It's no secret that tobacco use is a potentially deadly habit that can have many adverse affects on your health. However, many patients do not realize that nicotine can severely compromise the body's ability to heal. Considering the extent of treatment abdominoplasty can require - incisions, liposuction, excess skin removal, and tightening of the abdominal muscles - a patient who smokes must make a commitment to detoxifying themselves at least three months prior to surgery, and continue to abstain from cigarettes as they heal. This also involves taking measures to avoid second-hand smoke. Ideally, they will cease smoking altogether once healing is complete.
How can you safely do a chemical peel at home? A number of at-home chemical peels, masks, exfoliates and wipe products are now available, including those that contain many of the same ingredients as the peels used in doctors’ offices. But it’s key to purchase a quality product, to read ingredients carefully, to test your skin first and to give your skin time to heal between treatments.
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.
The average chemical peel can cost $500–$700 for each treatment, but prices range from $150 for a mild peel up to several thousand dollars for a series of deep peels. (10) While this might seem like a steep cost for good-looking skin, chemical peels are still less expensive than superficial fractional-laser treatments, which can run up to $1,000 a session and usually require multiple treatments.
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!
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.
Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two categories. The first is reconstructive surgery which includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. The other is cosmetic or aesthetic surgery. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic surgery aims at improving the appearance of it. Both of these techniques are used throughout the world.
“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.”
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.
They come in a range of strengths, from deeper phenol-based peels to more superficial peels like glycolic acid. Deeper peels may not be right for everyone, particularly if you have sensitive skin. A few light or medium-depth peels can often achieve similar results to one deeper peel treatment, with less risk and a shorter recovery time. Talk to a qualified provider about your goals to see if a chemical peel would work for your concern and skin.
British physicians traveled to India to see rhinoplasties being performed by Indian methods. Reports on Indian rhinoplasty performed by a Kumhar Vaidya were published in the Gentleman's Magazine by 1794. Joseph Constantine Carpue spent 20 years in India studying local plastic surgery methods. Carpue was able to perform the first major surgery in the Western world in the year of 1815. Instruments described in the Sushruta Samhita were further modified in the Western world.
Each peel is slightly different, and the exact formula will depend on the intensity level of the treatment. However, the most common chemicals used in peels are alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), trichloroacetic acid (TCA), and phenol. AHAs and BHAs are the lightest acids, often used in light chemical peels. TCA can be used in many different formulations. Last but not least, phenol is the strongest chemical and only used in deep peels.
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.
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.
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.)
‘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.
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.
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’.