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Liposuction Vs. Abdominoplasty

Friday, July 29th, 2011

 

LIPOSUCTION   VS.   ABDOMINOPLASTY

People and physicians alike have difficulty deciding if liposuction or abdominoplasty is the best procedure when both fat and excess skin coexist.  Generally speaking, liposuction is best when we need to remove a fair amount of fatty tissue from areas where it has accumulated over time.  This would be the upper and lower abdomen, waist area, hips, upper buttocks, etc.   On the other hand, abdominoplasty is used typically when we have an apron in the lower portion of the abdomen and/or loose skin without a lot of fatty tissue in the abdominal area, whether it’s above or below the umbilicus.  Abdominoplasty is most frequently needed after pregnancy where the white tissue that covers muscles (fascia) has stretched out and relaxed.  This allows the abdomen to bulge and so the chief complaint is that of an abdominal “pooch” or loose skin, whether it is an abdominal apron or relaxed wrinkled skin over the abdominal area.

The difficult decision, however, comes when we have someone who has both loose abdominal fascia, wrinkled skin and also an excess accumulation of fatty tissue in the hips, upper buttocks, waist, upper back, and upper and lower abdomen.  In these instances, many times both of the procedures are necessary; HOWEVER, they cannot be carried out during the same surgical setting since extensive liposuction would create injury to the blood vessels that are necessary to keep the abdominal flap (that is, the anterior skin covering the abdomen that is going to be stretched from the umbilicus to the pubic area) in good nourishment.  In such an instance, the best solution is to carry out an abdominoplasty or liposuction first as a staged procedure and later coming back and doing secondarily whatever is necessary.  While this is in many instances the best avenue, it is also costlier and for this reason we tend to avoid it.  Typically, if this is necessary, it would best to carryout the liposuction first since in some instances liposuction will tend to solve both problems.

In our consultations for liposuction and abdominoplasty in Champaign-Urbana or Bloomington-Normal area offices, we do a very complete evaluation of the best procedure on an individual basis, keeping in mind that while to solve most problems both procedures would be necessary, in many instances proper evaluation will yield a good result with only one procedure as long as the right one is used to solve the primary problem, whether it be excess tissue or excess fat.

Dr. G.D. Castillo, Illinois Cosmetic Surgeon

G. D. Castillo, MD, FACS

Cosmetic Plastic Surgery, Skin

Rejuvenation & Laser Institute

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

The Personal Support Network and the Cosmetic Patient

Tuesday, July 26th, 2011

The Cosmetic Surgery Decision and A Strong Support Network

Right now, as you’re reading the Cosmetic Plastic Surgery Clinic blog, more people than you realize are contemplating some type of a cosmetic procedure or treatment.  According to survey results from the American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS), “…the number of procedures performed annually has risen 45 percent over the last two years…”  Direct article link is :  http://www.aafprs.org/media/stats_polls/m_stats.html

Cosmetic surgery in Champaign/Urbana or Bloomington/Normal is no longer reserved as the domain of the rich and famous – that perception is as outdated as bobby socks and saddle shoes.  Procedures such as breast augmentation, liposculpture and facial surgery are within the reach of the average citizen and have lost the “privileged-only” status of the past.  Now that cosmetic surgery and cosmetic treatments are readily available – the term “aging gracefully” has lost both significance and impact.  Yes, of course we all are “aging,” but “gracefully” is a relative term to both our lifestyles and society as a whole.

When you strip the aesthetic concept down to the bare bones, every person that showers, shaves or brushes their teeth is performing a cosmetic activity to both look and feel better.  Even individuals who hesitate to undergo a surgical procedure have no problem with teeth whitening, laser hair removal, hair coloring, microdermabrasion, medical-grade skin care, mineral cosmetics, etc. – all of which are performed for cosmetic purposes.

So, basically, I believe that rather than a true opposition to the cosmetic industry, it’s more about the level of investment that each of us (both physical and monetary) are personally willing to dedicate toward improving our appearance that may generate a biased attitude toward some cosmetic procedures.  Our society, as a whole, has changed drastically in its perception of cosmetic plastic surgery.

I distinctly remember several years ago when I decided to undergo a cosmetic procedure.  I have absolute trust and confidence in the skill of my surgeon (G. D. Castillo, MD, FACS, of course!), but I still found myself somewhat hesitant to share my decision with others.  Initially, I wondered “what would they say to me or about me to others?  Will they consider me vain or selfish for investing in myself?  Will they try to talk me out of it?”

It was win-win for me.  My husband understood that it was my decision and he was supportive and wonderful (as always)!  My children?  Well, it went from “really, Mom, you don’t need anything done,” to “you’re doing what?”  But both of my kids (teenagers) respected my wishes and were nonjudgmental about my decision.  My three sisters thought it was absolutely great; their excitement rivaled my own.  Of course my mother thinks I’m perfect but she respected my decision too.  I also chose to share my decision with a very few select friends and I’m happy to report that only one responded negatively.

Remember, a cosmetic surgical procedure may be elective medical care, but it is still the real thingSurgery with a capital “S.”  There is some post surgical discomfort, limited down time and several different stages of the recovery process before obtaining the end result.  While discomfort and inconvenience are minimized, it’s still not a magic pill for the patient.  A cosmetic procedure is a road to improvement and the pavement may have the occasional rough surface.  The cosmetic process requires dedication to the end result and a strong support network can help the post-surgical developments transition smoothly and avoid emotional valleys.

Let’s face it, following cosmetic surgery a person is more emotionally vulnerable than they are likely to have ever been before in regard to their appearance.  Naturally, a supportive network of family and friends can ease the transition from the first few hours of “Hmmm…what did I do?” to “Wow!  So glad I did!”

So, while the decision to pursue a cosmetic procedure is yours and yours alone, your support network can play a vital role in the experience itself.  If you are contemplating this investment in yourself, a few ideas that you may want to consider are:

1.  Initially restrict your confidence to your own personal inner circle.  These are the people who are most likely to respect your feelings and support your decision accordingly.

2.  When talking about the surgery, share your decision rather than asking for validation – you may be pleasantly surprised by just how supportive your personal network is.

3.  During recovery, let your cosmetic surgeon measure your progress…healing takes time and hourly mirror checks are counter productive.  Remember, the payoff has to be fantastic or people wouldn’t keep doing it.

4.  DO put yourself in a holding pattern for the amount of time your surgeon recommends (usually anywhere from 2 to 10 days depending on the procedure) – don’t make the mistake of having cosmetic surgery on Monday and still think you’re going to host that awesome Wednesday afternoon luncheon.

5.  Most importantly, be realistic.  Talk in depth with your plastic surgeon.  Put the time and trouble into having all your questions both asked and answered.

6.  Lastly, listen carefully and cooperate fully with your medical team for the best possible post-operative experience.  I know that at Cosmetic Plastic Surgery, we care about our patients and are fully vested in you having the most positive experience possible.

After you’re fully recovered and are enjoying that new bounce in your step and all those “have you lost weight?” or “did you change your hair?” questions, don’t be surprised when that treasured member of your support network says to you – “Hey, I’d like to talk to you about a personal decision I’ve made…”

 

COSMETIC PLASTIC SURGERY, SKIN RESTORATION & LASER INSTITUTE

http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419

https://www.cosmeticplasticsurgery.com/cosmetic-plastic-surgery/staff.cfm


Teenage Acne

Tuesday, July 19th, 2011

TEENAGE ACNE

Acne is far from a simple skin condition.  It possesses the power to produce both physical and emotional scars that can last a lifetime. Acne does not discriminate against race, gender or age.  It elects to play a prominent role in them all. Though acne can begin at almost any stage in life, this blog entry will focus primarily on teenage acne.

I think we can all agree that teenagers face enough pressure without the added stress that acne can cause.  It is important to take this condition seriously. It is particularly important for those teens that are embarrassed or ashamed to get the treatment they need.  Many of the adult patients who come to see us in our Champaign and Bloomington, Illinois offices report that their parents thought that acne was just a part of adolescence; that nothing could be or should be done to control it. And now as adults, they are still dealing with the poor self-image they developed during that time.

Too often, at Cosmetic Plastic Surgery Center, we see adult patients whose emotional scars far out-weigh their physical ones.  After Dr. Castillo has removed their acne scars with CO 2 full face laser resurfacing and dermabrasion, they are excited and proud of their new smooth, beautiful skin.  However, some patients still find it difficult to over-come the deep seeded emotional scars that acne leaves behind.

Acne can have a devastating effect on a teen’s self-esteem and body image. Has your teen become withdrawn, refused to go to school or a social event because of their acne?  Acne can abruptly turn a self-assured, social butterfly into a self-conscious recluse.  This type of emotional distress can be prevented or at least minimized with immediate treatment for their acne.

The treatment for acne can be as complex as the condition itself because acne comes in different forms with many treatment options. To make it as simple as possible, if your teen has mild acne (black heads and white head without pustules) over-the-counter topical solutions like Benzoyl Peroxide or salicylic acid may be all it takes to put a smile back on their face. In some instances, they may need a medical-grade strength at-home skincare regimen such as Castillo MD Skin Science along with the addition of chemical peels, laser light treatments, Acne facials or microdermabrasion may also be effective. If your child has moderate to severe acne, don’t wait, seek medical treatment.  Your doctor can help control the out-breaks with education, oral and/or topical prescription medications. If your child is experiencing deep pustules, red, inflamed skin, cystic acne, or is beginning to scar, a more aggressive treatment such as Accutane (isotretinoin) may be required.

It is important to acknowledge the psychological effects that some teens develop when suffering from acne.  If you notice that your teen is avoiding friends and social situations, the support of a mental health professional may also be needed to assure they have the coping tools to maintain a healthy self-image during this stressful time.

Talk with your teen about the idea that acne treatments are preventative in nature.  This means that the treatment is not meant to clear the present acne but is used to prevent future acne break-outs and inflammation. Most treatments will take a few months to become effective. Encourage your teen continue faithfully with their treatment regimen even though they feel like it is not working.  They are likely to become frustrated at times until they see the results of their dedication has finally paid off.

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

Roxanne Hammond

Skin Care & Laser Specialist for Cosmetic Plastic Surgery

FDA Recommendation for Silicone Breast Implants (Not Saline Implants)

Tuesday, July 19th, 2011

If you have breast implants or in some way are interested in breast implants, you may have seen in various media information releases that the FDA has decided to keep silicone breast implants on the market.  The questions as to if they should come out or not was brought out by the finding that a number of these implants tend to “fail,” that is, the shell of the implant tends to break and/or dissolve.  The FDA has recommended that an MRI study (a form of x-ray) should be done every four years or so post implant placement to assess the integrity of the implant.

What the public needs to know is the following:

  1. This news does not concern whatsoever anyone with saline breast implants.  It is only applicable to silicone breast implants.
  2. If you have silicone breast implants, and you find yourself in a position where there is a questionable break of the implant, you should always let your physician make the decision as to what should be done about it.  In most instances, a number of physicians would recommend to do absolutely nothing, even if the shell of the implant has failed, because your body has already made a capsule which contains it inside without letting it go anyplace.  Silicone in breast implants is not in liquid form; it is in a paste or gel-type form

In our practice, most of our breast augmentations are saline breast implants.  In those cases in which patients have silicone breast implants, we take a conservative view and if the implant has failed, that is the shell has been disrupted, we evaluate the patient on a case by case basis and in most instances do absolutely nothing other than observe the patient from time to time.  I feel it is unnecessary to remove the implant as long as the capsule that the patient has formed remains intact.

As always, we recommend saline breast implants as the very best solution for breast augmentation, and only in selected cases will silicone breast implants be recommended.    https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm

G.D. Castillo, M.D., FACS, Triple Board-Certified

G. D. Castillo, M.D., FACS
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), IL
309-662-0436 Bloomington, IL

Youthful Masculine Eyes

Tuesday, July 5th, 2011

Roxanne HammondWhat’s a man to do???

Steven Spielberg has nothing on us women when it comes to “special effects”.  We always have a few tricks up our sleeve to give definition to our eyes. Special eye liner, mascara, and a little concealer can go a long way, am I right?!!   But, what’s a man to do?   Where is his bag of tricks?

When a man develops lower lid bags, dark circles and hooding of the upper lids, he loses that youthful definition.  Bottom line – it can make him

appear older and exhausted.  I know, I said it, but please don’t shoot the messenger.  I really am here to help.

If you’re a male, it is down-right impossible to hide droopy, sad, tired looking eyes.   Not to mention how unfair it is to be judged by colleagues and friends as tired and archaic when clearly you’ve still got it!  Simply, attempting to wear sunglasses as a cover-up, even while indoors, is not going to work out.  People will begin to ask questions.

Male celebrities, local TV personalities or even the President of the United States, look good during a television conference or in a photograph because they have a professional make-up artist at their disposal.  Make-up artists, like most females, have learned a few cosmetic tricks to lessen the appearance of an aging eye.  Have you heard of using a peach or white eyeliner to create a corner of the eye lift?  Males can get away with extensive make-up during a TV interview or magazine photograph but typically not in everyday life.   So, again I ask; what’s a man to do?

If eyeliner, mascara and a little concealer are out of the question, I would encourage you to go where many other men have gone before you… Cosmetic Plastic Surgery Clinic in Savoy (Champaign – Urbana area) and in Bloomington.  There you will meet G.D. Castillo, M.D. FACS, a cosmetic surgeon (an artist really) whose foresight, surgical skill and results are enough to impress even the toughest critic. Over the years I have been privileged to observe as Dr. Castillo restores natural looking, youthful eyes along with the joie de vivre or vitality of the male patient population with a relatively brief procedure called a Blepharoplasty.

This upper and / or lower eye lid surgery can take years off the appearance of the face.  Eyelid surgery will reduce puffiness, dark circles and sagging lids.  Those patients whose upper lids have sagged low enough to actually obscure their vision will also benefit.

At Cosmetic Plastic Surgery Clinic, eye lid surgeries are typically performed under general anesthesia. The recovery time is minimal and most patients are back to work in 3-4 days. The incision lines are hidden in the natural creases of the upper eye lids and are virtually undetectable after a few months. Depending on the needs of the patient, a Blepharoplasty can be combined with other facial procedures, such as laser resurfacing or a face lift to totally rejuvenate the face.

Did you know that rejuvenating the eyes for a male is very different than rejuvenating the eyes of a female?   It is because we are trying to accomplish very different things. The best way to restore a female face and open up the eyes is to raise her brows and natural fold of the upper lids.  We don’t want to raise the brows in a male face. The best way to restore a youthful, alert appearance for a male is to remove lower lid bags and excessive eye lid skin. Removing the lower lid bags will eliminate the dark circles, puffiness and sad, tired eyes.  Excessive skin is usually more severe in the upper lid, forming a heavy fold that drops over normal lid crease, over the upper lid itself and obscures it.  Removing excessive tissue from the upper eye lid will open up the eyes, to create a well-rested, alert appearance.  Dr. Castillo understands the difference between a male and a female Blepharoplasty procedure and the importance of preserving the masculine appearance.

If nothing else in your bag of tricks is working, contact our office (217-359-7508), I know a guy who just might be able to help you.

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