In general, patients with fair skin and light hair are the best chemical peel candidates. However, patients with other skin pigmentation and hair color can achieve good results as well. Ideal candidates for the chemical peel procedure are individuals who are unhappy with the appearance of their skin, have realistic expectations of their procedure, and do not smoke.  
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.
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.
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.
Your doctor may numb the area with a topical anesthetic, especially if you’re receiving a deep peel. For deep peels, your doctor may also use a regional anesthetic, which will numb large areas. They are particularly likely to do this if you’re having your face and neck treated. For deep peels, you’ll also be given an IV, and your heart rate will be closely monitored.
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.
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.

A superficial peel, which will be the mildest peel available is often referred to as a lunchtime peel since it can be done in less than 30 minutes.  Using either an alpha-hydroxy acid or another type of mild acid, such as salicylic or maleic acid, this treatment will be lightly applied to the targeted area to exfoliate it.  A light peel will often need multiple treatments to see desirable results.
Arm LiftBody ContouringBody LiftBotulinum ToxinBreast AugmentationBreast Implant Removal & ExchangeBreast LiftBreast ReconstructionBreast ReductionBrow LiftButtock Lift with AugmentationChin AugmentationCleft Lip and PalateDermal FillersEar SurgeryEyelid SurgeryFaceliftGynecomastia SurgeryHair TransplantLip AugmentationLiposuctionRhinoplastyThigh LiftTummy Tuck
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.

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.
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.
‘You’ll start to see an effect after 3-5 days’, instructs cosmetic doctor Rita Rakus, ‘however it may take two weeks for maximum results to kick in’. For me, my forehead had less movement after day three, but it wasn't until a full week after the treatment that it felt completely immobile. It’s definitely a strange sensation as you go to lift your brows…but nothing moves.
Nicotine causes blood vessels to become more narrow, making it difficult for red blood cells to deliver oxygen to the skin cells at the incision site. When the delivery of oxygen is inhibited, it can delay healing considerably. Meanwhile, if the function of white blood cells is compromised, a patient has a much greater likelihood of developing an infection, which can result in serious health complications and take a toll on the aesthetic results. If you are a smoker who is considering undergoing abdominoplasty, it is not too early to begin exploring strategies to eliminate nicotine from your life for good.
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.
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’.

Yes, all chemical peels require some downtime. Light flaking, irritation, and peeling usually occur for a few days after light peels. It can take up to six weeks for skin to return to its normal appearance following a medium chemical peel. Deep chemical peels are closer in nature to a surgical treatment—patients are usually asked to rest their skin for two weeks before they're able to resume normal activities or wear makeup. Skin may remain red in appearance for up to three months.
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.
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.
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.[2] This meaning in English is seen as early as 1598.[3] 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.[4]
“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.”

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.


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]
McIndoe is often recognized for not only developing new techniques for treating badly burned faces and hands but also for recognising the importance of the rehabilitation of the casualties and particularly of social reintegration back into normal life. He disposed of the "convalescent uniforms" and let the patients use their service uniforms instead. With the help of two friends, Neville and Elaine Blond, he also convinced the locals to support the patients and invite them to their homes. McIndoe kept referring to them as "his boys" and the staff called him "The Boss" or "The Maestro."[citation needed]
Additionally, recent studies have found that certain chemical peels can help reverse melasma, a type of hyperpigmentary disorder and “notorious dermatosis” that is often resistant to treatments, including laser treatments. (8) Melasma is a common chronic form of hyperpigmentation of the skin that can have a serious impact on someone’s self-esteem and quality of life.
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