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Ask Our Expert: What is the best type of sunscreen?

Wednesday, August 22nd, 2018

 

Q: What is the best type of sunscreen?

A: Historically, it has been shown that physical sunscreens provide the best protection against both UVA & UVB radiation and are less likely to cause skin irritation.  Dr. Castillo, cosmetic surgery and anti-aging expert  https://www.cosmeticplasticsurgery.com/ recommends medical-grade, physical sunscreens to all his patients.

There are two divisions of sunscreen ingredients; physical and chemical. Physical sunscreens reflect the UV radiation while chemical sunscreens absorb the UV radiation and break it down within the skin. Some sunscreens contain both a physical and a chemical component.

There are two types of physical sunscreens available; zinc oxide and titanium dioxide. Both provide broad spectrum UVA and UVB protection. Today, these ingredients can be found in finely micronized, nano-sphere  form which allows for ease of daily use. Not only does zinc oxide and titanium dioxide provide needed broad-spectrum coverage but they are also beneficial to those who have sensitive skin or are irritated by chemical ingredients.

You will typically find multiple active ingredients listed in chemical sunscreen.  Each chemical ingredient protects only against a specific portion of the UV spectrum. Be aware that at this time many over-the-counter sunscreens protect against UVB rays only, although there are a few chemical ingredients like Oxybenzone that do offer UVA/UVB protection. Therefore, when purchasing over the counter sunscreen, it is important to examine the label for the claim “broad-spectrum.”  Also look for a sunscreen that says “very water resistant.”  However, keep in mind that even the best water resistant sunscreens can only protect you for 80 minutes.  Then you will need to re-apply.

With inconsistent OTC product labels and the idea that active ingredients in sunscreens differ from manufacturer to manufacturer it can be difficult to decipher all of them so I have provided at chart of the more common ingredients found in sunscreens.  When in doubt whether a sunscreen will effectively protect you and your family, I recommend selecting a medical grade sunscreen from your local cosmetic surgeon, plastic surgeon or dermatologist. Our patient’s favorite sunscreens are:

Physical Defense by Castillo MD Skin Science,  is a chemical-free, pure physical broad-spectrum medical-grade sunscreen making it perfect for even oily and acne skin types! It offers superior protection due to it’s high percentage of Zinc Oxide and Titanium Dioxide.

Sun Defense by Castillo MD Skin Science, which offers medical grade 12% Zinc Oxide, 7.5% Octinoxate broad-spectrum UVA/UVB protection

Prime Defense by Castillo MD Skin Science, which offers 10% Titanium Dioxide, 4% Zinc Oxide broad-spectrum UVA/UVB protection with an added skin primer.

Body Guard is a medical-grade, body mist sunscreen, making it perfect for those on the go or chasing after little ones.

Chemical & physical ingredients found in sunscreens.

Ingredient:                                            Ray Type:

Avobenzone UVA
Dioxybenzone UVA/ UVB
Homosalate UVB
Octocrylene UVB
Octyl methoxycinnamate UVB
Octisalate UVB
Oxybenzone UVA/ UVB
Padimate O UVB
Mexoryl UVA/UVB
Titanium dioxide UVA/UVB     broad spectrum
Trolamine salicylate UVB
Zinc oxide UVA/UVB     broad spectrum

WARNING: You must actually apply the sunscreen to your skin.  Just purchasing it will not provide sufficient protection! lol

 

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

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

When Should I Purge And Replace My Make-up?

Sunday, August 19th, 2018

They say “all good things must come to an end,” and unfortunately, the shelf-life of your make-up is no exception. At some point, they expire either from age or contamination and it’s time to purge and replace. So how is one supposed to know how long to expect their make up to last?

Look on the product box or label for the POA (“period after opening”) symbol on your cosmetic. This symbol will tell you how long the product will last once you have opened it. The symbol is a cosmetic jar with an open lid. You will see a number and letter inside (6M, 12M, 24M) indicating whether it is good for 6 months, 12 months, 24 months etc.

If you don’t know the POA of a product, here are a few signs that it’s time to pitch a cosmetic:

 

  • It smells wonky
  • If it looks bumpy or chunky instead of smooth after you apply it.
  • If small, shiny or shimmery areas appear on the top of your powders (pressed powers, blush, eye shadows); this means oils from your skin, fingers, make-up brushes etc. have been transferred onto the surface of your powder. You can try to gently scrape it off but if it has penetrated very deep, it’s time to pitch it. It will be difficult to get a good application, as your makeup brushes will have a hard time picking up the makeup from its compact and distributing it evenly.
  • If you an eye infection or a cold sore

There are a few keys to preserving most cosmetic items:

  1. Do not share your make up – with ANYONE. Seriously. No really, don’t do it. Sharing your makeup means sharing the millions of microbes present on your skin! Ewe! Someone else’s micro-bacterial bits transferred to your skin (or vice versa) isn’t exactly a beauty booster and take it from someone who spent the last few days of her freshman year in an eye patch trying to pass her final exams half blind, an eye infection is no joke!
  2. Keep your finger out of them. Oils, debris and bacteria from your fingers can contaminate your makeup and shorten its shelf-life.
  3. Always use a clean brush. Avoid double-dipping your makeup brush once it has touched your skin. Cross-contamination from your make up brush into your makeup compact or container can cause you to have to pitch your product.
  • When applying liquid foundations, concealers or cream makeup, use spatula to remove the amount your will need and dab it on the back of your hand like a palette. You can double-dip your brush or use your finger as often as you like at that point.
  • I also recommend an anti-bacterial brush spritzer after each use. Then once a week, soak them in a glass of water with Shampoo (for brushes made of real hair) or gentle anti-bacterial soap for synthetic brushes. Then rub them with a little hair conditioner, rinse and let them dry.

The typical shelf-life times for most cosmetics:

3-4 months range-

  • Mascara / liquid eyeliner:

These are first on my list for good reason. You want to stick pretty close to the shelf-life dates these ones. They will go bad and are easily contaminated. When oxygen gets in the tubes, it dries out the product so try not to “pump” the wand, instead just rotate it. This will help you make it to the 3-4 month mark. In the event that you have any type of eye irritation or infection, conjunctivitis / sty, then boom! It goes straight in the trash! It’s contaminated and could re-infect you.

6 – 12 month range-

  • Cream blush, cream eye shadows:

Expect them to last 6-12 month unless you are dipping into these creams with your fingers, which can transplant the oils, debris and bacteria living on your skin into your makeup and shorten their shelf life.

12 -18 Month range-

  • Liquid Foundations & Concealers:
  • Pressed Powder
  • Lipsticks, Lip Liner,  Lip Gloss
  • Eye Liner Pencil

12 -24 Month range-

  • Powder Blush
  • Powder Eye Shadow

Sincerely,

Your Skincare Specialist

 

Roxanne Grace Hammond

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 WHEN RECOVERING FROM A RHINOPLASTY:

Wednesday, August 15th, 2018

How will I look and feel after surgery?

Let’s get right too it shall we!

Pain: I’m being absolutely genuine when I say our patient’s don’t really experience pain with this procedure, just some mild discomfort (it is surgery after all so you must expect that). I find this quite remarkable really since the nasal bones are re-set and the nose gets a bit of a work over. The majority of our patient’s just use Extra-Strength Tylenol for the first couple day to control their discomfort.

Appearance: Well…for the first 4-5 days you might look like you just stepped out of a boxing ring. You are likely to have two black eyes and some swelling. If you are following directions and sleep elevated, the swelling will dissipate pretty quickly. You will have a cast on your nose for 6-7 days so I recommend taking a week off from social activities – just until we remove your cast. I think most people feel a bit conspicuous in public with a nasal cast and it’s best to protect your nose from crowds during this time of healing. I think in the end you will agree that is a small price to pay for the euphoric confidence boost that is coming your way!

Recovery – Days 1-7:

I hope you are a patient person because you will have to wait 6-7 days to find out what magic has occurred underneath that cast!! I have seen hundreds of Dr. Castillo’s Rhinoplasties. I can tell you, it will be worth the wait!

  • Expect to feel stuffy. Swollen tissue will make it difficult to breath out of your nose for 5-7 days. Focus on breathing out of your mouth. The majority of our patients worry about this pre-operatively, but adjust more quickly than they imagined.
  • You will need to reduce your activity level. No running, jogging, strenuous exercise, heavy lifting, bending over…until Dr. Castillo releases you to do so.
  • Please avoid pets and small children. They are notorious for bumping into newly operated noses! You should also stay away from sporting events, bars, crowds of people in general during your initial healing period to avoid any nasal injury incidences.
  • Do not get your cast wet. It will fall off (your cast, not your noseJ).
  • Gently apply Bacitracin ointment inside your nose, using a Q-tip applicator as demonstrated during your discharge by our recovery nurse. This is important for 2 reasons:
    • It allows you to gently clean and hydrate in the inside of your nose to avoid dry, crusty build up.
    • It allows secretions to drain.
  • DO NOT blow your nose for the first week after surgery. If you have to sneeze, open your mouth and sneeze out of your mouth, not your nose.

Recovery Days 7-20

Welcome to the Reveal!

Seven days after surgery, we will remove your cast. The cast removal can sometimes be a little uncomfortable so I recommend taking a shower to get your cast wet just before you come to our office. Let the water run over your cast for 5-7 minutes to loosen up the adhesive so it will come off with ease.

  • Expect your nose to look a little pinched when we take off your cast. This is because the cast has been “pinching” it for the last week. This appearance will resolve in about 24 hours.
  • You will be given Saline nasal gel spray. This is used to keep the inside of your nose hydrated and free of crusting. You will squirt and sniff simultaneously three times daily.
  • Remove any secretions or crusty build up with a Bacitracin covered Q-tip.

Recovery 3 Weeks Post Surgery:

You will return for a post-operative visit 3 weeks after surgery.

  • Swelling inside nose should be much reduced at this point, though some minimal swelling can last for several weeks.
  • It is likely that Dr. Castillo will ask you to begin massaging your nose at this point. This is an important step. Its purpose is to help the nasal skin re-drape itself in a natural looking way. It will stop the skin from abnormally adhering to the underlying tissue, which will allow it to move freely and naturally.
  • You may notice some temporary numbness or tingling. This will continue to improve over the next several weeks.
  • All exercise restrictions are typically lifted at 3 weeks.

Recovery Weeks 4 And Beyond:

Rhinoplasty is a surgery that keeps on giving! Your nose is going to change for the next 12-18 months! You will see more tip definition, more detailed structural changes and even smaller pore size!

  • You can still have some very minimal swelling that can last for a few months; others will not notice it, but it will be there and your nose will continue to change as the swelling subsides.
  • We will see you back 3 months after your surgery to access your improvements and take your after photos.

 

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 On The Day Of Your Rhinoplasty Surgery:

Wednesday, August 1st, 2018

Emotions:

It’s common to be a little nervous when you arrive for surgery. We WILL take good care of you. Each member of our staff is devoted to providing you with the highest quality of care in a safe environment.

If you are like most of our patients, you are likely to be entirely excited too! You have good reason to be! Dr. Castillo is such a true artist when it comes to giving you the nose you should have been born with. I get so excited each time we have Rhinoplasty on the surgical schedule. It’s a little bit like Christmas, many, many times per year. 🙂   Watching Dr. Castillo perform such intricately detailed work in such a small space to such precision and perfection never gets old. Each Rhinoplasty is new and different and so natural looking. No cookie cutter business here! It’s equally as fun to watch a Rhinoplasty patient’s confidence change and soar over the first several months after surgery. It is amazing to see how such small changes can evoke such big changes!

What to wear:

On the day of surgery, you should arrive free of lotion, skincare products, make up, jewelry and perfume with your hair pulled away from your face.

It is best to wear a zip up or button up shirt. You will want to avoid wearing pull over shirts for a couple of weeks to prevent nasal injuries. Wear comfy, easy to slip on pants and shoes as you may still be a bit foggy when you get dressed to go home.

Arrival:

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

When you arrive at Cosmetic Plastic Surgery Center, you will be asked to read and sign a surgical authorization form. For applicable female patients, you will be asked to leave a urine specimen for a pregnancy test. Then you will be escorted back to pre-anesthesia room where you will be asked to change. Dr. Castillo will speak with you briefly then you will meet with our anesthetist. You will undergo general anesthesia (completely asleep) for this procedure. The anesthetist will take great care to avoid any post-surgical nausea if that is a concern for you.

For Driver / Family members:

Your driver / family members are welcome to wait in our waiting room or return when you are ready for pick up if they prefer.  It is best to have a responsible adult accompany you when we are reviewing your discharge instructions as in can be difficult to remember everything immediately post-surgery. We will notify your driver 30 minutes before they are needed to review post-op care instructions and take you home.

Recovery Room:

  • You will awaken from surgery in the most comfortable recliner ever! We use a Bair Hugger system that releases warm air under your blanket to keep you toasty warm and peaceful! You will be much more comfortable than you thought you would be.
  • Rhinoplasty is not typically a painful surgery. The average patient reports a pain scale of 0-2 out of a 0-10 pain scale after surgery. Most of our patients just use Extra-Strength Tylenol to control any mild discomfort.
  • You will have a cast on your nose and you will hear Dr. Castillo asking you to breath out of your mouth. Once the tissue inside your nose begins to swell,  it will become difficult to breath out of your nose for about 5-7 days.
  • Secretions and bloody discharge are a normal part of recovery for the first 24-48 hours. We will place a mustache bandage just below your nostrils if you have any post-surgical nasal drainage. You will likely change this bandage 10-12 times before it resolves.
  • When it is time for you to go home, you will receive a full set of detailed at home care instructions. Our recovery nurse will review with you and your caregiver at the time of discharge.

The Evening Of Surgery:

When you arrive home you will begin with some ice chips followed by your drink of choice (water, coffee, tea, juice…).  Wait a half hour then move on to some food.  Do push the fluid over the next few days. Expect to feel a bit drowsy for a few hours after you get home. It is best to rest but you can certainly get up and walk around as soon as you feel you can. It is best to sit or sleep in a reclined position to reduce swelling.  Dr. will call you the night of surgery and of course we are only a phone call away if you have questions or concerns. You can reach Dr. Castillo after office hours through our answering service. We will see you back at one week to remove your cast and reveal your new look!