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.
For me, the main area of concern is my forehead, which I’m told by all the greatest in injectables, to be the most common for those under thirty. After too many holiday sunburns, and recognising that I speak with very expressive eyebrows, the fine faint lines horizontally across my forehead have become much more prominent. So, in the name of beauty journalism I decided to give botox a try, here's what I learnt...
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 cost of the procedure will vary depending on factors like location, expertise of the provider, and what type of peel you want to get. Light peels can cost as low as $150, and deep peels can cost $3,000 or more (specifically if it requires anesthesia, or in-patient stays). According to the American Society of Plastic Surgeons, the current average cost of a chemical peel is $673.

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. 

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!
“Believe it or not, patients who are overweight are malnourished. What that means is that their capacity to heal is very poor,” says Grossman. “Patients who are malnourished have more seromas or fluid accumulations. In fact, about 50% of all patients will form a seroma when not stabilized nutritionally. So, at my practice we have an extensive approach to nutrition before and after the surgery.” 

A tummy tuck almost always involves the removal of excess skin, fat, and other tissue, along with the tightening of the underlying abdominal muscles. It requires both internal and external healing. Therefore, it is especially important for your surgeon to make certain that any risk of excessive bleeding and other complications during surgery is minimized.
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!
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.
Rupture of a silicone-filled breast implant is most often silent and may not be detected by you or your doctor. You should have an MRI 3 years after your surgery and then every 2 years after that for as long as you have your breast implants to determine if rupture is present. If implant rupture is noted on an MRI, you should have the implant removed, with or without replacement.

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.
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.
There are variations on the tummy tuck operation which will have variable recovery rates. the main factor is whether the muscle has been tightened. It is the muscle manipulation which slows the recovery. I tell my patients surgery on skin is less painful than muscle. As a general rule, patients are off the pain medications by 5-7 days. Surgical drains need to be removed and this is usually... READ MORE
This 45-year old female patient came to us frustrated with furrows between her brows. As we have with many other patients, we created and recommended a treatment plan that started with Botox injections. As you can see, even holding the same expression as before, the lines have nearly disappeared in these forehead lines before and after pictures. Results this powerful are possible for you, too.
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.

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.

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.


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.
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.
“We want you up walking right away after surgery,” says Jack. “This is crucial because it’s the most effective way to reduce risk of blood clot formation. It will also help keep your body from becoming stiff and tight, keep the tissues soft and relaxed, and will speed along resolution of swelling. On the flip side though, don’t do too much, too early.”

This busy mom of 3 wanted to look less tired. She wanted to look like how she felt on the inside- happy and rested. She had the CO2 Smartxide laser treatment under her eyes to treat deep lines and wrinkles. She was also treated with Dysport (like Botox) and Princess Filler to treat lines and wrinkles around the eyes (tear troughs) and the lines around the mouth (nasolabial folds) with a full face rejuvenation technique. Dysport (like Botox) is a neuromodulator that is used to relax muscles and, therefore, is able to reduce wrinkles. This beautiful client also wanted to enhance her lips, but still look natural.

With breast implants, a routine screening mammography and self-examinations for breast cancer will be more difficult. Ask your doctor to help you distinguish the implant from your breast tissue. Symptoms of a ruptured implant may be hard knots or lumps surrounding the implant or in the armpit, change or loss of size or shape of the breast or implant, pain, tingling, swelling, numbness, burning, or hardening. Tell your doctor of these symptoms and remove ruptured implants.


In 1891, American otorhinolaryngologist John Roe presented an example of his work: a young woman on whom he reduced a dorsal nasal hump for cosmetic indications. In 1892, Robert Weir experimented unsuccessfully with xenografts (duck sternum) in the reconstruction of sunken noses. In 1896, James Israel, a urological surgeon from Germany, and in 1889 George Monks of the United States each described the successful use of heterogeneous free-bone grafting to reconstruct saddle nose defects. In 1898, Jacques Joseph, the German orthopaedic-trained surgeon, published his first account of reduction rhinoplasty. In 1928, Jacques Joseph published Nasenplastik und Sonstige Gesichtsplastik.
“Believe it or not, patients who are overweight are malnourished. What that means is that their capacity to heal is very poor,” says Grossman. “Patients who are malnourished have more seromas or fluid accumulations. In fact, about 50% of all patients will form a seroma when not stabilized nutritionally. So, at my practice we have an extensive approach to nutrition before and after the surgery.”
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.
Myfatbelly, After seven weeks of healing you are pretty far along and it sounds like you are making progress. Standing full and upright is something we expect to see in most patients after the first week, and some actuallly return to work and gentle activities after two weeks though the pace of recovery can vary. You are on the slow side but don't worry. Full tummy tuck is not a single... READ MORE
Thorough preparation and a proper, well-monitored recovery spent carefully following your surgeon's instructions can result in a beautiful, natural-looking enhancement that provides you with many years of comfort, satisfaction, and boosted self-esteem. Patience is a virtue in every stage of your treatment. Be ready to discuss your medical history in great detail during your pre-op evaluation, and understand that you will be dramatically reducing your physical activity immediately following surgery.
“Once enough time has passed, in most cases at least one year, a tummy tuck scar revision can be performed if necessary,” says Taglienti. “Compared to a full tummy tuck, this is a much easier surgery. Chances are there will not be a lot of pain, no drains are needed, and muscle isn’t manipulated — just the skin. Therefore, most people get back to their lives within a day or two.”
All chemical peels remove outer layers of the skin, though how many layers depends on the intensity of the peel. After a healing period, which also varies with the intensity level, skin is left feeling softer and smoother. Superficial issues such as acne or acne scars, fine lines and wrinkles, and hyperpigmentation should be improved, if not completely corrected. And because chemical peels sweep away complexion-dulling dead skin cells, they leave faces with a radiant glow.
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]
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 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.

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.

One investigation from 2003 tried to decide if Botox infusions under and around the eyes could diminish the presence of wrinkles in these regions. Nineteen female members gotten infusions. The individuals who had them in the lower eyelids and crow’s feet territory will probably report positive outcomes than the individuals who just gotten infusions in their lower eyelids.
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?]
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.
Do not use LATISSE® if you are allergic to one of its ingredients. If you use/used prescription products for eye pressure problems, use LATISSE® under doctor care. May cause brown darkening of the colored part of the eye which is likely permanent. LATISSE® may cause eyelid skin darkening which may be reversible. Only apply at base of upper lashes. DO NOT APPLY to lower lid. Hair may grow outside the treatment area. If you have eye problems/surgery, consult your doctor. Common side effects include itchy and red eyes. If discontinued, lashes gradually return to previous appearance.
"That same day after my surgery was completed, I was able to walk by myself and get dressed," Jeanette said. "The pain wasn't there at all. It felt tight, but I was moving around just fine. As Dr. Barone instructed, I just took it easy. Wearing my support garment helped a lot, and I went on with doing what I needed to do with no issues. My friends and family were like, ‘Wow, we cannot believe you just had surgery.'
After your skin has been numbed, the solution is applied to your face and is left to ‘work’. The amount of time it’s left on your skin depends on the specific type of peel, and it could range from a few seconds to up to an hour for more lightweight peels. Some peels will be neutralized with water, and then a protective mask or layer of petroleum jelly is placed on your treated skin.
The actual treatment with Chemical Peels involves applying the chemical evenly across the skin, whether it is the face or the hands or the neck portion. The affected person can either visit a clinic offering the treatment or buy the product of the clinic and use at home if you are familiar with the process. The person receiving the Chemical Peels treatment should know that once the chemical is applied, it will form blisters on the skin and after a while, it will peel off. But the first few moments, there would be a burning feeling but it will subside after some time. The person can feel a stinging feeling also. In such cases, a cold compress may have to be used to take care of this reaction.
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