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.
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.
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.
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.
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.

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.
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.

Gaining an understanding of the entire abdominoplasty process from pre-operative planning to full recovery can play an important role in the success of the surgery. This knowledge can help you feel confident in your decision to undergo body contouring, and help you play an active role in achieving the best possible results and the longest-term satisfaction with your refined midsection.

Chemical peels rarely result in serious complications, but certain risks do exist. These risks include scarring, infection, swelling, changes in skin tone, and cold sore outbreaks. You can reduce the risks associated with facial peels by following all of the doctor’s instructions completely and by providing your doctor with a complete medical history.
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.
Chemical Peels range from the Superficial, which will give you gentle exfoliation and can be repeated at frequent intervals, to Medium which will use stronger solutions and achiever greater peeling, to Deep, which as the name suggests will produce more visible results but the potential for complications and side effects with Deep Peels is also much greater.  
Cosmetic plastic surgery includes surgical and nonsurgical procedures that enhance and reshape structures of the body to improve appearance and confidence. Healthy individuals with a positive outlook and realistic expectations are appropriate candidates for cosmetic procedures. Plastic surgery is a personal choice and should be done for yourself, not to meet someone else’s expectations or to try to fit an ideal image. Because it is elective, cosmetic surgery is usually not covered by health insurance.

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.

“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.”
But if you try it and then decide to stop, what happens? “There’s this myth that if you stop using Botox, your face will look wrinkly and your features will cascade into a degenerative state you never had,” says Toronto cosmetic surgeon Dr. Stephen Mulholland, whose average Botox patient is age 40. But in fact, he says, if you stop, your face returns to its normal animation, and facial muscles return to normal strength. (Of course, you have aged slightly since you were injected, which may be apparent when it wears off.)

Chemical Peels range from the Superficial, which will give you gentle exfoliation and can be repeated at frequent intervals, to Medium which will use stronger solutions and achiever greater peeling, to Deep, which as the name suggests will produce more visible results but the potential for complications and side effects with Deep Peels is also much greater.  


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.
This busy mother of 3 had deep lines and wrinkles and wanted to look less tired and aged. When she raised her eyebrows, her forehead lines were prominent and she was discouraged by the wrinkles. She also heard, quite often, that she looked “tired”. She was treated with Dysport (like Botox) and Restylane filler with a full face rejuvenation technique for a fresher, more youthful look. The hollowness in the under eye (tear trough) area and the lines around her mouth are almost gone. She loves looking more refreshed and less tired!
Dr. Robert L. Shenker and Dr. Stephanie Ma are Royal College-certified specialists at The Cosmetic Surgery Clinic in Kitchener-Waterloo. The team of surgeons serves patients from Guelph, Cambridge, and London, Ontario, specializing in cosmetic and reconstructive breast surgery, surgical and non-surgical facial rejuvenation, and body contouring procedures.
Your cosmetic dermatologist will use a specific formula for your chemical peel based on the characteristics of your skin and your desired result. Light chemical peels are used to treat fine wrinkling, areas of dryness, uneven pigmentation, and acne. The solution used for light chemical peels is usually comprised of alphahydroxy acids (AHAs), such as glycolic, lactic, salicylic, or fruit acids. Light chemical peels are ideal for people who want the benefits of a facial peel but do not wish to spend the time required to recover from a deeper peel.

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.

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.
The cost of chemical peels depends on many factors such as the severity of the wrinkles, the extent of the sun damage, the total number of treatments, the specific area needing treatment, the brand and type of peel, time of peel and deepness. Deeper peels typically cost more as they are more time intensive and the risk management is greater. In Santa Barbara, superficial peels average between $250 -$400 while medium depth TCA peels cost between $600 to $800.

“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.”
In 1891, American otorhinolaryngologist John Roe presented an example of his work: a young woman on whom he reduced a dorsal nasal hump for cosmetic indications. In 1892, Robert Weir experimented unsuccessfully with xenografts (duck sternum) in the reconstruction of sunken noses. In 1896, James Israel, a urological surgeon from Germany, and in 1889 George Monks of the United States each described the successful use of heterogeneous free-bone grafting to reconstruct saddle nose defects. In 1898, Jacques Joseph, the German orthopaedic-trained surgeon, published his first account of reduction rhinoplasty. In 1928, Jacques Joseph published Nasenplastik und Sonstige Gesichtsplastik.

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.


Deep chemical peels involve a longer procedure and longer recovery time that lasts up to several months in some cases. Patients who want to correct blotches caused by sun exposure or age, minimize coarse wrinkles, or remove a pre-cancerous growth may benefit from a deep peel. There are certain factors which must be taken into consideration when contemplating a deep chemical peel. Darker-skinned patients and individuals with heart problems are not ideal candidates. Potential chemical peel candidates should be aware that the treatment may take an hour or more, and may require sedation. Anyone who decides on this procedure should be prepared for a long, slow recovery period, and should wear sunscreen whenever exposed to sun.
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