Injectables for Facial Balance and Your Ideal Profile


May is Melanoma/Skin Cancer Detection and Prevention Month. Skin cancer is the most common type of cancer in the United States. The good news is that it can be prevented and if you get it, it can almost always be cured when found early and treated immediately upon detection. The goal in May is to raise awareness and encourage prevention. Visit: www.healthfinder.gov for complete info on skin cancer.

Well, this blog will continue telling you about facial balance and ways to achieve your “Ideal Facial Profile.   age defying at 50

Balance is the key to an attractive profile. Proportion is key; there should be balance between the forehead, the midface and the chin. When features are out of balance, and one overpowers the rest, the profile can look askew. A weak chin or backward sloped forehead makes the nose appear too dominant and creates a lack of balance and harmony.

INJECTABLE FILLERS and FACIAL BALANCE…surgery used to be the only way to achieve desirable facial balance or your “Ideal Profile.” Today, advanced, sophisticated injectable fillers make designing and achieving your desired outcomes absolutely possible without surgery. Injectables are today’s most popular cosmetic surgery alternative. For example, each year over 1 million people choose Injectables that restore youthfulness to their nose. Today’s Injectables can correct unsightly nasal bulges, humps, bumps, droopy nasal tips, nose bridge irregularities and more.

Since the nose is the most defining characteristic of the face, the size and shape can either enhance or distort your appearance. Nose reshaping, that is well done, will not change the way you look, but it will restore youthfulness by enhancing your own facial features.

The past decade has produced advanced, highly sophisticated Injectables that we employ to achieve wonderful, longer lasting results.

RESTYLANE, RADIESSE and JUVEDERM are top hyaluronic acid fillers that we use to reshape noses and achieve other age reversing cosmetic procedures. NASOLABIAL FOLDS are also injected when doing the nose, to restore volume and eliminate those unsightly folds. Results from Injectables are seen instantly with today’s advanced formulas.

BOTOX® for BROWLIFTS without surgery. Botox has been in use for Brow and Forehead lifts for several years now. Botox is used to lift and shape the brow area by correcting mild ptosis (droopy eyelid) while reducing forehead lines, crow’s feet, frown lines, sad lines etc. This offers a rejuvenated, refreshed appearance, again, without surgery.

SOMETIMES SURGERY IS THE RIGHT OPTION…As amazing as today’s injectables have proven to be, they are not always right for everyone. In order to avoid age reversing cosmetic surgery, you must start doing small anti aging procedures during the early years (20’s to 30’s) for many options. Then, maintaining them is critical to always look several years younger. For those who were not able to start treatments early, we offer wonderful age defying options for every concern. Check my website for more info on this: www.DAVinciplastic.com.

OK, we’re halfway through May already and graduations, career events, family reunions, vacations etc. are close. It’s time for Skin Peels, Injectable FaceLifts, and other “quick fixes” so you can look and feel your very best.

Let’s Talk Soon!

Steven Davison M.D.

DAVinciplastic Surgery…I combine the supreme elements of art and surgical science.

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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.

Fat can be your "Friend"...

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,

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Steven Davison M.D.

Board Certified Plastic and Reconstructive Surgeon

 

Top Five Reasons People Choose Rhinoplasty Surgery…A.K.A. “Nose Jobs”


NO TWO NOSES ARE ALIKE!  Every Rhinoplasty surgery is individualized and is very complex and difficult.  But, the rewards are significant.  A nose surgery can offer subtle or very dramatic results to your overall look and can correct nasal function.  However, since every nose is different, an experienced surgeon and the patients’ realistic expectations are a must otherwise, some patients are disappointed with the results of their surgery and request “Revision Rhinoplasty.”  Revision Rhinoplasty differs from primary surgery and is typically a more difficult surgery.  It is performed to correct deformities or imperfections from the primary surgery which altered the nose thus making revision results less predictable.  I perform countless nose surgeries and am always grateful for good outcomes.

OK…the top 5 reasons people have nose jobs:

1) to correct asymmetries or depressions in the nose

2) for displaced implants or cartilage grafts that make the nose look bulbous/round

3) to correct nasal obstructions hindering breathing

4) Nose is too large, too small, too long, too wide, flared nostrils etc……

5) nasal tip has drooped…making projection inadequate, out of balance

The nose is the most prominent facial feature and can either enhance other facial features or distort them.  People who choose Rhinoplasty share a common concern about the appearance or function of their nose and desire for overall facial balance.

Good candidates are people with realistic expectations, who are in overall good general health and who understand that surgeries of the nose are difficult and rarely achieve “perfect” results.  We strive for safe, natural looking results.

REASONS REVISION RHINOPLASTY IS MORE CHALLENGING THAN PRIMARY RHINOPLASTY SURGERY:

  • Geography is altered due to cartilage removal during the first surgery
  • Cartilage needed for repairs then has to be borrowed from somewhere else
  • Borrowing cartilage requires an extra incision
  • Scar tissue has formed from first surgery…this presents challenges
  • Little spider veins (telangectasias) often occur in second surgeries
  • Revision is very detailed/complex as nasal form must be restored and breathing mechanisms must be repaired
  • These challenges increase surgery time
  • Few surgeons are highly trained or specialized in nasal revision surgeries

As you can see, Revision Rhinoplasty may have its own set of special considerations, but it can also be the most rewarding surgery….making it one of the most often performed procedures year after year.  See my website for complete info: www.davinciplastic.com.

NECKLIFT is at the top of the “most wanted” list also.  Many people have Necklifts done in combo with Lip Augmentation for wonderful, youthful looking results and balance in the lower face.  If done in your 50’s or 60’s, a NeckLift removes the excess, loose skin that is a dead give away to your true age! Liposuction removes the excess fat and the necklift procedure lifts, excises excess skin and tightens sagging muscles to restore 10 years of youthfulness.

Are you considering some cosmetic of functional procedure?  Are you ready for those Family Reunions, Graduations, Weddings, Spring events, beach/family times and more?  Now is the time to get started!  Let’s talk soon.

Stay Well and Keep Your Best Self Forward!

Steven Davison M.D.        20864_132933510071077_4447800_n

Cosmetics Mercury Poisoning, Medical Travel and Board Certification


shutterstock_61928983COSMETICS 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.

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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.”

FACELIFT SURGERY for SAVING FACE


Often patients ask me: “Do I need a facelift?”  Couples are having surgery together...

Besides not liking the visible age related changes when looking into the mirror, some valuable guidelines can help determine when it’s time for a surgical facelift. Unwelcome Visible signs of facial aging include: lines, wrinkles, deep etched grooves, hollow cheeks and sunken eyes, thin sagging skin, a poorly defined neck/jawline often with “Turkey Wobble”, sagging eyelids and undereye bags and more.  These are the conditions that send men and women to plastic/cosmetic surgeons for a facelift, if injectables and other mini treatments are not appropriate.

AGING and YOUR FACIAL SHAPE:  Each shape affects how a face will age.

  • OVAL FACE … will experience hollowing at the temples and in the cheeks due to fat loss.  Fillers can correct this if started early enough and if needed a Mid-Facelift corrects sagging.
  • ROUND FACE…Cheeks and lower face tend to sag.  A lower Facelift addresses this while fat or fillers resculpt the hollow cheeks.
  • RECTANGULAR OR SQUARE FACE…usually loose skin and sagging jowls are the most prominent issues.  A Traditional Facelift is usually the best option to effectively correct this extensive aging.
  • HEART SHAPED FACE…aging appears first in the forehead and upper eyes. The high cheek bones of heart shaped faces tend to age slower than in square faces  with flat cheekbones.

WHAT ABOUT SURGERY AT AN EARLY AGE?  The trend for the past decade has shifted;  people are getting cosmetic procedures sooner, some at the first signs of aging, rather than later when more extensive work is needed to restore youthfulness.  Celebrities have been teaching us for decades that starting with small procedures early can slow down the appearance of aging and…keep you younger looking always!  Seniors, Boomers and Generation Xer’s are starting mini procedures in their 30’s, with periodic maintenance, and more as needed in their 40’s and no later than 50’s.  Visit my website to peruse the many anti aging options available: HTTP//:www.davinciplastic.com.

STARTING EARLY LEADS TO BETTER, LONGER LASTING RESULTS.  It allows patients to look fresher and younger from the improvement made now rather than dealing with greater aging challenges later in life.  They are getting facelifts along with fillers and Botox and are “looking great!”

WHAT YOU NEED TO KNOW…BEFORE YOUR SURGERY  –  1) Realistic expectations are essential!  Don’t expect to look 20 if you are 50.  The goal of surgery, in particular, is to  make you look refreshed, more youthful and to fix laxity, hollows etc. Know that a facelift does not always eliminate every single line and wrinkle.   2) Scars are inevitable in spite of our refined techniques and precision instruments.  But, I hide them so often they are not visible while they fade away or blend in.   3)  There is some “downtime.”  For traditional facelift surgery plan on 2-3 weeks before resuming normal activities.  Each case is different, but that’s a reasonable norm. It can take a few months for all swelling to resolve and for your facelift to really settle in.   4)  Learn what can and cannot be fixed/corrected.  The consultation is critical for arriving at an honest understanding of my patient’s concerns, goals and expectations. I believe in educating them as to their options and outcomes.

So if when you look into the mirror you see lines, wrinkles and deeply etched grooves, sagging skin, sunken eyes, loss of facial volume, changing jawline, disappearing neckline and chin…let’s talk about your options sooner rather than later!

Best to You and Yours,

Steven Davison M.D.

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

Ultimate AntiAging Road Map


shutterstock_54370510Men 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 WOMENNO 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,  shutterstock_56016064PTA, 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.

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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.