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.”

Vectra 3D Imaging System…shows age reversing results…before your procedure is done!


shutterstock_54370510 Vectra 3 D Computer Imaging allows you to see actual body sculpting results before you even have the procedure performed! EXAMPLE; To demonstrate outcomes of a Breast Augmentation, 3 D images of your body are taken, loaded into the system and onto a large screen.  The system then selects several implants sizes and shapes…simulates them over your own body…empowers you to make the best possible choice.  RHINOPLASTY…aka…NOSE JOB is much easier to understand while viewing the nose from several angles…to see what really needs to be done.  The 3D system makes this happen.  Read more at: http://www.davinciplastic.com.

Vectra’s 3D Compiter Imaging System works for procedures such as:  Facelift, Necklift, Cheek and Chin Implants, Skin Resurfacing, Rhinoplasty, Browlifts, Blepharoplasty (Eyelids) Breast Augmentation, Breast Lift, Liposuction, Liposculpting with Implants and more…..

ASK US ABOUT  “SCULPT MY DREAM” 3D IMAGING…before your next Age Reversing Procedure!  Here’s what our patients say to us about it:

  • Unbelievable!   It was like seeing my new body in a 3D Movie
  • You can make all the changes you want….until you hit upon the look that’s you!
  • Breast Simulation showed me my personal benefits from a combo “lift/Implants”
  • I finally realized that the simulation could be my actual results!
  • I was able to make a “crystal clear” science based decision…that enabled me to chose the right implants

GOOD CANDIDATES for “SculptMyDream” 3D Computer Imaging System…Men and Women of all ages, stages, ethnicities and goals are getting outstanding procedure results due to requesting 3D imaging first!  Baby Boomers want to regain some youthfulness…in order to look as great as they feel and Generation Xer’s are having a variety of anti aging procedures done regularly…to compete in their career place, to move up through the ranks and because they consider this a normal part of their routine healthcare.   Seniors…more and more are flooding surgeons suites as these “older teens” have decided to grow younger together!

Today’s procedures take years off an aging face and body…with less invasiveness….briefer downtimes and longer lasting results from more dramatic lifters Botox etc.

BENEFITS of 3D IMAGING

  • Increases Patient Confidence
  • Allows your participation in creating your treatment plan
  • You see actual simulations (your own body)
  • You can actual outcomes (simulated on your own body)
  • Vectra 3D system is the most accurate, clear, flexible system today

Well, I wanted to make sure you know about this amazing imaging system to enable you to make better choices in 2013…along with offering world class anti aging, age defying, age reversing options…knowing you can make educated decisions based on clear science should help stream line the process a bit for you.   Come in and let’s get you set up!

See my last blog to get up to speed on “antioxidants”...let’s move into 2013 both healthy, more youthful and handsome for us men…. beautiful for you ladies.

Best Wishes to all!

Steven Davison M.D.

DAVinci….where we 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.”

BREAST AUGMENTATION…the most popular women’s procedure in the United States!


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.”

Every Woman’s Ideal Breast…and common Myths About Breast Lifts


Every woman has her own idea of the “ideal breast.”  Many women are born with breasts that are too small and many women dream of larger, well proportioned, symmetrical, and not droopy or sagging…but sexy breasts. I have found this to be true among women of all ages and stages in life.

Today’s women consider their breasts to be their most feminine attributes and many women are choosing procedures that will create their ideal breast including breast rejuvenation for aging sagging, deflated breasts…or implants, fat grafting and breast lifts for restoring more youthful breasts, or breast reduction for overly large, too heavy breasts…or a combination of these to create their “ideal breast.”

In this blog I cover a few common breast myths with more information on the  procedure options, in future blogs.

When it comes to breast options, going bigger, smaller or lifting the breasts to a more youthful position requires correct understanding and knowledge of what these procedures entail.  There is a lot of misleading information that affects perception and can lead to poor choices.

MYTH #1…Breast Lifts are the only way to “lift” the breasts.   Breast Lifts work effectively for breast lifting if skin elasticity is good, there is a minimum of ptosis (sagging) and the nipple position will allow it.  However, implants are often chosen instead of a surgical lifting, for added volume and shape. Lifting with implants can be achieved if the right type of implant is used in the right patient.

MYTH #2…A Breast Lift achieves permanent perky breasts, elevated to a more youthful position.  Truth is: “nothing is forever.”  Aging cannot be stopped…but we offer many age defying options that can slow it down a bit…and rejuvenate  aging areas of the body.  A Breast Lift settles into position within a year after your surgery…this often appears as falling or drooping when in fact it’s just fullness being redistributed to the bottom of the breast.  As you age, your breast continues to age also and over time can become droopy again.  In the meantime, you can look years younger!

MYTH #3…Fat transfers ensure that your breasts are immune to future weight fluctuations and related breast changes.   FALSE!  Truth is:…the breasts are affected by weight gain/loss just as much as the rest of the body.  There is little you can do to avoid these changes if you are subject to weight fluctuation.  So if you plan to have a Breast Lift with or without implants or fat grafting injections, maintaining a healthy weight is the best way to prolong the wonderful, youthful results of your Breast Lift.

I have performed hundreds of Breast Lifts and by combining my honed surgical and artistic skills with todays advanced surgical science…my patients enjoy long lasting, outstanding, natural looking results.  Choose your surgeon wisely!

The next blog will cover Breast Implants.  Today’s implants are very natural, offer a host of sizes and shapes which means they can be “customized” to your personal needs and goals.  They are safe, effective and longer lasting.  Women love them!

Holidays and Christmas Wedding are coming soon.  If you’ve been thinking about an anti aging, age defying makeover, now is a great time to get it done…to look your absolute best…for now and for years to come.

Stay Well and Healthy!   Steven Davison M. D.

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

Female Cosmetic Surgery…Put the excitement Back into your love life!


Female Genital Cosmetic surgery is not new…it just hasn’t been talked about much.  Women used to be shy and embarrassed to discuss intimate health concerns with their physician let alone sexual issues. But, not so anymore. The stigma is gone…and men and women have put away their “Intimacy Inhibitions.” The Boomers want to live life to the fullest and that includes exciting sexual gratification. They are leading the charge in all areas of cosmetic procedures…and have done away with the stigmas completely.

Today, Female Genital Rejuvenation procedures are popular and common.

In this blog, I’ll do a quick overview to bring you up to speed.

First off, there are several Vaginal Rejuvenation techniques (procedures) used to correct problems following childbirth, trauma, illness and age related changes.  Women are now making some of these rejuvenating options part of their “Mommy Makeover.” These include:

1) Vaginoplasty employed to rejuvenate the vaginal area to a more youthful, and/or pre pregnancy condition.

2) Clitoral Hood Management rejuvenates this area and restores sexual function

3) Labiaplasty…for the Labia Majora and Labia Minora includes Labial Reduction, Labial Enhancement, Labial Beautification, Labial Revision etc.  In brief, these procedures reduce  or enhance the size and shape of the labia to eliminate embarrassment and to enhance sexual excitement.

4) G Spot Amplification puts the sizzle and WoW back into your sex life.

Why We Do Female Genetic Cosmetic Surgeries

Aging, hormonal changes, genetic factors, trauma, illness, childbirth ( nearly all women experience some degree of vaginal damage with each childbirth)…all these life changers affect not only a woman’s health in the genital area (V Zone) but also her sexual function and enjoyment may be dramatically impaired.  This usually affects the other partner also.

What Bothers Women Most

  • Vaginal looseness…especially after vaginal childbirth
  • Pain & discomfort in the genital area
  • Embarrassment over physical changes such as labial enlargement (shows through some clothing & during certain activities)
  • Embarrassment with appearance during sexual intimacy (ashamed in front of sex
  • partner)
  • Woman doesn’t feel healthy and beautiful anymore
  • Loss of function…reduced sensation resulting in lost sexual gratification
  • Reduced self confidence … lost self esteem
  • And More……

There are Several Options…

Women come to me today, often with their life partners full support, to design their personal female rejuvenation/restoration plan.  They are always relieved and excited to learn about the safe, effective options we can do to make them feel normal, healthy and beautiful again.   Yes, women often feel less than attractive as unwelcome changes occur in this intimate area of their body.

Discreet and Confidential Help is Available

Everything we do at DAVinci is aimed at providing a confidential, patient centric experience.  The information and sensitive support we provide empowers women to make the right choices for their lives.  The procedures are all state of the art, refined, safe, effective and able to restore what time and life has taken away.

Future blogs will cover more information…do more educating…and encourage you to do something for yourself.  We’re here to help you…confidentially, discretely and sensitively.

Hope Summer is going well….without too many sunburns out there!  Remember the sun protection tools:  hats, sun glasses, Obagi Sunscreen (call & ask Nora), lots of cool water (stay hydrated) and shade away from the reflecting water.  See http:www.DAVinciplastic.com for more information.

More next time.  Stay Well.

Steven Davison M.D.

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

Brides and Grooms…Flawless Skin, Chiseled Abs and more from the Beauty Experts


Every brides’ goal is to have picture perfect, flawless and glowing skin on her wedding day.  Grooms want to have a clear complexion and be fit and trim with a great upper torso and much more. Today’s couples plan and do more together than ever before…especially for their wedding.  So in order to accomplish these goals, you must start a few weeks before your wedding date.  

Brides and Grooms Skin Care plan looks like this:

  • Use only trusted skin care products…such as Obagi for beautiful, healthy  skin
  • Perform your skin care regimen daily without fail
  • Avoid shell fish, limit alcohol, stop smoking and avoid extractions (they inflame the skin) and tanning beds….there is no safe tan!
  • Dietary:  eat lots of fresh, raw fruits and vegetables,  cut back on or eliminate fried foods, sugar, excess salt, processed foods
  • Sugar molecules attach to collagen fibers and cause sagging skin and wrinkles
  • Alcohol causes blotchiness and swollen skin
  • Excess salt causes puffiness
  • EAT lots of foods loaded with antioxidants (raw fruits and vegies….must be fresh)
  • Pure Water….drink lots of it to stay well hydrated and detoxed
  • Skin Care Regimen…must be daily routine and include:  cleansing, toning, moisturizing.    Exfoliate 1 time per month prior to your wedding.
  • Sleep…the body heals and renews only during sleep.  Get 7 to 8 hours a night.
  • Deep Breathing….stop and deep breath several times everyday
  • Crying…avoid crying the week before your wedding to avoid red eyes and puffiness
  • Lighter Makeup…Brides …lighten up on makeup and let your skin breathe
  • Facial….get one a few days before your wedding day…focus on smoothing, exfoliation and hydration
  • Wedding Day gel mask….lots of water….lots of deep breathing! (apply a gel mask that morning to clarify and smooth your skin….drink plenty of pure water and breathe deeply.

Beautifying Procedures Brides and Grooms Love!

Many brides and grooms want to look their absolute best on their wedding day…for those perfect photos, lasting impressions…and cherished memories.  The most popular procedures they choose include:  Tummy tucks, Facial Fillers, Lipo/Abs sculpting, Spa procedures to help transform troubled, aging skin to look and be more youthful,  Lip augmentation to get beautiful, sexy lips….Nose Jobs, Breast Augmentation or Reduction and others.

Today’s Couples Stay Younger Together…

Men and women arrive together to tailor their age defying programs!  The days of women showing up alone, having a breast procedure or facial rejuvenation treatments and then hoping no one notices right away….those days are long gone.  This is a new day! Husbands and wives, brides and grooms are scheduling appointments together and planning their age defying, beautifying treatments….together.  It’s lots of fun for all of us and so rewarding.

Society demands it…Men and Women want it!

Health and wellness that achieves wonderful youthful results incorporated with small procedures, started early enough to reverse early signs of aging.  We now thoroughly understand the aging process and the timetable at which visible signs of aging will occur.  In response to that, we can do small things early on and absolutely reverse and slow down the process.  Treatments like injectable facial fillers such as Juvederm, Botox, Obagi skincare products that work from the cellular level to create healthy skin from the inside out and other options.

Lots of Options for everyone…

These are just a few of the many ways you can prepare for your big day…but you must start now.  Come on in and let’s get to work on your personalized plan so you’ll be ready.  Visit my website for ideas and procedure overviews: http://www.davinciplastic.com

Helping people be their healthiest and most youthful is what I do best!

Steven Davison, M.D.

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

RESTORATIVE BREAST RECONSTRUCTION…Flap Methods


The reasons women choose to have restorative breast procedures are well stated in these quotes …

I need to feel whole again,” –  “You have given me back what cancer took away,” – “The reconstruction of my breasts made me feel restored…not reconstructed,”  –  “I want to look as good as I feel,”  –  “I want to look and feel sexy again…and want my husband to see me as sexy.” 

These are but a few of many thousands of thoughts from women who wanted to fully recover from their breast cancer…with a whole body.

Today, I review Flap Procedures (Stage II Breast Reconstruction/Restoration).  There are a variety of Flap Procedures used to restore breasts…not every type is right for every woman, but we determine this after careful and thorough evaluation of your needs and goals.  I tailor each flap procedure to achieve beautiful natural looking breasts. There are four muscle flap techniques as follows:


1) Latissimus Dorsi Flap 
uses a flap of skin and muscle from the back on the same side as the operated breast.  This is transferred forward to form a breast mound that will look and feel natural since it is your own living tissue.

2) TRAM Flap is the most common form of living tissue  breast restorative techniques used today.  It creates a natural looking, soft, warm breast.  TRAM Flap involves either free flap or pedicled flap techniques.  Pedicled flap means the tissue remains attached to its blood supply.  TRAM Flap procedures employ skin, fat and muscle removed from the lower abdomen and transferred to the chest.

3) DIEP Flap reconstruction employs excess skin and fat from the lower abdominal area, through an incision similar to that used for Tummy Tucks. This is a “perforator flap” technique that is muscle sparing…meaning no muscle function is sacrificed, but warm living tissue is used instead.

4) Gracilis Flap harvests excess skin and fat from the inner thigh to restore natural looking, soft, warm breasts.  This may be a TUT Flap (without muscle) which is referred to as a Transverse Upper Thigh Flap. When a small amount of muscle is required…a TUG Flap is employed.  Either flap can be harvested so the donor scar is discretely hidden inside the upper thigh.

This is a brief overview of the 4 Flap techniques used for restorative breast reconstructions.  Each of them has it’s own virtues… and all offer beautiful, natural looking and feeling breasts.  I have guided many women through making the right choices so as to ensure optimum results.

GOALS of RESTORATIVE BREAST PROCEDURES

Goals are critical to good outcomes.  You must have yours…here are mine: “all cosmetic surgery should be functional & all reconstructive surgery should be aesthetic & look as natural as possible.”  

ADVICE TO MY PATIENTS

Always ask me questions; ask to see pictures of my patients, gather information and consults with trusted mentors, make your decision.   There are NO wrong decisions. Choose a qualified, Board Certified surgeon with specialized training and expertise in reconstructive surgeries.

Next blog will cover Implant Breast Restoration.

Dr. Steven Davison

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


BREAST RECONSTRUCTION (Restoration)…Stage II


STAGE TWO BREAST RECONSTRUCTION

From previous blogs you know that Stage I involves placement of the Tissue Expander…often placed under the same anesthesia as your mastectomy surgery… and called Immediate Breast Reconstruction.  Delayed Reconstruction means you choose to wait a few weeks or months before starting the restoration process.

Here are the steps leading up to Stage II Reconstruction:

During the mastectomy skin and breast tissue are removed, leaving the chest tissue flat and tight.  The “expander” is inserted under the chest muscle and skin to serve as a “space saver.” The expander is slowly filled with saline solution (over many weeks) to stretch the remaining skin and muscle to allow for the future breast implant.

Expander surgery is done under the same anesthesia as the mastectomy surgery.  (Immediate Reconstruction)  Healing takes 4-6 months

NOW Stage II begins: The new Breast Implant is placed when Dr. Davison determines the space is sufficient and then the expander is removed.  This is done through the original incision.

Stages III & IV …Begin about 3 months later and Involves A new nipple and areola…with additional breast beautification.

I become your primary care physician during this entire process…generally about a year.

Stage II Breast Reconstruction involves rebuilding a new breast mound by using what is called a Flap Procedure.  There are several options for flap procedures that I will cover in my next blog.

Every year the numbers increase of women who choose breast reconstruction.  Vast experience enables me to gently guide you through the process to eliminate frustration and confusion, until you eventually see the tremendous benefits of your choices.  During the consultation you will come to understand your options and be able to choose a course of action that restores both form and self confidence.

All we do…we do sensitively, expertly and with outstanding results to improve your health and wellbeing. The results of all surgeries should be both…functional and beautiful.

Dr. Steven Davison

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