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

Wednesday, June 5th, 2019

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 spots 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 to the sun. Typically, the lighter the skin and the more sun exposure one has, the greater accumulation or chance of accumulation of sun spots.

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, hence the term “age spots.” They are more common in lighter skin types (Fitzpatrick 1-3), such as those who freckle and who burn easily but can appear in any skin type.

I recommend applying a medical-grade, physical sunblock such as Physical Defense by Castillo MD Skin Science, 365 days per year, to all skin that will be exposed.  Not only is this your best defense for future sun damage but  you may find that the brown spots that you have become lighter over time.

There are  treatments that can help to rid your skin of brown spots as well. CO2 Micro-Fractional Laser Resurfacing is typically an excellent option.  A series of Intense Pulse Light (IPL) treatments can also deliver very good  results.  Some chemical peels  can improve spots to some degree as well as skin bleaching or lightening agents like Advanced Lightening Complex or Spot Light. 

While sun spots themselves are not cancerous, if you have had enough lifetime sun exposure to develop brown spots, this may place you at a higher risk of developing skin cancer.  Therefore, it’s a good idea have your physician examine them for changes from time to time.

Warmly,

Roxanne Grace Hammond
Skincare & Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://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

 

A Review of Make-up Brushes for Eyes

Monday, September 10th, 2018

Selecting the right eye make-up brushes to achieve the look you want, shouldn’t strain your brain but sometimes it can feel like it! There are so many options for such a tiny space (eyelids), it’s hard to know which ones you really need. Choosing the right brushes to complete your look can really make a different in whether your eyes look tired and aged or bright and uplifted.

 

Dual-Fiber Eye Brush:

This is my FAVORITE eye brush! Super versatile! It makes applying and blending light layers of shadow a cinch. As we get older, the words light layers and blending could not become more important to maintaining a youthful looking eye. So I think this brush is must have. It can also really decrease the frustrations of trying to discreetly conceal any under-eye area flaws. It’s easy to lay down very thin layers of concealer with its wispy, feather like bristles. Very lightly dampen the ends of the bristles and lightly whisk the brush across your problem areas for thin, flawless coverage. The trick to using this brush successfully is to relinquish all control. Instead of holding it near the Ferrule (metal part), move as far back on the handle as you can. This will make a huge difference in your application.

 

Eye Base Brush:

This is a pretty basic, user-friendly brush. In fact, it is my go to brush for all-over applications, but works just as well for specific placement of color before moving on to a blender brush.

 

Eye Blender Brush:

You guessed it! This brush is for blending, the most important part of your eye shadow application. This is a versatile, fluffier, long-bristle, domed brush. It can be used to apply a light color wash or to soften the edges of multiple colors, blending them into a seamless transition. Swirl in a circulation motion to blend shadow into the crease of your eye. Just like the Dual Fiber eye brush, hold this brush near the end of handle. The less control you have the better.

 

Mini Eye Crease Shader:

If you are beginning to feel like its time to stop wearing eye shadow because it makes your eyes look older rather than younger… go get this brush! Crease shaders in general are meant to contour the eye to give dimension. The “mini” crease shader has a smaller end with a bit of a point. Use it like a stylus or pencil to draw on color to create shape and definition. This brush will become your best friend if the outside portion of your upper lid is turning downward which happens to most of us as we age. Rather than following the crease line of your upper lid when applying shadow, try defining your upper lid shape by drawing on a medium dark shade of shadow from the lateral end of your lower lid up to your brow bone, creating a bit of sideways “v” to lift the eye shape back up to a more youthful shape. Then shade and blend, blend, blend as you normally would, adding lighter and dark colors; medium -dark on the edges, lighter inside.

 

Angled Eye Contour Brush:

Create contour of your eyelid by applying and blending shadows into the crease of your eye until they become seamless.

 

Smudge Brush:

Looking for a little drama? This brush can be used to apply eyeliner or eye shadow near the lash line. Then blend to soften the line to create the sultry, smoky eye.

 

Brow Brush: Thinly shaped, angled bristles used to re-shape or fill in sparse eyebrows.

 

Best Regards,

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

Join Dr. Castillo’s team on FACEBOOK  @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Make-up Brush Review

Monday, September 3rd, 2018

Since cosmetic brushes are 25% off this month at Cosmetic Plastic Surgery Center, I thought it was good time to review some of the more common make-up brushes used for the face.

FOUNDATION:

Flat Top Kabuki:

The design of this brush allows for applications of both pressed mineral powder foundation or liquid foundations (though you should have one dedicated to each product rather than one brush for both products so that you do not transfer unwanted ingredients into your powder). It’s expertly designed “flat-top” as apposed to a rounded top, is perfect for buffing (in circular motion) mineral powder into a smooth, radiant finish. It provides light to medium coverage, depending on your layering preferences.

When using this the Flat Top Kabuki to apply liquid foundation, you can expect a soft, flawless, airbrushed finish with medium to full coverage. This brush also comes in a travel-friendly version for quick touch-up and on-the-go applications. Perfect purse size!

Pro Kabuki:

This is a tightly packed, round top, mineral powder foundation brush. Choose this brush when you are looking for the full coverage of a pro! Its brush head is packed with very dense, soft bristles for a full, radiant coverage.

 

CAMOUFLAGE / CONCEALER:

 Dual Foundation / Camouflage Brush:

This is a dual-ended, double duty brush. It is suitable for both liquid and cream concealers and foundations. One end offers the precision needed when applying camouflage and other end provides the ease an expert liquid foundation application.

Full Coverage Camouflage Brush:

This is a flat-domed shape brush with a somewhat pointed tip. This brush is commonly used to cover blemishes, facial redness, brown spot etc. It is intended for cream camouflage formulations. It is easy to blend and perfect. For a more fluid application, try misting the end of the brush with setting mist or water. Blot the fibers between paper towels to remove access. Then you are ready to begin applying your camouflage.

Precision Camouflage Brush:

This is a smaller version of the full coverage camouflage brush. It works well with cream camouflage, concealers or primers for smaller, detailed areas.

 

HIGHLIGHT / CONTOUR / BLUSH / POWDERS:

Contour / Highlighter Brush:

Make no mistake about it, when it comes to make-up brushes, the right contour brush is a girl’s best power tool! It is the key to changing your look from everyday to runway!! It is a dual-head brush. One end contours while the other end highlights. The contour end is tapered with a nice apex for more precise placement. I like to pinch the bristles together to accentuate the apex ,which give me more control when shading. It’s ideal for both highlighting and shading to create dimension, chiseled jawlines, nasal narrowing and prominent cheek bones.

Powder Brush:

Typically an extra full, soft, rounded brush designed for translucent powders, bronzers, finishing powders. Distributes sheer to medium coverage. Tap off any access powder before using a circular motion to buff the product on the skin.

Tapered Powder Brush:

A tapered powder brush is typically a soft brush with a pointed end for delicate placement of setting or finishing powders.

Powder Blush Brush:

These brushes can be rounded or angled and intended to apply blush, bronzers or highlight powders.

Dual-Fiber Blush Brush (a.k.a – Texture Brush):

I must own 4-5 of this brush. They are made from a blend of synthetic, soft, flowing fibers, which makes for a luxurious experience. The feathery, flat-top head delivers a light-weight applications of powders, shimmers, and cream blush. Perfect for layering and building.

 

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

BECOME A FACEBOOK FAN OF CPS @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

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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/

 

 

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
Follow us on Facebook @  http://www.facebook.com/DrCastilloCosmetiPlasticSurgery

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

Interview with Skin & Laser Specialist, Roxanne – Question #3

Tuesday, September 15th, 2015

Question: Why do people come to the skin rejuvenation suite at Cosmetic Plastic Surgery?

3057Roxanne: “Most men and women, even teens simply want to become a better version of themselves.

  • They may have a special occasion coming up like a wedding, vacation or new job.
  • They may want to learn more about how CO2 Micro-Fractional laser resurfacing can improve their lines, wrinkles, texture and brown spots to give them a fresher, more youthful look.3182014 101
  • Some are seeking one of our signature facials or microdermabrasion to relief stress and brighten their appearance while others are working on self-improvement with chemical peels, hair reduction or vein therapy.“
  • In January of this year, to support the services that the skin rejuvenation suite offers, Dr. Castillo introduced his medical-grade skincare line https://www.cosmeticplasticsurgery.com/cosmetic-surgery/skincare-products.cfm   [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Message’ type=’textarea’/][/contact-form]
  • The new skincare line has been a huge success and the results speak for themselves! This has brought a new sector of patients to us who are simply tired of being disappointed by empty promises made by over-the-counter skincare product lines. Trial sizes are available for most of the products so patients can try them out before purchasing a full size product. It is a nice benefit for the patient and they come back so excited, bursting with compliments about the skincare products they tried. As I always say, “you don’t need a cabinet full of skincare products, just the right products and knowledge to know the difference!”Microdermabrasion ScrubIMG_2054

Lush Simplicity Kit

Interview with Skincare & Laser Specialist, Roxanne – Question #2

Tuesday, September 1st, 2015

Question: What makes patients so loyal to Dr. Castillo’s  skin rejuvenation suite?

Roxanne: Dr. Castillo’s Skin Rejuvenation Suite at Cosmetic Plastic Surgery Center is a place of peace, pampering, privacy and professional, progressive treatment options.”

  • “As the Skincare and Laser Specialist there, I get truly excited at the opportunity to help patients reach their skin rejuvenation goals and I think that shows through to our patients. Helping people look and feel their best is energizing and that energy is contagious! We have interesting, appreciative patients from all walks of life and again that energy just creates an atmosphere people want to be a part of.
  • “Going to a surgical facility headed by a triple-board certified cosmetic plastic surgeon with a stellar reputation and more than 30 years experience with skin rejuvenation rather than going to a salon or spa gives our patients peace of mind.”
  • DSC_0574“I think the thing you will notice right away is our emphasis on patient education. I spend a great deal of time with each patient during a consultation to make sure that they have a clear understanding of the skin rejuvenation procedure(s) or products they are considering. I believe there is nothing more important during that time than making sure they understand all the facts so they can make an informed decision that is right for them. “
  • “Our focus in on quality, not quantity. It is important that our patients do not feel rushed through their experience in the skin rejuvenation suite and that they know what to expect each step of the way. Because we only offer the most proven-effective treatments, rather than every new fad that pops up, our patients see consistent results that they can count on. It allows our patients to recommend Dr. Castillo’s skin rejuvenation suite  at Cosmetic Plastic Surgery Center to their friends and family with confidence and assurance.”