During the procedure, you may experience sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site. These sensations subside as the area becomes numb. Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching, or skin sensitivity, and sensation of fullness in the back of the throat after a submental area treatment. Rare side effects may also occur. The CoolSculpting® procedure is not for everyone. You should not have the CoolSculpting® procedure if you suffer from cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria. The CoolSculpting® procedure is not a treatment for obesity. Ask your doctor if CoolSculpting® is right for you. To learn more about what to expect, visit coolsculpting.com.
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.
After your skin has been numbed, the solution is applied to your face and is left to ‘work’. The amount of time it’s left on your skin depends on the specific type of peel, and it could range from a few seconds to up to an hour for more lightweight peels. Some peels will be neutralized with water, and then a protective mask or layer of petroleum jelly is placed on your treated skin.
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.
The most common reconstructive procedures are tumor removal, laceration repair, scar repair, hand surgery, and breast reduction plasty. According to the American Society of Plastic Surgeons, the number of reconstructive breast reductions for women increased in 2007 by 2 percent from the year before. Breast reduction in men also increased in 2007 by 7 percent. In 2012, there were 68,416 performed.

After the procedure is done, the skin will look as though it has been sunburned, and for about a week after the procedure has been done, the skin will start to peel, exposing the skin underneath.  It can be a few weeks before the skin heals properly.  Medium-depth peels, however, may result in swelling or blisters that crust or break down over time and can take a longer time to heal.
During the procedure, you may experience sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site. These sensations subside as the area becomes numb. Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching, or skin sensitivity, and sensation of fullness in the back of the throat after a submental area treatment. Rare side effects may also occur. The CoolSculpting® procedure is not for everyone. You should not have the CoolSculpting® procedure if you suffer from cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria. The CoolSculpting® procedure is not a treatment for obesity. Ask your doctor if CoolSculpting® is right for you. To learn more about what to expect, visit coolsculpting.com.
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.

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.


The most common reconstructive procedures are tumor removal, laceration repair, scar repair, hand surgery, and breast reduction plasty. According to the American Society of Plastic Surgeons, the number of reconstructive breast reductions for women increased in 2007 by 2 percent from the year before. Breast reduction in men also increased in 2007 by 7 percent. In 2012, there were 68,416 performed.
“Once enough time has passed, in most cases at least one year, a tummy tuck scar revision can be performed if necessary,” says Taglienti. “Compared to a full tummy tuck, this is a much easier surgery. Chances are there will not be a lot of pain, no drains are needed, and muscle isn’t manipulated — just the skin. Therefore, most people get back to their lives within a day or two.”
A ventral hernia occurs when part of the intestines push through a tear in the abdominal wall. These tears are sometimes the result of an incision made during a prior surgery. Either of these conditions can inhibit blood flow, which can in turn complicate the healing process. During a patient's initial consultation, I conduct my own physical analysis of the patient and a review of his or her medical history to determine if either of these conditions are present.
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.
The use of Chemical peels is usually seen on the face, the neck, and the hands mostly. These are the areas normally exposed to the sun as well. The Peels once applied may form blisters on the surface, but will peel off automatically. As the name itself suggests, it is made of certain chemicals and there are different types people can find and use, depending on the purpose of the application. There is the short duration and instant type peels the trade would call lunchtime peels and there are also the deeper ones which will work deeper into the skin follicles and produce longer lasting results. The exact chemical used in these types will also vary accordingly. The Chemical Peels are chosen based on the need for a mild or a strong action on the skin.
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.
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.’
Key complications are reoperation, implant removal with or without replacement, implant rupture with silicone-filled implants, implant deflation with saline-filled implants, and severe capsular contracture (severe scar tissue around the implant). Other complications include asymmetry, nipple/breast/skin sensation changes, scarring, or wrinkling/rippling. Talk to your doctor about other complications.
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.
A ventral hernia occurs when part of the intestines push through a tear in the abdominal wall. These tears are sometimes the result of an incision made during a prior surgery. Either of these conditions can inhibit blood flow, which can in turn complicate the healing process. During a patient's initial consultation, I conduct my own physical analysis of the patient and a review of his or her medical history to determine if either of these conditions are present.
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.
“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 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.
Our before and after technology and camera room is set up to produce high definition, full screen sized comparisons that are perfectly aligned – even though many images are taken many months apart. The time and consideration taken in our before and after gallery is a testament to Dr. Oakley’s creative drive and passion for excellence, and user experience.

The chemical solution for superficial peels — also known as light peels or lunchtime peels — is typically alpha hydroxy acid (AHA) or beta hydroxy acid. AHAs are naturally occurring compounds found in papayas, milk, sugar cane and other foods. Healing time for a superficial chemical peel is often between 1 and 7 days. Superficial peels are the most affordable and may range from under $100 to over $200, depending on the provider.
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’.
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