certainly aren’t exempt from the influence of social media on their perception of an ideal body and face. They see the Body Sculpting procedures that celebrities have received and use this as a springboard to creating a younger looking, contoured version of themselves. Relative to their degree of aging, this would include both the non invasive procedures, injectables, as well as surgeries.

What Does Body Contouring Include?
These are some of the most common aspects of Body Sculpting, which can include one or over time, all, of these procedures: 

• Injectables
• Facelift
• Rhinoplasty
• Eyelid or Forehead Lift
• Breast Augmentation
• Arm Lift
• Tummy Tuck

It’s All About You!

• This array of Body Sculpting cosmetic procedures can help you get the body you desire when you may not have access to a personal chef, stylist, trainer and unlimited financial resources like the celebrities.
• I want my patients to be healthy and feel good in their own skin. Finding the right Body Contouring procedures for you can build confidence that can help in all areas of life, including the possibility of a job promotion and finding a love connection.
• Let’s talk now and design your ideal Body Sculpting Plan so that you can have your best, healthiest body coming into the summer swimsuit season and beyond.

Visit www.davinciplastic.com to schedule a consultation.

Steven Davison M.D.  

Board Certified Plastic/Reconstructive Surgeon

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

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

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

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

WHY IS REVISION RHINOPLASTY MORE COMPLICATED?

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

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

CHOOSE A SURGEON WHO:

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

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

Steven Davison M.D.

Baord Certified Plastic/Reconstructive Surgeon

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

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

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

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

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

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

Love Your Selfie in 2015

Have you mastered the art of taking a “selfie” yet? These self portrait photos, taken on cell phones, are over populating the newsfeeds of Facebook and Instagram. With the proliferation of the selfie comes a higher self consciousness of the actual image we portray of ourselves. More now than ever, people see pictures of each other through social media on almost a daily basis.

COSMETIC PROCEDURES DUE TO RISE IN SELFIES… One in three plastic surgeons found an increase in procedure requests due to patients’ social media awareness per a recent poll by the American Academy of Facial Plastic and Reconstructive Surgery. Blepharoplasty, rhinoplasty and hair transplants had increased from 6 to 10% from 2012 to 2013.

SELFIE SPECIALTY SURGERIES… Straight noses, bigger breasts and flatter stomachs are still in high demand. And, plastic surgeons are now being asked to correct imperfections that have been brought to our attention due to “social media selfies.” Posting a nice photo of you wearing your new sky high heels will show off your calves, feet, and ankles. If you’re unhappy with how these look, your concerns can be addressed with a calf augmentation; while trimming the ankle fat with microliposuction or even injections in the toes for nice toe cleavage. Hand makeovers are more in demand so that people can more confidently show off some new baubles on their fingers or wrist.

So do you want to take more selfies that you love in 2015? If so, here are some tips for looking great in these self portraits on social media.

KEEPING IT REAL… A real and natural appearance is the Most people want their selfie to look like themselves, just a more youthful, better version. People want more fine, naturally flawless results to look like the best they can for their age. For some people, this may mean more subtle breast augmentations or nose jobs to correct a slight dip in the bridge.

If you feel like you look tired and older than your age, we can talk about an eyelid lift (blepharoplasty) or injections to the tear troughs to brighten and rejuvenate the eyes.
– To correct a thin lipped smile, we can easily plump your pout with hyaluronic injections like Juvederm.

– Voluma XC is great for a cheek augmentation to give the face a mini non surgical lift and to address marionette lines.

– Double chin can be smoothed and tightened with liposuction and a chin lift.

– Get curves in the “right places” with butt and breast augmentations.

– Liposuction and tummy tuck (abdominoplasty) flatten and tighten your midsection so that you can take full body mirror selfies without the belly bulge stealing the show.

HOW TO TAKE A GREAT SELFIE…Here are some tips from the photography experts:

Be yourself, relax and act natural.
Avoid “duck lips” and hand signs.
Slightly angle your face to one side for a slimming effect.
Take the photo from slightly above eye level for a sleek jawline.
Pay attention to what’s in the background.
Natural light is best, but watch the position of the sun since it can cast shadows on the face.

Come in for a consultation so we can discuss how to help you get a selfie you love in 2015. www.davinciplastic.com.

Happy New Year 2015!

Dr. Davison

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

LONG LASTING FACIAL MAKEOVERS

Hollywood has taught us much about keeping our youthful appearance until we die.  Long lasting facial makeovers create or restore facial symmetry, which is crucial to looking young.  Symmetry involves achieving balance between the facial thirds…upper face (eye/brow/forehead), middle third of the face…nose and cheeks and the lower third includes the lips, chin and neck.

THE CHIN & FACIAL BALANCE…CRUCIAL TO YOUTHFUL APPEARANCE

Today, let’s get back to the chin. A sharper chin restore balance, proportion and definition with the middle face,particularly the nose.  Chin implants are often used in a more aged chin to restore lost volume and shape. A sharper, well defined chin is in direct contrast to a chin that has “receded into the neck.”

CHIN AUGMENTATION USING IMPLANTS

Chin Augmentation is a minimally invasive, quick, little or no downtime procedure done in my office.  I make a small incision either in the mouth or right under the chin and work through it to create a pocket for an implant.  Once in place, the implant makes you look years younger forever.

BENEFITS OF CHIN AUGMENTATION:

• Chin Augmentation with implants is safe & effective
• Implants add definition to the jawline…
• Overall facial balance is improved…
• A more youthful appearance is created (for some) or restored
• Liposuction may be part of the process to sculpt the chin & neck
• Neck proportions are readjusted by manipulating/tightening muscles
• I customize implants to meet your specific needs/ & goals

• Patients often decide to combine Chin Augmentation with other facial procedures to optimize their results
• The procedure takes about 30 minutes or a little longer
• There is often no downtime
• I use state of the art instruments & the most advanced but safest techniques

FUN IN THE SUN REMINDERS!

We’re coming into summer so PLEASE remember the skin protection tips I offered in my last two blogs!  Now

 STILL TIME TO REJUVENATE….

If you are looking into the mirror and noticing any of the things I’ve discussed…let’s talk about your FACIAL REJUVENATION now…there’s still time to do some things before summer vacations.

I’m here to help you keep your best face forward!

Dr. Steven Davison

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

VECTRA 3D COMPUTER IMAGING

Well, I am proud  to offer the benefits of this revolutionary break through technology.  Since, more and more men and women of all ages and stages in life are coming in for anti aging procedures, it became clear that a more effective way of conveying information…and showing them their likely results… was essential.

The Vectra 3D computer imaging system can determine the correct breast implant size and shape, design the nose of your dreams, or take years off your face…before you’ve even committed to any procedure.  Clearly…these pictures are worth thousands of words.

VECTRA 3 D IMAGING…BRIEF OVERVIEW:

•Vectra 3D computer imaging has increased patient confidence

•You participate in creating your personal treatment plan

•3D Imaging by Vectra establishes a clear treatment plan

•Vectra’s 3D system offers unparalleled accuracy & flexibility

•Dr. Davison is able to convey more information…more clearly

•Allows you to see simulations of actual outcomes

•Vectra 3D demos procedures so you envision your likely results

•

•AND…here’s what some patients are now saying:

•  Unbelievable!  It was like seeing my new body in a 3D movie.

•  You can make all the changes you want…until you find the look that’s right for you.

•  The Breast simulation showed me how much better I would look with a lift and implants.

•  It’s impressive to realize how close the simulations are to the actual results.

•  It helped me make a crystal clear decision about breast augmentation and the right implants for me… based upon science.

Here’s how it Works:

Vectra’s 3D system employs three dimensional photos of your body.  Once captured and uploaded, you can view the images and procedure simulations on a large screen.  The simulations can be rotated and viewed from many different angles allowing you to actually see the full effect of your procedure.  Breast augmentation is a great example of this process.  The 3D system even selects various breast implant sizes and shapes, simulated over your own anatomy to help you choose the right one. And Rhinoplasty or  “nose job” outcomes are much easier to understand. For example: A nose with a hump, whether wide or crooked, should be viewed from several angles to more accurately see what needs to be done.  The 3D system makes this happen. It has erased frustration and concern for so many patients.

Have you been putting off a procedure due to being fearful about the outcomes?  Come in…let’s talk and then simulate them for you.  You will see it all clearly….and love it.

Dr. Steven Davison

“DAVinci…Where we combine the supreme elements of art and surgical science.” 

I do a lot of nose surgeries.  It is one of the most common and important surgeries we do.  Every year over 1.5 million men, women and children of all ages and ethnic groups have nose surgery for cosmetic and functional reasons.

So, let me talk a little about it today.

The first nasal reconstruction was performed in India where removal of the nose served as punishment for various crimes.  That’s not how and why I do nose surgeries!

Rhinoplasty is one of the most complex, delicate surgeries performed today. The primary goal is a natural looking nose that complements all of the other facial features by balancing its size, width and angles. 

These are some of the reasons people come to me for nose surgery:

• Alter the size, shape and/or angle of their nose
• Correct or improve appearance and function
• Reconstruction to correct damage from injury or a precious surgery
• Restore youthfulness to an aging nose while having a Facelift
• Create the nose “of their dreams”…dislike the nose they were born with

Questions I’m frequently asked:

“Can you achieve the perfect nose?”  Rhinoplasty is a combination of art and science.  I do a thorough examination of the facial anatomy, appearance, proportion and structure.  Then I match the nose to the rest of the face…in other words…I sculpt your nose to achieve natural facial balance.

“How is it done?”  This is where my years of experience, skill, artistic ability and today’s advancements enable me to get the job done right.   No two faces are alike…your nose must fit your face naturally. I perform either an open or closed procedure (see my website) and I work through the incisions to remove excess tissue, reshape cartilage and bone and alter the shape and size of the nose.

My goal is always to restore function while achieving a cosmetically pleasing, natural looking nose.  If you’ve been thinking about it, let’s talk about it.  Now is the time…before the Holiday’s are upon us.

I love helping people keep their best faces forward!

Dr. Steven Davison

Pippa's Tip

It is common for patients to ask for a rhinoplasty or nose job to look like a certain celebrity. Even more common is I won’t want a nose like Michael Jackson. The most asked about nose job likeness is now Pippa Middleton. Let’s analyze what makes her nose attractive:

1. From the front view, the nose has very symmetric sides that arise from the eyebrow and gently sweep down to the ala where the cheek meets the nose.
2. The dorsum is straight, not scooped – it is strong and doesn’t look done.
3. There is good “supratop break”. This is a dip behind the tip before the dorsum starts. This isolates and defines the tip.
4. The top is well-defined with a double point where the nasal cartilage throws off points of light.
5. The base of the nose is not too wide and not too pinched. As Goldilocks would say – it’s just right.

How do I get Pippa’s tip, you might ask? Modern rhinoplasty techniques, particularly “open” rhinoplasty where sutures and grafts are used to define the nose can help give you the refinement her nose exudes.

More on Rhinoplasty

Steven Davison, MD | Board Certified Plastic Surgeon | Board Certified Facial Plastic Surgeon