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.’
Meanwhile, patients should understand that they will not be expected to be immobilized during recovery - nor should they be. By getting up and walking around the house to carry out simple day to day tasks, patients can further reduce the risk of developing harmful blood clots. In other words, while a patient who had surgery days ago should not lift a heavy bag of groceries onto the counter, they are encouraged to stand up and walk to the kitchen for a glass of water. During recovery for any extent of abdominoplasty, it is very important for patients not to do anything that could place strain on their incisions. Incisions are usually fully healed after two weeks.

The most commonly reported side effects with JUVÉDERM® injectable gels included injection-site redness, swelling, pain, tenderness, firmness, lumps/bumps, bruising, discoloration, and itching. For JUVÉDERM VOLBELLA® XC, dryness was also reported. For JUVÉDERM VOLUMA® XC, most side effects were moderate and lasted 2 to 4 weeks. For JUVÉDERM® XC, JUVÉDERM VOLLURE™ XC, and JUVÉDERM® Ultra XC injectable gels, most side effects were mild or moderate and lasted 14 days or less. For JUVÉDERM VOLBELLA® XC, most side effects were mild or moderate and lasted 30 days or less.

Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.


Umbilical and ventral hernias are conditions that must be addressed prior to undergoing abdominoplasty. An umbilical hernia occurs when a portion of the small intestine protrudes through a natural opening between the abdominal muscles. Though the condition is fairly common and usually does not create any painful or debilitating symptoms, it can complicate abdominoplasty.
The most common reconstructive procedures are tumor removal, laceration repair, scar repair, hand surgery, and breast reduction plasty. According to the American Society of Plastic Surgeons, the number of reconstructive breast reductions for women increased in 2007 by 2 percent from the year before. Breast reduction in men also increased in 2007 by 7 percent. In 2012, there were 68,416 performed.
BDD is a disorder resulting in the sufferer becoming "preoccupied with what they regard as defects in their bodies or faces." Alternatively, where there is a slight physical anomaly, then the person’s concern is markedly excessive.[39] While 2% of people suffer from body dysmorphic disorder in the United States, 15% of patients seeing a dermatologist and cosmetic surgeons have the disorder. Half of the patients with the disorder who have cosmetic surgery performed are not pleased with the aesthetic outcome. BDD can lead to suicide in some of its sufferers. While many with BDD seek cosmetic surgery, the procedures do not treat BDD, and can ultimately worsen the problem. The psychological root of the problem is usually unidentified; therefore causing the treatment to be even more difficult. Some say that the fixation or obsession with correction of the area could be a sub-disorder such as anorexia or muscle dysmorphia.[40] The increased use of body and facial reshaping applications such as Snapchat and Facetune have been identified as a potential triggers of BDD. Recently, a phenomenon referred to as 'Snapchat dysmorphia' has appeared to describe people who request surgery to resemble the edited version of themselves as they appear through Snapchat Filters.[41]
Some doctors don’t believe wearing a binder is necessary, but others may recommend wearing one for up to six weeks. Doctors who choose to use binders place their patients in one right after surgery. You’ll wear it 24 hours a day for the first week, changing to less compression and fewer hours over the next few weeks. Follow your surgeon’s recommendation.
Meanwhile, patients should understand that they will not be expected to be immobilized during recovery - nor should they be. By getting up and walking around the house to carry out simple day to day tasks, patients can further reduce the risk of developing harmful blood clots. In other words, while a patient who had surgery days ago should not lift a heavy bag of groceries onto the counter, they are encouraged to stand up and walk to the kitchen for a glass of water. During recovery for any extent of abdominoplasty, it is very important for patients not to do anything that could place strain on their incisions. Incisions are usually fully healed after two weeks.
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.

“Unwanted side effects are hyper or hypopigmentation, swelling, or infection,” says Dr. Davin Lim, a Brisbane, Queensland dermatologist, in a RealSelf Q&A. “Expected side effects are redness, flaking, and dryness, and can be easily managed. You can manage these risks by doing the following: sun protection, prepping your skin before chemical peels, avoiding active ingredients one to two days before treatment, and consulting with an experienced cosmetic provider and following aftercare instructions.”
Usually, good results would be expected from plastic surgery that emphasize careful planning of incisions so that they fall within the line of natural skin folds or lines, appropriate choice of wound closure, use of best available suture materials, and early removal of exposed sutures so that the wound is held closed by buried sutures.[original research?]
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).

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.
It’s a poison: a purified protein called botulinum toxin type A derived from bacteria. It temporarily relaxes muscle areas by blocking nerve impulses that trigger contractions, softening wrinkles and modifying expression. In therapeutic treatment it’s used for cerebral palsy and conditions such as excessive sweating. Although Botox has been used off-label since the 1990s in North America, Health Canada only approved it in 2001 for treating the two vertical lines between the brows (the ‘elevens’) and in 2005 for forehead wrinkles and crow’s feet.

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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]
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]
"I tell my patients that they will immediately notice a difference in their abdominal area, but that it will take two to three months for most of the swelling to subside and to get their final result," says Dr. Pat Pazmino, a Miami plastic surgeon, in a RealSelf Q&A. "Sometimes, some swelling persists over the suture line - this will also go down as your body continues to heal across the scar."
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!
Depending on the extent of your surgery, you can expect to spend anywhere from three days to a week or more limiting yourself to minimal physical activity. You certainly will not be bed ridden during this time, but you will be expected to avoid activity that is more strenuous than walking very short distances. You will also have to take very special care to avoid placing any strain on your incisions.
Typically administered as a facial peel, a chemical peel enhances and smoothes the texture of the skin. It is an effective treatment for facial blemishes, wrinkles, and uneven skin pigmentation.  They exfoliate the outer layers of dead skin, revealing a new skin layer with improved tone, texture, and color. In addition to full facial rejuvenation, certain types of skin peels can also be used for spot treatments and as a way to remove stretch marks or rejuvenate skin elsewhere on the body.
The treatment with Chemical Peels itself does not last very long. Each time the peel is applied, the peel comes off within a few minutes and the treatment itself is done and dusted. But if the overall treatment duration has to be taken into account, then, a week can be safely assumed as the duration of a typical Chemical Peels treatment. And the treatment needs to be repeated after some months for maintaining the skin condition.
Keep in mind that after a chemical peel, your skin will temporarily be more sensitive to the sun and any products you apply. Be sure to wear sunscreen (ideally one that’s broad spectrum and above SPF 30) and consider limiting the time you spend directly in the sun for several weeks. To protect your skin from irritation, also talk to your dermatologist before a peel about whether you should stop using certain types of products or medications — including those used to treat cold sores, Retin-A, Renova, glycolic acid or some antibiotics.
Common side effects are bruising and swelling. Rarely, there is “serum sickness,” which manifests as flu-like symptoms that subside in a few hours, says Mulholland. “A dreaded complication is that the Botox travels through fatty tissues to muscles it wasn’t intended to block — like a muscle of the eyelid, which leads to ptosis (droopy eye), or the muscles that move the eyeball, leading to double vision.” He says these happen to less than one per cent of patients and go away within two weeks. The Botox Cosmetic website states asthma symptoms and inability to swallow have also been reported.
The chemical solution for body chemical peels is typically comprised of a combination of trichloroacetic acid (the main ingredient in a medium-depth skin peel) and glycolic acid (the main ingredient of a mild peel). The solution for body chemical peels is typically formulated to be slightly stronger than the chemical solution used for light or medium facial skin peels, though it is milder than the phenol solution used for deep skin peels.
You need to ensure that you get adequate rest, “for comfort when lying down, rest in bed with two or three pillows behind your head and a pillow under your knees,” says San Diego plastic surgeon Dr. Gilbert Lee. “Get out of bed by sitting up first, then moving your legs over the edge of the bed, and then standing from there. This is when you might need to rely on your caretaker for the first day or so — to help you out of bed.”
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]
The current semantic diversity of the word plastic has a long history of development. Essentially, there are two ways of using this term.[5] In its original sense plastic relates to formation or shaping of matter, i.e. to plastic art. Plastic can also be used figuratively in the meaning of formation of non-material things (e.g. writing a poem, creating a piece of music, and so on), i.e. in the meaning of the power to create. Both notions have been around for thousands of years. The origin of the dual history of the materialistic and philosophical use of plastic can be traced back to the ancient Greek craft of pottery and mythology, respectively. Wider textual use of the term plastic began with Pliny the Elder’s (23 – 79 AD) Plastice, a chapter in his Natural History. The semantic flourish of plastic started only at the end of the 18th century when Johann Gottfried Herder introduced the concept of “plastic sense” in his aesthetic essay Plastik (Sculpture) of 1778.[5]
Chemical Peels range from the Superficial, which will give you gentle exfoliation and can be repeated at frequent intervals, to Medium which will use stronger solutions and achiever greater peeling, to Deep, which as the name suggests will produce more visible results but the potential for complications and side effects with Deep Peels is also much greater.  

Gaining an understanding of the entire abdominoplasty process from pre-operative planning to full recovery can play an important role in the success of the surgery. This knowledge can help you feel confident in your decision to undergo body contouring, and help you play an active role in achieving the best possible results and the longest-term satisfaction with your refined midsection.

Typically administered as a facial peel, a chemical peel enhances and smoothes the texture of the skin. It is an effective treatment for facial blemishes, wrinkles, and uneven skin pigmentation.  They exfoliate the outer layers of dead skin, revealing a new skin layer with improved tone, texture, and color. In addition to full facial rejuvenation, certain types of skin peels can also be used for spot treatments and as a way to remove stretch marks or rejuvenate skin elsewhere on the body.
There’s definitely no denying, the B word has definitely been a talking point of late, not just in the media, but within my close circle of friends too. Would you? Wouldn’t you? Have you? Has she? I promise it’s not as ‘Real Housewives of Cheshire’ as it sounds... But whilst I'm only 28, the reality is that the constant stream of late nights, binge drinking (sorry Mum) and falling asleep with a full face of makeup on, are all starting to show their effects.
Applying Chemical Peels is a treatment done to make the skin’s appearance better, smoother and softer. Where the skin is constantly exposed to direct sunlight and becomes dry or if wrinkles start forming due to normal ageing process also Chemical Peels can be applied and the skin restored to a much better condition. Some persons also use the Chemical Peels to treat specific conditions like acne or scars on the skin. While acne can be treated, the scars may not disappear completely, but there will definitely be an improvement in the skin quality and the difference will show.
Though media and advertising do play a large role in influencing many people's lives, such as by making people believe plastic surgery to be an acceptable course to change our identities to our liking,[37] researchers believe that plastic surgery obsession is linked to psychological disorders like body dysmorphic disorder.[38] There exists a correlation between sufferers of BDD and the predilection toward cosmetic plastic surgery in order to correct a perceived defect in their appearance.[39]

Common side effects are bruising and swelling. Rarely, there is “serum sickness,” which manifests as flu-like symptoms that subside in a few hours, says Mulholland. “A dreaded complication is that the Botox travels through fatty tissues to muscles it wasn’t intended to block — like a muscle of the eyelid, which leads to ptosis (droopy eye), or the muscles that move the eyeball, leading to double vision.” He says these happen to less than one per cent of patients and go away within two weeks. The Botox Cosmetic website states asthma symptoms and inability to swallow have also been reported.
Reconstructive plastic surgery is performed to correct functional impairments caused by burns; traumatic injuries, such as facial bone fractures and breaks; congenital abnormalities, such as cleft palates or cleft lips; developmental abnormalities; infection and disease; and cancer or tumors. Reconstructive plastic surgery is usually performed to improve function, but it may be done to approximate a normal appearance.
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!

During World War I he worked as a medical minder with the Royal Army Medical Corps. After working with the renowned French oral and maxillofacial surgeon Hippolyte Morestin on skin graft, he persuaded the army's chief surgeon, Arbuthnot-Lane, to establish a facial injury ward at the Cambridge Military Hospital, Aldershot, later upgraded to a new hospital for facial repairs at Sidcup in 1917. There Gillies and his colleagues developed many techniques of plastic surgery; more than 11,000 operations were performed on more than 5,000 men (mostly soldiers with facial injuries, usually from gunshot wounds).[citation needed]After the war, Gillies developed a private practice with Rainsford Mowlem, including many famous patients, and travelled extensively to promote his advanced techniques worldwide.


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.
Thank you for your question. The cost of a chemical peel is determined by the type of peel used, its strength, the area being treated and the number of sessions required to get the result that you desire. Also the city in which you live and the professional experience of the cosmetic doctor will contribute to the cost of administering the chemical peel. 
She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.
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. 
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