There’s definitely no denying, the B word has definitely been a talking point of late, not just in the media, but within my close circle of friends too. Would you? Wouldn’t you? Have you? Has she? I promise it’s not as ‘Real Housewives of Cheshire’ as it sounds... But whilst I'm only 28, the reality is that the constant stream of late nights, binge drinking (sorry Mum) and falling asleep with a full face of makeup on, are all starting to show their effects.
All surgery has risks. Common complications of cosmetic surgery includes hematoma, nerve damage, infection, scarring, implant failure and organ damage.[33][34][35] Breast implants can have many complications, including rupture. In 2011 FDA stated that one in five patients who received implants for breast augmentation will need them removed within 10 years of implantation.[36]

Both standard and extended abdominoplasty often require that I place drainage tubes that help prevent the buildup of blood and fluid at the incision site. I will usually remove the first of these tubes after about three days, and the remainder are removed a few days later. I always provide a special support garment that can further prevent the buildup of fluid.
A chemical peel is a cosmetic treatment (typically not covered by insurance) in which an esthetician or doctor applies a chemical solution to your skin, most often the skin on your face. After several hours or days, the solution blisters your skin’s top layer, allowing the damaged skin to peel away, revealing smoother skin underneath. Chemical peels are designed to reduce fine lines around the eyes and mouth, improve the appearance of acne scars, treat sun damage and age wrinkles, reduce age spots and other dark skin patches, and improve the overall look and feel of the skin.
In order to minimize your risk of developing blood clots, you will be asked to stop taking birth control at least two weeks before surgery. You will also have to stop taking any hormones or supplements such as fish oil, and aspirin. The American Society of Plastic Surgeons requires that you sign a consent form confirming the cessation of all supplement intake. In addition to reducing your risk of developing blood clots, stopping your intake of supplements and other medications also helps to minimize bleeding during surgery.
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!
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.
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.

“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.”


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!
Both standard and extended abdominoplasty often require that I place drainage tubes that help prevent the buildup of blood and fluid at the incision site. I will usually remove the first of these tubes after about three days, and the remainder are removed a few days later. I always provide a special support garment that can further prevent the buildup of fluid.
Superficial chemical peels performed by an esthetician will cost less than superficial, moderate or deep peels performed by a medical doctor. Average rates for estheticians’ services are lower than those of a doctor because of the education and licensing differences between the two. Chemical peel costs may also vary from esthetician to esthetician based on geographic location, experience, training and certifications. Here are some examples of cost:
On average, the cost of a chemical peel will depend on where you live, the medical provider you plan on using and the type of chemical peel applied.  With these factors in place, the average session can cost $150 to $400; however, to see desirable results, the average patient, according to our research pays a total of $1,800 to $3,700.  These costs will vary depending on your personal situation since some patients may see results after a few sessions, whereas others may need multiple sessions. Refer to our table below to see what the most popular branded chemical peels will cost per session.  This data was gathered from credible doctor answers we had found online such as this RealSelf.com forum thread.

All chemical peels remove outer layers of the skin, though how many layers depends on the intensity of the peel. After a healing period, which also varies with the intensity level, skin is left feeling softer and smoother. Superficial issues such as acne or acne scars, fine lines and wrinkles, and hyperpigmentation should be improved, if not completely corrected. And because chemical peels sweep away complexion-dulling dead skin cells, they leave faces with a radiant glow.
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.

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.
The most commonly reported side effects with JUVÉDERM® injectable gels included injection-site redness, swelling, pain, tenderness, firmness, lumps/bumps, bruising, discoloration, and itching. For JUVÉDERM VOLBELLA® XC, dryness was also reported. For JUVÉDERM VOLUMA® XC, most side effects were moderate and lasted 2 to 4 weeks. For JUVÉDERM® XC, JUVÉDERM VOLLURE™ XC, and JUVÉDERM® Ultra XC injectable gels, most side effects were mild or moderate and lasted 14 days or less. For JUVÉDERM VOLBELLA® XC, most side effects were mild or moderate and lasted 30 days or less.
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.
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[21] (webbing of the fingers and toes), Polydactyly (excess fingers and toes at birth), cleft lip and palate, and congenital hand deformities.
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.

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


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.


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.
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.
An ideal candidate for a chemical peel is in good physical health, understands the procedure, and has realistic expectations of the outcome. You are likely to be pleased with the results of a chemical peel if your goal is to alleviate acne, smooth wrinkles, improve skin texture, eliminate age spots, or reduce the effects of sun damage. The different types of chemical peels come in varying strengths and provide different levels of treatment. Ask your doctor which chemical peel is best for your skin type and needs.
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.
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.
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!
“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.”
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