Lipomas…this safe, simple treatment makes them “gone in 30 seconds!”


Lipomas can form in many shapes, sizes and places on the body.

Lipomas are the most common soft-tissue tumors formed with adipose tissue.  They also require a referral to plastic surgeons for safe, effective removal and to minimize and conceal scars.  A few facts about lipomas include:

  • Lipomas are a common reason for referral to a plastic surgeon
  • They occur more often in adults between 40 to 60 years of age
  • Lipomas are soft to touch, moveable and usually painless
  • Lipomas often grow to more than 6 centimeters in diameter
  • They can also occur in younger adults and children

TREATMENTS for REMOVAL of LIPOMAS have typically included ….1) endoscope assisted removal: 2) suction assisted removal, 3) minimal incision removal and 4) remote incision lipoma extraction.  These all work and have been used by surgeons for decades to remove lipomas of all types.  But, some of these techniques are tedious and require extra equipment (even though they are advanced treatments).   I helped pioneer a very simple, safe and effective method that involves a simple incision and a “quick squeeze” to remove lipomas without all the extra instruments used in other methods.

THE QUICK SQUEEZE METHOD FOR LIPOMA REMOVAL….deserves attention amid today’s array of modern, advanced techniques…that require extra time, attention and technology.  Once surgeons learn the quick squeeze method and start using it…they realize it’s great benefits….it’s safe, quick, simple and effective with a very low rate of recurrence.

QUICK SQUEEZE LIPOMA REMOVAL…how it works:  1) the lipoma is identified by palpation and its margins are outlined.  2) The area is then infiltrated with local anesthesia and is prepared and draped in standard fashion.  3) An incision approximately one quarter to one third the diameter of the lipoma is made (carried down to the lipoma capsule).  4) The lipoma is then squeezed out through the incision…without any additional dissection.

LIPOMA STUDY…140 lipomas removed, in 50 patients, over the life of this study. These lipomas were located on the face, scalp, neck, thorax, back and flanks, hips/pelvis and on both the upper and lower body extremities.  Of the 140 removals….there were only two recurrences.  There were no complications or revisions.

Dr. Samir S. Rao, M.D., Department of Plastic Surgery, Georgetown University Hospital, Washington, D.C. and I… Steven P. Davison, M.D….DAVinci Plastic Surgery, Washington D.C.  setup and carried out this study to demonstrate the efficacy of our “simple lipoma squeeze method.”  This method was first described by Kenawi in 1995 and this exposure encouraged the literature to focus more on minimally invasive lipoma removal methods.  This method is best suited for subcutaneous lipomas with overlying mobile skin.  Deep intramuscular lipomas often found in the back or shoulder region may require longer incisions and more dissection for complete removal.  The method is still safe, simple and effective in spite of these factors.  Also, our method does leave a small scar directly over the lipoma, but most incisions can be hidden along skin tension lines.  Scars typically fade of time…and today we have cosmetic scar topicals that help this process move along quicker.

SQUEEZE DELIVERY TECHNIQUE…for lipoma removal gets them gone in 30 seconds!  We successfully demonstrated, and continue to do so with our patients, that with only a small incision and a safe, effective procedure, lipoma removal can be performed quickly without complications!    Certainly, this deserves more attention!

OK…next blog will cover Lipomatosis…to help you better understand lipomas and the need for their removal.  Also, I will present info on “keloids” in the next few blogs.  These are not exciting topics….but the information is certainly beneficial for those who suffer with these problems.

THE SUN is coming…The days of beach going and picnics etc will soon be upon us…skin cancer awareness month is May…look for helpful info so you can enjoy your playtime.  Now is the time to schedule those procedures that will get you “beach body ready!    Http://www.davinciplastic.com.

Steven Davison M.D.

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

Happy, Safe, Joyous Holidays…filled with Love, Joy and Peace


Happy Holidays and many blessings to you and yours throughout this Christmas week and into the new year….2013.  I, along with my family and staff wish you all health, happiness, peace and prosperity in the coming year.

Steven Davison M.D.shutterstock_66756370

GIVE YOURSELF A GIFT OF BEAUTY…Botox, Juvederm, Lip Augmentation etc…


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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.

Balance an Aging Face Beautifully….know when to Prevent, Augment or Rejuvenate


Facial aging appears in our 20’s as subtle changes occur. The 30’s ushers in more as natural fullness lessens and the face slowly becomes heart shaped. The 40’s, however are different.  Fat loss and tissue changes become very visible as the cheeks become flat and lack definition… while lines, wrinkles and folds develop in many areas. The lips start to thin; the eyes and brows start drooping.  Aging continues over the decades. We can’t stop the aging process…but we can address it.

This is the time of year when men and women come to my office to get information, to  tailor a program that addresses their aging issues, and to start on procedures that defy aging by taking years off the face.

To Prevent, Augment or to Rejuvenate…that is the question. 

Prevention involves doing small things at a younger age to prevent or correct early signs of aging. Celebs are doing a lot of “early prevention” treatments…so they can minimize the visible signs of aging and always years younger.

Augmentation changes your features…e.g. chin implants reshape a chin that has lost volume and definition.

Rejuvenation corrects age related changes that have occurred…e.g. men and women just want to look a few years younger without changing their complete appearance

Balance and proportion need to be correct to achieve the desired improvement.  The goal is to get outcomes that look natural and improve the face…not manipulate it while striving for perfection.

BALANCE MEANS:  a youthful face that doesn’t look done but it does encompass features that are proportionate with each other as follows:

1)  Eyes should have 1/2 inch between the upper lid and brow. Outer corner turns up slightly.

2)  Brows should be aligned with each other and have a slight arch at the tail.

3)  Cheeks should be oval in shape, full and high on the face while tapering in

4)  Lips…the upper lip should be two thirds smaller than the bottom lip with slightly upturned corners.

 Knowing When to do What…is a key factor at any age or stage in life.  When younger patients ask me for filler, injectables of fat…and there are no visible signs of aging…they want enhancement rather than corrective or preventive treatment. Also, surgery is an option only when you’re ready and when it is age appropriate or it can actually make you look older and “done.”

I advise my patients:  Start doing small interventions early and then maintain…a little intervention with fillers and injectables is good for making improvements…but beware…a lot is not always better.  Check on my procedures at: www.davinciplastic.com.

I am certified by multiple medical boards, have years and years of experience, I stay current with today’s advancements and I am also an “expert injector.”  Pictures of my patients tell a wonderful story!  

OK….this is the time of year to start getting ready for the Holidays.  Come in for a personal consultation so you can put your best face forward!

Steven Davison M.D.

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

To Wake up Every Day to beautiful skin…know these myths and tips.


Some skin care myths You need to know about…We carry only the best skin care products in our spa…and our lifelong clientelle have learned certain truths about healthy skin, and they use products that really work.

Myth #1. After washing it, your skin should feel tight. That means it’s clean. Answer: tight skin after cleansing has been stripped of all hydration causing dead skin cells to build up on the surface.  Avoid stripping cleansers (e.g. bar soap).

Myth #2.  Greasy foods and chocolate are offenders and cause breakouts.  Answer: This may inspire you to eat healthier, green foods, but there is no science to support this myth.

Myth #3.  Smoking is bad for your lungs…but has no negative effects on your skin.  Answer:  WRONG!  Smoking narrows the tiny blood vessels in the outer layer of the skin and it depletes the skin of essential oxygen and nutrients that promote health.  The damage shows up clearly as: facial lines, wrinkles, folds (e.g. smoker’s lips) and discoloration…not to mention lung diseases.

Myth #4.  Longterm, frequent use diminishes effectiveness of skin care products.  Answer:  The skin is in a constant state of renewal as old, dead skin cells are pushed to the surface and new cells are generated about every 30 to 40 days.  Good skin care products enhance this process to create healthy, beautiful skin.

Myth #5.  You don’t need sunscreen it your makeup has it.  Not all makeup is created equal…so don’t take a chance on your precious skin.  Use sunscreen for play in the sun times.

We carry Obagi skin care products because they work simply and effectively to give you the healthiest, most beautiful skin ever.  Obagi transforms skin…no matter your age, ethnicity, gender, or skin condition.  Call and ask Nora about it.

Here are a few basic skin care tips that can be “skin changing”….

1)  Get 8 hours of restful beauty sleep.  The body heals and renews only during sleep.

2)  Clean your face every night…do it early in the evening if you are too tired at bedtime, to cleanse away the day’s impurities, excess oil etc.

3)  Hydrate your body to hydrate your skin…and to energize both.  Try a glass or two in the evening for brighter skin in the morning.

4)  NIghttime skin care…is just as important as daytime.  Nighttime products are formulated to renew and repair the skin while you sleep.  Obagi NuDerm Systems offer everything you need to achieve round the clock, all weather, all skin types…healthy, beautiful skin.

5) Pregnancy….keep that healthy glow!  Whether you have children or this is your first pregnancy, pregnancy creates skin care challenges such as acne, pregnancy mask and stretch marks.  Our “mommies” safely address these concerns during and after pregnancy.

Nora can schedule your personal consultation to educate and get you going with a healthy skin care regimen.  See Obagi Systems at www.davinciplastic.com.

OK….summer is over. School and work makes for busy schedules.  DO NOT NEGLECT YOURSELF!  Take a few minutes each day for good nutrition, plenty of water, restful sleep at night, and the right skin care regimen…to look and feel your absolute best.

Steven Davison M.D.

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

Vaginoplasty…restores health to your V Zone and it can reignite your love life!


“Intimacy Inhibition” simply refers to the embarrassment women have endured over health issues with their female genital area. Talking about these secret places was always taboo  to the point of often causing serious health problems.  Today…the embarrassment is gone and women can discretely yet openly discuss their concerns with a qualified surgeon.

Surveys tell us that: 2 out of 5 women feel shame, are embarrassed or unhappy with the intimate places of their body.

I am in a league of qualified surgeons who are educating and arming you with the information that can empower you to get the medical attention you need and really want.  Today, we talk about what troubles you; then we choose the right options to address your concerns!  See my website for complete info: http://www.davinciplastic.com.

Vaginoplasty … addresses the problems aging women and women who have children by vaginal birth commonly endure…often for years and years.  

1) Vaginal looseness  2) Vaginal muscle laxity  3) Enlarged vaginal canal  4) Reduced sensation during sexual intimacy  5) Leaky Urine  6) Painful intercourse,  7) discomfort when wearing many types of clothing and during various activities   8) unhappy with appearance…enlarged labia, misshapen labial lips, hooded mons pubis, lost volume or too much volume and more.

Vaginoplasty surgery repairs vaginal damage from trauma (childbirth, tearing, etc), restores function and appearance which increases sexual stimulation and gratification.  Vaginal Rejuvenation surgery (Vaginoplasty)  enhances muscle tone and strength, decreases the diameter to that of a young, healthy, youthful size. The integrity of your vagina is restored.  Health is restored to your V Zone.  This energizes and empowers women daily as Moms and Wives.

The results are usually dramatic…giving back to women their function, eliminating discomfort, restoring self confidence and renewing self esteem.  Remember, your sexual partner benefits too!

Most Frequently Asked Questions:

– Is the surgery painful?  There is some discomfort with all surgical procedures.  I use advanced methods and finely honed skills to keep you as comfortable as possible.

–  What is the recovery time? Most of my patients are comfortable enough to return to sedentary type work within 1 week.  Complete healing takes many weeks.

–  How long before I can have sex again?  My patients are required to wait for 6 weeks to allow for total vaginal healing.

– What makes you qualified to do this surgery?  I am board certified..this involves extra years of eduction, training and experience.  I’m specially trained as a reconstructive plastic surgeon in addition to cosmetic surgery.  I’m Fellowship trained which means being taught/mentored by the world’s best experts in a given field.  Reconstructive surgery involves understanding the vast complex human anatomy and being able navigate it to restore function…and beauty.

– Will insurance pay for female genital cosmetic/reconstructive surgeries?   Maybe.  If it is deemed as being medically necessary, it may be covered.  Please check with your insurance provider to be sure.

– Is financing available for these procedures?   Yes…we offer financing and have complete info in my office.  Ask us about it.

Ok.  More to come in future blogs on FemGenCosmetic surgery.  It’s important and I’m glad we can do so much today to help women with problems they’ve suffered with for too long!  A program will be tailored to your specific needs.

Come in, let’s talk and then design a program to get you healthy again.

Steven Davison  M.D.

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

The Trend …Gynecomastia surgery is the Ideal solution for many men!


I’ve written several articles this year about men and cosmetic procedures…because men want the information, they appreciate the education and, they love the results they get from each procedure. The trend is that men are having more cosmetic and reconstructive procedures of every type, every year. Male Gynecomastia surgery is done to reduce the size of male breasts (same as breast reduction in women) for various other reasons.  I perform many of these operations every year to help my male patients regain self esteem, get renewed confidence and a new “physique” they can show off without embarrassment.

DATA:  40% to 60% of all men are affected with enlarged women like breasts

  • Male Breast reduction is ideal for men who are self conscious about their condition
  • Gynecomastia usually begins during adolescence & continues for life if not corrected
  • It psychologically impacts men of all ages…starting in the early teen years
  • Causes of large male breasts include:  obesity, Klinefelter’s Syndrome, Gilbert’s Syndrome, normal aging, hormone fluctuations, RX medications, anabolic steroids, impaired liver function

Male Breast Reduction Surgery… Results in a chest that is flatter, firmer, more contoured. Men and boys who suffer with Gynecomastia have found this surgery to be the ideal solution to their problem.  1) Male breast reduction is typically an outpatient surgery performed under general or local anesthesia. 2) I work through one small incision to  and remove excess fat and skin and to sculpt the breast to a masculine appearance. 3) My advanced techniques/skills and experience results in inconspicuous scars. 4) As with any operation, there is some swelling, bruising and discomfort for 2 to 3 days.   Oral pain medication manages this nicely. 5) Final results are seen when all swelling has resolved…usually 2 to 3 months.

Questions Men Ask Most Often:  See my website for info: http://www.DAVinciplastic.com

How much work will I miss?   My patients report back to work in 1 to 2 days.  Choose a long weekend for your procedure.

Will Activities be Restricted?   Yes.  No sex for 1 to 2 weeks following your surgery and no heavy, strenuous exercise for about 3 weeks.    Will Male Breast Reduction surgery change my looks?  NO.  You will look like yourself…just more fit, trim and contoured!

Will Male Breast Reduction negatively affect my sexual activity?  NO…in fact…men report to me it really enhances it due to their renewed self esteem and pumped self confidence!

OK. This gives you a good overview.  Come in soon and let’s talk.

Steven Davison M.D.

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

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.

FaceLifting Injectables…the story behind this magic injection…


Injectable fillers used to be just…wrinkle fillers.  Today’s Liquid Miracles…the injectable treatments I am able to use for my patients not only immediately erase lines and grooves  but also “lift” and “contour” aging facial features and flaws for men and women.

Temples, brows, upper eyelids, undereye areas, cheeks, mouth corners and jowls are all easily treated and magically lifted.

How Do They Work?  

Injectable fillers like Radiesse work immediately by replacing volume and stimulating your own collagen renewal while attracting water to the treated area. Juvederm is used in areas requiring less structural improvement…such as under the eyes and for marionette lines. Botox is used to inhibit muscle action allowing forehead furrows to relax and smooth out and also prevents future lines and wrinkles.

Old Injectables V New Injectables

When first introduced, injectables were primarily used to fill in wrinkles.  With product advancement and refined techniques, they are used more widely with effective natural outcomes.

Aging Face…it shows

As we age, the different facial compartments “shift” and fat pads migrate downward (e.g. the cheeks) often being reabsorbed into the tissues. Constant volume loss from lifestyle, aging, illness etc, causes facial contours to change and become visible as lines, wrinkles, grooves, sagging mouth and more.

Reconstructing the face with fillers allows for the architecture (framework) of the face to be lifted, restoring the natural…youthful contours of the face.

Using today’s fillers and getting the desired natural looking and long lasting results requires specialized training, experience and skill.  I am a trained/qualified/experienced “expert injector.”

Summer Events…weddings, family reunions, family trips, class reunion, job interviews… etc… often call for Quick Fixes  Don’t despair…you have safe, effective, quick options without downtime and with results that will amaze you and dazzle the special people in your life!  See http://www.DAVinciplastic.com for more info.

Age Defying Facial Rejuvenation…How we do it:

  • Shape the cheeks…seamlessly shaping this area with Hyaluronic acid and long lasting fillers restores youthful contour & a refreshed, natural look 
  • Lift the Mouth…get rid of that downturned smile and look young again
  • Smooth out the jawline…to lift it before it goes too far south to redefine this part of the face
  • Open up the eyes…revolumize this area to restore that fresh, full look
  • Elevate the brows…restore volume to this sagging, sunken area
  • Define the eyes…restructure the undereye area to compensate for bone loss, fat and thinning skin

About today’s “Injectors”…

It’s true that you can walk into many spas and get Botox for example…but are you willing to risk possible bad results by having an unqualified person work on your face?  Know this:  there are over 1 million doctors allowed to perform injectables and filler treatments…in the US alone.  ONLY 3% of these are qualified to do so.  Choose wisely!

Summer fun in the sun can wreak havoc with your skin and face…we have options to correct it.  In the meantime…remember the hats, sunglasses, Obagi sunscreen, lots of cool water and shade.

Enjoy your family times…make lots of wonderful memories.

Steven Davison M.D.

DAVinci…have a patient centric experience in an environment where we combine the supreme elements of art & surgical science.