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.
If, for example, the patient wishes to achieve further weight loss, we must consider whether the results of abdominoplasty might be more flattering once the patient's goal has been met. On the other hand, we must consider the likelihood that the patient will be able to maintain their ideal weight. By discussing the patient's lifestyle and goals in great detail, we can determine whether the planned extent of surgery will provide results that will be compatible with the patient's lifestyle for the long run.
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.

“The safety and efficacy of any chemical peel are dependent upon preparation, depth, post care, and the experience of the clinician administering the peel,” says Dr. Larry C. Leverett, a Phoenix plastic surgeon, in a chemical peel Q&A. “When treating African-American skin and other ethnic skin types, prepping the skin for a chemical peel is a necessity. … Our patients must prep for at least four weeks prior to the peel, are educated extensively on how to care for their skin post peel, and are encouraged to adhere to their prescribed skin care regimen to obtain optimal results.”
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.

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.
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.
“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.”
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.
A superficial peel, which will be the mildest peel available is often referred to as a lunchtime peel since it can be done in less than 30 minutes.  Using either an alpha-hydroxy acid or another type of mild acid, such as salicylic or maleic acid, this treatment will be lightly applied to the targeted area to exfoliate it.  A light peel will often need multiple treatments to see desirable results.
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.
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.
“Every chemical peel has the potential risk for complications, such as pigmentation changes or scarring,” says Dr. Jordan Cain, a Frisco, Texas facial plastic surgeon, in a chemical peel Q&A. “These risks are much higher when a chemical peel is performed by someone without proper training and experience in skin care and chemical peels in particular.”
Through our website, we genuinely hope that you will discover more about our practice, the many cosmetic enhancement procedures and treatments available to you, and other useful information that will answer questions you might have about plastic surgery and the services we provide. We would also like to hear from you, so please contact us via telephone at (514) 695-7450 or email with any questions, comments, concerns or to schedule an appointment.
“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.”
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]

“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.”

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.

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.
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]
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.
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
"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.'

"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."
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!
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.
“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.”
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.

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.
A superficial peel, which will be the mildest peel available is often referred to as a lunchtime peel since it can be done in less than 30 minutes.  Using either an alpha-hydroxy acid or another type of mild acid, such as salicylic or maleic acid, this treatment will be lightly applied to the targeted area to exfoliate it.  A light peel will often need multiple treatments to see desirable results.

“A common misconception is that a tummy tuck is a simple procedure,” says New York City plastic surgeon Dr. Anthony Taglienti. In fact, the procedure is quite involved. “A tummy tuck can include a long incision, the removal of skin and fat, the suturing or plication of abdominal muscles, along with liposuction. Therefore, it can take some time to recover,” says Taglienti.
“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.”
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.

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.
Your risk of developing a dangerous blood clot may be higher if you have previously had deep vein thrombosis, or the formation of a blood clot in your leg. If you have had cancer, or if you have a family history of cancer, this must also be considered. Another part of assessing your risk of thrombosis involves a test called the Caprini Risk Assessment Model. It takes note of factors such as your age and any recent injuries or surgeries. A point system indicates whether it is safe to proceed with abdominoplasty, or if any special measures should be taken to ensure your safety during 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.


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.
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