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.

Fat can be your "Friend"...

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.

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Steven Davison M.D.

Board Certified Cosmetic and Reconstructive Surgeon and Certified Expert Injector

 

 

 

 

 

 

 

MINI EYE PROCEDURES…defy aging, renew beauty, restore balance


shutterstock_19359874The eyes are one of the first areas of the face where aging becomes highly visible.  The eye area has thin skin and fat deposits, that over time often get lost or displaced, while unwelcome dark circles, hollows and bags develop and become more visible.  This blog continues my short series on “mini procedures” what they are and why they’re here to stay.

If you’re new to my blogs see my website for comprehensive information on the many age defying/health restoring procedures I offer. HTTP://www.davinciplastic.com.

MINI EYELID LIFTS are among the top procedures requested today. They are called by different names such as:  Pinch Lift, Skin Pinch, Mini Eyelid Lift or Skin Pinch Blepharoplasty. Each surgeon has usually developed special techniques for their procedure of choice.

I do full blown eyelid surgeries (Blepharoplasties) and Mini Blepharoplasty procedures.  My mini eye signature procedure is the “Skin/Pinch Blepharoplasty.  This is a conservative eyelid tuck involving skin only and is ideal for patients who desire more space for applying eye shadow as well as a more defined upper eyelid crease.  My Mini Skin/Pinch Blepharoplasty takes about 1 hour: involves some swelling and bruising that resolves by itself over 5 to 7 days, and General Anesthesia is that of choice for this surgery.

Mini Skin Pinch Blepharoplasty surgery does the following:

  • Achieves a modest but natural refreshed look
  • Increases space for applying eye shadow
  • Beautifully, naturally defines the upper eyelid crease
  • Involves the least risks possible
  • Erases a tired look in the upper facial third
  • Refreshes, rejuvenates, renews youthfulness to the eye area

The Limitations include:  bags and eye hollows are not addressed since the fat and muscle is not transposed or eliminated…only extra skin is removed with this mini procedure and it may need future maintenance as many mini’s do.

Here’s a comparison of the “Mini” and “Traditional” Eyelid Surgery:

MINI BLEPHAROPLASTY:  Best for those with good skin elasticity and minimal wrinkling on and around the eyes…without under eyelid bags.  This takes about an hour, healing about 1 week, little to no bruising and less swelling than with traditional. Results last 3 to 10 years.   TRADITIONAL BLEPHAROPLASTY:  Best for those with heavy under eye bags and loose facial skin in the eye area.  Takes from 1 to 3 hours and is one of the easiest procedures from which to recover. Swelling and bruising lasts up to 10 days at which time you are about healed.  Results typically last from 8 to 15 years.

THE EYES ARE THE MOST COLORFUL AND ENGAGING FEATURE OF THE FACE.  THEY CREATE UNIQUENESS AND DEPTH or THEY CONVEY A TIRED, AGING APPEARANCE.    Steven Davison M.D.

ASIAN EYELIDS are unique and require special knowledge, training and skill.  Asian eyelids lack a crease, usually have extra skin or epicanthal web towards the side of the nose.  I have much experience and expertise in creating the ideal eyelid for those subtle needs.

MINI PROCEDURES ARE HERE TO STAY BECAUSE:  they are practical, they work well when started early enough, and often can prevent the need for full blown procedures/surgeries. A major reason also:  our patients have demanded them and we have researched and developed and refined them.

MINI PROCEDURES CAN BE COMBINED:  more often than not patients choose to combine two or more procedures to achieve “optimal results.”  For example:  Mini Skin Pinch Bleph surgery is popular with a Liquid Facelift using today’s miracle power lifters!  Check it out!

MOMMY MAKEOVERS and DADDY DO OVERS are here to stay too!  Let’s talk about your concerns soon!

Best to you and Yours,

Steven Davison M.D.

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

Link


shutterstock_59992843A recent study conducted for the American Academy of Facial Plastic and Reconstructive Surgeons reported that 80% of those people surveyed said they would prefer and choose a facial plastic surgeon rather than a general surgeon or physician.  As the numbers of people who have cosmetic procedures done each year continues to grow…so does the need for education about how to recognize and choose “qualified” cosmetic/plastic surgeons.  Thus, the reason for my blog topic this time.

Stats tell us there are over 782,000 doctors in the United States but only 3.5% are really qualified to perform aesthetic (cosmetic) procedures.  So, It’s critical that before you go…you know about your doctor/surgeon.

In addition to the right education, training and experience,  Board Certification is important in helping you identify a surgeon who is truly qualified to perform your chosen procedure.  Why?  There are multitudes of doctors who are not Board Certified nor are they members of important medical organizations/associations. So here’s the “why” about being Board Certified:  Certifiying medical boards have rigorous testing/exams based upon the highest standards possible to ensure that a doctor knows, understands and is qualified to practice medicine and perform procedures within the scope of his proven abilities.  There are different boards for different areas of specialization.  The same goes for medical societies and associations that were established decades ago.  These exist to further educate, support and monitor physician/surgeon members, also to educate the population and give them a place to seek help with problems involving member physicians.  Every doctor/surgeon who chooses to become Board certified, must submit to this high standard and the rigorous oral and written exams in order to be eligible for board certification.  Board certification does not guarantee certain results but it does ensure that the surgeon is educated, well trained, skilled and qualified to perform that surgery.

Examples of Certifying Medical Boards and associations:  1) ABMS – The American Board of Medical Specialties (every doctor should apply to this board.)  2) ABPS – The American Board of Plastic Surgery (for certification in the speciality of “plastic” surgery). 3) ASAPS – The American Society for Aesthetic Plastic Surgery (for plastic & cosmetic surgery of the face and body). 4) AAFPRS – American Academy of Facial Plastic and Reconstructive Surgery, Inc.  (World’s largest association of “facial plastic” surgeons and reconstructive surgeons)  These surgeons focus solely on plastic and reconstructive surgery of the face, head and neck. 5) American College of Surgeons, 6) The American Society of Plastic Surgeons is thousands of members strong…with only one high standard to assure you are getting a surgeon who is qualified to perform your procedure.

Do Your Due Diligence  – Surgery of any kind is a serious event and you should want the most qualified surgeon performing your procedure.  You can “google” the doctor/surgeon you are considering and check credentials, qualifications, experience, testimonials and more before making a final decision to use that physician. Surgeon’s Websites should be comprehensive including education, training, medical degree(s), fellowships, experience and qualifications.  Know before you go!  http://www.davinciplastic.com.

Cosmetic v Plastic Surgery…there is a difference.  Cosmetic surgeons have considerably less training whereas a “plastic” surgeon gets 5-7 years of specialized surgical training.  Cosmetic surgery seeks to improve the aesthetic appearance and Plastic surgery is used to improve/restore function and reconstruct after trauma or illness.  Plastic surgery can include “cosmetic” procedures also.

Ask the right questions:  1) Is the surgeon Board Certified…which boards and for how long?   2) Does he/she have hospital privileges?  3)  Is their surgical suite certified?  4)  Does the surgeon practice within the scope of their chosen field?

Look at Patient Portfolios…a picture really is worth a thousand words! 

Revision surgeries are on the rise…because unqualified doctors and beauty beauty professionals are doing procedures they have no business doing! Every year, my colleagues and I see more patients desiring “revision” surgeries to undo the disappointing, disfiguring damages inflicted upon them by the hands of unqualified doctors and so called professionals.  Please trust your face and body only to a qualified plastic surgeon!

Well, this blog is a bit long….but I couldn’t leave out any of the info included.  Please read and consider.

Enjoy the sun…with the right precautions! shutterstock_45617737

Best to you and yours,

Steven Davison M.D.

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

QUICK FIXES to MAKE YOU LOOK and FEEL YOUR VERY BEST for Weddings, Graduations, Reunions, Travel, Beach Days and EVERYDAY!


May is nearly gone but many people are still looking forward to end of year school programs, Jr. High, High School and College graduations, Proms, June weddings, Family Reunions, family travel, beach days and just everyday.    shutterstock_65938825

This time of year people look into the mirror and decide they don’t like what they see.  A fast paced career, Mommy responsibilities, corporate pressures, too little sleep, poor diet and more all create stress and stress shows up in the face without fail!

If you are tired of looking tired and older than you feel or really are, there are many facial quick fixes available to give you a more youthful, refreshed look, without surgery and little to no downtime. You can be ready for that big event and you can look your best!

CONSIDER: Instant Filler Facelifts. 

  • An Injectable Liquid Filler Facelift instantly erases lines & wrinkles, while lifting & contouring the face to resotre youthfulness without surgery.
  • The forehead and eyes can be refreshed by using the right products around, between and under the eyes.  Really, “The Eyes Have It.”
  • MidFace filler injections restore cheek volume, which also has a “lifting” effect.  The right filler can eliminate those deep grooves in the Nasolabial folds
  • I erase lipstick lines, smoker’s lines, jowls and augment the chin . The right filler transforms this area and you look years younger.
  • Injectable Filler Lip Augmentation instantly creates beautiful, youthful lips with curves in the right places.
  • A nose bump can disappear with a few quick injections
  • I offer my patients only today’s best, reliable products that work to rejuvenate an aging face without surgery and little or no downtime.  These include:  Juvederm, Restylane, Radiesse, Botox, Sculptra Aesthetic, Fat Grafting and more.

SPA Treatments such as microdermabrasion, facials and laser procedures can correct pigmentation issues, get rid of spots and correct problems with skin pores, lesions and more.

See my website for complete information on all procedures we offer at DAVinci.  www.davinciplastic.com.

There was quite a stir after Angelina Jolie’s announcement about her double mastectomy.    This decision, after learning she was BRCA positive, reduced her risk factor by 89% for ever getting cancer. Being BRCA positive means that mutated genes put her at high risk for several female cancers, breast cancer being the primary concern.  I’m specialized in Breast Cancer and Breast Reconstruction surgery.  I never enjoy learning that a woman needs the benefits of my skills, but I’m so glad I have the knowledge and expertise to successfully rebuild beautiful, natural looking breasts that renew her self esteem and confidence.  Natrelle 410 Breast Implants are my first choice for women in this situation.  I also recommend them to every patient desiring Breast Implant Revision Surgery.  They simply are the most natural looking, safest, longest lasting available today.  I’ll blog on Breast Implant Revision Surgery soon.

Look for a new blog on “People Traveling to DAVinci for Premium Plastic Surgery Procedures.  We help people, from around the world, to realize their anti aging goals, or to overcome challenges after cancer or trauma and for Revision Facelifts, Revision Rhinoplasty (NoseJobs) and other procedures that need to be corrected by a qualified, experienced surgeon.

ARE YOU BEACH BODY READY?   There’s still time.  Let’s talk.

Remember “Sun” precautions…hats, sun glasses, sun screen, plenty of clear water, and don’t over do it.

Best to you and yours.

Steven Davison M.D.

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

For Breast Reconstruction or Revision…Natrelle 410 Implants Will Keep Everyone Guessing!


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!  shutterstock_45617737

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: http://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.”

Antiaging Treatments and Trends…for 2013


shutterstock_10125679FACIAL AGING…Do you know how old your face really looks?  We look into our mirrors daily and see the same face…often not recognizing the age related changes that are taking place.  It’s important to look into the mirror and see your face as it is now….not how you remember it from 10 years ago.  Sings of facial aging can be seen:

  • The eyes ..as “Crow’s Feet appear and deep grooves etch into the forehead between the eyes.  Eyelids (upper and lower) sag, hollows may develop and you may look “sad” even though you probably aren’t.
  • The Nose knows about aging…it too can change shape with aging… Nasolabial folds often develop between the nose and lips caused by loss of facial fat/volume and changing boney structure.
  • The Cheek fat pads start their descent down the face as they slowly deflate
  • Lips can sag. loose their beautiful sexy curves (volume loss) and corners can turn down causing an angry frown.
  • The Chin may become weaker with fat and volume loss and often highlights an aging nose.
  • And More……

The idea here is to get you to pay attention to “your aging.”  Anti Aging treatments should be started in your 30’s and maintained…in order to always keep looking several years younger than you actually are. AntiAging….is really about prevention.

Today, our refined treatments/techniques often empower us to delay surgery…i.e. a facelift. If started early enough, you have can have injectables to restore volume to prevent a sagging, old looking face.  Women start to lose facial volume in their 30’s…in the temples, nasolabial folds and cheek fat pads. Men follow close  behind. By fixing these areas early in life, cosmetic surgeons are finding that the aging process can occur more slowly.

Dramatic Lifters replace yesterdays fillers!  For example:  Sculptra Aesthetic and Radiesse stimulate  your bodies own production of collagen…soft tissue volume to fill in those empty spaces again.  This lasts much longer, sometimes a few years.

Celebrities start early and do small treatments to slow and reverse the signs of aging….and they continue this trend so they always look years younger.

2013 Hot Age Defying Procedures in order of popularity…

  1. Tummy Tuck  (Abdominoplasty removes excess fat, sagging, hanging skin, lifts and tightens muscles) achieves a firmer, more youth tummy.  Liposuction is part of this surgery.
  2. Arm Lift  (Brachioplasty) removes excess fat in the under arm between the armpit and the elbow.  Loose, hanging skin is excised and the arm sculpted to look more youthful and natural.
  3. BreastLift….involves lifting the sagging breasts to a higher, more youthful position and many women opt to include Breast Implants to achieve the desired breast shape and size.
  4. Breast Augmentation…uses Breast Implants to increase the size and enhance the shape of the breast.   This is a standard request for New Mommy Makeovers….and midlife women who have experienced loss of breast volume and sagging breasts (ptosis).
  5. BrowLift…Facial Aging often shows up in the forehead and eye areas first. Browlift does just that…as the brow is lifted to it’s more youthful position…Forehead Lift is usually part of this to remove those unwelcome lines and grooves and tighten and lift the forehead.
  6. NeckLift…An aging neck …like “Turkey Waddle” is a sight for sore eyes!  Tightening and lifting neck muscles and skin (removing hanging skin) takes 10 years off your aging neck appearance immediately!

We’re halfway through February already.  Are you ready for Spring?  How about summer and beach time….in shape?   Come on in…let’s design your age reversing treatment plan.

Dr. Steven Davison

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

Ladies Get Gorgeous…Men Look Younger…Still time before Christmas and New Years!


November and December are very popular months for getting age defying procedures done.  People opt to do them so they can feel good about themselves during the many social events these two months provide.  They do them because they have been given “gift money” or a year end bonus to spend however they desire.  Often, they get extra time off work and so they choose little or no downtime non surgical options…and they do them simply because they want to!

YOUR BEST FACE/BODY FORWARD QUICK FIX OPTIONS …1) Liposuction/chin implant to remove unwanted aging fat and sculpt the chin for a fresher, more youthful look,  2) Facial Fat Grafting to replace lost volume and look years younger,  3) Otoplasty (Ear Reshaping),  4) Dermabrasion to instantly remove fine lines, wrinkles, discolorations…and look refreshed,  5) Liquid Facelift….not ready for a facelift…injectables give you one if your skin elasticity is strong enough…if not…Botox and Juvederm etc. rejuvenate instantly by replacing volume in hollow areas, lines, troughs etc.  6) Lip Augmentation using your own Body Fat or one of my fillers creates fabulous, beautiful lips….as a long lasting but quick fix.  7) Implants…breast, cheeks, chin are very popular for restoring youthfulness.  8) Liposuction for body sculpting.

2011 MOST POPULAR COSMETIC PROCEDURES…These are the ways men and women chose to get lifted, tightened, rejuvenated, take years off the face, fill in and plump and more:

  • Liposuction
  • Rhinoplasty
  • Breast Augmentation,  Breast Lifts with Implants and Breast Reduction (Men and women)
  • Abdominoplasty …Tummy Tucks
  • Facelift often in combo with Forehead Lift and Blepharoplasty (Eyelids)
  • Otoplasty…Ear Pinning/Reshaping…people aren’t just living with unwelcome problems anymore!
  • Hair Transplantation
  • Lip Augmentation…Fillers and Fat Transfer
  • Breast Implants…as Augmentation, for removal/replacement
  • Male Breast Reductions
  • Implants for Chin, Cheeks, Breast
  • Butt Lifts…very popular regardless of ethnicity
  • ThighLifts…Arm Lifts (Brachiaplasty)

Quick Fixes such as Liquid Facelifts, implants, Botox, Brotox and lesser invasive surgeries increased for men and women…including Seniors who are choosing to “grow younger together.”

Male Procedures increased overall by several percentage points the past 3-4 years.  Boomers are more competitive in their careers..and more health conscience.  They want to look as good as they feel and just plan rejuvenation/anti aging procedures into their annual budget.  Neck lifts with Liposculpting and Chin Implants offers them a strong, confident, leadership look.  Chin Augmentation/Lipo/Lift increased by 71% between 2010 and present day.  Men also get lots of “eyelid” jobs done…instantly erases years from the face by removing saggy, baggy upper and lower eyelids.

Seniors 50s and older chose Botox, chemical peels, dermal fillers, Facelifts…and other body lifting options, chin augmentation, liposuction and more….much more.  A healthier, more active senior population is demanding age defying procedures so they can look younger now and for many years to come.

LIFTING AND TIGHTENING…brings people of all ages through our doors.  Butt Lifts, Thighs Lifts, Arm LIfts, Breast Lifts and more…have incredible age defying power and results that last!

OK.  Enough info…what’s your desire.  What will it take to get you looking great before Christmas, New Years and all the events in between.  There’s still time to do many quick fixes and a few surgical options that are minimally invasive, with little or no downtime and quick healing.  You gals can look fabulous!  You guys can look really great!

Let’s Talk Right Away.

Best to you and Yours.

Steven Davison M.D.

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