Look Younger Without Plastic Surgery ( courtecy;- webMD )
No-Knife Cosmetic Fixes: Before and After Pictures
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No-Knife Cosmetic Fixes: Before and
After Pictures

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Mirror, Mirror, Say It Ain't So
At some point, it's hard to ignore the vivid
signs of aging you see in the mirror -- little wrinkles around your eyes or
lips, age spots, maybe some sagging skin. There used to be few options for
turning back the clock without going under the knife. But today, you can soften
the effects of time on your face with many nonsurgical cosmetic
procedures.

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Wrinkle Remedies
If forehead creases are bringing you down,
injections of botulinum toxin (Botox, Dysport, and Xeomin) can provide a
temporary fix. They're made with a purified version of the toxin from botulinum
bacteria. In tiny doses, this toxin relaxes the clenched facial muscles that
cause crow's feet, frown lines, and the like. The shots take only a few minutes
and cause little pain.

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Before and After
These treatments usually take 3 to 7 days
before you start to see results. You'll notice smoother skin where you got the
shots. As the muscles slowly are able to contract again, lines and wrinkles
reappear. To keep them away, you'll need injections every 3 to 6 months at
first, and less often after that.

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Chemical Peel Basics
Chemical peels use an acid solution to remove
old, dead cells from the outer layers of skin. The solution often has a mix of
glycolic acid, lactic acid, salicylic acid, phenol, or trichloroacetic acid
(TCA). It can take about 15 minutes to apply, and you might feel some stinging
and irritation. Over the next few days, your skin's upper layers will peel,
revealing newer, smoother-looking skin.

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Chemical Peel: Before and After
A series of peels can reduce age spots, fine
lines, acne scars, and wrinkles caused by sun damage or aging. Mild treatments,
like the one shown here, have more subtle results. You can have one every few
weeks until you get the results you want. Deeper peels cause swelling and
crusting at first, but have more dramatic results in the end. You can get
moderate to deep peels again in 6 to 12 months.

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Microdermabrasion Basics
You may have heard of dermabrasion, a
procedure that sands away the top layer of skin. It can treat severe sun
damage, but it causes bleeding and needs a week of recovery time. Microdermabrasion
is a nonsurgical option. Often called a "power peel," it blasts the
skin with tiny crystals that exfoliate the outer layer. This can reduce fine
lines, brown spots, and mild acne scars -- usually with little recovery time.

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Microdermabrasion: After
As microdermabrasion exfoliates, it sucks the
powdery dead skin cells from your face (shown on left). Right after, the new
skin looks pink and feels tight, like a sunburn (shown on right). It usually
gets better in about 24 hours, leaving subtle improvements in tone and texture.
It can take up to 10 sessions, a few weeks apart, before you can clearly see
the differences.

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Thermage Basics
For saggy, crepe-like skin, Thermage can come
to the rescue. This device uses radio-frequency energy to heat your skin. The
heat prompts your body to make collagen, which tightens skin. Thermage can be
painful, but one treatment is usually enough for good results.

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Thermage: Before and After -- Eyelids
Droopy eyelids respond especially well to
Thermage. You won't see results until 4 to 6 months after the procedure, but
the difference can be dramatic.

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Nonablative Laser Basics
Nonablative lasers get under the skin's
surface without damaging the outer layer. They help your skin make collagen,
reduce fine lines, and improve tone and firmness. The procedure can be painful,
so your doctor will put medicine on your face to numb it. Because nonablative
lasers don't damage surface skin, you won't need as much recovery time as for
other treatments.

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Nonablative Laser: Before and After
Nonablative laser therapy is a good option for
people who want to improve skin tone and texture without taking time off from
work. You might have mild redness after a session, but it will get better
quickly. For the best results, plan on four to six treatments with a few weeks
in between.

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Nonablative Laser for Melasma
Nonablative lasers are especially good at
treating melasma, the splotchy brown patches that often happen during
pregnancy. You can see a striking difference on the cheek in this photo after
four treatments.

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Diode Laser Basics
People with severe acne can get dramatic
results from diode lasers. They can destroy the oil glands that feed acne. Like
nonablative lasers, they get under the surface without damaging the skin's
outer layer. The main side effect is red, inflamed skin, but it won't last
long. You will need some time to recover, though.

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Diode Laser: Before and After
You may need a few sessions to get the best
results. This person's acne improved 6 months after a series of five diode
laser treatments.

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Intense Pulsed Light (IPL)
Like lasers, IPL goes below the surface to a
deeper layer of skin called the dermis. Short pulses of light heat and destroy
cells to start renewing your skin. Unlike a laser, IPL uses a broad spectrum of
light that can treat different kinds of blemishes at the same time. The
treatment is usually painful, so ask your doctor how you can be more
comfortable.

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IPL: Before and After
IPL can reduce the redness that comes with
rosacea or lighten dark circles under your eyes, which are caused by clusters
of blood vessels showing through the skin. A few sessions will vaporize the
blood vessels, leaving the surface unharmed. IPL can also remove unwanted color
patches (like melasma and age spots) by destroying pigmented cells. It
also prompts the skin to make collagen, which fights fine lines and wrinkles.

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Cosmetic Filler Basics
Cosmetic fillers are substances that smooth
wrinkles and folds by bulking up the tissue underneath. Doctors inject them
directly into problem areas. Collagen is the oldest and best-known cosmetic
filler. Newer options include hyaluronic acid, calcium hydroxylapatite,
poly-L-lactic acid, polymethylmethacrylate beads (PMMA), and ordinary fat that
comes from your own thigh or belly.

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Cosmetic Filler: Before and After
The results of hyaluronic acid injection,
shown here, can last 9 months or longer. The effects of collagen injections
vary, but you may need more every 3 to 6 months. Changes also vary if you
inject a wrinkle with fat cells -- they can be long-lasting or fade in 4 to 6
months. Results from PMMA are often long-lasting.

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Cosmetic Filler for Dark Circles: Before and After
Fillers can also mask tired-looking
"bags" and dark circles under the eyes by filling in the hollow area
around the eye socket. This strategy fights shadows, puffiness, and a sunken
look to your eyes.

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Cosmetic Filler for Lips: Before and After
Many of the same cosmetic fillers doctors use
to treat wrinkles and dark circles can also plump your lips. Collagen and
hyaluronic acid injections last for a little while. You can get long-lasting
results with injections of fat cells into the lips.

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Making the Decision
Nonsurgical cosmetic procedures are not
without risks. You might have an allergic reaction to anesthetics on your skin
or injectable fillers. Chemical peels, microdermabrasion, and lasers can cause
scarring or make your skin lose color. But they're often less risky than
cosmetic surgery. Talk to your dermatologist about what to consider before you
schedule a procedure.





















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