Chemical Peel in Grand Rapids Michigan
Chemical Peel
It's a procedure in which a controlled chemical burn is applied to the skin using chemical solution in order to remove outer layers of the skin. It can remove delicate wrinkles, pigmentation marks and other skin defects. Peeling also has some medical advantages like removal of pre cancerous conditions and acne scars.
The solutions being used are phenol, trichloroacetic acid (TCA) and alphahydroxil acids (AHA).
AHA is used for delicate peeling, it gives you smooth and shine skin, and it also treats delicate wrinkles, acne scars and pigmentation. Several treatments usually required on weekly bases. The solution can also be incorporated into cr?mes or facial wash and can be used on daily bases.
TCA is used for intermediate peeling. It removes wrinkles and superficial skin defects and pigmentation. Usually more then one treatment required and it has longer healing times then AHA. It can be used in whole body parts.
Phenol is the most powerful solution, which is used for deep peeling. It removes deep wrinkles, pre malignant conditions and skin defects due to sun exposure; it also causes brighter skin color. It can be used only in the face area.
It is recommended to use several creams before the peeling to get better results. Retin-A thinners the upper layers of the skin and hydroquinone which bleaches the skin.
The peeling is done by the following techniques: AHA - after the cleaning of the skin the doctor spreads the solution on the skin. It takes 10 minutes, afterwards the doctor gives you instructions how to use this cream for several weeks at home.. During those weeks you'll be invited for check up to follow the progress of peeling.
TCA - usually takes 45 minutes. You may feel a burning sensation which disappears after a few minutes. Second treatments usually done with an interval of a couple of month.
Peeling with phenol lasts 1-2 hours. One treatment usually sufficient. You'll need to cover the face with a bandage or Vaseline cream.
After the treatment with AHA you can immediately return to daily activities, but you must wear sunscreen. TCA causes redness and swelling which disappears during the week, you can return to work after 7-10 days. After the use of phenol skin regeneration usually takes 7-10 days. At first you'll have a very reddish skin that will gradually change to pink color. It is very important to avoid direct sun exposure and use sunscreen to avoid burns and pigmentation.
More Grand Rapids info...
Grand Rapids See
Frederik Meijer Gardens - Plan at least four hours and up to eight hours to enjoy all that there is to offer. Walk the outdoor nature trails and boardwalk, study world-class sculpture within the outdoor sculpture park (including "Leonardo's Horse", a finished interpretation of the giant sculpture da Vinci intended to be his masterpiece), climb on the great scoop Paletta Grande by Francesco Nicola Sansovino and enjoy endless hours of fun with the kids in the children's garden. Visit the indoor areas including a special sculpture exhibitions in the lovely indoor galleries, see the largest tropical conservatory in the state of Michigan and gaze at exquisite arid and carnivorous plants. The gardens host special concerts in their outdoor amphitheater.
Van Andel Museum Center - offers the sights and sounds of centuries gone by, coming alive once again. Downtown on the west bank of the Grand.
Gerald R. Ford Museum - chronicles the United States' "accidental" presidency, the only Chief Executive never elected to serve, who restored a measure of trust to the office following its greatest crisis. Jerry's final resting place is just north of the museum. Downtown on the west bank of the Grand.
Grand Rapids Buy
Schuler Books and Music- With two locations in the G.R. area (28th Street and Alpine) this large independent bookstore is a great place to relax, read and even get some coffee.
Little Bohemia- Cross a bead store with some funky clothing, gifts, and books and what do you get? This botique store is right downtown on Monroe Center. There are several enclosed shopping malls and retail centers in the city and its suburbs - most notably Woodland Mall in the southeast and Rivertown Crossing in the southwest - but they feature much the same stores as similar malls in other cities, so they are mostly of interest to local shoppers and those from less urban areas without such resources. One exception is the Apple store recently opened in Woodland Mall, the state's third.
Plastic Surgery News...
- In a letter to the BMJ, the head of the Welsh Antimicrobial Resistance Programme argues that given the ever-increasing restrictions on antibiotic use in hospitals encouraged by the Dept of Health to control resistance and C difficile, it seems paradoxical of the MHRA to propose the reclassification of trimethoprim from a prescription only medicine to a pharmacy medicine. He discusses the following potential adverse effects of such a move on the public health of the community:
• Link between antibiotic exposure and resistance - data from a case-control study shows that the risk of an antibiotic resistant E coli UTI was significantly associated with a trimethoprim prescription in the preceding month.
• Selective pressure of using one antibiotic will often select for resistance to other unrelated agents; data from the Cardiff area show that trimethoprim resistant coliforms are significantly more resistant to second line treatments such as ciprofloxacin.
• Selecting resistance in organisms other than those targeted by treatment; trimethoprim is an oral option for treating various infections caused by MRSA and increased trimethoprim use in the community is likely to select for resistance in MRSA.
He concludes “for these reasons, and for the growing concern about Clostridium difficile associated disease in the community, antibiotic use must be regulated to minimise inappropriate use.”
- Starting nicotine replacement therapy (NRT) as a transdermal patch before the target quit date doubles success rates according to a meta-analysis, although only four studies of varied design were eligible for analysis.
The authors of the analysis note that starting NRT before the quit date might improve smoking cessation rates by acclimatising users and separating nicotine intake from smoking. This approach has been most studied using transdermal patches, however trials have varied in size and duration. The aim of this analysis was to determine from the trial data whether a clear benefit had been shown. The authors searched for randomised controlled trials in which the effects of pre-quit treatment were compared directly with treatment starting on the target quit day. Eligible studies recruited smokers who were interested in quitting (rather than reduction), where all participants received NRT from the target quit date, where participants were randomised to receive pre-quit NRT or control (placebo or no NRT), and where cessation was verified 4 to 6 weeks later by biochemical analysis. Primary end-point for the analysis was continuous abstinence for at least 28 days assessed at 6 weeks following quit day, or the nearest reported outcome where this was not available; outcomes at six months were examined as secondary endpoints.
Four trials (n=755) were available and eligible for analysis, all involving nicotine patches: two trials involving nicotine gum were also located, however one was ineligible as a different pre-quit dose was used, and the second had not yet completed. The trials had different designs and durations, and two (n=176) also included treatment with mecamylamine (a nicotinic antagonist). Three studies originated from the same research team.
Analysis found that pre-quit treatment approximately doubled the quit rate at six weeks compared to starting NRT on the quit day (odds ratio 1.91; 95% CI, 1.31 to 2.93). A similar pattern was seen with results at six months (OR 2.17; 95% CI, 1.46 to 3.22). Co-administration of mecamylamine seemed to make no significant difference to the results. There was no evidence that one study was significantly influencing the pooled result - exclusion of each from analysis made little difference to the overall result.
Based on their analysis, the authors conclude that starting NRT patch therapy before the target quit date roughly doubles the chance of success, both in the short-term and up to six months. Although the studies differed widely in their design, the authors consider that the analysis suggests a consistent effect. They note that where the information was collected, there was spontaneous pre-quit reduction in smoking by subjects in the pre-quit group although none were instructed to do this. They discuss possible mechanisms for the effect including pharmacodynamic effects, effects on learned associations involved in smoking, and on extinction of smoking reinforcement.
[Editor's comment: an interesting analysis that appears to have been carefully done, but some cautions remain: the number of participants was relatively small, and it is a slight concern that most of the data came from one research team. This technique would not be covered by current NICE guidance on smoking cessation, and it is uncertain whether it would fit with the current product licences for NRT patches.]