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Ask Our Expert: Retin-A

Friday, July 20th, 2018

RetinA postQ:   My dermatologists gave me a prescription for Retin-A, but after a few days my skin became very red and irritated.   My Doctor explained that several weeks of skin irritation is often just par for the course when using Retin-A.  He asked me to try applying it every other night instead of every night, to be patient and that eventually the irritation would resolve itself.  I stopped using the Retin-A because the irritation was worse than my aging skin.   Is there anything else I can do?

A:  I am happy to report – YES!  Our patients have found success with a few simple adjustments to the way they apply their Retin-A, Renova, Tretinion, etc.

1.  After you cleanse your face, pat it dry and wait at least 15 minutes (to assure your skin is completely dry) before applying your Retin-A.

2. Apply a pea size amount.  This is typically all you need for the entire face. Remember that more is not better in this case. 

3. Avoid combining other exfoliating or skin regenerating products like glycolic acids, with Retin-A, at least until your skin is able to easily tolerate the Retin-A.

4. Always apply a moisturizer on top of your Retin-A.  This is a very important step in the success of your regimen so resist skipping it. (If you find that you are still experiencing dry, irritated skin after trying all of the suggestions here,  you can try mixing your moisturizer and Retin-A together as this will reduce its potency. )

5. Begin applying your Retin-A every third night.  As your skin tolerates the Retin-A, increase use to every other night, then every night.

6. Remember that Retin-A and like products will cause increased sensitivity to the sun.  Therefore Retin-A should only be applied at night only, never during the day.  Wear a medical grade broad-spectrum suncreen every day, re-apply the sunscreen when needed and avoid excessive sun exposure.

If despite all of the above suggestions, you find that you are still unable to tolerate Retin-A, you may want to consider medical microdermabrasion.  It is a pain-free, even relaxing way to keep your skin well exfoliated and looking fresh.  For more information on medical microdermabrasion visit Dr. Castillo’s website.

 

 

 

 

 

COSMETIC PLASTIC SURGERY
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https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

PREPARING FOR YOUR RHINOPLASTY

Wednesday, July 18th, 2018

Congratulations! You have just made a decision that is going to change the way you see yourself! Now that you have decided to move forward with nasal surgery, there are a few things to consider.

To Tell or Not To Tell…

  • One of the biggest concerns patients typically have is what to tell their family and friends. You are not obligated to tell anyone anything, unless you want to. It is a very personal choice and one only you can make. I will stress however, the idea that it is a VERY rare occasion when a patient tells us that someone was even suspicious that they had a Rhinoplasty. I know it’s hard to imagine that you could have a surgery that creates such a wonderful facial balance and your closest friends won’t notice, but it’s true! I have heard it over and over again from patients that while they receive so many “wow, you look great!” comments, no one suspects a rhinoplasty, just a new hair cut or color, weight loss, a refreshing vacation or better sleep. Since Dr. Castillo performs a closed Rhinoplasty for nearly all his patients, there are no outside incisions which makes it very difficult for anyone to determine that you have had a Rhinoplasty.

Personal Arrangements To Consider:

  • You will need to make arrangements for a family member or friend to drive you home after your surgery.
  • Make arrangements for a responsible adult to stay with you for the first 24 hours after surgery.
  • If you have children or pets, you will need someone to help care for them for the first few days. It is best to avoid any situation where pets or small children could bump into your nose unexpectedly and cause displacement.
  • Because many of our patients travel a distance to see us, Dr. Castillo has made special arrangements with a local hotel favorite; The I-Hotel in Champaign, IL to offer our patients a discounted “CASTILLO STAYCATION” package. This special package includes transportation from our office to the hotel the day of surgery, dinner and breakfast for two, and your hotel accommodations. Our staff will be happy to assist in those arrangements.

 10 Days Before Surgery:

Discontinue all NSAIDS (Non-Steroidal Anti-Inflammatory Drugs) along with the supplements listed below as they are all blood thinners:

  • Aspirin      •Ibuprophen      •Motrin       •Advil       •Aleve     •Fish Oil       •Vitamin E

If you are unsure if a medication or vitamin supplements contains any of these ingredients, please call our office or your pharmacist for clarification.

  • SMOKERS: We suggest that you stop smoking 10-14 days prior to surgery as it can reduce your chances of complications.

Your Pre-Op Visit:

You will be scheduled for a pre-operative visit about 7-10 days prior to your surgery. During this appointment, Dr. Castillo will review your surgical plan and expectations for recovery. You will have an opportunity to ask any final questions of Dr. Castillo. He will listen you’re your heart and lungs, draw lab work, and take your before photos. You may also be given a prescription for pain at this time though most of your patients just use OTC Tylenol as there is typically very little discomfort associated with a Rhinoplasty.

 

 

 

Roxanne Grace Hammond
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT MY BLOG: http://www.cosmeticplasticsurgery.com/blog/

What To Expect During Your Rhinoplasty Consult:

Wednesday, July 11th, 2018

Think of your Rhinoplasty consultation as a fact-finding mission. This is the time to ask as many questions as you need to be able to decide whether Rhinoplasty is right for you. It is also important to determine whether or not the cosmetic plastic surgeon is a good match for you as well.

Questions to ask during your consultation:

  1. Is your Dr. board-certified? Which board-certifications does he/she hold? Is he or she certified by The American Board of Facial Plastic And Reconstructive Surgery?
  2. What is his surgical training background? Did he train in head and neck surgery?
  3. How many Rhinoplasties has the surgeon performed?
  4. What is his/her revision rate?
  5. Does the surgeon believe you are a good candidate for nasal surgery?
  6. Will Rhinoplasty accomplish the changes you desire?
  7. What changes can you expect from this surgery?
  8. Will the surgeon be performing an open or closed technique?
  9. What will your recovery process be like?
  10. Are there risks you should be aware?
  11. Is there anything you should do to prepare for your surgery?

If you are having a Rhinoplasty consultation with Dr. Castillo, you will be asked to fill out a brief registration form. Then one of clinical/surgical staff members will ask a few questions and review your list of your current prescribed medications, allergies, past surgeries and dates. You will then meet with Dr. Castillo. This is your chance to convey the changes you would like to see.

During your consultation, Dr. Castillo will consider all of your facial features; the shape of your face, the width of your cheek and position of your eyes. He will evaluate the internal and external structures of your nose; the bones, cartilage, and your breathing function. All of these factors come together along with your ethnic background to help Dr. Castillo determine which shape and size will bring the most balance to your face. He will show you some before and after photos of similar noses and outcomes and will discuss your surgical options in detail. You will leave your consultation with a full understanding of what you should expect from your surgery and recovery process.

There is no pressure to make decision during your consultation. We encourage you to take some time to think about all the information you collected. Think about your experience with Dr. Castillo, our facility, and our staff. Is our team a good match for you? Was it easy to communicate with Dr. Castillo? Did he help you establish realistic expectations?

Before                 After

Once you have thought it over, if you decide we are the right choice for you, we will be here to help in any way we can. Now of course we often have patients who choose to schedule their surgery before they leave their consultation so if you know that we are right facility and rhinoplasty is the right procedure for you, then we happy to set up appointments for your pre-op, surgery and post-operative appointments for you before our leave our office.

Once you have scheduled surgery, you will receive a packet in the mail with instructions on how to prepare for your surgery so be sure to be on the look out for it.   If you have any questions, we are only a phone call away.

 

Roxanne Grace Hammond
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT MY BLOG: http://www.cosmeticplasticsurgery.com/blog/