Post treatment I was a left a little red and blotchy, so I cancelled any meetings I had straight after. Although the redness soon faded I was left with a few tiny pin prick points. I am told that bruising is common, but it all depends on how sensitive your skin is. I was also left with a slight headache, almost like I’d been wearing a swim cap for a few days. This too didn’t last longer than a few hours, and wasn’t anything that two paracetamol couldn’t fix. If you do experience a headache for longer than 48 hours, or any other symptoms like nausea or visual disturbances (although rare) you are advised to contact your practitioner.
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.
If you’re interested, talk to your physician about getting a referral. (If I were to go for it, I’d also do my own research, maybe asking a friend who’d had a positive experience — and whose results I could see — for the name of her doctor.) Then check with your provincial college of physicians for disciplinary issues, the Canadian Medical Protective Association for malpractice issues and RateMDs.com to see what other patients say about specific doctors. Ask for Botox before and after photos, and get a sense of how long the doctor has been administering Botox. (Are are a few other questions to ask your doctor before taking the plunge.)
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 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.
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]
Moderate peels require longer healing time, 7 to 14 days, due to more intensive blistering and peeling. Moderate peels are usually done with glycolic acid, trichloroacetic acid, or a combination of acids that reach both the outer and middle layers of your skin. Moderate peels may cost anywhere from under $200 to over $600, depending on the provider. 
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