British physicians traveled to India to see rhinoplasties being performed by Indian methods.[13] Reports on Indian rhinoplasty performed by a Kumhar Vaidya were published in the Gentleman's Magazine by 1794.[13] Joseph Constantine Carpue spent 20 years in India studying local plastic surgery methods.[13] Carpue was able to perform the first major surgery in the Western world in the year of 1815.[14] Instruments described in the Sushruta Samhita were further modified in the Western world.[14]
After care from the experts was pretty simple and didn’t require anything too strenuous. To keep results looking optimum I’m told to avoid things such as smoking, excess alcohol, sun exposure and getting stressed - which can all help break down collagen faster, decreasing the longevity of Botox. ‘I always recommend that my clients use a daily antioxidant topical serum and an SPF 50 too,’ advises Spyrou.

The most salient difference between chemical peels and microdermabrasion is that microdermabrasion is a non-chemical procedure, and attacks imperfections by actually "sanding" flaws from the skin surface. While treatment plans for microdermabrasion and mild chemical peels such as glycolic acid chemical peels are similar, more advanced chemical peels require only one session. However, deep chemical peels such as the phenol peel also require much more recovery time than microdermabrasion and the more mild peels. Also unlike microdermabrasion, deep chemical peels change the actual pigmentation of the skin through bleaching. Because of this, patients with naturally darker complexions may be better candidates for microdermabrasion.

The cost of chemical peels depends on many factors such as the severity of the wrinkles, the extent of the sun damage, the total number of treatments, the specific area needing treatment, the brand and type of peel, time of peel and deepness. Deeper peels typically cost more as they are more time intensive and the risk management is greater. In Santa Barbara, superficial peels average between $250 -$400 while medium depth TCA peels cost between $600 to $800.


The most salient difference between chemical peels and microdermabrasion is that microdermabrasion is a non-chemical procedure, and attacks imperfections by actually "sanding" flaws from the skin surface. While treatment plans for microdermabrasion and mild chemical peels such as glycolic acid chemical peels are similar, more advanced chemical peels require only one session. However, deep chemical peels such as the phenol peel also require much more recovery time than microdermabrasion and the more mild peels. Also unlike microdermabrasion, deep chemical peels change the actual pigmentation of the skin through bleaching. Because of this, patients with naturally darker complexions may be better candidates for microdermabrasion.
Look for products that have 2 to 10 percent glycolic acid, which is typically enough to improve the appearance of mature and sun damaged skin. Make sure your skin is makeup-free and clean of grease/residue before applying products, and read directions carefully. Afterwards, don’t shave, scrub, laser, exfoliate or exposure your skin to much sunlight for 24 to 48 hours. (11)
Craniofacial surgery is divided into pediatric and adult craniofacial surgery. Pediatric craniofacial surgery mostly revolves around the treatment of congenital anomalies of the craniofacial skeleton and soft tissues, such as cleft lip and palate, craniosynostosis, and pediatric fractures. Adult craniofacial surgery deals mostly with fractures and secondary surgeries (such as orbital reconstruction) along with orthognathic surgery. Craniofacial surgery is an important part of all plastic surgery training programs, further training and subspecialisation is obtained via a craniofacial fellowship. Craniofacial surgery is also practiced by Maxillo-Facial surgeons.
The best reaction came from my mum, who is always honest. She isn’t afraid to tell me I look tired, pale or spotty, but when I saw her after my treatment she couldn’t have been more complimentary. After confiding in her that I had botox she yelped and said, ‘Wow you did really need it, now you look so fresh, like you’ve had a month of great sleep’. Thanks mum.

The first American plastic surgeon was John Peter Mettauer, who, in 1827, performed the first cleft palate operation with instruments that he designed himself. In 1845, Johann Friedrich Dieffenbach wrote a comprehensive text on rhinoplasty, titled Operative Chirurgie, and introduced the concept of reoperation to improve the cosmetic appearance of the reconstructed nose.


Though media and advertising do play a large role in influencing many people's lives, such as by making people believe plastic surgery to be an acceptable course to change our identities to our liking,[37] researchers believe that plastic surgery obsession is linked to psychological disorders like body dysmorphic disorder.[38] There exists a correlation between sufferers of BDD and the predilection toward cosmetic plastic surgery in order to correct a perceived defect in their appearance.[39]
“Believe it or not, patients who are overweight are malnourished. What that means is that their capacity to heal is very poor,” says Grossman. “Patients who are malnourished have more seromas or fluid accumulations. In fact, about 50% of all patients will form a seroma when not stabilized nutritionally. So, at my practice we have an extensive approach to nutrition before and after the surgery.”

“Potential things that could go wrong include skin infections, wound healing problems, seroma formation, hematoma formation, muscle plication suture failure, ‘dog ears’ or extra tissue on either side of the incision along the hips, blood clots, and uneven or unsightly scars,” says plastic and reconstructive surgeon Dr. Megan Jack from Boca Raton, FL.


Deep chemical peels involve a longer procedure and longer recovery time that lasts up to several months in some cases. Patients who want to correct blotches caused by sun exposure or age, minimize coarse wrinkles, or remove a pre-cancerous growth may benefit from a deep peel. There are certain factors which must be taken into consideration when contemplating a deep chemical peel. Darker-skinned patients and individuals with heart problems are not ideal candidates. Potential chemical peel candidates should be aware that the treatment may take an hour or more, and may require sedation. Anyone who decides on this procedure should be prepared for a long, slow recovery period, and should wear sunscreen whenever exposed to sun.
Patients are urged not to smoke for a few weeks before and after a chemical peel. The best outcomes will be achieved in patients who are not taking the acne medication Accutane®, have not taken it for the previous year and a half, and who are free of active skin infections. Also, if you have large or unusual scar formations, such as keloids, your doctor may recommend a different treatment for you. Patients who have a family history of heart problems are not considered good candidates for the deep chemical peel procedure.
Moderate peels require longer healing time, 7 to 14 days, due to more intensive blistering and peeling. Moderate peels are usually done with glycolic acid, trichloroacetic acid, or a combination of acids that reach both the outer and middle layers of your skin. Moderate peels may cost anywhere from under $200 to over $600, depending on the provider.
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