Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two categories. The first is reconstructive surgery which includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. The other is cosmetic or aesthetic surgery.[1] While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic surgery aims at improving the appearance of it. Both of these techniques are used throughout the world.
“Unwanted side effects are hyper or hypopigmentation, swelling, or infection,” says Dr. Davin Lim, a Brisbane, Queensland dermatologist, in a RealSelf Q&A. “Expected side effects are redness, flaking, and dryness, and can be easily managed. You can manage these risks by doing the following: sun protection, prepping your skin before chemical peels, avoiding active ingredients one to two days before treatment, and consulting with an experienced cosmetic provider and following aftercare instructions.”
"I tell my patients that they will immediately notice a difference in their abdominal area, but that it will take two to three months for most of the swelling to subside and to get their final result," says Dr. Pat Pazmino, a Miami plastic surgeon, in a RealSelf Q&A. "Sometimes, some swelling persists over the suture line - this will also go down as your body continues to heal across the scar."
The chemical solution for body chemical peels is typically comprised of a combination of trichloroacetic acid (the main ingredient in a medium-depth skin peel) and glycolic acid (the main ingredient of a mild peel). The solution for body chemical peels is typically formulated to be slightly stronger than the chemical solution used for light or medium facial skin peels, though it is milder than the phenol solution used for deep skin peels.

In addition, the surface of the skin will remain a little sensitive for a couple of days and if the person has to go out in the sun then the use of a sunscreen lotion is essential to protect the skin from any damage. It may be advisable to seek expert help for availing Chemical Peels treatment of the deeper type since the person may even feel some pain and suitable medication ay have to be taken to suppress the pain. Some of the chemicals used in making the Chemical Peels include Alpha-hydroxy acid, Glycolic or trichloroacetic acid and Trichloroacetic acid, the last one usually found in the Chemical Peels used for deep action.


Deep chemical peels are the strongest of the facial peels. The chemical used for deep chemical peels is phenol acid. Deep peels are used to treat coarse facial wrinkles, blotches caused by aging or sun exposure, and pre-cancerous growths. While a deep chemical peel produces the most dramatic, longest-lasting results, the procedure takes longer than other peels (one to two hours) and requires the most healing time. Phenol acid is typically used only for facial peels. Because a deep chemical peel may cause permanent lightening of the skin, prospective patients should seek advice from a qualified cosmetic dermatologist before undergoing the procedure.
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.
In 1465, Sabuncu's book, description, and classification of hypospadias was more informative and up to date. Localization of urethral meatus was described in detail. Sabuncuoglu also detailed the description and classification of ambiguous genitalia.[citation needed] In mid-15th-century Europe, Heinrich von Pfolspeundt described a process "to make a new nose for one who lacks it entirely, and the dogs have devoured it" by removing skin from the back of the arm and suturing it in place. However, because of the dangers associated with surgery in any form, especially that involving the head or face, it was not until the 19th and 20th centuries that such surgery became common.

Medium-depth peels — Helps to remove facial lines, scars and birthmarks, but can cause side effects and take longer to heal from. Most people will see at least some results after one treatment, but multiple treatments are usually needed for full effects. Some dermatologists now recommend mild to medium peels that use multiple acids rather than one single acid at a higher strength, as multiple acids can lead to less irritation.


"Personally, I think people need to mentally prepare themselves," she said. "You just had surgery, so of course your body will swell. You will be thinking, ‘Okay, I'm going to get a tummy tuck, and then I'm going to look amazing.' But that takes time. It's a process, and you need to be aware of that. You won't see an amazing new tummy after one or two days. It will be flat, but the swelling takes up to a year to finally subside."
The benefits and drawbacks of laser skin resurfacing vs. chemical peels are slightly more difficult to ascertain, due to the relatively new nature of the laser resurfacing procedure. However, many doctors claim that the improvement to patients' skin after laser skin resurfacing is essentially equivalent to that seen with chemical peels and microdermabrasion. Lasers do allow doctors to target specific flaws and imperfections with much more precision than chemical peels.

“Every chemical peel has the potential risk for complications, such as pigmentation changes or scarring,” says Dr. Jordan Cain, a Frisco, Texas facial plastic surgeon, in a chemical peel Q&A. “These risks are much higher when a chemical peel is performed by someone without proper training and experience in skin care and chemical peels in particular.”

Dr. Benchetrit uses techniques and technologies that produce minimal scarring and require little downtime. He is also one of a small group of surgeons in Canada to own the Vectra 3D photography system, which allows his patients to “preview” their results before making any decisions about surgery. Dr. Benchetrit closely consults with every surgical candidate to explore all available options and recommend a treatment plan suited to the person’s individual needs and goals.

Hand surgery is concerned with acute injuries and chronic diseases of the hand and wrist, correction of congenital malformations of the upper extremities, and peripheral nerve problems (such as brachial plexus injuries or carpal tunnel syndrome). Hand surgery is an important part of training in plastic surgery, as well as microsurgery, which is necessary to replant an amputated extremity. The hand surgery field is also practiced by orthopedic surgeons and general surgeons. Scar tissue formation after surgery can be problematic on the delicate hand, causing loss of dexterity and digit function if severe enough. There have been cases of surgery to women's hands in order to correct perceived flaws to create the perfect engagement ring photo.[20]
During the pre-op assessment, you can expect your surgeon to conduct a close evaluation of your risk of thrombosis, or the formation of blood clots inside blood vessels. Blood clotting is a natural process that is essential in healing. For example, when you experience a minor cut on your skin, the scab that forms is a result of blood clotting. In most cases, blood clots dissolve on their own. However, when a blood clot inside a blood vessel fails to dissolve, it can obstruct proper blood flow to the lungs, brain, and other areas, which can cause serious health complications.
All surgery has risks. Common complications of cosmetic surgery includes hematoma, nerve damage, infection, scarring, implant failure and organ damage.[33][34][35] Breast implants can have many complications, including rupture. In 2011 FDA stated that one in five patients who received implants for breast augmentation will need them removed within 10 years of implantation.[36]
Common side effects are bruising and swelling. Rarely, there is “serum sickness,” which manifests as flu-like symptoms that subside in a few hours, says Mulholland. “A dreaded complication is that the Botox travels through fatty tissues to muscles it wasn’t intended to block — like a muscle of the eyelid, which leads to ptosis (droopy eye), or the muscles that move the eyeball, leading to double vision.” He says these happen to less than one per cent of patients and go away within two weeks. The Botox Cosmetic website states asthma symptoms and inability to swallow have also been reported.

All surgery has risks. Common complications of cosmetic surgery includes hematoma, nerve damage, infection, scarring, implant failure and organ damage.[33][34][35] Breast implants can have many complications, including rupture. In 2011 FDA stated that one in five patients who received implants for breast augmentation will need them removed within 10 years of implantation.[36]


Post treatment I was a left a little red and blotchy, so I cancelled any meetings I had straight after. Although the redness soon faded I was left with a few tiny pin prick points. I am told that bruising is common, but it all depends on how sensitive your skin is. I was also left with a slight headache, almost like I’d been wearing a swim cap for a few days. This too didn’t last longer than a few hours, and wasn’t anything that two paracetamol couldn’t fix. If you do experience a headache for longer than 48 hours, or any other symptoms like nausea or visual disturbances (although rare) you are advised to contact your practitioner.
This busy mom of 3 wanted to look less tired. She wanted to look like how she felt on the inside- happy and rested. She had the CO2 Smartxide laser treatment under her eyes to treat deep lines and wrinkles. She was also treated with Dysport (like Botox) and Princess Filler to treat lines and wrinkles around the eyes (tear troughs) and the lines around the mouth (nasolabial folds) with a full face rejuvenation technique. Dysport (like Botox) is a neuromodulator that is used to relax muscles and, therefore, is able to reduce wrinkles. This beautiful client also wanted to enhance her lips, but still look natural.
I needed very little convincing before making my way down to the Cadogan Clinic, one of the very best locations in London (might I add) to speak to Nurse Libbie Wallace, a master in her field. After filling in a short consultation form, Nurse Libbie asks me how old I am. After replying 28, she chuckles a little, but continues… I’m not the youngest client she’s had walk through the door, but she does tell me that she would only ever treat those that actually can benefit from the treatment, ‘It’s important that I manage patients expectations’.

If you’re interested, talk to your physician about getting a referral. (If I were to go for it, I’d also do my own research, maybe asking a friend who’d had a positive experience — and whose results I could see — for the name of her doctor.) Then check with your provincial college of physicians for disciplinary issues, the Canadian Medical Protective Association for malpractice issues and RateMDs.com to see what other patients say about specific doctors. Ask for Botox before and after photos, and get a sense of how long the doctor has been administering Botox. (Are are a few other questions to ask your doctor before taking the plunge.)
Before your procedure, you’ll first have a consultation with the skin care specialist. During this visit, they’ll help you determine what the best treatment option is for you. They’ll let you know the details about the specific peel you’ll be getting, and they’ll ask about anything that could interfere with the peel. This may include whether you’ve taken acne medication, and information about whether or not you scar easily.
The price varies based on type and depth of the chemical peel. Usually, peels that superficial (less aggressive with less downtime) will cost less than deeper ones. Superficials peels can be performed by nurses, doctors, aestheticians, etc but medium-deep or deep peels are usually only done by doctors. These stronger peels are more effective but generally carry more risks; certain ones, ie. phenol based peels require monitoring ie. O2 saturation, heartrate, etc, which can increase facility fee/ overall price. Another thing to consider is regional differences as this applies to all aspects of facial plastics- Botox treatment in Manhattan will likely be different than in a rural suburb. Hope this helps!
“The safety and efficacy of any chemical peel are dependent upon preparation, depth, post care, and the experience of the clinician administering the peel,” says Dr. Larry C. Leverett, a Phoenix plastic surgeon, in a chemical peel Q&A. “When treating African-American skin and other ethnic skin types, prepping the skin for a chemical peel is a necessity. … Our patients must prep for at least four weeks prior to the peel, are educated extensively on how to care for their skin post peel, and are encouraged to adhere to their prescribed skin care regimen to obtain optimal results.”

*Testimonials found on Plastic Surgery Montreal by Dr. Arie Benchetrit have been sent to us by actual customers and may not reflect the typical client’s experience. These testimonials are not intended to guarantee that all patients will achieve the same or similar results. The testimonials are meant to be a showcase of some of the very good results our practice has produced, and are not meant to convey that every patient will have a similar experience.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).

During a medium chemical peel, your doctor will use a gauze, special sponge, or a cotton-tipped applicator to apply the chemical solution to your face. This may contain glycolic acid or trichloroacetic acid. A blue color may be added to the trichloroacetic acid, commonly known as a blue peel. The skin will begin to whiten, and your doctor will apply a cool compress to the skin. You may feel stinging or burning for up to 20 minutes. No neutralizing solution is needed, though they may give you a hand-held fan to cool your skin. If you’ve had the blue peel you will have a blue coloring of your skin that may last for several days after the peel.


“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.”
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