Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.
Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.
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Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
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splint usually removed around day 7; swelling and bruising may persist longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication (infection, implant displacement, asymmetry, graft problems) within 12 months; serious ones under 3%."},"contraindications":["Unrealistic expectations or untreated body dysmorphic disorder","Active nasal or facial skin infection","Uncontrolled systemic disease or unfitness for general anesthesia","Smoking or nicotine use (relative; impairs graft healing)","Current intranasal cocaine or other vasoconstrictive drug use (relative)","Bleeding disorders or inability to stop anticoagulants","Pregnancy (elective surgery usually deferred)","Prior implant infection or insufficient skin envelope (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night occasionally for observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and contact activities delayed 4-6 weeks."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling in thick-skinned Asian noses can resolve slowly; tip refinement may take up to 12 months or longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After the first post-operative check and splint removal, with surgeon clearance."},"follow_up_visits":[{"purpose":"splint_removal","requirement":"routine","after":{"min":5,"max":8,"unit":"days","qualifier":"Splint/dressing removal and wound check, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"Early healing assessment."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Later review of contour and swelling resolution."}}],"indications":["Low or flat nasal dorsum","Underprojected or broad, bulbous nasal tip","Short nose or short columella/underrotated tip","Wide alar base or nostril flare"],"main_risks":["Swelling, bruising and bleeding","Infection","Implant (e.g., silicone) displacement, extrusion, visible edges or capsule problems","Graft warping, resorption or visibility (e.g., cartilage)","Skin thinning or necrosis, particularly at the tip","Asymmetry or unsatisfactory appearance needing revision","Nasal obstruction or reduced sensation","Scarring","Anesthesia-related risks"],"pain":"Mild to moderate discomfort and pressure for the first few days, usually controlled with oral analgesics; congestion is often more bothersome than pain.","preparation":["Consultation with photos, nasal exam, implant versus graft options","Medical history review and pre-operative fitness assessment","Stop smoking/nicotine in advance","Review of medications and supplements with the surgeon","Fasting before general anesthesia per anesthesia team","Arrange transport and post-operative support"],"recovery_timeline":[{"phase":"Days 0-7","description":"Swelling, bruising, congestion; splint and possible nasal packing or stents in place.","restrictions":["Keep head elevated","Avoid nose blowing","Avoid strenuous activity"]},{"phase":"Weeks 1-2","description":"Splint removed; bruising fades; return to desk work.","restrictions":["Avoid glasses resting on the nose","Avoid contact activities"]},{"phase":"Weeks 2-6","description":"Residual swelling declines; gradual return to exercise.","restrictions":["No strenuous exercise until cleared","Protect the nose from trauma"]},{"phase":"Months 3-12","description":"Gradual refinement of tip and dorsum as swelling resolves.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program."},"result_longevity":"Generally long-lasting, but outcomes depend on implant or graft type, skin thickness and healing; implants may need later revision or replacement in some patients.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Revision surgery within several years; higher with alloplastic implants and tip grafts in thin skin."},"scars":"Usually small hidden incisions inside the nostrils (endonasal), or a small columellar scar if open approach is used, which generally fades well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary surgery."},"stages":[{"code":"surgery","label":"Single-stage surgical procedure","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Primary Asian rhinoplasty is typically performed in one operation; follow-up checks are not treatment stages."},"success":{"metric":"Patient satisfaction with nasal appearance","value":85,"unit":"percent satisfied","horizon":"12 months after surgery","population":"Adults after primary Asian rhinoplasty with implant or graft augmentation","evidence_status":"limited"},"techniques":[{"name":"Dorsal augmentation with alloplastic implant (e.g., silicone) with or without tip grafting","suits_whom":"Patients with a low dorsum seeking augmentation.","recovery":"Splint about 1 week; swelling settles over several months."},{"name":"Dorsal augmentation with autologous cartilage (septal, ear or rib) and tip grafts","suits_whom":"Patients preferring autologous material or at higher implant risk, or needing tip structure.","recovery":"Similar to implant; rib harvest adds chest-site discomfort."},{"name":"Tip plasty with cartilage grafting, alar base reduction when needed","suits_whom":"Broad, underprojected tip with thick skin or wide alar base.","recovery":"Tip swelling may last longer, often 6-12 months."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Primary surgery with implant or graft augmentation; longer with rib cartilage harvest."},"initial_assessment_documents":["Front, side and three-quarter photos of the nose","Base-view and top-view nose photos","Previous nasal surgery or filler records (if available)","List of blood thinners and supplements","Recent CT scan of the nose (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days until splint removal and surgeon clearance. Later reviews can be done remotely."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/city=washington/procedure=aziatskaya-rinoplastika/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}