In general, Retin-A is most effective in older patients who have some fine facial wrinkles, or blotchy pigmented areas caused by sun damage. However, Retin-A is often prescribed to younger, active individuals who want to combat the aging effects of sun exposure. Patients who are planning to have a chemical peel treatment are often instructed by their doctors to use Retin-A as a preparation treatment; Retin-A thins the skin's outer layer, allowing the acid solution used in a peel treatment to penetrate more deeply and evenly. Retin-A is not recommended for pregnant women or nursing mothers, because its effects on the fetus and nursing infant are still being studied. Patients from the Portland metro area and Southwest Washington can receive Retin-A treatments from a licensed aesthetician in The Medical Spa at PeaceHealth Medical Group.
"There is no substitute for a surgeon who is kind, compassionate and caring. If you are considering any type of plastic surgery, then you can look no further than Dr. Gabriel. He is knowledgeable, skilled, and able to handle whatever his patients demand. In addition, being easy on the eyes doesn't hurt his persona in the least."- K.C. / Healthgrades / May 18, 2018
"Five Stars - There isn't really anything I can write that hasn't been written before except to say that if you are considering any kind of plastic surgery in the Vancouver/Portland area, you won't find anyone more qualified than Dr. Gabriel. He is kind, compassionate, and open. I appreciate his straightforwardness and quick whit. Thank god for a Dr. with a sense of humor."- Anonymous / Vitals / May 17, 2018
"I can't tell you enough how incredible how Dr. Manish C Champaneria did a fantabulous job on my Top Surgery (double mastectomy). I am very satisfied, proud and very confident person thanks to Dr. Manish C Champaneria . I never thought that having this procedure would ever be possible. The whole peace health plastic surgery team came threw. From the insurance coordinator who fought for me and took care of everything that was needed for my surgery to happend. I feel very grateful and blessed to have met the Peace Health plastic Surgery team. I feel like they are family to my partner and I. They asked and answered every question that I needed to know about my surgery. I recommend Dr. Manish C Champaneria and Peace Health plastic Surgery for any Transgender reconstruction procedures. Thankyou PHPS Team ! I LOVE YOU GUYS!!!"- X.M. / Facebook / May 10, 2018
"Dr. Gabriel is simply the best. He is an excellent surgeon, very innovative and thorough. He exudes confidence while remaining professional and polite. His office staff obviously love their jobs and make sure that the patients are welcomed and seen promptly. I'm not his typical patient but he always treats me like I'm his only patient."- S.E. / Healthgrades / May 07, 2018
"Kindness and Dedication - That is what comes to mind when I think of Dr. Gabriel and world is a better place for having him in it. His disarming personality and kindness he and his staff exude is more than anyone could ask for. Because of his dedication for women, he and his wife created "The Pink Lemonade Project" which provides real voices and unending support though a what could have been a lonely and scary place."- Anonymous / Vitals / May 07, 2018
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