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.’ 

During recovery, follow your doctor’s postop instructions faithfully. They’ll give you specific instructions for how often to wash your face and moisturize, and which products you should use to do so. Try to stay out of the sun until your skin has healed, and avoid using makeup or other cosmetics until your doctor gives you the go-ahead. You can use ice packs for 20 minutes at a time, or a cool fan, to help relieve discomfort at home.
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.
“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 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.


Botox is a neuromodulator that is used to relax muscles and, therefore, is able to reduce wrinkles. This beautiful client was treated with Botox to relax the muscles around the eyes to soften her wrinkles and crow’s feet lines. Juvederm filler was used under her eyes to treat the hollowness in the tear trough area. Juvederm Filler was also used to enhance her cheeks to restore volume where she once had, for a more youthful look.

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.


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:
Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
“Since many blood vessels are cut during a tummy tuck procedure, wound healing can be compromised in some areas of the abdomen. This becomes a more serious issue in smokers because the vessels that remain can suddenly close, with sometimes detrimental results,” says Grossman. “It is absolutely essential that patients quit smoking for at least four to six weeks prior to surgery so it does not affect their recovery.”
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.
Anyone who faces skin related ailments can undergo Chemical Peels treatment. The observation from experience is that people with fairer skin seem to obtain better results than those with darker skin, though in terms of the benefits all types of skin will see some change after the treatment. And those having specific issues like wrinkles or sunburns are definitely the ideal persons to undergo this treatment.
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.
She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.
"Personally, I think people need to mentally prepare themselves," she said. "You just had surgery, so of course your body will swell. You will be thinking, ‘Okay, I'm going to get a tummy tuck, and then I'm going to look amazing.' But that takes time. It's a process, and you need to be aware of that. You won't see an amazing new tummy after one or two days. It will be flat, but the swelling takes up to a year to finally subside."
Look for products that have 2 to 10 percent glycolic acid, which is typically enough to improve the appearance of mature and sun damaged skin. Make sure your skin is makeup-free and clean of grease/residue before applying products, and read directions carefully. Afterwards, don’t shave, scrub, laser, exfoliate or exposure your skin to much sunlight for 24 to 48 hours. (11)

“A common misconception is that a tummy tuck is a simple procedure,” says New York City plastic surgeon Dr. Anthony Taglienti. In fact, the procedure is quite involved. “A tummy tuck can include a long incision, the removal of skin and fat, the suturing or plication of abdominal muscles, along with liposuction. Therefore, it can take some time to recover,” says Taglienti.
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.
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!
In 1930, Gillies' cousin, Archibald McIndoe, joined the practice and became committed to plastic surgery. When World War II broke out, plastic surgery provision was largely divided between the different services of the armed forces, and Gillies and his team were split up. Gillies himself was sent to Rooksdown House near Basingstoke, which became the principal army plastic surgery unit; Tommy Kilner (who had worked with Gillies during the First World War, and who now has a surgical instrument named after him, the kilner cheek retractor), went to Queen Mary's Hospital, Roehampton, and Mowlem to St Albans. McIndoe, consultant to the RAF, moved to the recently rebuilt Queen Victoria Hospital in East Grinstead, Sussex, and founded a Centre for Plastic and Jaw Surgery. There, he treated very deep burn, and serious facial disfigurement, such as loss of eyelids, typical of those caused to aircrew by burning fuel.[citation needed]
"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."
×