“There are many different types and depths [of peels], and they address different skin concerns and conditions,” says Dr. Neel Bector, a Mississauga, Ontario physician, in a chemical peel recovery Q&A. “A great peel with minimal downtime is a Jessner—it works well for pore size, scarring, and hyperpigmentation. You can expect some light peeling lasting approximately three days.”
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.
Deep peels must be performed by a medical doctor and can take 14 to 21 days to heal. Deep peels require special aftercare including antiviral medication, ointments and follow-up visits, according to the American Society for Dermatologic Surgery. The chemical solution used for deep peels may be phenol or trichloroacetic acid, which both reach far into the middle layer of your skin and remove damaged skin cells. Phenol chemical peels may require sedation and should only be done on the face, as the skin on the hands and neck is too thin. The American Society for Dermatologic Surgery explains this procedure may only be performed one time on a patient and is not recommended for people with darker skin or freckles, as it can cause hypopigmentation. Deep peels may cost anywhere from $3,500-$5,000—not including the doctor’s fees.

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.
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.

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.
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.
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.
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.’
A ventral hernia occurs when part of the intestines push through a tear in the abdominal wall. These tears are sometimes the result of an incision made during a prior surgery. Either of these conditions can inhibit blood flow, which can in turn complicate the healing process. During a patient's initial consultation, I conduct my own physical analysis of the patient and a review of his or her medical history to determine if either of these conditions are present.
"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."
In January 2011, the United States Food and Drug Administration released a statement that women with breast implants "may have a very small but increased risk of developing" anaplastic large cell lymphoma, a rare cancer that can develop around breast implants.  The Canadian Society of Plastic Surgeons is closely following developments around this issue. 

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.
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