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The Liquid Facelift – Truths In Reporting and Advertising?

Thursday, August 27th, 2009
On August 12, 2009, CBS had a program in which they demonstrated the so-called “liquid facelift.”  As it is shown, there were injections placed in appropriate areas of the face to diminish facial lines and furrows by injecting a product called Sculptra TM.  It incorrectly refers to Sculptra TM as being a  filler that was just recently approved, since it has been approved by the FDA for years for the treatment of immune-suppressed patients, and particularly directed at AIDS patients.
I take issue with describing this injectable as a “liquid facelift.”  In fact, it is not.  It is simply an injection to replace some of the volume loss in certain areas of the face.  It definitely does not give or even approximate the results of a mini facelift or regular facelift.  To compare the results of an injectable to a facelift is grossly unfair to the public and plays on the sensitivities of those who are looking for an alternative to surgery.  If what an individual needs is a facelift, then they are wasting their money on temporary filler.
Please do not misunderstand me.  There is nothing wrong with injectables.  I use them in my practice frequently with great success.  The whole idea is that it is very important to match the problem with the correct solution.  By that I mean that if there are already set-in facial problems like jowls, sagginess and volume loss, the most effective way of dealing with it is through a surgical procedure. Anything else would be at best a compromise.  For most patients, it would be a waste and a disappointment.
If, on the other hand, the patient is looking to treat early aging changes such as volume loss without sagginess or jowls, commonly seen after age 30, then an injectable such as Sculptra TM would be a good alternative. It will help minimize some of the volume loss effects of aging for approximately a year or two.  However, the physician injecting this filler needs to have a very good artistic eye in order to be able to inject the filler where it will have the most effect.  The goal is to minimize the normal shadows of light and to minimize the highs and lows that tend to develop as a result of facial aging.
The cost is another factor one needs to consider since it is likely that one may need $1,000.00 and $2,000.00 worth of Sculptra TM to accomplish the desired effect.  This needs to be taken into consideration because when one uses facial filler the effects are only temporary.  Within a period of 6 to 24 months, the effect is completely lost. When comparing this with the results of a surgical procedure like a facelift, one must realize that though the effects of a facelift may be modified by time (the aging process), the improvements will be with the person for life.
The report stated that you could go out the night of the injection and that is in essence, untrue.  Even in the hands of the most skilled professional, a moderate amount of swelling occurs with the injection of any filler within the face.  Bruising can also occur.  One should probably allow 3-4 days after an injectable before planning to attend a social engagement.
As with any other filler, Sculptra TM is a volume replacement agent which will be useful on a temporary basis. We should never call an injectable a “liquid facelift.”  We should call it exactly what is it, which is the correction of volume loss by use of a facial filler (injectable). This is much more accurate and honest reporting.
This blog entry was written by G.D. Castillo, M.D., FACS; Triple board-certified, Director of Cosmetic Plastic Surgery Skin Restoration and Laser Institute.

On August 12, 2009, CBS had a program in which they demonstrated the so-called “liquid facelift.”  As it is shown, there were injections placed in appropriate areas of the face to diminish facial lines and furrows by injecting a product called Sculptra TM.  It incorrectly refers to Sculptra TM as being a  filler that was just recently approved, since it has been approved by the FDA for years for the treatment of immune-suppressed patients, and particularly directed at AIDS patients.

I take issue with describing this injectable as a “liquid facelift.”  In fact, it is not.  It is simply an injection to replace some of the volume loss in certain areas of the face.  It definitely does not give or even approximate the results of a mini facelift or regular facelift.  To compare the results of an injectable to a facelift is grossly unfair to the public and plays on the sensitivities of those who are looking for an alternative to surgery.  If what an individual needs is a facelift, then they are wasting their money on temporary filler.

Please do not misunderstand me.  There is nothing wrong with injectables.  I use them in my practice frequently with great success.  The whole idea is that it is very important to match the problem with the correct solution.  By that I mean that if there are already set-in facial problems like jowls, sagginess and volume loss, the most effective way of dealing with it is through a surgical procedure. Anything else would be at best a compromise.  For most patients, it would be a waste and a disappointment.

If, on the other hand, the patient is looking to treat early aging changes such as volume loss without sagginess or jowls, commonly seen after age 30, then an injectable such as Sculptra TM would be a good alternative. It will help minimize some of the volume loss effects of aging for approximately a year or two.  However, the physician injecting this filler needs to have a very good artistic eye in order to be able to inject the filler.

ler where it will have the most effect.  The goal is to minimize the normal shadows of light and to minimize the highs and lows that tend to develop as a result of facial aging.

The cost is another factor one needs to consider since it is likely that one may need $1,000.00 and $2,000.00 worth of Sculptra TM to accomplish the desired effect.  This needs to be taken into consideration because when one uses facial filler the effects are only temporary.  Within a period of 6 to 24 months, the effect is completely lost. When comparing this with the results of a surgical procedure like a facelift, one must realize that though the effects of a facelift may be modified by time (the aging process), the improvements will be with the person for life.

The report stated that you could go out the night of the injection and that is in essence, untrue.  Even in the hands of the most skilled professional, a moderate amount of swelling occurs with the injection of any filler within the face.  Bruising can also occur.  One should probably allow 3-4 days after an injectable before planning to attend a social engagement.

As with any other filler, Sculptra TM is a volume replacement agent which will be useful on a temporary basis. We should never call an injectable a “liquid facelift.”  We should call it exactly what is it, which is the correction of volume loss by use of a facial filler (injectable). This is much more accurate and honest reporting.

G.D. Castillo, M.D. Premier Cosmetic Surgeon in Central Illinois


G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
Become a Facebook Fan of CPS @  
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https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

Introducing Liquid Smile … Professional Teeth Whitening

Monday, August 17th, 2009
Dr. Castillo is expanding his services with a smile; Liquid Smile that is…  Liquid smile is now available at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Liquid Smile professional whitening pen offers a simple, convenient and affordable solution to whiter teeth.
A whiter, brighter smile can bring out all your best features.  It can enhance your confidence and desire to smile and be social. We believe this to be a great alternative to expensive teeth whitening procedures.  One of the nicest things about this system is it does not require having a tray or other device inside your mouth.  If you have had an unpleasant experience with teeth whitening in the past such as gagging, pain, sensitivity or high cost, Liquid Smile may be the answer you’ve been waiting for.  After painting the gel on their teeth at bedtime for 2 weeks and you’ll be ready to flash your new, bright smile.  It is as simple as that.

smileG.D. Castillo, M.D. FACS is expanding his services with a smile; Liquid Smile that is…  Liquid smile is now available at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Liquid Smile professional whitening pen offers a simple, convenient and affordable solution to whiter teeth.

A whiter, brighter smile can bring out all your best features.  It can enhance your confidence and desire to smile and be social. We believe this to be a great alternative to expensive teeth whitening procedures.  One of the nicest things about this system is it does not require having a tray or other device inside your mouth.  If you have had an unpleasant experience with teeth whitening in the past such as gagging, pain, sensitivity or high cost, Liquid Smile may be the answer you’ve been waiting for.  After painting the gel on their teeth at bedtime for 2 weeks and you’ll be ready to flash your new, bright smile.  It is as simple as that.

THE GEL –
This prescription strength teeth whitening formula contains 12% Hydrogen peroxide (H2O2) that is 3 times stronger than other paint-on teeth whiteners.  The neutral pH gel is manufactured using the purest ingredients. The O2 bubbles begin to remove stain molecules from your teeth within a few applications.  It is available in 4 flavors; cola, mint, lemon lime and root beer.  The flavors are very mild to minimize salivation.

WILL IT MAKE MY TEETH SENSITIVE?
This is a great alternative for patients who could not complete other professional teeth whitening systems due to heightened sensitivity.  If you are applying the whitening gel as directed, you should not experience sensitivity.

HOW MANY SHADES OF IMPROVEMENT CAN I EXPECT?
Various patients can respond differently to the same whitening treatment, so results may vary. Some patients will experience several shades of teeth whitening while others may see even more results.

WHEN WILL I BEGIN TO NOTICE RESULTS?
Most patients will begin to notice results within the first 5 -7 applications.  Original tooth color and the amount of exterior staining a patient’s teeth has may affect the time frame in which one can expect to see results.

HOW DOES THE GEL STAY ON MY TEETH WITHOUT A TRAY?
The Liquid Smile gel is brushed on in a very thin layer.  It will dry within 30-45 seconds so it does not cause irritation. The gel forms a protective film to prevent it from rubbing off while releasing O2 bubbles that whiten the teeth.

WHAT IS THE COST ?
While other professional teeth whitening products can cost more than $400.00, Liquid Smile can be purchased in both our Savoy (Champaign-Urbana area) and Bloomington, Illinois offices for only $125.00!

HOW CAN I PURCHASE LIQUID SMILE?
Liquid Smile is a professional product available only through medical and dental offices.  You may schedule a free consultation with our Medical Skincare and Laser Specialist to get started.

Roxanne, Skincare and Laser Specialist

Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
Become a Facebook Fan of CPS @  
http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Call Cosmetic Plastic Surgery today to schedule an appointment today.
1804 Woodfield Drive, Savoy IL 217-359-7508
2409 E. Washington, Bloomington IL 309-662-0436

Ask Our Expert: Rosacea

Wednesday, August 12th, 2009

Q: I have had Rosacea for several years. It seems to be getting worse. It has become embarrassing during social situations. I have tried a few creams recommended by my doctor. I didn’t see much improvement.  Can you recommend other options to try?

A:  Rosacea can be difficult to live with and tricky to treat. There is no cure for Rosacea. We can only treat the symptoms to make it easier to control. It generally requires more than one type of treatment to combat the symptoms. There are still many medical unknowns related to Rosacea. However, over the past few years, we have gained a much better understanding of how to reduce the symptoms of Rosacea.
My first recommendation is that you keep a journal for awhile to help you indentify the things that trigger your Rosacea symptoms. Once identified, try to reduce the exposure you have to your triggers.
Some triggers may include (but are not limited to) the following:

A:  Rosacea can be difficult to live with and tricky to treat. There is no cure for Rosacea. We can only treat the symptoms to make it easier to control. It generally requires more than one type of treatment to combat the symptoms. There are still many medical unknowns related to Rosacea. However, over the past few years, we have gained a much better understanding of how to reduce the symptoms of Rosacea.

My first recommendation is that you keep a journal for awhile to help you indentify the things that trigger your Rosacea symptoms. Once identified, try to reduce the exposure you have to your triggers.

Some triggers may include (but are not limited to) the following:

  1. Sun or wind exposure
  2. Cold or hot temperatures
  3. Spicy foods
  4. Alcohol consumption
  5. Stress
  6. Hot drinks

The proper treatment selection will depend on the symptoms you are experiencing.  Papules or pustules are often treated with antibiotics such as erythromycin or tetracycline.  Topical treatments (medicated creams…) can also be used in conjunction with oral medications. The topical treatments can also be used to reduce the burning sensation that is sometimes related to Rosacea.  Redness may be reduced over time as well.  If papules or pustules are present, low-concentration medical-grade glycolic acid peels may also be used in conjunction with the above mentioned treatments. This will help to thin the most outer layer of skin which may help to resolve some of the eruptions and can also encourage better penetration of the topical medications being used.

Telangiectacia (superficial broken vessels) is a universal component of Rosacea. It will not respond to the above treatments.   A uniform treatment of  light-therapy (Intense Pulsed light or laser) will improve telangiectacia and redness.  Not all Intense Pulsed Light, laser systems or operators are equal.  010It is important to select an expert to plan your treatment program.  Remember experience is the key to getting the results you want. Expect to have a series of light treatments, approximately 3-6 treatments about three weeks apart. Once the series is completed, the redness and telangiectacia should be much improved. Over time, it is likely that “touch –up” treatments will be needed to keep it under control.

I have not been that impressed with topical agents for redness in the past.  However, about 1 – 1-1/2 years ago, we began using a new medical grade Rosacea cream.  Within a few weeks our patients were reporting that they could see a reduction in facial redness. Our patients come back to the office to purchase more of this product BEFORE they run out of it.  That tells me they are continuing to have long term success with this product. This product is an excellent choice for post light therapy maintenance.

A  medical grade Rosacea skincare program designed by an expert may also give you additioLush Simplicity Kitnal relief.  Specific products can give much needed soothing, gentle exfoliation, hydration, and sun protection. Keep in mind that while exfoliation is still important, you should choose methods that do not include using abrasives or scrubs on your skin. I like the Retexturing Complex by Castillo Md Skin Science.  It give effective, yet gentle, granule-free, exfoliation with anti-inflammatories, soothers and hydrators all in one product.

Camouflage can also be an option.  Dr. Castillo carries medical-grade camouflage and mineral cosmetics in both the Savoy (Champaign-Urbana area) and the Bloomington offices.  You can schedule a camouflage appointment with me, Dr. Castillo’s skincare and laser specialist at no charge.  I do not recommend camouflage if you are having active difficulty with acne-like lesions.

Controlling Rosacea requires persistently protecting your skin from sun exposure.  Using UVA / UVB broad-spectrum sunscreen 365 days per year is of great importance.  I would suggest a medical grade physical sun block containing high percentages of Titanium Dioxide or Zinc Oxide.  Wear sun glasses and a wide-brim UV protected sun hat when you are outside for additional protection.

 

Roxanne, Skincare and Laser Specialist

Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY 

Join us on Facebook! http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

This question was answered by Roxanne, Medical Skincare and Laser Specialist at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Please contact us for additional information at 217-359-7508 or 309-662-0436

 

NEW! PRE-CONSULTATION BREAST AUGMENTATION KITS NOW AVAILABLE

Wednesday, August 5th, 2009

You can now order a pre-consultation kit for breast augmentation. Allergan, the maker of Natrelle Breast Implants, Botox, Juvederm and Latisse has created a one-of-a-kind kit for women considering breast implants. It is designed to educate you about breast augmentation before you meet with your surgeon and ease your concerns about choosing the right size implant.

The kit contains:

  • 4 different size sample breast implants along with a profile bra.  This allows you the ability to envision different size options with various articles of clothing all in the privacy of your own home.
  • It includes an educational DVD. The DVD gives you a personal look at breast augmentation and takes you through an actual consultation.
  • It also includes an educational booklet to help you get prepared with the right questions during your consultation with your surgeon.
  • Bonus – it includes $170.00 in rebates.
    • $50.00 off – Natrelle breast implants
    • $50.00 off – your next Botox injection
    • $50.00 off – Juvederm Dermal filler
    • $20.00 off – Latisse for longer lashes

To order this $45.00 kit or to get additional information, go to Natrelle.com