THE EYES and Blepharoplasty Surgery

My last two blogs have covered facial balance and how to achieve an “Ideal Profile.” Especially this time of year, most patients want to avoid surgery by using “quick fixes.” Quick Fixes include Injectable Fillers. Injectables and Botox are terrific for restoring youthfulness to the face, hands, and other body areas when surgery is not an option. See my last blog for a good overview on Facial Balance, Botox BrowLifts to correct mild ptosis, Nose Reshaping to delay Rhinoplasty surgery, and other age reversing options.

Even though we’re through May, people are still requesting these quick fixe options for the instant results. Today’s Advanced Injectable treatments are amazing, and can correct many facial irregularities, with wonderful, longer lasting results than we could offer a decade ago. But…Injectables and Botox are not always the right treatment option. Read On…

THE EYES and BLEPHAROPLASTY SURGERY …IDEAL FACIAL PROFILE

When there is too much facial aging, Injectables may not get the desired results. Surgery is indicated when muscles are lax and excess fat and tissue needs to be removed. The brow, upper eyelid and lower eyelid all age in unison. When these problems occur, people have Blepharoplasty Surgery:

• Droopy eyebrows
• Upper eyelids deflate and droop
• Hooded upper eyelids
• Outer eye corners drop down
• Under eye bags form

These are all skin, fat and muscle changes that are easily corrected by Blepharoplasty. Eyelid surgery can take up to 10 years off an aging face and keep you looking for many years.

Visit my website for complete info on this and other age defying options: www.DAVinciplastic.com.

BOTOX BROWLIFT for instant results without surgery. A few well placed Botox injections can eliminate forehead and brow wrinkles, lift the brow and restore youthfulness. It’s easy to determine if you are a good candidate for this option, during your consultation. If so, a few minutes and a few injections into pre targeted areas can take years off your face.

RHINOPLASTY SURGERY (Nose Job)

Not everyone is a good candidate for injectable nose reshaping. For those who need surgery, please know that surgery is capable of delivering much more significant and pronounced results. Rhinoplasty is the versatile yet complex are of nose reshaping. It involves a blend of artistry, science, expertise and balance.

The nose is the most defining feature of the face. If it is distorted in any way, it may cause the entire face to appear out of balance.

Many people are unhappy with their nose. They were born with an unattractive nose or it may have become distorted through illness or injury. Common complaints are: it’s too wide, too long, slopes in the middle, has a bump or hump, is poorly defined, inhibits proper breathing (functional) etc. A deviated septum is a common sports injury that causes functional nasal problems and requires surgical correction.

RHINOPLASTY is one of the most common surgeries performed today. If you are unhappy with your nose, don’t just live with it! Let’s fix it!

I HAVE MANY AGE REVERSING OPTIONS and QUICK FIXES in my TOOLBOX!

Let’s Talk.

Steven Davison M.D.

 

 

Balanced Face Profile…Small Changes that make a Dramatic Difference

My last blog overviewed the three views of the face: front, side/profile and the ¾’s. Each view dictates a different shape and different curvature of the facial features. This blog outlines how to get a perfectly balanced profile using small changes that make a dramatic difference. For those people who are unhappy with their profile, know that it changes as we age, but that it can be corrected and/or enhanced. For many patients, correction is of great value to them for various reasons.

The eyes nose and chin are three distinct facial components, but they all work together to present a youthful and attractive appearance, whether one area is detracting from your overall appearance, or the aging process has begun to affect your face as a whole. There are a variety of surgical and nonsurgical options we offer to create or restore harmony and beauty.

Profile changes that occur:

EYES … Drooping upper lids, under eye bags, crow’s feet and a sunken hollow appearance are the first signs of aging and profile change.

NOSE…Gravity takes its toll to add years to your visage as a “subtle lengthening” can cause a profound aging effect. Rhinoplasty and Injectables can reverse this and take years off the nose.

CHIN…The chin begins to look different as skin sags, fat accumulates and bone is lost with age, as these changes cause significant lower face aging. Injectables can restore volume, contour and youthfulness to this area.

YOUTHFUL EYES ARE CREATED WITH: Injectables and Botox for people who do not need surgery and who are looking to refine or extend the results of a previous procedure. They are very effective for correcting wrinkles and depressions around the eyes. Ideal patients:

–     Are in their 20s or 30s and have good skin elasticity Restylane, Juvederm and Perlane are good choices since they are hyaluronic acid that attract water to plump up the area.

–     Crow’s Feet and BrowLifts candidates benefit greatly from these fillers. Botox is also great for eliminating Crow’s Feet and achieving an injectable BrowLift. Botox cannot replace surgery, if needed, but the benefits of Botox cannot be minimized.

–     BROW SHAPING the eyebrows themselves can have an impact on the appearance of the eyes an adjacent facial areas. Eyebrows are essential to being youthful looking, rested and bringing balance to facial contours.

BLEPHAROPLASTY SURGERY for YOUTHFUL EYES when cosmetic options aren’t enough. The brow, upper eyelid and lower eyelid all age in unison. The outer corners of the eyes drop down, the upper lids become deflated and droop, and bags form under the lower lids. Eyelid surgery can correct these fat, excess skin and muscle changes. Youthful eyes can be yours again either with injectables of Blepharoplasty.

VOLUMA is the treatment of choice to restore hollow cheeks without surgery.  See my website for complete info on Juvederm Voluma: www.DAVinciplastic.com.

More on facial balance and your perfect profile in my next blog.

Are you ready for Beach Time?  Need “quick Fixes” for graduations, weddings, corporate events, family reunions etc…Let’s talk now.

Steven Davison M.D.

Board Certified Cosmetic and Reconstructive Surgeon and Certified Expert Injector

 

 

 

 

 

 

 

Youthful Looking, Aesthetically Pleasing…Ideal Profile

There are actually three views of the face: the front, side or profile, and the three-fourths view. Each view dictates a different shape and different curvature of the facial features. Regardless of a person’s favorite view of his or her face, everyone wants an attractive, profile…and one that’s a close to their ideal as possible. In brief: people want a “perfect” facial profile.

Here’s what an ideal facial profile looks like:

• Profile that’s straight and in tune with the rest of the face
• Youthful looking, aesthetically pleasing profile
• Masculine or Feminine ageless look
• Forehead that isn’t entirely round or flat (upper face)
• Straight nose with some concavity to it (mid face)
• Full lip projection (lower face)
• Well defined chin, neck, jaw line (lower face)

For those people who are unhappy with their profile, know that it can be corrected and/or enhanced. For many patients, correction is of great value to them for various reasons.

Understand first the facial thirds and your aging profile, then you can determine how to correct or enhance what you’ve got to work with.

Our “profile” changes as we age. This occurs from the top of the face down. Here’s what you are likely to experience:

• Flattening of the forehead
• Drooping eyebrows
• Under eye bags and hollows
• Loss of cheek volume & definition
• Lines & folds around the mouth
• Chin & neck sagging
• Jowls & neckband formation
• Hollowing of the temples
• Drooping nasal tip
• Nasal bumps & humps become pronounced

Since the facial anatomy is divided into “thirds”…the upper, midface and lower face, the goal is always to achieve balanced proportions with one another.

TODAY’S OPTIONS…include “quick fixes” that are here to stay. For those who start young enough doing the small things such as Injectable Dermal Fillers, Skin Resurfacing, Botox and others, surgery may be delayed or avoided completely. The Boomers are on it and are having all the Age Defying, Age Reversing procedures offered today…because they want to look as good as they feel. The Millennials are right behind them and consider cosmetic, anti aging treatments to be a regular part of the normal health care regimen.

For every problem listed in the bullet points (above) we have a treatment option that is age reversing and can give people the facial balance and attractiveness of their dreams.

BALANCE is the KEY! Balance among the three facial areas is the key to an attractive face with a harmonious look and good alignment.

LIPS are IN TODAY! Much focus is placed on lips today. They should be perfectly proportioned and this can be accomplished with Juvederm or another HA filler to restore volume and lip color.

WRINKLES & LINES ARE OUT! We eliminate lines, wrinkles and folds with Botox (around the eyes/forehead), Juvederm/Voluma in the cheek area (midface), Restylane and others in the lower face. See my website for more on injectables: www.DAVinciplastic.com.

SPRING IS HERE and Moms, Sisters and Daughters are showing up in our office for similar treatments…since they’ve discovered that families do age the same!

ARE YOU BEACH BODY READY? Body Sculpting could be your answer. Let’s Talk now.

Best to You and Yours,

Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon

 

PUT YOUR BEST FACE FORWARD…AVOID THESE WINTER SKIN MISTAKES

As seasons change so does our skin. Winter is the worst season of the year and can be very hard on the skin.  In this blog I offer a few tips to help you avoid costly mistakes in your daily skin care program, that lead to dry, flaky and red irritated skin. You can keep looking and feeling your best even during harsh winters. 

1. Avoid licking your lips and do use lip balm.  The skin on your lips is very fragile and requires special care just like your facial skin.  Licking your lips frequently can cause them to dry out and become flaky.  Even though licking provides temporary moisture it leaves the lips drier due to evaporation into the dry winter air and heated environments. The digestive enzymes in saliva can break down the skin causing lips corners to crack and the skin to flake. Prevent damaged lips by exfoliating the dead skin away and then use a well formulated, conditioned lip balm throughout the day to keep in natural moisture.

2.  Do Use Sunscreen all year around.  Winter UVA rays are nearly as strong as summer rays.  They are responsible for changing the DNA in the skin and this causes premature lines, wrinkles and sagging. Damaging UV light is the #1 cause of premature aging skin because they interfere with skin barrier function while simultaneously preventing proper moisture levels in the skin.

3.  Use the right formula and amount of moisturizer.  Too much moisturizer is wasteful, can cause skin congestion, bumps and breakouts.  The skin, like a sponge, can only absorb so much.  Find the right formula for your skin needs, apply it daily and prevent future skin problems.

4.  Adjust your skin care regimen to your skin needs. Our bodies constantly change and so does our skin with fluctuating temperatures and conditions.  Make sure you are using the right products during each season.  For example:  you may need to switch from a foaming cleanser and creamy moisturizer, during winter months, to a gentler cleansing lotion and serum moisturizer, to avoid loss of drying the skin.  Find a good aesthetician (Nora handles this at DAVinci) to help you with your best skin care program/products. Visit my website for more info: www.davinciplastic.com.

5. Seal in your moisturizer right after cleansing your skin!  You have a one minute window after cleansing, to moisturize and prevent skin dehydration. Water acts like a magnet and attracts the water deep within your dermal layers and result in evaporation. Apply your moisturizer or serum while your skin is still damp to ensure plump, well hydrated skin.

BRILLIANT DISTINCTIONS® Reward Program that allows patients to earn redeemable points/coupons for SkinMedica® products, Botox® and Juvederm®.  My patients love this program. Check it out at: www.brilliantdistinctionsprogram.com.

Glow N” Go Treatments are popular all year long but especially during the winter months. Treatments include:  Botox® Cosmetic, Microdermabrasion, IPL treatments for dark spots and patchy or uneven skin color and Injectables are here to stay. The Seniors and the younger generations are in love with instant Liquid Facelifts when surgery isn’t necessary.  Manly Makeovers are rising in popularity as more men are choosing cosmetic procedures for career advantages and because they just want to look good.

Stay Well and Put Your Best Face Forward!

Steven Davison M.D.

Rising Demand for Female Genital (V Zone) Surgeries

Well, this topic is no longer taboo and the rising demand for female genital cosmetic and functional procedures continues to steadily rise.  One west coast surgeon reported that “with less hair there is more attention down there!”  

BRAZILIAN WAXING and VAGINAL AREA CONSCIOUSNESS   Since the advent of Brazilian body waxing, particularly in the FemGen Zone, women are much more conscious of their personal appearance.  They prefer a clean look with no pubic hair and no dangling labia minora!  (Dr. Hamori, Duxbury, MA)

I’ve written about this area of aesthetic/functional surgery before, but the new data and surge in interest begs an update on this once sensitive, taboo topic.  Still sensitive but no longer taboo!  A brief update:

FEMALE GENITAL NIPS and TUCKS … Today we offer a wide range of procedures beyond the traditional vaginal rejuvenation procedures such as those used to tighten vaginal muscles.  These include: 

• Nips and Tucks for women of all ages and stages
• All procedures are very commonplace today
• Labia minora (inner lips) trimmed
• Labia majora (outer lips) reduced in length
• Labia majora injected with fat/fillers to enhance shape and sensitivity
• Pubic Mons contouring
• Reducing Clitoral Hood
• Revision surgeries for correction and beautification

“Plastic surgery was developed to improve the quality of life and that includes the female vaginal area.”

REASONS WOMEN HAVE FEMALE GENITAL SURGERIES  

Compiled Survey results indicate that women feel having a harmonious vaginal area makes us feel better about ourselves and with our partners.  It affords more comfort during intimacy, it denotes youth and definitely increases sexual gratification.

SURGEONS’ APPROACH, REFINED TECHNIQUES, QUALIFICATIONS

Female Genital cosmetic surgery is a demanding surgical field and few surgeons are qualified and skilled enough to enter it.  Today, most of the aesthetic and functional genital complaints presented by female patients can be safely addressed/corrected.  Each year, as more women become educated on the issues and overcome the “taboos” complex, the numbers will continue to rise.  We are ramping up to meet the demands with increased education, symposiums and technology that can deliver outstanding results.  It is critical however, that you understand “not every surgeon is qualified to perform FemGen procedures period!”  Those specially trained and who understand the artistic nature and desired results women want include:   1) OB Gyns,  2) Plastic Surgeons, 3)  Cosmetic/Plastic Surgeons, 4) Urologists…sometimes.   Time and time again, surveys and patients satisfaction has told us that Board Certified Plastic/Reconstructive surgeons are their first choice.
REVISION SURGERIES  are very common today because many surgeries are performed by the hands of unqualified doctors/surgeons.  Please choose carefully and “know before you go” who your surgeon really is.       https://www.davinciplastic.com

PATIENTS SEEKING FEMALE GENITAL SURGERY

Other names for these procedures include:  Designer Vagina, VZone Enhancement, VAginoplasty, Labioplasty, Hymenoplasty, Labia Surgery and others.

GOOD CANDIDATES INCLUDE WOMEN HAVING:

• Difficulty with personal hygeine  (toilet paper sticking)
• Discomfort with tight clothing
• Pain while riding a bike or during sports
• Labia catching in zippers
• Painful intercourse due to hypertrophy or the labia minora
• Lack of symmetry
• Chronic irritation
• Should be age 18 or older and sexually mature

BOOTOX EVENT OCTOBER 4.   Don’t miss this special event and the special deals being offered!    See our Facebook page for more details.

Fall is here.  Are you ready for the upcoming Holidays?  Let’s chat.

Steven Davison M.D.

Board Certified Plastic/Reconstructive Surgeon

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

Cosmetics Mercury Poisoning, Medical Travel and Board Certification

COSMETICS containing Mercury are poisonous.  A new FDA update begs your attention. Many face creams manufactured out of country and sold in the US, illegally contain mercury. Mercury causes serious health problems such as kidney and nervous system damage, poor brain development in the unborn and very young children, breathing/respiratory issues and much more.  Children are exposed simply by touching their mommies and putting fingers into their mouths or by breathing in vapors.  ONE EXAMPLE:  A 39 year old woman from California presented with 100 times more than the average amount of mercury in her urine and symptoms of mercury poisoning.  For three years, she and her husband had been using an unlabeled face cream brought in from Mexico.  Other immediate family members (one 4 year old), who did not use the cream, also had elevated levels of mercury.  Virginia, Maryland and New York have reported similar cases.  Mercury containing products have been found in 7 states so far.  Recent FDA investigations  revealed 35 products with unacceptable levels of mercury.

Products most likely to contain mercury:  skin lighteners, anti aging treatments, acne products, lotions and potions to remove age spots, freckles, blemishes and wrinkles. These are frequently sold online and in Latino, Asian, African or Middle Eastern communities.   Other names for mercury:  mercurous chloride, calomel, mercuric, mercurio or mercury.  Avoid them!  Stop using them if you are using them!

Talk with Nora at DAVinci…she can help you find the right products and skin care regimen for your specific needs.

MEDICAL TOURISM UPDATE:  We enjoy many, many international patients here at DAVinci.  They travel to us for the “Premium” procedures offered and because they know we are educated, trained, skilled, qualified and board certified.  They come because they  can place their confidence and trust in us.  They know we perform only within our realm of expertise, using the safest, yet most advanced techniques and world class technology.  They come because they have experienced the outstanding results and…they bring friends and family members from all over the world.  DAVinci has earned that trust and the privilege of serving so many wonderful people!  My patients have good outcomes and amazing experiences. This is not always the case with medical travel…read on.

SAD TALE of TWO WOMEN!  Two women took a trip to Mexico in hopes of saving $$$$ on plastic surgery costs in the US.  They were excited about getting Tummy Tucks and Breast Augmentations until it was too late.  Both were excited about the discounts for plastic surgery in Tijuana.  They both knew it was too good to turn down.  The YouTube presentation filmed at Jerusalem Hospital in Tijuana was exciting. They went, they saw and they had surgeries.  The excitement turned to horror when the bandages came off and one of the women saw skin hanging out of her incisions.  Within two weeks both women required medical treatment and hospitalization…one was near death.  They have survived and want other women to take heed!  They ignored certain signs and trusted medical people who clearly were not qualified. Enough said.

BOARD CERTIFICATION…in the United States does not guarantee specific outcomes.  It does ensure that the surgeons’ training is beyond the norm, with honed skills, a vast knowledge base, and years of experience.  Please choose carefully…here at home.  The American Society of Aesthetic Plastic Surgery has a find a surgeon option on their website.  If travel to DAVinci is not an option…find a qualified surgeon in your area using this website.

Fall is here!  Are you ready for the Holidays?  Need Brotox, Mommy Makeover, Daddy DoOver, anti aging facial treatments…and so much more.  Come and see me.

Best to You and Yours,

Steven Davison M.D.

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

COUPLES SURGERY and HOW MEN and WOMEN AGE DIFFERENTLY

COUPLES  ANTI AGING PROCEDURES ARE THE NORM TODAY... Yes men and women in committed relationships are aging together and many of them are choosing to “age more youthfully” by having cosmetic procedures together.  But, men and women do “age” differently so different procedures are needed to address those concerns.  Facial Aging is the most visible in both genders.  Men, however, are more likely to develop deep wrinkles in their forehead and to experience vanishing chins.  Women typically see finer lines on the face around the eyes (Crow’s Feet) or mouth (laugh lines).  Women also experience more sagging skin around the neck (turkey neck).  So, with the rise in Couples Surgery over the past decade, it’s important for couples to have their own individual consultation to determine their best anti aging options. For example, both men and women can be treated with Botox (Brotox) or soft tissue filler, but the locations for treatment may differ depending upon the location of those facial wrinkles.  For Men with receding chins, Implants are very effective while women can lose their Turkey Necks with a Necklift.

Going in together for procedures is great and encouraging to each other…so come in together and let’s talk!

NICKNAMES for BODY CHANGES

Ever heard of Bingo Wings, Muffin Top or Turkey Neck (I just gave you that one!). Well, these are the current nicknames for a few of today’s age related changes.  Bingo Wings refer to the flabby, sagging skin underneath the upper arms that often occurs with aging.  An Arm Lift safely and effectively makes this go away restoring youthful upper arms again!  Muffin Top is the name given to that overhanging skin around the waist after you’ve forced yourself into a slim fitting pair of jeans. This is easily corrected with liposuction and a Tummy Tuck to remove excess fat and sagging skin.  Turkey Neck or Turkey Waddle is the condition of excess, sagging skin under the chin and around the neck that resembles the red turkey waddle.  A NeckLift usually combined with FaceLift remedies this and takes years of aging off the face and neck.  Again, Couples are choosing to address these concerns together in order to “age more youthfully.”

SCENARIOS THAT PROMPT THE DESIRE FOR ANTI AGING PROCEDURES:  When you meet someone who has recently undergone a plastic surgery or non surgery procedure, he or she will most likely be able to share their “Aha moment…”  That’s the moment it became crystal clear to them they made the right choice. Men and women choose age defying cosmetic procedures for various reasons.  Here are just a few they’ve shared with me:   1) How old do you think I am?  When an energetic 40 year old has a co worker tell him he looks “50ish” that can send a man flying into my office!  2)  Post Baby Blues…Women are having Mommy Makeovers to get back into shape sooner or for the first time ever!   3)  Social Media..Social Media realizations have made FaceBook FaceLifts popular today!   4)  Major Life Changes/Career Changes can help put things into perspective.

DON’T LIKE WHAT YOU’RE SEEING IN YOUR MIRROR?  LET’S TALK SOON.

Steven Davison  M.D.

Board Certified Plastic Surgeon

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

Mini Treatments to Look Younger Faster

MINI TREATMENTS ARE IN HIGH DEMAND, are more REFINED and are HERE TO STAY.  I’ve blogged about:  Mini FaceLift to “refresh the face”, Mini NeckLift to take years of aging off the lower 1/3rd of the face and Mini EyeLid Lifts (Blepharoplasty) to rejuvenate the eyes.  There are other “mini” procedures. I offer brief overviews of these 3:

MINI CHEEK LIFT is usually performed in combination with the Mini FaceLift to achieve the maximum desired results and improvement in the midface area.  Mini CheekLifts can be performed through the same incision that is used for the Mini FaceLift to minimize incisions and scarring.  Incisions are hidden inconspicuously in skin folds and creases where they fade away.  Mini CheekLift surgery removes excess skin and tightens muscle to accentuate and define the cheekbones.

MINI LIPO PROCEDURE is treatment of choice when neither diet nor rigorous exercise succeed in sculpting certain areas of the body.  That’s no excuse to abandon healthy nutritious food and exercise.  The body needs a balance in those areas everyday.  But, as we age, the body often resists things that used to work thus “liposuction” for removal of excess fat deposits and to sculpt those resistant areas to a more desirable shape.  Mini incisions, small canulas and years of expertise allow me to sculpt the neck, breast, arms, flanks, hips, knees, abs and other areas of concern. Discomfort is usually minimal and many patients resume normal activities following treatments.

MINI TUMMY TUCK (Abdominoplasty) can deal with an adverse scar from a C Section, a lower tummy pouch formed from fat and excess skin located below the belly button and can be safely performed in office with local anesthesia.  Mini Tummy Tuck involves removing excess skin and tightening lower abdominal muscle (below the belly button).  I work through a small incision and often include liposuction to further sculpt the treatment area.

MINI PROCEDURES ARE IN HIGH DEMAND and ARE HERE TO STAY! They entail shorter incisions, briefer downtime and are Popular among those in their 40’s, 50’s and others who are starting to see age related changes but who don’t yet require a more traditional procedure or full blown surgery.  STARTING EARLY, like Celebrities, before aging becomes too visible; before lines, wrinkles and grooves too deeply etched, and before skin and muscles lose elasticity and tone...starting early allows you to have “mini” procedures and blocks the visible signs of aging so you can look years younger always!

MORE MEN ARE HAVING MINI PROCEDURES  (e.g. body contouring) according to recent survey/report results from the AMERICAN SOCIETY of PLASTIC SURGEONS and THE AESTHETIC JOURNAL.  Treatments men are requesting include:  removal of excess body fat, Gynecomastia (reduction of overly large male breasts) facial injectables, laser treatments, hair removal, skin resurfacing and, of course, Botox referred to as “BROTOX.”  Surgeons across America are seeing more men.  Men choosing cosmetic surgical and non surgical treatments increased by 42% since 2010.  And, they become regular clients because they believe cosmetic/aesthetic procedures are an important part of their regular healthcare routine and that younger, fitter looking men get career advancements.

See my website for complete info on all procedures offered at DAVinci: http://www.davinciplastic.com.

Before we know it, Fall will be upon us with all it’s glorious colors and lots of social events. Are you ready to put your “best self” forward?  Let’s talk.

Best to you and yours.

Steven Davison M.D.

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

Ultimate AntiAging Road Map

Men and women of all ages have a myriad of age reversing, rejuvenating options from which to choose.  Each option offers its own unique benefits.  Choosing the right one or combination of options involves figuring out what’s best for your needs and not someone elses.  No “cookie cutter” treatments offered here. MEN ARE GETTING TREATMENTS NEARLY AS OFTEN AS WOMEN.  NO MORE TABOOS! Careers demand it and Generation X chooses to include cosmetic procedures as part of their normal health maintenance regimen because they want it.

AREAS of FACIAL AGING… THE EYES show signs of aging early.  These signs include: lines, wrinkles, furrows, hollows, severe under eye bags, sagging upper eyelids, forehead parenthesis and furrows and skin that is losing elasticity (crepey looking).

Treatment Options include:  Injectable fillers for volume replacement, to encourage collagen renewal and restore contours; Botox to stop lines and wrinkles from forming and to smooth out the skin, Blepharoplasty and Browlift surgery to correct both the upper and lower eyelids by removing excess skin, excess fatty deposits, to lift brows back up and restore youthfulness to the forehead and brow/eyes.

Blepharoplasty surgery corrects severely drooping brows and hooding of the upper eyelids. When fillers and Botox no longer work or treatments are started too late, Eyelid surgery is the best option, especially if excess skin is undermining your vision. In this case, it is done for “functional” purposes as well as cosmetic restoration.  Men, especially, seek out eye surgeries to correct these problems, to look and feel younger and healthier.

CHEEKS OFTEN BECOME FLAT, SUNKEN and SAGGY – CHEEK AUGMENTATION is among today’s most popular age reversing options.  For flat, sunken cheeks both hyaluronic fillers and collagen stimulating fillers can add dimension and nice definition.  Augmenting the cheeks improves the appearance of the eyes by addressing volume loss.   Often fillers work and if not cheek implants will. Sagging cheeks require surgical lifting and tightening of the underlying muscle and tissue and is often coupled with  injectables for ultimate and long lasting results.

INJECTABLE FILLERS and SURGERY   Injectable fillers usually offer immediate and ongoing results as collage production is stimulated and hyaluronic acid fillers replace volume by attracting water.  Surgery results can be subtle or dramatic and last indefinitely.

NOSE and RHINOPLASTY SURGERY vs FILLERS   Injectables can correct certain nasal deformities and small irregularities. For example, we can add height to make a hump less noticeable. A good looking nose improves the facial profile allowing certain features to pop out more.  Surgery is needed when there are functional issues and flaws that fillers can’t handle. Injectables are amazing, but are not curealls.  http://www.davinciplastic.com.

NOSE FLAWS MEN WANT CORRECTED include a deviated septum, bulbous nose tips, crooked noses from being broken, pitted and scarred areas, humps and bumps from injuries or birth and others. Functional correction is key with men.  They don’t like noses that don’t work right.  So, I do many Rhinoplasty surgeries and non surgical nose jobs also.

Remember the “fun in the sun” tips….lots of water to drink (stay hydrated), sun screen, umbrellas, anti oxidant snacks like raw fruits, sun glasses, avoid glare from the water…the sun is hottest between 11:00 am and 2:00 pm.

MOMMY MAKEOVERS for WEDDINGS, GRADUATIONS, CORPORATE MEETINGS,  PTA, FAMILY REUNIONS, CLASS REUNIONS, FOR YOURSELF.  Let’s get you scheduled and looking/feeling great again.

Best to you and yours,

Steven Davison M.D.

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

KELOIDS and Today’s Top Treatments

KELOIDS are a type of scar that results from an overgrowth of collagen type tissue at the site of a healed skin injury.  Keloids can be firm, rubbery lesions or shiny, fibrous nodules that vary in color….some are pink, others are flesh colored, or they may be red to dark brown in color.  Keloids are benign (not cancerous), are not contagious but often cause severe itching and changes in skin texture.  Severe keloids can affect movement of the skin.

Keloids require expert attention to deal with the pain, itching and physical disfigurement.

Keloids are often confused with “hypertropic scars.”  They are not the same. Hypertropic scars are raised and they do NOT grow beyond the boundaries of the original wound.

Since I have specialized training and years of experience in surgery and reconstructive surgeries, I have dealt with so many patients in need of Keloid removal and scar revision…I couldn’t begin to number them.  Just know, that dealing with Keloids is serious business and you should see a surgeon with expertise in this area…in order to get desirable results.

Keloids and where they develop on the body.  Keloids can develop any place an abrasion (injury) has occurred.  They can even result from pimples, insect bites, scratching ones self, from burns or other skin trauma.  They can develop post surgery.  They most commonly occur:

• On the central chest
• The back & shoulders
• On Ear lobes
• On arms & over the collar bone after body piercings
• From shaving…razor bumps may become keloids
• Bottom of feet
• Can occur at any age…but generally don’t until past age 11
• Keloids…may be linked to hereditary tendencies

COMMON TREATMENTS FOR KELOID REMOVAL

1)  Corticosteroid injected directly into the tissue – typically 3-4 treatments spaced about 1 month apart – will reduce a raised Keloid to a flat scar and reduce redness, itching and burning.

2)  Surgical Removal is used for larger, more extensive formations.  Technique involved may employ a scalpel, electric knife or laser removal.

3) Post-Surgical Complimentary Treatments are often used to minimize Keloid recurrence after surgical removal.  These treatments include:   -silicone sheet dressings applied directly to the skin around the incision; -compression therapy the mechanically flatten the scar formation, – topical imiquimod or advanced injectables such as bleomycin,  -interferon or 5-fluorouracil.  These drugs work at the cellular level to disable the Keloid tissue formation process.

4)  Laser Excision followed by monthly intralesional steroid injections alone or in conjunction with imiquimod.

These are my treatment preferences. I stay with the tried and true because those options are proven to get the most desirable results.

Stay well, remember the Sun Screen, lots of pure drinking Water, Sun Glasses and avoid the sun’s glare, especially when near a body of water.

Steven Davison M.D.

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