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BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium. It is a nonsurgical, physician-administered treatment that can temporarily reduce moderate to severe frown lines between the brows in people 18 to 65 years of age. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines. The treatment is usually done in about 10 minutes, and no recovery time is needed. Within days, you may see an improvement that can last up to 4 months. Results may vary.

Those moderate to severe frown lines between your brows form over time as the result of muscle activity. BOTOX® Cosmetic is injected directly into the muscles between your brows. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.

Within days, you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as moderate to better 1 month after treatment. Results may vary.

Results from treatment with BOTOX® Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment. Botox will not make your lines looks worse after the effect had faded.

Any authorized healthcare professional can administer BOTOX® Cosmetic, but dermatologists, plastic surgeons, ophthalmologists, otolaryngologists (ear, nose, and throat doctors), or other physicians specializing in cosmetic procedures are generally more experienced. One of these physicians can help you decide if BOTOX® Cosmetic is right for you.Choose the physician that will understand your needs and gives a Natural result.

Discomfort is usually minimal and brief. Prior to injecting, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Many people are in and out of the physician’s office without downtime following BOTOX® Cosmetic treatment.

BOTOX® Cosmetic should not be used in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation. Patients with neuromuscular disorders such as ALS, myasthenia gravis or Lambert-Eaton syndrome may be at increased risk of serious side effects.

The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection. Patients with certain neuromuscular disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects


Although the results are visible, a treatment with BOTOX® Cosmetic will not radically change your facial appearance or make you look as if you "had work done." The muscle activity that causes frown lines between the brows is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.
What will happen to the frown lines between my brows if I choose not to continue treatments?
If you do not continue treatments, the moderate to severe frown lines between your brows will gradually look like they did before treatment.

When considering your facial aesthetic options, BOTOX® Cosmetic is quite affordable. According to an American Society for Aesthetic Plastic Surgery survey, BOTOX® Cosmetic is one of the low-entry-cost facial aesthetic procedures in the United States. Like other appearance-related investments, such as hair coloring and cuts, teeth whitening, and chemical peels, the cost must be weighed relative to your expectations. Consult your doctor for further information.

Fat Grafting: F.A.M.I.

Fat grafting is the procedure where your own fat stores are utilized to augment, rejuvenate or correct. Fat grafting can be used to augment the cheeks or lips or anywhere else augmentation is desired, correct tissue deficiencies or simply rejuvenate the mature or thin face for a more "refreshed" look.
Fat Grafting is also referred to as free fat transfer, liposculpture, lipostructure, Space Lift® and others.

Fat Grafting usually performed anywhere from 16 and up. Ask your surgeon what he thinks and what ages he usually performs this procedure on s it can be different from surgeon to surgeon. It certainly can correct "deficiencies" or create symmetry in younger persons as well as augmentation and rejuvenation in those who need it, regardless of age.

The surgeon will go over your desires with you and explain your options. He r she will discuss what can realistically be achieved through this procedure, discuss with you the risks and complications as well as determine the amount of augmentation you will need.
Not everyone is a great candidate for fat grafting so go over all of your habits, including if you smoke, your metabolism and activity levels. Ask to see photos of his or her patients and ask for a referral list sop that you may discuss your concerns or ask questions from the surgeon's own patients.

Excess fat is removed from stubborn, fatty pockets, treated and/or "spun" and gently inspected for viable and whole fat cells. The fat cells are carefully re-implanted using various techniques and you are sent home to care for your treatment areas as discussed at your preoperative appointment.

You can expect to be swollen, possibly bruised and a little sore. This is all normal and should be realized beforehand. Patients who know what to expect are often better informed, and well balanced afterwards and recover more easily s opposed to those who are not told what to expect. 
You will be instructed to take all of your medications on time, keep you treatment area immobile and allow proper healing. This includes no high impact exercise or activities for approximately 2-3 weeks, depending upon the extent of the surgery. Please discuss this with your surgeon as the treatment type and/or area changes the pre-operative protocol.

Depending upon what other procedure were performed and what the preferences unique to your own surgeon, you may or may not have sutures. Some surgeons remove fat with larger cannulas, some with smaller ones and even others with special hypodermic needles. It is necessary to ask your own surgeon as you may not even require sutures for your donor suite.
Incidentally, some lip augmentation with fat grafting may require sutures. Some surgeons use long "threads" of fat implanted in a line within the lips and may need a suture at the injection area.

You will see immediate results and it might appear too augmented for your taste, this is often the swelling and possibly "overstuffing" of the fat to increase longevity. However, not all surgeons overstuff so be advised of your own surgeons technique preference. The swelling will subside and you will usually be able to view your true results in 3-4 months although you may lose fat after that as your body either metabolizes it, the fat proved to be damaged or otherwise.

The risks for fat grafting are asymmetry, infection, fatty cysts, hematoma, fat embolism, seroma, permanent discoloration from the bruises and others.

It depends. There are unfortunately many factors involved and it is most certainly surgeon-dependent. Some surgeons are able to get 10% longevity and even other up to 90%! So research your surgeon carefully, determine the differences in technique and discuss with their own patients, the amount of augmentation or enhancement left after several months or even years. It really depends but yes it is very possible to receive permanent results. Just know that fat naturally is lost as we age - so permanency may depend on your definition of it. It may last you many, many years but will more than likely not last you the rest of your life as you age.

Body Contouring

Abdominoplasty, also known as a Tummy Tuck or simply TT, is the surgery of the abdomen to remove the excess skin and fat that may accumulate after pregnancy, obesity or age. With a full abdominoplasty, benefits are also tightening of the abdominal muscles that may have become stretched out or lax over time. Even a new belly button can be obtained as a result! If you have an outtie or even an innie -- the opposite can be acquired to go along with your new, taut stomach! This isn't a simple procedure and you should definitely be aware of the risks and post-operative care and attendance that will be needed.

First and foremost, an individual must be in good health, not have any active diseases or serious, pre-existing medical conditions and must have realistic expectations of the outcome of their surgery. Communication is crucial in reaching one's goals. You must be able to voice your desires to your surgeon if he/she is to understand what your desired results are. Discuss you goals with your surgeon so that you may reach an understanding with what can realistically be achieved.

You must be mentally and emotionally stable to undergo an cosmetic procedure. This is an operation which requires patience and stability in dealing with the healing period. There is sometimes a lull or depression after surgery and if there is already a pre-existing emotional problem, this low period can develop into a more serious issue. Please consider this before committing to a procedure. If the above describes you and you have the desire to rid yourself of loose sagging skin of the abdominal area, you may be a good candidate for Abdominoplasty. An ideal patient would have incredibly elastic skin. But, of course, we human beings are never ideal. But good elasticity certainly helps! 

Normally women seek this procedure after pregnancy - although it is advised to wait until you are finished having children to have this procedure as the skin and muscles can get stretched out again as well as the dangers of your newly taut skin being unable to accommodate another pregnancy. 
Also, if you are considering losing weight you should wait until after your desired weight is met. You may need additional surgery to remove the excess skin after you have lost the desired weight which would mean that the money spent on the previous abdominoplasty would be wasted and your skin can only be stretched so much.

The Abdominoplasty procedure is usually performed when a person is discontent with their appearance in the abdomen region. Although there is no normal age or time in one's life (after 18), it is most often sought out after a woman has given birth and does not plan on having any more children. The reason that not having additional children is an important factor is that after the extra skin and muscle tissue is removed, the abdomen may not be able to accommodate another child. The skin could quite literally split. Although this probability will be individual-dependent. Mini tummy tucks are considered less invasive and are for minimal correction cases.

The surgeon will measure your abdomen and general torso region for an idea of an ideal abdomen size for you. Between pictures that you have brought in and with the information of how many children you have had, the two of you will set realistic goals on what is and isn't possible with an Abdominoplasty. You must remember that no amount of surgery can restore your skin to its former condition.

Abdominoplasty is performed most commonly under General Anesthesia or Light Sleep IV Sedation. Local anesthesia is then used to numb the abdomen. The operation is performed by making an incision in the lower abdomen just above the pubis. The incision may go from hip to hip. It is placed in the bikini line so that it is well hidden. The skin and fat is dissected off of the abdominal muscles all the way up to the bottom of the rib cage. The belly button is separated from the skin and most frequently all the skin and fat below the belly button is removed. Sometimes, sutures are placed on the muscles of the abdominal wall to tighten one side of the abdomen to the other and thereby flatten the abdomen remarkably. The skin above the belly button is drawn down to the pubis and sutured into position. A new hole is placed in the skin and the belly button is positioned in about the same spot that it existed before surgery. Your new tummy is then sutured into position. One or two drains are placed under the skin and rest on the abdominal muscle. The drain(s) exit below the incision on the pubis.

The different techniques pertaining to Abdominoplasty consist of the different incision shapes and placement. Although most surgeons attempt to place the incisions in the most inconspicuous area, some surgeons may not, so please discuss this with your surgeon beforehand. Some surgeons go completely horizontal and straight across, some use a 'V' shape, some a 'W' shape and still others follow along the bikini line. In my opinion an incision following the bikini line is the optimum for concealment purposes although your body's needs will determine the incision placement.

You are usually able to walk immediately after surgery and is in fact encouraged to do so 3 or 4 times per day for 1 to 2 minutes each time. However, you will more than likely not be able to stand up straight, more of a hunched over type of posture. The skin of the abdomen will be quite tight and you are usually instructed to remain bent over at least 45 degrees for the first 4 to 5 days after surgery. Patients will often note some back discomfort due to the 45 degree positioning for 4 to 5 days after surgery so ask your surgeon about muscle relaxants or valium.
The drains that have been placed will generally be removed 4 to 14 days after surgery. At the end of 4 days the patient may begin to straighten up and by six days post-op may or may not be fully straight. You should take it easy for at least two weeks after surgery. While the drains are in, you will be on bed rest with a very small amount of walking as outline above. However if your drains are in for an extended amount of time, you will of course not be expected to sit in bed all day. An abdominal pressure garment may be placed around you during one of your post-operative appointments and you may be instructed to wear this for 3 to 6 weeks.

Some swelling and discoloration are normal but generally this is minimal. Of course this is dependent upon the individual.

The amount of pain associated with this procedure is quite variable. Some patients note a moderate amount of discomfort and for some it is more intense. But certainly there is some discomfort. Patients will often note some back discomfort due to the 45 degree positioning for 4 to 5 days after surgery. Valium is sometimes given to alleviate muscle spasms of the back and for relaxation and a sleep aid, in general.

This is not a scar-free surgery; in fact the scars may be quite severe depending upon the amount of skin needed to be removed, your body's ability to heal, if you scar well, the skill of the surgeon and the technique utilized. Most surgeons choose to offer their patients lesser scarring techniques that leave a well-hidden horizontal or slightly bowed scar which can be covered by a standard bikini. Be sure to discuss the incision types, techniques and placements with your surgeon at your consultation. Ideally, no scar would be wonderful, but that isn't possible -- yet.

There is a bit of swelling involved with an Abdominoplasty. You must take into account that Abdominoplasty is surgery and with this type of surgery and depending upon the case, a lot of tissue is removed. 

Abdominoplasty is a very slow-to-heal-completely procedure. While the drains are in, the patient will be on bed rest with a very small amount of walking as outlined above. An abdominal pressure garment may be placed around you during one of your post-operative appointments and you may be instructed to wear this for 3 to 6 weeks. Most patients can and do return to work after 2 weeks. You simply should not have to sit at a desk for 8 hours after having had an Abdominoplasty.

After the swelling subsides and the drains are taken out you will start to see a difference. You must realize that the underlying tissues have been cut and that an Abdominoplasty is considered a very invasive procedure. Give your body time to heal and you will reap the many benefits of the procedure.

Of course, as with any surgery under anesthesia, there are risks that primarily are the sole responsibility of the anesthetic. Please see our Anesthesia Section for more information.
here are more risks with Abdominoplasty due to the fat and its surrounding tissues becoming necrotic (dead tissue). If the fat becomes necrotic from lack of blood supply, the fat tends to turn orange-ish clear and a little may drain from the incision. Although this is very normal to have fluid this color drain from the incision. There will be fat damage, there will be fluid retention, and there will be blood-tinted drainage. 
If the tissue becomes necrotic, or you have a massive die off of fat cells that's a completely different story. You must have the tissue removed before a major infection develops, possibly causing gangrene. This is extremely rare and taking precautions can certainly make a difference. Such as not smoking, proper wound care and proper surgeon selection with a sterile, accredited surgical suite or accredited hospital.
Sometimes Liposuction is part of the Abdominoplasty procedure. Even with the ultrasonic technique, patients have been known to receive actual burns from the ultrasonic technique. The fat is actually melted within the body by 'exciting' the fat molecules with high frequency radio waves and is suctioned out. There may be asymmetry, hyperpigmentation (permanent dark spots) from the bruising. Major blood loss is a factor is some cases. As is hematoma and infection. Just remember, Abdominoplasty or Liposuction is NOT the way to lose weight. 

Another risk of Abdominoplasty is pulmonary Thromboemboli. A thromboebolus is a blood clot and this blood clot can break free and travel to the lungs resulting in pulmonary Thromboemboli. This can put a patient into adult breathing distress and subsequently into cardiac arrest or coma -- leading to the patient becoming 'brain dead' shortly thereafter or in a vegetative state from loss of oxygen to the brain. Pulmonary Thromboemboli can happen within three (3) weeks of the surgery but will most likely show symptoms of shortness of breath and fatigue within the first 72 hours. However, pulmonary Thromboemboli can occur suddenly, without warning. Most patients with P.E. collapse and begin rapid deterioration after attempting to climb a flight of stairs. Please see our Abdominoplasty Risks Section for more information.

also known as: Mountain Tobacco, Mountain Arnica, Common Arnica, Leopard's Bane and Sneezewort
plant family: Asteraceae 
type: Herbaceous perennial
parts used: Roots and flowers
description: Arnica montana or Leopard's Bane is a perennial herb, growing close to the ground. The leaves form a flat rosette, from the center of which rises a flower stalk, 1 to 2 feet high, bearing orange-yellow flowers. The rhizome is dark brown, cylindrical, usually curved, and bears brittle wiry rootlets on the under surface.
habitat: Indigenous to Central Europe, in woods and mountain pastures, although it has been found in England and Southern Scotland. 
warning: This herb should NEVER be taken in raw form. This plant, like many medicinal plants if ingested, can cause intestinal bleeding, abdominal cramping and sickness. Homeopathy is the medicinal use of tinctures and suspensions using herbs and other plants and should never be consumed without proper preparation. Only respectable homeopathic remedies and tinctures should be consumed. 
Read more on Arnica Montana? & Bromelain?

This procedure can last for many, many years. If there are no large weight gains, and no pregnancies after the tummy tuck then the changes will be relatively permanent. Certainly some relaxation of the tissues can reoccur but not to the extent prior to surgery.