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Archive for October, 2013

Ask Our Expert – Outpatient Surgical Facility Vs. Hospital

Wednesday, October 23rd, 2013

 

Question: Why do you prefer to perform surgery in an outpatient facility rather than the hospital?

Dr. Castillo’s state-of-the-art outpatient surgical facility.

Answer – Dr. Castillo: Actually, about 90 percent of cosmetic plastic surgical procedures are now done in outpatient surgical facilities for the following reasons:

 

Safety

The surgical procedures done in an outpatient surgical facility are done by a staff which is dedicated to doing only outpatient surgical procedures, so they are better focused, the staff is better experienced and dedicated to a single task.  This increases safety and provides the patient with knowledgeable people that are experienced in state-of-the-art outpatient surgical procedures.

*    Infection

The rate of infections in hospitals varies anywhere between 2 to 12 percent.  The rate of infection in outpatient surgical facilities is much smaller.  In fact, in our outpatient surgical facility, infection is a nearly non-existent problem and we say that because it only presents itself every few years.  That is, the rate is so small that it is difficult to quantify.  You may ask yourself, why?  The reasons are multiple but for the most part it has to do with carrying out procedures that are done in patients who are healthy and not suffering from disease and/or infection.  Also remember that in our facility, we do not do what is referred to as a “dirty case,” that is, procedures that involve entering the intestine, colon or areas that typically have bacteria.

*     Cost

The cost of care in a hospital facility is often unknown and extremely high.  The reasons have to do with hospitals having fees that are much higher than the real expenses to be able to cover the uninsured and establish artificially high rates that can then be applied to different insurances.  The reason why this is possible is that generally insurance have no choice but to pay a fee while in our facility, the choice is yours.  That is, you are the patient and you elect whether to pay or not pay the cost you know beforehand to be – that is, you approve of that cost.  What this results in is a great competitiveness and a much reduced cost for the surgical procedure.

*        Scale

When you go to a hospital, you immediately become part of literally hundreds or even thousands of people who may be at the hospital for one reason or another.  That makes you one of many and the services are going to be diluted, meaning you are not likely to have individual care.  In comparison, an outpatient surgical facility like ours has staff that is dedicated to only you and no other business to take care of during the time that you are at the facility.  Consequently, you have a staff member that remains with you throughout your surgical procedure.  There are no delays and this results in expedient care and a much reduced level of anxiety.

*     Comparative Services

Are the outpatient surgical facilities like ours able to take care of you in an emergency?  The answer is yes.  Our facility is equipped to respond to an emergency in the same manner as a hospital would be.  That is, our facility is accredited by The Joint Commission https://www.cosmeticplasticsurgery.com/cosmetic-plastic-surgery/accreditation.cfm, which is the accrediting body for most hospitals in the nation.  This means that the level of response, equipment, drugs and supplies is par with a hospital.  What the outpatient surgery facility has that the hospital does not, is the experience to deal with the type of surgical procedure, that is, cosmetic surgery, which you are going to have.  This is an area, like in most areas, where expertise is not only important but is often the determinant for the degree of satisfaction and success that the procedure has.

So regarding the question, are you better off having your surgical procedure in a dedicated outpatient surgical facility doing cosmetic surgery only?  The answer is a qualified yes for the above reasons.

 

G.D. Castillo,M.D., FACS
Cosmetic Plastic Surgery Center

 

 

Only A Facelift Will Help You Now!

Friday, October 4th, 2013

I think it is safe to estimate that at least once a week a patient, friend or family member asks what I know about the latest and greatest dream cream advertised as a “facelift  in a jar”  they’ve seen on tv, in a magazine, on a billboard or heard about from their mother-in-law.  So what I know about dream creams is that they are just that “a dream.”  I know I could say this in a more gentle way but truthfully, just look at the photos below of a facelift performed by G.D.Castillo, M.D. in his Champaign, Illinois cosmetic surgery practice.

Do you really believe an anti-aging cream can do all this?

Before

 

After

If you are to the point in your aging process that you want or need a facelift; then have a facelift.  There are worse ways to spend your money, like on cream that is NOT a facelift.  Skincare products are NOT a replacement for a facelift.  They are accompaniments.  Now don’t get me wrong.  I am a big fan of medical-grade skincare.  It’s a necessity, right up there with air, food, Stilettos, and Botox.  It has not only done wonders for my skin personally but for hundreds of Dr. Castillo’s patients who are faithful in sticking to their regimen every day.

Medical-grade skincare products are part of daily at-home maintenance.  The use of effective daily skincare (I’m talking the good stuff – medical-grade, physician supervised, available only at your cosmetic or plastic surgeon office or a good dermatology office) along with occasional non-ablative skincare treatments when needed can help you buy some time in your aging process but once your there, well… your there.  Only a facelift will help you now.

I can completely understand why people would want to go gaga over the latest dream cream.  It would be ideal to avoid having surgery, or having to admit that you had surgery, to avoid the recovery process, the days off work that could be better spent sipping a cocktail under a palm tree somewhere. I get it.  However,  the reason to have surgery for most individuals, male and female, trumps the negatives every time.  I read somewhere that wrinkles are the road map of our lives, that they make us look distinguished, more worldly and wise.  I’m pretty sure they just make us look tired and old.  And if my face is my calling card, well that isn’t the message I want to send. “Hi, I’m Roxanne; tired and old, pleased to meet you.”

So what can a facelift accomplish, besides helping get your grove back?  In a nutshell, a facelift restores your youth.  It will remove your jowls and turkey neck, tighten your sagging muscle structure, lift the cheeks or mid-face and remove any loose, sagging skin. A facelift is sometimes combined with a brow lift or upper and lower lip surgery known as a blepharoplasty or with a chin implant https://www.cosmeticplasticsurgery.com/cosmetic-surgery/chin-surgery.cfm to correct a receding chin and create a beautiful, youthful jawline. Unfortunately, a  facelift cannot improve the condition of sun damaged skin. You will need COlaser resurfacing or CO Micro-Fractional Laser Resurfacing http://www.mixtoskinresurfacing.com/ for that along with a medical-grade sunblock.

If you are at a point where you are considering a facelift then do your homework on the surgeons available in your area. Seek only qualified, board-certified cosmetic or plastic surgeons.  Have more than one consultation.  And my best advice for today…when you are at your consultation, check out the staff.  Do they “look” like they have had work done because chances are they have. You can usually see an artistic theme… natural looking beauty, elegant, conservative, refreshed and well rested, glamorous or as our patients refer to it – “Hollywood”…over-plumped, over-stretched, over-done.  What is it that you are looking for? Observing a surgeons staff is one of the best ways I know to decide if your potential surgeon’s artistic views match your own.

Yours Truly,

Roxanne Grace Hammond

Skin & Laser Specialist

Cosmetic Plastic Surgery Center