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.
Children often face medical issues very different from the experiences of an adult patient. Many birth defects or syndromes present at birth are best treated in childhood, and pediatric plastic surgeons specialize in treating these conditions in children. Conditions commonly treated by pediatric plastic surgeons include craniofacial anomalies, Syndactyly (webbing of the fingers and toes), Polydactyly (excess fingers and toes at birth), cleft lip and palate, and congenital hand deformities.
The right chemical peel for you depends on your skin goals. For exfoliation and glowy skin, a light chemical peel is typically used. Medium peels are best for pigment irregularities, like age spots, and deep chemical peels can penetrate deep skin layers and combat fine wrinkles. Your provider can help you choose the right treatment option for your goals.
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.
After relaying to Nurse Libbie that I didn’t want it to look ‘too frozen’, she agrees to give me 10 units across my forehead, and 15 in the centre of my frown- the average dose is between 10-25 units. I lay down across the bed in her treatment room and as she preps the solution, I’m asked to frown and raise my brows. As I do so she inserts the needle, and a tiny dose of botox by Allergen is inserted across six points of my forehead and in between my eyebrows.
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.
So what is the ideal age for botox? ‘There is no recommended age’, Wallace says, and Victoria Spyrou, the injectables expert at EF MediSpa agrees, ‘The recommended age differs because everyone’s muscles present differently. If someone at the age of 21 has visible dynamic lines that are causing a problem, then I will treat that person, however, if another 21-year-old comes in without any visible lines – I would decline to treat them.’
Some doctors don’t believe wearing a binder is necessary, but others may recommend wearing one for up to six weeks. Doctors who choose to use binders place their patients in one right after surgery. You’ll wear it 24 hours a day for the first week, changing to less compression and fewer hours over the next few weeks. Follow your surgeon’s recommendation.
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.
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’.