Prebirth exposure, in some cases, can lead to permanent alterations and adult diseases.

This is the stage of permanent alteration we are at in America as 1991 drew to a close.

I think the use of junk causes permanent cellular alteration.

Extended mucositis may be associated with permanent alteration in appearance.

There he helped make the first of his many permanent alterations to the sport.

Warfare, the museum notes, caused suffering "on both sides" and "the permanent alteration of the land."

So we're going to have to give you a permanent alteration.

The point is that permanent alteration - removal of such property from public ownership - cannot automatically be done.

And turning to plastic surgery for more permanent alterations is common in every corner of international intrigue.

"Once the homes and the old trees are gone, then that's a permanent alteration to the community."