“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.”
Meanwhile, patients should understand that they will not be expected to be immobilized during recovery - nor should they be. By getting up and walking around the house to carry out simple day to day tasks, patients can further reduce the risk of developing harmful blood clots. In other words, while a patient who had surgery days ago should not lift a heavy bag of groceries onto the counter, they are encouraged to stand up and walk to the kitchen for a glass of water. During recovery for any extent of abdominoplasty, it is very important for patients not to do anything that could place strain on their incisions. Incisions are usually fully healed after two weeks.
‘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.

There’s definitely no denying, the B word has definitely been a talking point of late, not just in the media, but within my close circle of friends too. Would you? Wouldn’t you? Have you? Has she? I promise it’s not as ‘Real Housewives of Cheshire’ as it sounds... But whilst I'm only 28, the reality is that the constant stream of late nights, binge drinking (sorry Mum) and falling asleep with a full face of makeup on, are all starting to show their effects.
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.
A chemical peel is a cosmetic treatment (typically not covered by insurance) in which an esthetician or doctor applies a chemical solution to your skin, most often the skin on your face. After several hours or days, the solution blisters your skin’s top layer, allowing the damaged skin to peel away, revealing smoother skin underneath. Chemical peels are designed to reduce fine lines around the eyes and mouth, improve the appearance of acne scars, treat sun damage and age wrinkles, reduce age spots and other dark skin patches, and improve the overall look and feel of the skin.
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.

Myfatbelly, After seven weeks of healing you are pretty far along and it sounds like you are making progress. Standing full and upright is something we expect to see in most patients after the first week, and some actuallly return to work and gentle activities after two weeks though the pace of recovery can vary. You are on the slow side but don't worry. Full tummy tuck is not a single... READ MORE
This 37 year old female patient was troubled by the furrows that were appearing between her brows. These furrows are one of the unavoidable signs of aging, but we were able to roll back the clock a little with a quick application of Botox. We have more Botox ‘forehead lines’ before-and-after photos available at our clinic if you’re interested. You can also schedule your consultation for a Botox treatment, here.
There are several factors that determine the cost of a chemical peel. The most significant difference in cost is related to the type of chemical peel that is being performed. Superficial peels such as those containing salicylic acid or glycolic acid are typically much cheaper than the stronger medium- and deep-depth chemical peels, like the TCA peel and the phenol-croton oil peel. These stronger peels are often performed under anesthesia, which contributes an added cost, and may take more time to perform and manage after the procedure is complete. However, the results of these stronger peels are usually permanent, whereas a more superficial peel may require several repeat treatments to achieve an adequate result. The severity of the skin issues to be treated, such as the deepness of the wrinkles or the amount of pigmentation changes, will be factors in determining which treatment is right for you. I recommend that you schedule a consultation with a board-certified physician who specializes in facial skin care and can evaluate your particular concerns to recommend the treatment that is most effective for you within your proposed budget. Remember, when it comes to your face, cost is a consideration, but the most important thing is that you find someone who will provide you with safe and effective treatment!
Each peel is slightly different, and the exact formula will depend on the intensity level of the treatment. However, the most common chemicals used in peels are alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), trichloroacetic acid (TCA), and phenol. AHAs and BHAs are the lightest acids, often used in light chemical peels. TCA can be used in many different formulations. Last but not least, phenol is the strongest chemical and only used in deep peels.
In January 2011, the United States Food and Drug Administration released a statement that women with breast implants "may have a very small but increased risk of developing" anaplastic large cell lymphoma, a rare cancer that can develop around breast implants.  The Canadian Society of Plastic Surgeons is closely following developments around this issue.

Some people with a particular type of skin can face issues immediately after taking a Chemical Peels treatment for their skin. Some of them can even see some swelling and breaking of the skin surface that can take a few days to recover fully. Similarly, there are instances of alteration in the colour of the skin after the peel withers off. There have also been reports of scarring on the skin surface following a Chemical Peels treatment. It must, however, be added here that almost all these after effects are of temporary nature and they are generally treated and rectified without causing any permanent damage.
This lovely patient is under 30 years of age. She was treated with Botox and Juvederm Filler for a fresher, less tired look with a full face rejuvenation technique called Soft Lift. The loss of volume under her eyes (tear troughs) that caused her to look tired was treated with Juvederm filler. To continue to soften her look, the lines around her mouth were treated with Filler, as well as a small amount of Juvederm in her lips to give her a youthful fresh 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.
Typically administered as a facial peel, a chemical peel enhances and smoothes the texture of the skin. It is an effective treatment for facial blemishes, wrinkles, and uneven skin pigmentation.  They exfoliate the outer layers of dead skin, revealing a new skin layer with improved tone, texture, and color. In addition to full facial rejuvenation, certain types of skin peels can also be used for spot treatments and as a way to remove stretch marks or rejuvenate skin elsewhere on the body.
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.
"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."
When performed by an experienced cosmetic dermatologist or plastic surgeon, chemical facial peels are safe. With light and medium peels, relatively mild chemical peel side effects such as redness, stinging, and crusting usually subside within a day or two after the treatment. The side effects of deep chemical peels are typically more pronounced, and recovery time is longer. More serious side effects, such as infection and scarring, are possible, especially with medium and deep chemical peels. However, serious side effects are rare when the procedure is performed by a qualified doctor.
Certain chemical peel solutions are useful for treating acne blemishes and diminishing existing acne scars. Light chemical peels administered with a solution of alphahydroxy acids (AHA) can be beneficial for treating acne. A lower-strength AHA solution can be mixed with a facial wash as part of a daily skin-care routine. DocShop provides detailed information about acne chemical peels to help you decide if this treatment is right for you.
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!
Whether you're having a partial or complete tummy tuck, the area that's operated on will be stitched and bandaged. It's very important to follow all your surgeon's instructions on how to care for the bandage in the days following surgery. The bandage used will be a firm, elastic band that promotes proper healing. Your surgeon will also instruct you on how to best position yourself while sitting or lying down to help ease pain.
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.
Although botox is now more widely available than ever before, it’s so important you see a qualified, experienced expert, even if they are more expensive. Yes, there are some clinics that will charge you super-low prices, but remember, if it seems too good to be true, it probably is. Before booking into the Cadogen Clinic I read countless positive reviews on Facebook and Google, yes at around £300 it might not have been the cheapest, but I knew I was in safe hands. Be smart and do your research people, after all, this is your face, you don't want f*ck it up.

However, abdominoplasty is not considered a weight loss procedure.“One problem with the majority of patients is that they think it’s okay to have a tummy tuck just because they are overweight,” says New York City plastic and cosmetic surgeon Dr. Leonard Grossman. “Being overweight results in the majority of complications associated with tummy tucks.”
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
There are variations on the tummy tuck operation which will have variable recovery rates. the main factor is whether the muscle has been tightened. It is the muscle manipulation which slows the recovery. I tell my patients surgery on skin is less painful than muscle. As a general rule, patients are off the pain medications by 5-7 days. Surgical drains need to be removed and this is usually... READ MORE
The price of a chemical peel will depend on a number of factors, but the starting point will be the condition or conditions that you are hoping to improve.  That will directly determine the type of chemical peel used, the strength, the area or areas being treated and the number of treatments that you require.  Of course the location of the clinic and experience of the professional treating you, will also be relevant.  
Additionally, recent studies have found that certain chemical peels can help reverse melasma, a type of hyperpigmentary disorder and “notorious dermatosis” that is often resistant to treatments, including laser treatments. (8) Melasma is a common chronic form of hyperpigmentation of the skin that can have a serious impact on someone’s self-esteem and quality of life.
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.
Obviously, you can expect some pain and tenderness following surgery, but your surgeon will provide you with a recommendation for pain management. I personally administer EXPAREL®, an injectable painkiller that provides three to four days of relief, and eliminates the need to take oral medication in order to maintain comfort. It is important to keep your bowels moving after abdominoplasty, so I always recommend that patients take laxatives during recovery. I also prescribe antibiotics to further reduce the risk of infection.
“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.”
Chemical peels can range in costs from a few hundred dollars to a thousand dollars depending on the strength of the acid peel and what type of peel is being performed.  The costs also range on who is performing the peels.  In my office only the physician (myself) performs the peels and I use medical grade peels which only a physician can administer.  The results are wonderful and leave your skin smoother and rejuvenated.
Some people with a particular type of skin can face issues immediately after taking a Chemical Peels treatment for their skin. Some of them can even see some swelling and breaking of the skin surface that can take a few days to recover fully. Similarly, there are instances of alteration in the colour of the skin after the peel withers off. There have also been reports of scarring on the skin surface following a Chemical Peels treatment. It must, however, be added here that almost all these after effects are of temporary nature and they are generally treated and rectified without causing any permanent damage.
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.) 

Deep peels must be performed by a medical doctor and can take 14 to 21 days to heal. Deep peels require special aftercare including antiviral medication, ointments and follow-up visits, according to the American Society for Dermatologic Surgery. The chemical solution used for deep peels may be phenol or trichloroacetic acid, which both reach far into the middle layer of your skin and remove damaged skin cells. Phenol chemical peels may require sedation and should only be done on the face, as the skin on the hands and neck is too thin. The American Society for Dermatologic Surgery explains this procedure may only be performed one time on a patient and is not recommended for people with darker skin or freckles, as it can cause hypopigmentation. Deep peels may cost anywhere from $3,500-$5,000—not including the doctor’s fees.
The cost of chemical facial peels varies from state to state and doctor to doctor. The current chemical peel price range is approximately $600 to $900. Possible additional expenses to keep in mind, especially with deep chemical peels, are the cost of anesthesia, use of the surgical facility, and a possible hospital stay. The final cost of your procedure will depend on the type of peel you want, the condition of your skin, and other factors unique to your case. Light chemical peels can cost as low as $150, while deep chemical peels are generally the most expensive, as much as $6000.

Before the procedure even begins, the professional who’s going to perform the procedure will first apply a chemical solution — usually trichloroacetic acid, glycolic acid, trichloroacetic acid, salicylic acid, lactic acid or carbolic acid (phenol) on small areas of your skin.  Doing so can create a controlled wound, allowing the new skin to take its place.
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.
If, for example, the patient wishes to achieve further weight loss, we must consider whether the results of abdominoplasty might be more flattering once the patient's goal has been met. On the other hand, we must consider the likelihood that the patient will be able to maintain their ideal weight. By discussing the patient's lifestyle and goals in great detail, we can determine whether the planned extent of surgery will provide results that will be compatible with the patient's lifestyle for the long run.
‘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.
Depending on the extent of your surgery, you can expect to spend anywhere from three days to a week or more limiting yourself to minimal physical activity. You certainly will not be bed ridden during this time, but you will be expected to avoid activity that is more strenuous than walking very short distances. You will also have to take very special care to avoid placing any strain on your incisions.
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