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Q & A: Personal Interview With Dr. G.D. Castillo – Part One

Monday, February 2nd, 2015

Q: When you are not in the office, how do you like to spend your free time?

Dr. Castillo: Life offers so many options one should never be bored. It’s not difficult to be eIMG_0188ntertained when you like motor sports, music, the arts, nature, a nice glass of cabernet sauvignon with good friends.”

 Q: What is your biggest accomplishment?

Dr. Castillo: “Learning the art of discipline. My commitment to becoming a skilled surgeon meant staying focused and denying myself during my medical school days while my buddies were out partying. Going through medical school is a tremendous commitment.  You have to give up control of your life and your time during that period.  The disciple that I learned in medical school has carried through in every part of my life and I have reaped many rewards because of it including balancing a busy surgical practice with multiple locations, teaching, serving as the President of the American Academy of Cosmetic Surgery, raising my family, and attaining the highest level of licensing as a pilot.”

 Q: What could you not live without?

Dr. Castillo:  The warmth of a human heart.”

Q: How long have you been a pilot? 

Dr. Castillo: “I’ve been flying since my early twenties. It is a wonderful freedom and luxury. I strongly considered it as a primary career at one point in my life.”

 Q: If you had to choose a second career, what would you like to do?

Dr. Castillo:  “I would like to try my hand at Bronze Sculpture.”

 Q: If you could give one piece of advice what would it be?

Dr. Castillo:  “Enjoy every moment of your life.  And…don’t skip the gym, as it allows you to keep enjoying every moment of your life.”

 

 

 

 

ASK OUR EXPERT: Why is breast fat transplantation more expensive than implants?

Friday, May 16th, 2014

QUESTION:  Why is it that breast augmentation through fat transplantation is more expensive than breast augmentation done with implants? 

ASWER:  In order to augment the breast with implants, one needs only to select a desired volume for the implant, place the implant in a pocket, typically created behind the pectoral muscle and…voila…there is a new breast in the size the person always dreamed of. 

In contrast, augmentation of breasts with fat transplantation is quite laborious.  The surgeon needs to first harvest the fat via liposuction.  Then the harvested fat must be prepared for transplantation.  Once prepared, the fatty tissue is carefully and strategically placed in many areas throughout the whole breast in order to accomplish a relatively small increase in breast size of approximately 3-4 ounces.  This procedure is time consuming for the surgeon because he/she needs to place this fat through many repetitious passes with a special instrument that deposits the fat within the tissue in small amounts and allows it to be able to be incorporated by the breast into living tissue. 

Therefore, the operative time for a regular augmentation through implants is approximately 1-1/2 hours, while to do a breast augmentation through fat transplantation, the operative time required is approximately 3-1/2 hours.  So the procedure becomes longer and more expensive for both the surgeon and the patient.  In addition, for a patient looking for larger volume improvement like that produced by breast implants, https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm  the procedure would need to be repeated several times in order to accomplish a larger volume.

 G. D. Castillo, MD, FACS

Director of Cosmetic Plastic Surgery

ASK OUR EXPERT: FAT TRANSPLANTATION

Wednesday, April 30th, 2014

 

Question:  Can Dr. Castillo take fat from my hips or stomach and put it into my breasts? 

Answer: The short answer to that question is yes; though, it is not as simple as it sounds. 

Fat transplantation to the breasts has been done for many years, starting in earnest around the mid 1980’s by many cosmetic surgeons. At that time, we did not have answers to important questions like:

  1. What, if any changes would fat create in breast tissue?
  2. Will these changes be misdiagnosed as disease and/or cancer in the future?

  Due to the lack of information available at that time, the use of fat transplantation to increase breast volume was never truly accepted or recommended.  However, early results indicated that it did work.

 Today we know that we can remove fat from anywhere in the body and transplant it to anywhere in the body with results that will accomplish

  1. an increase in volume
  2. an improvement in the skinFor example, if fat is transplanted underneath scar tissue, the scar tissue tends to remodel and turn into better skin.  In so far as increasing volume, fat transplantation needs to be done with quite a bit of care and by an experienced surgeon because if fat is placed in large lump quantities,  not only will the procedure be ineffective but it  is likely to create issues. Fat needs to be transplanted in very small amounts and in many areas within the breast and surrounding tissue in order to accomplish an increase in the volume of the breast. We can increase the volume of the breasts by approximately 120 cubic centimeters maximum. This is related to a limitation with the rate in which the body will incorporate this fat into the tissue. Fat that is placed in a new area needs to be colonized by small blood vessels and made into living tissue in whatever area it was transplanted.  This can only happen when it is transplanted in small amounts that are small enough to be able to be sustained by the microcirculation of the area.

Fat transplantation is best utilized for patients who are seeking small adjustments to their breast proportions.  If you desire to go from an A to a C cup size breast, fat transplantation will not give you your desired outcome.  To increase breast volume in a more significant way is better accomplished with breast implants. https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm.

G.D. Castillo, M.D., FACS

Director of Cosmetic Plastic Surgery

https://www.cosmeticplasticsurgery.com/cosmetic-surgeon/

 

Ask Our Expert: What type of surgeon should I consult with for micro-fat transplantation to my face?

Thursday, April 10th, 2014

Question:  What type of surgeon should I consult with for micro-fat transplantation to my face?

Answer:

Dear reader,

There are a few important factors to consider when choosing a surgeon:

  • Board certification – It is always important to have surgery and/or procedures done by a physician who is board-certified in the specialty associated with that procedure.  For fat transplantation to the face, you would look for a surgeon who is board-certified in facial plastic and reconstructive surgery.
  • Experience – Once you locate a board-certified facial plastic and reconstructive surgeon, the next step is to find out how much experience the surgeon has with fat transfer procedures and particularly, micro-fat transplantation to the face.  Experience of greater than 20 cases would be essential.
  • Real Patient Photos – I would ask to see some pictures of patients in his or her practice who have had this procedure done by him or her.  Surgeons who are experienced in this area should have a collections of before and after photos to show their work.

 

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

 

 

 

 

 

Ask Our Expert: CO2 Micro-Fractional Laser Resurfacing Of The Upper Lip…

Friday, March 28th, 2014
Question: With the CO2 Micro-Fractional Procedure above the lip, would there be any anesthetizing, of the area for pain? Also, does it peel or just turn red?  And Lastly, what days of the week does Roxanne do this procedure?
Thanks,
Karen
Answer:
Karen, when we perform more aggressive CO2 Micro-Fractional Laser Resurfacing to on lines around the mouth, we utilize three forms of discomfort control:
    1.  We administer a Tylenol with Codeine upon your arrival to the appointment so you will need a driver.
    2.  We apply a topical numbing ointment.
    3.  Once the above two forms have taken effect (about 30-40 minutes) Dr. Castillo will do a regional nerve block. This is of a few injections similar to having your mouth numbed at the dentist. 
REDNESS AND SWELLING: You can expect redness and swelling of the upper lip area.  It will be worse the day after treatment.  Typically by day 3, the swelling will start to resolve.   Since we would only be treating the upper lip instead of the whole face, your swelling is likely to be quite minimal.  You can expect to be red then pink then you’ll return to your normal skin tone.  A light pink color may last a few weeks depending on the level of aggressiveness we use.
PEELING: You will begin to peel within 3-4 days and the peeling typically lasts 48 hours. You will be able to cover with make-up within 4-6 days after treatment. 
I typically perform this procedure Tuesday – Friday.  Please let me know if you have further questions.
 
Yours Truly,
Roxanne Hammond, RMA
Skincare and Laser Specialist
G.D. Castillo, M.D., FACS
COSMETIC PLASTIC SURGERY CENTER
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800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Cosmetic Plastic Surgery’s Traveling Staff

Wednesday, November 6th, 2013

Patients sometimes don’t realize that you can call any of our numbers and reach us wherever we are, and it’s not just our phones that follow Dr. Castillo.  Our staff members do as well!   Our patients can be assured that they will hear that same familiar voices on the phone and experience our traditional warm greeting when calling or entering either of our Illinois facilities – Savoy or Bloomington.

What can you, our patient, expect from us?

    • With the same experienced staff traveling between both of Dr. Castillo’s facilities in Savoy, (Champaign-Urbana area) and Bloomington, Illinois, this maximizes location convenience while maintaining unrivaled continuity of care.
    • In a very short time, our patients develop a warm and comforting relationship with all of our staff members.
    • You’ll recognize who you are talking to and understand both their relationship to Dr. Castillo and your care.
    • At the same time, we’ll come to know you, identify with your concerns and dedicate ourselves to your end goal.
    • You’ll quickly discover that you can trust our sincerity – YOU are our valued patient and our chief concern is your wellbeing.
    • It’s comforting to know that the same compassionate, knowledgeable people will       be assisting you throughout your Cosmetic Plastic Surgery experience –  from our first meeting while taking the initial medical history,  assisting with your first examination by Dr. Castillo, the pre-operative history/physical, and throughout your entire post-operative appointments  for 3-4 months following your procedure.
    • You’ll  never experience an aloof response to your questions or concerns.
    • You can depend that we will identify with, and understand your feelings and concerns – and you will feel our strong desire to help you in anyway that we can.

Our patient’s confidence in Dr. Castillo and Cosmetic Plastic Surgery is the highest compliment we receive.  As you come to know each and everyone of us during your visits, you’ll understand that obtaining the best possible outcome for your procedure or treatment is always our end goal, and will benefit from the cocoon of positive energy encompassing Dr. Castillo’s practice – our patient’s trust and confidence is a privilege we earn each and every day.  It’s our pleasure!

 

 

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

 

 

“ASK OUR EXPERT” – “Does Botox Really Help With Lines & Wrinkles?”

Monday, March 11th, 2013

QUESTION:  Roxanne, does Botox really help with lines and wrinkles? Is it safe?  Where can it be used?

ROXANNE:  Personally, I love it! It’s the number one non-surgical cosmetic procedure for a reason.  It works!  Dog may be man’s best friend but Botox Cosmetic® is definitely mine.  🙂    I find that the biggest downside with Botox is that once you experience life with it, you won’t want to go without it!

Botox Cosmetic® works by temporarily relaxing the muscles of the upper face that create expression lines.  This results in a temporary loss of facial lines and wrinkles for about 3 to 6 months.  It is a very cost effective anti-aging treatment and doesn’t require any down time. Botox can make remarkable improvements to the aging face.

Botox Cosmetic® has more than a 20 year track record for safety and effectiveness.  Botox is very safe WHEN injected by a specially trained clinician such as in the office of a plastic surgeon, cosmetic dermatologist, cosmetic surgeon, or facial plastic surgeon.   Botox is a medical treatment and should only be performed in a medical facility.  Please, for your own safety, avoid all temptations to attend a “Botox Party” at your local salon or girlfriend’s home.  If you receive one of these invitations, burn it and never look back!

At Cosmetic Plastic Surgery Center, the most commonly treated area is the glabella.  This is where the vertical lines appear between the brows creating an angry appearance. We often treat forehead lines and lines around the eyes commonly referred to as crow’s feet as well.  Dr. Castillo uses a very specialized technique to actually raise the eye brows.  This technique opens up the eyes and gives that well rested, alert look many of his patients are looking for.  It’s almost like an instant eye lift!  For those who’s skin is  showing signs of years of sun worshiping, even more results can be achieved when you combine Botox Cosmetic® with other non-invasive treatments like CO2 Micro-Fractional Laser Resurfacing or Intense Pulsed Light.

 

Yours Truly,

Roxanne Hammond

 

Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY CENTER

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