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.
After being applied to the skin, chemical peels intentionally make the skin blister and then peel, although chemical peels are now considered safer than in years past and are less likely to leave skin feeling “raw.” (3) The purpose of peels is to remove dull surface skin cells, which typically leads to an improvement in fine lines, acne, discoloration and more.
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.
“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.”
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.
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.
The average chemical peel can cost $500–$700 for each treatment, but prices range from $150 for a mild peel up to several thousand dollars for a series of deep peels. (10) While this might seem like a steep cost for good-looking skin, chemical peels are still less expensive than superficial fractional-laser treatments, which can run up to $1,000 a session and usually require multiple treatments.
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.
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.
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.
“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.”
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.
Thorough preparation and a proper, well-monitored recovery spent carefully following your surgeon's instructions can result in a beautiful, natural-looking enhancement that provides you with many years of comfort, satisfaction, and boosted self-esteem. Patience is a virtue in every stage of your treatment. Be ready to discuss your medical history in great detail during your pre-op evaluation, and understand that you will be dramatically reducing your physical activity immediately following surgery.
Rupture of a silicone-filled breast implant is most often silent and may not be detected by you or your doctor. You should have an MRI 3 years after your surgery and then every 2 years after that for as long as you have your breast implants to determine if rupture is present. If implant rupture is noted on an MRI, you should have the implant removed, with or without replacement.
In terms of the steps to be followed immediately after the chemical peel is applied and it peels off, the need to apply a cold compress is essential to cool down the skin which has had the blisters. In addition, the skin remains sensitive for a few days and in addition to protecting the skin from being exposed to sunlight, suitable sunscreen lotion has to be used. If there are any damages to the skin and bandaging has to be done that has also to be done. Ultimately, the skin has to be taken care of and the type of skin differs from individual to individual and depending on the type of skin, suitable skin products may be prescribed by the doctor for ongoing care.
In the term "plastic surgery," the adjective plastic implies sculpting and/or reshaping, which is derived from the Greek πλαστική (τέχνη), plastikē (tekhnē), "the art of modelling" of malleable flesh. This meaning in English is seen as early as 1598. The surgical definition of "plastic" first appeared in 1839, preceding the modern "engineering material made from petroleum" sense of plastic (coined by Leo Baekeland in 1909) by 70 years.
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.
“Ensure that you take adequate time off from work,” says Taglienti. “For most people, this means two weeks. Granted, everyone heals differently, but if you take a full two weeks to rest after surgery, you will not feel as sore and tired when you return to work. Patients who do not give themselves a chance to heal properly can cause needless tension on the wound, and impede wound healing.”
During a pre-op consultation, you should be prepared to discuss your medication and supplement regimen in great detail. You should also be prepared to talk about your own medical history. Both of these aspects have to be reviewed in order to assess your risk of developing potentially dangerous blood clots and bleeding excessively during surgery. If you use tobacco, you must also understand that you will be expected to stop nicotine intake of all kinds at least three months prior to surgery, and continue to abstain during recovery.
The Romans also performed plastic cosmetic surgery. The Romans were able to perform simple techniques, such as repairing damaged ears, from around the 1st century BC. For religious reasons, they did not dissect either human beings or animals, thus their knowledge was based in its entirety on the texts of their Greek predecessors. Notwithstanding, Aulus Cornelius Celsus left some surprisingly accurate anatomical descriptions, some of which — for instance, his studies on the genitalia and the skeleton — are of special interest to plastic surgery.
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.
You need to ensure that you get adequate rest, “for comfort when lying down, rest in bed with two or three pillows behind your head and a pillow under your knees,” says San Diego plastic surgeon Dr. Gilbert Lee. “Get out of bed by sitting up first, then moving your legs over the edge of the bed, and then standing from there. This is when you might need to rely on your caretaker for the first day or so — to help you out of bed.”
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.”
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.
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.