Breast Augmentation, Breast Enhancement, Mammoplasty Augmentation is a surgical procedure to increase the size and shape of the breast and can offer breast lifting benefits as well.  Breast lift today employs “breast implants” or “fat grafting” to achieve the desired size, shape, symmetry and restored youthfulness.

Many women are born with breasts that are too small, not their ideal size and shape and are not as sexy as they ideally would like.  Other women experience age related changes, changes due to hormones, genetics, childbirth, illness, disease, trauma or weight fluctuation.  Each woman, despite the reasons for the changes they experience, has a mental picture of their “ideal breast”…hence the reason so many women today are lining up for Breast Augmentation surgery.

Breast Augmentation…What Is Involved?  I do many, many Breast Augmentations with women choosing to use “implants.”  Many others prefer to augment the size, shape and contour of the breast using their own natural body fat. (Fat Grafting)  The procedures involves surgically placing the implant into a pocket created in the breast in front of the chest wall.  the incision is typically made in the crease underneath the breast, allowing for more precise placement and easy access should future revision or replacement be needed.

Implants come in a host of shapes and sizes allowing for “customizing” to your personal needs and goals.  Today’s implants are the safest ever and feel as natural as your own body tissue.

Implants are either saline or silicone…Saline implants are soft shells filled with saline (salt water).  The shell is inserted first and then slowly filled.  This requires an additional tiny incision which is well hidden also.  If the shell leaks (rarely happens today) the saline is absorbed by your body tissue.  Saline implants look quite natural but don’t feel as natural as silicone.  Silicone implants have a similar shell as saline implants, but are pre filled with silicone which is a natural earth substance.  Silicone is a cohesive gel with a strong bond that prevents the gel from migrating through the body if the implant should leak or rupture. Silicone implants feel more natural with less rippling than saline implants.

Leaking or Rupturing of breast implants rarely occurs with todays advanced implants, and they last longer than their older versions.

Incision Placement…you have options.    Here are your placement options:    

1. Inframammary, this is an incision place in the crease of the breast (underneath the breast).  Most surgeons agree this is the best placement for creating breast symmetry.  Also, should revision surgery or implant replacement be needed, this has worked well….instead of having to make a new incision.
2. Periareolar…around the nipple is chosen by many surgeons because it heals the best and is small. Most scars with this incision placement are virtually invisible.
3. Axillary is an incision placed in the armpit.  This is your choice if you want to be virtually scar around or on the breast.
4. Their are advantages and disadvantages to each placement and type of implant. These should be well understood when making your decision.  I take the time to educate my patients thoroughly on these important issues and help guide them through the process.

OK, my next blog will cover Breast Reduction, another procedure chosen by men and women.  Look for it soon!

I’m here to help you achieve health and well being…and to be your absolute best!

Let’s talk soon.

Steven Davison M.D.

“DAVinci…where I combine the supreme element 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.”

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