“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.” 

This 45-year old female patient came to us frustrated with furrows between her brows. As we have with many other patients, we created and recommended a treatment plan that started with Botox injections. As you can see, even holding the same expression as before, the lines have nearly disappeared in these forehead lines before and after pictures. Results this powerful are possible for you, too.
‘You’ll start to see an effect after 3-5 days’, instructs cosmetic doctor Rita Rakus, ‘however it may take two weeks for maximum results to kick in’. For me, my forehead had less movement after day three, but it wasn't until a full week after the treatment that it felt completely immobile. It’s definitely a strange sensation as you go to lift your brows…but nothing moves.

“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.”

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.

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.)
"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." 

Many abdominoplasty patients are mothers who wish to refine their midsection following childbirth. Carrying a child can cause the abdominal muscles to separate, and stretch the abdominal skin. In addition to considering ideal body weight, female patients must contemplate the likelihood of wanting more children in the future. Often, the best time for a mother to have abdominoplasty is when she is certain she does not wish to have more children.
A study published in 2009 in the Journal of Cosmetic Dermatology found that Botox may also improve a person’s mood. The theory there? The less you scowl — a facial expression that’s not easy to make with a smoothed brow — the more upbeat you feel. People who like it (some of my friends included) say it’s simply one item on the menu of ways to stay youthful looking, especially in a competitive workforce.
“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.”
Lee agrees, saying, “I highly recommended you have someone to stay with you for at least 24 to 48 hours after your procedure. You won’t be able to stand straight for a time after your tummy tuck so you will need some help doing simple tasks like getting out of bed, removing garments and showering. Although you may not feel like getting out of bed, you’ll be encouraged to get up at least two to three times a day and move around, as this helps increase circulation.”
“There are many different types and depths [of peels], and they address different skin concerns and conditions,” says Dr. Neel Bector, a Mississauga, Ontario physician, in a chemical peel recovery Q&A. “A great peel with minimal downtime is a Jessner—it works well for pore size, scarring, and hyperpigmentation. You can expect some light peeling lasting approximately three days.”
Botox is a neuromodulator that is used to relax muscles and, therefore, is able to reduce wrinkles. This beautiful client was treated with Botox to relax the muscles around the eyes to soften her wrinkles and crow’s feet lines. Juvederm filler was used under her eyes to treat the hollowness in the tear trough area. Juvederm Filler was also used to enhance her cheeks to restore volume where she once had, for a more youthful look.
‘You’ll start to see an effect after 3-5 days’, instructs cosmetic doctor Rita Rakus, ‘however it may take two weeks for maximum results to kick in’. For me, my forehead had less movement after day three, but it wasn't until a full week after the treatment that it felt completely immobile. It’s definitely a strange sensation as you go to lift your brows…but nothing moves.
With breast implants, a routine screening mammography and self-examinations for breast cancer will be more difficult. Ask your doctor to help you distinguish the implant from your breast tissue. Symptoms of a ruptured implant may be hard knots or lumps surrounding the implant or in the armpit, change or loss of size or shape of the breast or implant, pain, tingling, swelling, numbness, burning, or hardening. Tell your doctor of these symptoms and remove ruptured implants.
Starting in the mid 1990s, chemical peels were one of the most common cosmetic procedures performed in dermatologists’ offices, according to the American Society for Aesthetic Plastic Surgery. (1) And while recent advances in laser skin treatments and anti-aging injections, such as Botox or Xeomin, made chemical peels less popular for some years, many feel that the chemical peel is now back and better than ever.
Your doctor may numb the area with a topical anesthetic, especially if you’re receiving a deep peel. For deep peels, your doctor may also use a regional anesthetic, which will numb large areas. They are particularly likely to do this if you’re having your face and neck treated. For deep peels, you’ll also be given an IV, and your heart rate will be closely monitored.
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).

Arm LiftBody ContouringBody LiftBotulinum ToxinBreast AugmentationBreast Implant Removal & ExchangeBreast LiftBreast ReconstructionBreast ReductionBrow LiftButtock Lift with AugmentationChin AugmentationCleft Lip and PalateDermal FillersEar SurgeryEyelid SurgeryFaceliftGynecomastia SurgeryHair TransplantLip AugmentationLiposuctionRhinoplastyThigh LiftTummy Tuck
After a chemical peel, skin is temporarily more sensitive to the sun, so wear sunscreen every day. It should say "broad-spectrum" on the label, meaning it protects against the sun's UVA and UVB rays. Also, it should be a physical sunscreen and be above SPF 30. Limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m., and wear a wide-brimmed hat. 

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.
“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.”
“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.”
She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.

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.
Year after year, Botox ranks as the number one minimally invasive cosmetic procedure, according to the American Society of Plastic Surgeons (which represents Canada’s Royal College of Physicians and Surgeons). In 2009, 4.8 million Botox cosmetic procedures were done in the U.S. That’s down four per cent from 2008, but still ahead of hyaluronic acid dermal fillers (such as Juvéderm and Restylane, which showed a seven per cent upswing). Botox also topped non-surgical procedures globally in survey results released in August by the International Society of Aesthetic Plastic Surgery.
Nicotine causes blood vessels to become more narrow, making it difficult for red blood cells to deliver oxygen to the skin cells at the incision site. When the delivery of oxygen is inhibited, it can delay healing considerably. Meanwhile, if the function of white blood cells is compromised, a patient has a much greater likelihood of developing an infection, which can result in serious health complications and take a toll on the aesthetic results. If you are a smoker who is considering undergoing abdominoplasty, it is not too early to begin exploring strategies to eliminate nicotine from your life for good.

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.
Umbilical and ventral hernias are conditions that must be addressed prior to undergoing abdominoplasty. An umbilical hernia occurs when a portion of the small intestine protrudes through a natural opening between the abdominal muscles. Though the condition is fairly common and usually does not create any painful or debilitating symptoms, it can complicate abdominoplasty.

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’.
Reconstructive plastic surgery is performed to correct functional impairments caused by burns; traumatic injuries, such as facial bone fractures and breaks; congenital abnormalities, such as cleft palates or cleft lips; developmental abnormalities; infection and disease; and cancer or tumors. Reconstructive plastic surgery is usually performed to improve function, but it may be done to approximate a normal appearance.
McIndoe is often recognized for not only developing new techniques for treating badly burned faces and hands but also for recognising the importance of the rehabilitation of the casualties and particularly of social reintegration back into normal life. He disposed of the "convalescent uniforms" and let the patients use their service uniforms instead. With the help of two friends, Neville and Elaine Blond, he also convinced the locals to support the patients and invite them to their homes. McIndoe kept referring to them as "his boys" and the staff called him "The Boss" or "The Maestro."[citation needed]
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