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’.
This wonderful client wanted to look less tired and angry. She was treated with a full face rejuvenation technique, called Soft Lift, in one session. The Soft Lift combines the use of Botox and Juvederm filler to give her an overall refreshed and happier appearance. The 2nd photo was taken 1 week after her treatment to show that filler looks better with time. The 3rd photo was taken 1 month after the treatment. She loves her more fresher, youthful look!

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.

Your skin is where your beauty routine starts, and even if you don’t wear makeup you can help your face have a natural glow. A chemical peel gives you a chance to remove the damaged top layers of your skin and reveal healthier new skin underneath. When you get a chemical peel, a solution is applied to the areas you want to rejuvenate on your face, neck, or hands.
Keep in mind that after a chemical peel, your skin will temporarily be more sensitive to the sun and any products you apply. Be sure to wear sunscreen (ideally one that’s broad spectrum and above SPF 30) and consider limiting the time you spend directly in the sun for several weeks. To protect your skin from irritation, also talk to your dermatologist before a peel about whether you should stop using certain types of products or medications — including those used to treat cold sores, Retin-A, Renova, glycolic acid or some antibiotics.

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.
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.
A tummy tuck almost always involves the removal of excess skin, fat, and other tissue, along with the tightening of the underlying abdominal muscles. It requires both internal and external healing. Therefore, it is especially important for your surgeon to make certain that any risk of excessive bleeding and other complications during surgery is minimized.

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.
Hand surgery is concerned with acute injuries and chronic diseases of the hand and wrist, correction of congenital malformations of the upper extremities, and peripheral nerve problems (such as brachial plexus injuries or carpal tunnel syndrome). Hand surgery is an important part of training in plastic surgery, as well as microsurgery, which is necessary to replant an amputated extremity. The hand surgery field is also practiced by orthopedic surgeons and general surgeons. Scar tissue formation after surgery can be problematic on the delicate hand, causing loss of dexterity and digit function if severe enough. There have been cases of surgery to women's hands in order to correct perceived flaws to create the perfect engagement ring photo.[20]
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.

The cost of Chemical Peels treatment in India can vary according to the type of clinic you decide to get your treatment done and also the type of treatment you choose, the mild or the deeper type peel or chemical you opt for. It can start anywhere from around Rs.1500 per sitting to Rs. 3000 per session. Remember you will have to return for the peel after a few months. The cost also does not include the expenses on the sunscreen lotion or other treatment to take care of the skin before and after the peel.
"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."
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.
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.
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.
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
Year after year, Botox ranks as the number one minimally invasive cosmetic procedure, according to the American Society of Plastic Surgeons (which represents Canada’s Royal College of Physicians and Surgeons). In 2009, 4.8 million Botox cosmetic procedures were done in the U.S. That’s down four per cent from 2008, but still ahead of hyaluronic acid dermal fillers (such as Juvéderm and Restylane, which showed a seven per cent upswing). Botox also topped non-surgical procedures globally in survey results released in August by the International Society of Aesthetic Plastic Surgery.
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.

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.
Many abdominoplasty patients are mothers who wish to refine their midsection following childbirth. Carrying a child can cause the abdominal muscles to separate, and stretch the abdominal skin. In addition to considering ideal body weight, female patients must contemplate the likelihood of wanting more children in the future. Often, the best time for a mother to have abdominoplasty is when she is certain she does not wish to have more children.

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. 

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.
“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.”
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 best reaction came from my mum, who is always honest. She isn’t afraid to tell me I look tired, pale or spotty, but when I saw her after my treatment she couldn’t have been more complimentary. After confiding in her that I had botox she yelped and said, ‘Wow you did really need it, now you look so fresh, like you’ve had a month of great sleep’. Thanks mum.

This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
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.

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,[15] some of which — for instance, his studies on the genitalia and the skeleton — are of special interest to plastic surgery.[16]
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.” 
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