But if you try it and then decide to stop, what happens? “There’s this myth that if you stop using Botox, your face will look wrinkly and your features will cascade into a degenerative state you never had,” says Toronto cosmetic surgeon Dr. Stephen Mulholland, whose average Botox patient is age 40. But in fact, he says, if you stop, your face returns to its normal animation, and facial muscles return to normal strength. (Of course, you have aged slightly since you were injected, which may be apparent when it wears off.)
The most salient difference between chemical peels and microdermabrasion is that microdermabrasion is a non-chemical procedure, and attacks imperfections by actually "sanding" flaws from the skin surface. While treatment plans for microdermabrasion and mild chemical peels such as glycolic acid chemical peels are similar, more advanced chemical peels require only one session. However, deep chemical peels such as the phenol peel also require much more recovery time than microdermabrasion and the more mild peels. Also unlike microdermabrasion, deep chemical peels change the actual pigmentation of the skin through bleaching. Because of this, patients with naturally darker complexions may be better candidates for microdermabrasion.
Patients are urged not to smoke for a few weeks before and after a chemical peel. The best outcomes will be achieved in patients who are not taking the acne medication Accutane®, have not taken it for the previous year and a half, and who are free of active skin infections. Also, if you have large or unusual scar formations, such as keloids, your doctor may recommend a different treatment for you. Patients who have a family history of heart problems are not considered good candidates for the deep chemical peel procedure.
Something you might not realize about the benefits of a chemical peel? Recent advances in chemical peel procedures means that they help to deposit skin-healing ingredients into the skin, such as collagen, that can reduce lines and help improve tone. And after the top layer of your skin sheds following a peel, cells begin to increase collagen production and make more hyaluronic acid, both of which has anti-aging effects.
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.
“Occasionally, patients will certainly engage in activities that slow their recovery or cause complications. Probably the most impactful factor is not following the surgeon’s instructions. This is a big one,” says Jack. “We make postoperative instructions for a reason — to protect the patient and help ensure they heal well and have a good cosmetic outcome.”
Patients are urged not to smoke for a few weeks before and after a chemical peel. The best outcomes will be achieved in patients who are not taking the acne medication Accutane®, have not taken it for the previous year and a half, and who are free of active skin infections. Also, if you have large or unusual scar formations, such as keloids, your doctor may recommend a different treatment for you. Patients who have a family history of heart problems are not considered good candidates for the deep chemical peel procedure.
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.
This lovely patient is under 30 years of age. She was treated with Botox and Juvederm Filler for a fresher, less tired look with a full face rejuvenation technique called Soft Lift. The loss of volume under her eyes (tear troughs) that caused her to look tired was treated with Juvederm filler. To continue to soften her look, the lines around her mouth were treated with Filler, as well as a small amount of Juvederm in her lips to give her a youthful fresh look.
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.
There sure are. Peels are formulated as light, medium, or deep chemical treatments, based on the chemicals used and how they are formulated. The treatment that's right for you will depend on what you're hoping to treat and how much downtime you're willing to endure. You should always consult with your dermatologist before undergoing any chemical peel.
For example, you can make a homemade anti-aging serum— using jojoba oil, pomegranate seed oil, rosehip oil, and essential oils like lavender or frankincense — that richly hydrates your skin as well as provides antioxidant protection. Products that contain antioxidants and vitamins for your skin — like vitamins E, A and C —are also great for reducing sun damage and improving the appearance of skin.

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’.
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.
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.

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]
“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.”
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:
Certain chemical peel solutions are useful for treating acne blemishes and diminishing existing acne scars. Light chemical peels administered with a solution of alphahydroxy acids (AHA) can be beneficial for treating acne. A lower-strength AHA solution can be mixed with a facial wash as part of a daily skin-care routine. DocShop provides detailed information about acne chemical peels to help you decide if this treatment is right for you.
The price varies based on type and depth of the chemical peel. Usually, peels that superficial (less aggressive with less downtime) will cost less than deeper ones. Superficials peels can be performed by nurses, doctors, aestheticians, etc but medium-deep or deep peels are usually only done by doctors. These stronger peels are more effective but generally carry more risks; certain ones, ie. phenol based peels require monitoring ie. O2 saturation, heartrate, etc, which can increase facility fee/ overall price. Another thing to consider is regional differences as this applies to all aspects of facial plastics- Botox treatment in Manhattan will likely be different than in a rural suburb. Hope this helps!
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.

Obviously, you can expect some pain and tenderness following surgery, but your surgeon will provide you with a recommendation for pain management. I personally administer EXPAREL®, an injectable painkiller that provides three to four days of relief, and eliminates the need to take oral medication in order to maintain comfort. It is important to keep your bowels moving after abdominoplasty, so I always recommend that patients take laxatives during recovery. I also prescribe antibiotics to further reduce the risk of infection.

When performed by an experienced cosmetic dermatologist or plastic surgeon, chemical facial peels are safe. With light and medium peels, relatively mild chemical peel side effects such as redness, stinging, and crusting usually subside within a day or two after the treatment. The side effects of deep chemical peels are typically more pronounced, and recovery time is longer. More serious side effects, such as infection and scarring, are possible, especially with medium and deep chemical peels. However, serious side effects are rare when the procedure is performed by a qualified doctor.


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.


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.
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.
Our before and after technology and camera room is set up to produce high definition, full screen sized comparisons that are perfectly aligned – even though many images are taken many months apart. The time and consideration taken in our before and after gallery is a testament to Dr. Oakley’s creative drive and passion for excellence, and user experience.
Lee agrees, saying, “I highly recommended you have someone to stay with you for at least 24 to 48 hours after your procedure. You won’t be able to stand straight for a time after your tummy tuck so you will need some help doing simple tasks like getting out of bed, removing garments and showering. Although you may not feel like getting out of bed, you’ll be encouraged to get up at least two to three times a day and move around, as this helps increase circulation.”
Treatments for the plastic repair of a broken nose are first mentioned in the Edwin Smith Papyrus,[7] a transcription of an Ancient Egyptian medical text, one of the oldest known surgical treatises, dated to the Old Kingdom from 3000 to 2500 BC.[8] Reconstructive surgery techniques were being carried out in India by 800 BC.[9] Sushruta was a physician who made important contributions to the field of plastic and cataract surgery in 6th century BC.[10] The medical works of both Sushruta and Charaka, originally in Sanskrit, were translated into the Arabic language during the Abbasid Caliphate in 750 AD.[11] The Arabic translations made their way into Europe via intermediaries.[11] In Italy, the Branca family[12] of Sicily and Gaspare Tagliacozzi (Bologna) became familiar with the techniques of Sushruta.[11]
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.

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.’
Whether you're having a partial or complete tummy tuck, the area that's operated on will be stitched and bandaged. It's very important to follow all your surgeon's instructions on how to care for the bandage in the days following surgery. The bandage used will be a firm, elastic band that promotes proper healing. Your surgeon will also instruct you on how to best position yourself while sitting or lying down to help ease pain.
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!
After a chemical peel, skin is temporarily more sensitive to the sun, so wear sunscreen every day. It should say "broad-spectrum" on the label, meaning it protects against the sun's UVA and UVB rays. Also, it should be a physical sunscreen and be above SPF 30. Limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m., and wear a wide-brimmed hat.
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