MAIN SITE BLOG HOME

Archive for 2009

Tanning After Surgery

Wednesday, November 4th, 2009

Often a patient will ask “how long do I have to wait after my surgery to go back to the tanning beds?”  The answer is …“FOREVER.”  Of course we share with them that UV exposure to an incision can delay healing and darken the scar, making it more noticeable.  However, there are much more important reasons that we want our patients to be aware of.

In the Lancet Oncology Journal, a panel of cancer experts upgraded the warning on tanning beds from “probably” to “DEFINITELY” able to cause cancer. You may recall seeing this on the CBS morning show in the late summer of this year.

UVA radiation used in tanning beds is responsible for the increased risk of developing basal cell and squamous cell cancers along with melanoma, the most deadly of all skin cancers. The fact that UV radiation causes skin cancer cannot be taken lightly.  According to the American Cancer Society one million new cases of basal cell and squamous cell skin cancers will be reported and over 60,000 cases of Melanoma will be reported this year as well.

UVA is often referred to as the aging ray.  It allows ionizing radiation free to destroy the protein in elastic fibers called “elastin” and collagen.  This creates signs of pre-mature aging such as wrinkles, skin ptosis (sagging skin) brown spots and broken blood vessels. If the thought of brown spots, sagging, dull dry and wrinkled skin sounds unappealing to you, take a look at a cancerous facial lesion.   It might make those “dying” to get a tan think twice.

Roxanne, Cosmetic Plastic Surgery Clinic

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

Not only is Glo Minerals Pressed Powder our #1 pick at Cosmetic Plastic Surgery for flawless cosmetic coverage, but it’s Paula’s top pick too!

Tuesday, November 3rd, 2009

WOW…. another great press mention for glominerals!  This

time it is for the pressed base…no wonder it is our #1 seller!

A link to Paula’s Comments is below…

image002

PR0909-PaulasChoice-GM[1]

Ask Our Expert: Brown Spots: Are they sun damage or just age spots?

Friday, October 23rd, 2009

Ask Our Expert: Brown Spots:

 Q: Roxanne, I have brown spots on my face, arms and chest.  How do I know if they are caused from sun damage or if they are just age spots?

A: Lentigos, or lentigines are commonly referred to as brown spots, sun spots, liver spots or age spots.  They appear as flat, brown blotchiness (in various shades of brown) that appear on skin that has been over exposed to the sun. These spots can appear on the face, arms, shoulders, neck, chest, hands; anywhere the skin has been over-exposed. Typically, the lighter the skin and the more sun exposure one has, the greater accumulation or chance of accumulation of these spots you have.

Melanocytes, which are cells that produce pigment in the skin are activated to produce more pigment (melanin) when you are exposed to ultraviolet rays. Because the symptoms of excessive sun damage are cumulative, these spots increase with age, hense the term “age spots.” They are more common in lighter skin types (Fitzpatrick 1-3), such as those who freckle and who burn easily. If you have had enough lifetime sun exposure to develop brown spots, this may place you at a higher risk for skin cancers.

Sun spots are not themselves cancerous.  However, you may be at a higher risk for skin cancer if you have them.

I recommend applying a physical sunblock (such as TiSilc 60) 365 days per year to all skin that will be exposed.  Not only is this your best defense for future sun damage but over time you may find that the brown spots that you have appear lighter. There are also other treatments that will help to rid your skin of brown spots. CO 2 Micro-fractional Laser Resurfacing is typically an excellent option.  A series of Intense Pulse Light (IPL) treatments can also deliver very good  results.  https://www.cosmeticplasticsurgery.com/cosmetic-surgery/laser-skin-rejuvenation.cfm  Some chemical peels https://www.cosmeticplasticsurgery.com/cosmetic-surgery/skin-resurfacing.cfm can improve spots to some degree as well as prescription skin bleaching nano medications such as Epi Quinn Micro.

Roxanne, Cosmetic Plastic Surgery Clinic

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

Insurance Coverage – Is It A Possibility?

Wednesday, October 14th, 2009

Q:  Will my insurance cover this procedure?

A: While many procedures performed by G.D. Castillo, M.D. at Cosmetic Plastic Surgery Clinnic are solely cosmetic in nature, there are a number of procedures that may qualify for insurance coverage. For example, rhinoplasty or a “crooked nose deformity” may qualify for insurance coverage if it is performed to repair a deviated septum that is causing a blockage in the nasal passage for the patient.  Another procedure that may qualify is breast reduction if the patient is experiencing symptoms caused by the weight of the breasts, like back, neck or breast pain, difficulty with exercise, or interference with work duties. Upper blepharoplasty (eyelid surgery) may qualify for benefits if drooping skin is obscuring a patient’s vision.

The most important question for insurance companies is medical necessity – is there a medical reason for having this procedure, or is it solely being performed for aesthetic reasons?

Regardless of policy terminology, the insurance company Utilization Review Department’s determination of benefits will both begin and end on this basic question as defined by their own criteria.

Medical necessity often begins with proof that conservative medical treatment has been tried prior to a surgical recommendation and has not alleviated the problem.  With so many over-the-counter options available to the consumer today, many people are not reporting their symptoms and the frequency of their symptoms to their physician.  This lack of documentation can delay insurance eligibility since the background information as to conservative treatment is not documented within the patient record.  This is just one reason why it is important that patients communicate with their physician as to frequency of symptoms and response to the recommended treatment, including any over-the-counter remedies that the patient may be using.

As one example, a woman with large pendulous breasts may ask for a prescription or referral from her physician to have a bra constructed to help support the weight of her breasts to help alleviate her discomfort.  She should report any rashes or break down of her skin that may be caused by the size of her breasts as well as reporting the results of remedies she is utilizing, regardless if she is using a prescription medication or an over-the-counter product.  She should report any back or neck discomfort and be checked for postural difficulties and shoulder strapping (grooves or indentations in the shoulders caused by the weight of the breasts supported by bra straps).

If you believe that you have a condition that would be helped by a procedure that may qualify as medically necessary, you can call your insurance company’s benefit department and ask them to inform you of the coverage available in your specific policy, and further, to send you, in writing, their exact criteria for determining medical necessity for that procedure.  I’ve seen cases over the last 14 years where a few months of well-documented, failed conservative treatment has made the difference in obtaining insurance benefits for permanent surgical relief.

A consultation with Dr. Castillo at Cosmetic Plastic Surgery may be all that’s necessary to determine if insurance reimbursement is a possibility.  These consultations are available in both our Savoy and Bloomington, Illinois offices.

It’s well worth the effort!

Gynecomastia – Large Breasts in Males

Friday, October 2nd, 2009

When males of any age develop large breasts, it can be very damaging to their self-esteem. Though large male breasts are actually quite common, often the result is social isolation. This creates a distressing and debilitating body image that most males try to camouflage with tight upper garments and very loose clothing.

Many of our male patients who suffer from excessive breast tissue, express their inability to really enjoy life. They are embarrassed to take their shirt off.  It constricts their willingness to be social and participate in sports. They are unable to enjoy vacations at the beach and most summer related activities.  Most importantly, it changes their ability to interact within key relationships in their lives.  Many males find it difficult to feel masculine during intimate moments with their partner. They find that it even inhibits the way they interact or play with their children.

Male breasts are the result of increased volume of both fat and glandular breast tissue.  At Cosmetic Plastic Surgery, our patients learn that male breast tissue is indeed an occurrence in 100% of males. However, this tissue is vestigial, that is, it is present in very small amounts in most males  For reasons associated with genetics, diet, and environmental factors, the amount of both fat and breast tissue can increase in the breast area of males of all ages (aging men, young men, children alike…).

At Cosmetic Plastic Surgery, the treatment for this problem is both effective and simple.  Very often patients ask me, “Dr. Castillo, can this problem be solved with liposuction?”  The answer is a definitive no. The treatment is two-fold.  It involves the removal of fatty tissue from the pectoral area through liposuction with very small cannulas. We do this using traditional tumescent liposuction techniques and ultrasonic-assisted liposuction.

Then we create a small, invisible incision in the nipple- areolar region. This incision is utilized as a window. With special, delicate instruments, we use this window to remove a significant portion of breast tissue which in most individuals is not accessible for removal through liposuction, because it is very thick, fibrous, glandular tissue.  It is removed by dissection with special instruments that create no injury to the surrounding tissues.  The entire procedure takes two hours, and cleanly and effectively removes all of the offending breast and fatty tissue from the area.

A fitted garment is used and worn underneath normal clothing for the first week after surgery. Very small sutures are removed within six days after the procedure.The patient is allowed to do routine light physical activities within three days after the procedure.  This procedure, known as excision of male Gynecomastia will help to resolve the lack of self-confidence that can occur after years of teasing and scrutiny. It will reveal a more masculine male contour of the chest. It has been universally successful and there is a remarkable lack of problems associated with it. The changes in self-esteem and positive personality reinforcement are seen immediately.  It has been a most satisfying way of correcting a rather disturbing problem for our patients.

If you would like further information on this subject, call our office to schedule a consultation. During consultation, we can discuss your desires and concerns. You will be able to view before and after photos of other patients who have undergone this procedure.  We will answers any questions you may have and give you the information needed to help you decide if this procedure is right for you.

Click on this link to view male breast reduction photos : https://www.cosmeticplasticsurgery.com/photo-gallery/details.cfm?ID=29&StartRow=1

Click this link to learn more about Dr. Castillo and liposuction :  https://www.cosmeticplasticsurgery.com/cosmetic-surgery/liposuction.cfm

Dr. G.D. Castillo, Triple-Board Certified Cosmetic Surgeon

G. D. Castillo, M.D., FASC
Director of 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

Cheek Implants, Part 2

Tuesday, September 29th, 2009

Part #2 -A patient’s story –  Mentoplasty (chin Implant),  Malar Augmetation (Cheek Implants) and Rhinoplasty (nose surgery)

I would like to share a “typical” story of one of our patients.  In the spring of 1984, a 35 year old legal secretary arrived at Cosmetic Plastic Surgery Clinic for a consultation.  She said “Dr. Castillo, I don’t know what is wrong with my face, but I am not happy with it.”

In looking at her I could view the details of someone who would benefit immensely from cheek implants.  During the consultation, she went on to explain that she felt as though life was passing her by.  She came to the realization that she should be having more fun and should be more involved in life than she had been up to that point. She decided that she needed to present herself to the world in a different light.  She didn’t feel comfortable with her face and it was prohibiting her from showing the world who she really was inside.  She explained that she had been so busy with life that she had not been giving the proper value to things that had been bothering her for years, the things that were affecting the way she felt about herself day after day. She didn’t like the way life was going for her and so she decided to take charge.

The truth is that this patient was right on.  Often times when an individual feels self-conscious, they find it impossible to be who they really are around other people.  Instead of coming across as an enthusiastic, outgoing individual, they are often perceived as being closed off, shy, aloof or distant.

This young woman simply had a lack of cheekbone prominence.  The widest dimension of her face was that of her cheeks themselves, but not the cheekbones.  She desired the angular features that we are used to seeing in chisel-faces that have their widest dimension at the cheekbones. As with most individuals who have deficient cheekbone prominence, she also had a deficient or weak chin.

She underwent a relatively simple procedure where incisions are made inside of the mouth in the cul-de-sac of the upper gum area, and cheek implants were inserted in both cheeks (Malar Augmentation).  A chin implant was added to her jaw by a very small ½ inch incision right underneath her chin (Augmentation Mentoplasty)  https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=16.  In addition, this patient had a rhinoplasty to create a true balance of her facial features. https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=18 After the swelling disappeared, her flat face became a striking, welcoming face with angularity and spirit.

Gradually her personality and social involvement literally exploded.  This needed change gave her courage to go after the life she always wanted. I see this patient in the office from time to time.  She is now married with a wonderful family and remains a bubbly, exuberant, warm personality.  This hour and 15 minute surgery changed her life.

Dr. G.D. Castillo, Triple-Board Certified Cosmetic Surgeon

https://www.cosmeticplasticsurgery.com/cosmetic-surgery/cheek-bone-surgery.cfm

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

Cheek Implants, Part I

Friday, September 25th, 2009

Mentoplasty (Cheek Implants)

Being able to identify yourself as a candidate for cheekbone implants is sometimes difficult.  You might spend hours and hours staring in the mirror, developing a discontent for how you see yourself and how others see or treat you as well.

We often find that when a patient arrives with underdeveloped cheekbone structure at Cosmetic Plastic Surgery Center for a facial consultation, they are often puzzled by what really bothers them about their facial features. They just know that they don’t like what they see.  As a cosmetic plastic surgeon, it is clear to me what is creating their dissatisfaction.

Dr. Castillo Performing Surgery

In many cases, the patient is lacking prominent cheekbone structure. The mid-face or cheek region of the face should be the widest, most prominent portion of the face, thus making the cheekbones one of the most defining facial features. When you develop without a prominent cheekbone structure, it can make your nose look larger and your eyes appear more prominent. Not only does this create an unbalance of your facial characteristics from the frontal view of your face but to their profile as well.  Typically, if you do not develop with a prominent cheek bone structure you tend to have a flatter face, absent of distinctive characteristics.

High, prominent, symmetrical cheek bones have long been thought of as a sign of beauty.  Cheekbone implants can create the needed facial structure. Cheekbone implants will bring new dimensions and contours to your face, creating facial harmony. This is a scar-free, uncomplicated procedure to undergo and can offer you a lifetime of rewards.

https://www.cosmeticplasticsurgery.com/cosmetic-surgery/cheek-bone-surgery.cfm

In the following days I will share of few of our cheekbone implant Bloomington patient stories. This may help you to get a better understanding of the procedure itself, what your recovery would involve and how it has benefited others who have had this procedure.

Dr. G.D. Castillo, Triple-Board Certified Cosmetic Surgeon

G. D. Castillo, M.D., FACS
DIRECTOR OF 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

Bridal Fair

Friday, September 11th, 2009

If you or someone you know is getting married, you won’t want to miss out on Champaign’s very own Vow Magazine / News-Gazette Bridal Fair.  Admittance is free so grab some friends and spend the afternoon with us. Cosmetic Plastic Surgery Skin Restoration and Laser Institute will be hosting a booth in the main vendor room.  We will be raffling off great prizes every hour and a grand prize (Liquid Smile Teeth Whitening System!!) at 4 PM.  Stop by our booth to and REGISTER TO WIN. We will be offering exclusive event promotions so don’t miss out!

The Bridal Fair will be held from noon-4 PM at the Hilton Garden Inn, 1501 S. Neil Street, Champaign, IL. 61824 on Sunday, September 13, 2009

  • Fashion Show
  • Hair Show
  • Refreshments
  • Prizes
  • Lots of Fun

Hope to see you there!