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.
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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physically demanding work after about 4-6 weeks."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication within 90 days, mostly minor wound problems and seroma; serious ones under 5%."},"contraindications":["Smoking or nicotine use (relative; quit before and after)","Pregnancy or plans for future pregnancy (usually deferred)","Unstable medical conditions or unfitness for general anesthesia","Active infection or open wounds in the abdominal area","History of venous thromboembolism or clotting disorder without specialist clearance","Unrealistic expectations or active eating disorder","Planned significant weight loss still in progress","Poorly controlled diabetes or other conditions impairing wound healing (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical stay after fleur-de-lis abdominoplasty; some surgeons discharge after one night."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":8,"unit":"weeks","qualifier":"Light walking encouraged early; strenuous exercise and core work usually resumed after about 6-8 weeks with surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves and scars mature gradually."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After drain removal and first wound check; later if wound healing is delayed."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, often with drain management."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"Removal of non-absorbable sutures or drains if used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Check of healing and compression garment use."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of final result and scars."}}],"indications":["Vertical and horizontal abdominal skin/fat excess after massive weight loss","Lax abdominal wall with diastasis of the rectus muscles","Desire for a narrower waist with lateral abdominal skin excess"],"main_risks":["Hematoma or seroma","Wound dehiscence, especially at the T-junction","Infection","Skin or umbilical necrosis","Visible, widened or hypertrophic scars","Venous thromboembolism","Numbness or altered sensation","Contour irregularities, asymmetry, need for revision","Anesthesia-related risks"],"pain":"Moderate pain and tightness for the first 1-2 weeks, controlled with prescribed analgesics; gradually improving over several weeks.","preparation":["Preoperative medical evaluation and laboratory tests as required","Stable weight, usually for several months","Stop smoking/nicotine for the period advised by the surgeon","Review of medications and supplements with the surgeon","Fasting before general anesthesia as instructed","Arrange help at home and a compression garment","Thromboembolism risk assessment"],"recovery_timeline":[{"phase":"Days 0-3","description":"Hospital stay or initial rest; flexed-hip posture, drains and compression garment; early assisted walking.","restrictions":["No lifting","Avoid standing fully upright if advised"]},{"phase":"Weeks 1-2","description":"Swelling and tightness; drains removed; gradual upright posture.","restrictions":["No driving while on opioids","No heavy lifting or straining"]},{"phase":"Weeks 3-6","description":"Return to light activity and desk work; continued compression.","restrictions":["No strenuous exercise","Avoid heavy lifting"]},{"phase":"Weeks 6-12","description":"Gradual return to full exercise; swelling subsides.","restrictions":["Increase exercise intensity gradually"]},{"phase":"Months 6-12","description":"Final contour and scar maturation.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities; no formal physiotherapy typically required."},"result_longevity":"Long-lasting if weight remains stable; affected by weight changes, pregnancy and aging.","revision_rate_pct":{"min":8,"max":20,"unit":"percent","qualifier":"Secondary surgery for scar, contour or wound issues; higher after massive weight loss."},"scars":"Anchor-shaped scar: a horizontal low lower-abdominal scar (often hip to hip), a vertical midline scar to the upper abdomen, and a periumbilical scar. Scars are permanent, fade over 12-18 months, and may be hypertrophic.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Fleur-de-lis abdominoplasty with vertical and horizontal excision","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone single-stage procedure."},"success":{"metric":"Patient-reported satisfaction with abdominal contour","value":90,"unit":"percent satisfied","horizon":"12 months","population":"Adults with excess vertical and horizontal abdominal skin, often after massive weight loss","evidence_status":"limited"},"techniques":[{"name":"Fleur-de-lis abdominoplasty (vertical midline plus horizontal low transverse excision, with rectus plication as needed)","suits_whom":"Patients with excess skin in both vertical and horizontal directions, commonly after massive weight loss.","recovery":"Recovery of about 2-6 weeks to resume work; full activity at about 6-8 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operating time for standalone fleur-de-lis abdominoplasty; varies with extent of excision and plication."},"initial_assessment_documents":["Front, side and back photos of the abdomen","Medical history summary with current medications","List of blood thinners","Previous abdominal surgery and scar details","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days for hospital stay, drain removal and first wound checks before flying home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/city=washington/procedure=abdominoplastika-fleur-de-lis/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}