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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
Become a Facebook Fan of CPS @  <span >https://www.facebook.com/DrCastilloCosmeticPlasticSurgery
<span >https://www.cosmeticplasticsurgery.com
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

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

THE WEEKEND FACELIFT

Friday, November 30th, 2012

 

So you probably have heard the term “weekend facelift” and you’re having a difficult time imagining what it is.  Could it be a facelift that’s done on a weekend or is it a facelift that is easy to recover from in a weekend?  The procedure is remarkably effective at improving the jaw/neck line and removing the double-chin deformity.  There are some caveats that one needs to know and understand that it is not a procedure that can be carried out in all patients.  In order to have a so-called weekend facelift, typically our patients need to be under the age of 55, and have a weak (recessed) chin.  Many of these people have a family history of double chins, they are quite familiar with fatty tissue in the neck at a young age in their family and they begin to have issues in the mid thirties.

 

The procedure is carried out through a very small incision, typically smaller than 1 inch, right underneath the chin which is not visible. Through this incision, the fatty tissue in the neck area up to the jaw line is removed and sometimes a small amount of fatty tissue can be removed from the jowl area.  Through the same incision, a tight pocket is created just in front of the jaw to place chin implant. This portion of the procedure is referred to as a mentoplasty.  Through this same incision the muscle structure in the neck area is tightened.  The result is a neck, which is svelte with good definition in the jaw/neck line area, and an improvement in the facial symmetry because the lower third of the face is better represented, more proportionate after the procedure.

 

Those people who are not good candidates for a weekend facelift are typically people above the age of 60 and people who have a very significant amount of loose skin in the neck area with significant wrinkling in the neck and/or folds. These individuals are usually better candidates for a traditional facelift.

 

The term minimally invasive surgery has been used to describe this procedure because there is little interference with the tissues during the procedure and it is easy to recover.  Usual side effects are mild pain in the chin area for 2-3 days, bruising in the lower portion of the neck, some swelling in the anterior jaw area, and the neck area as well.

The Pregnancy Mask

Wednesday, October 31st, 2012

ASK OUR EXPERTS:

Q:  I developed Melasma on my upper lip while I was pregnant.  It’s been months and it is still there.  What can I do?

Over-production of melanin is also stimulated by UV radiation which makes it a complex issue that is difficult to treat, because your body has already kicked melanin production into over-drive and that is compounded further by recurring stimulation from UV rays. Sometimes Melasma will go away after pregnancy or lighten enough to cover the discoloration with cosmetics but unfortunately it often returns with additional pregnancies, hormonal changes and sun exposure.  The good news is there are treatment options that offer hope.

It is important for you to understand that sun is your ENEMY and it will remain your greatest nemeses. Melasma is a chronic condition.  There is no magic cream that will guarantee to banish it forever. I find that Melasma is one of the most difficult skin issues that we treat at Cosmetic Plastic Surgery Skin Rejuvenation and Laser Institute.  It is frustrating for both myself and my patients.  Therefore, I want to express the importance having realistic expectation before you decide if or which treatment option is right for you.

There are a few things you can try to improve your Melasma.  The first and most important one is simply applying medical-grade physical sunscreen with either micronized Zinc Oxide or Titanium Dioxide every day, 365 days a year, without fail. You can get this from a dermatologist or plastic surgeon like Dr. Castillo. Avoid trying to sneak by with just the SPF of 15 that is in your make-up or moisturizer, it won’t cut it.  Because even the best sunscreen cannot block all UV radiation, other protection should also be used such as a wide-brimmed hat or umbrella. There is no such thing as “water-proof” sunscreen, only “water-resistant” sunscreen so if you are sweating or swimming you will need to re-apply every 80 minutes.

Prescription Bleaching creams, which I prefer to call “lightening” creams can also be helpful. They are used initially on only a short term basis but can be repeated in the future as a form of maintenance. You must be very faithful to your sunscreen regimen with using lightening agents.

If changing your oral contraception or hormonal therapy is not an option, and you haven’t gotten the type of improvement you desire then it may be time to consider more aggressive treatment options.  At Cosmetic Plastic Surgery we find the most success using CO2 Micro-Fractional Laser Resurfacing in combination with a lightening agent, medical grade sunscreen and sun avoidance. Other treatment options may include series of medical grade peels or IPL treatments.  Again, sun is your ENEMY.  It can very rapidly undo any successful treatment with sun exposure.

 

Yours Truly,

 

 

 

 

 

 

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

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

 

Ask Our Expert –

Monday, September 24th, 2012

BALANCING BEAUTY

QUESTION:  When I read anti-aging articles, they often refer to facial balance.  Can you explain what that means?

ANSWER:  I belive what they are referring to is a “basic formula” used to describe a well-balanced face, proportionately speaking.  This balance is seen when the face’s prominent features, meaning the brows, eyes, cheeks and lips are proportionate to each other.   The eyebrows should be aligned with eachother with a slight arch toward the outer or lateral portion of the brow.  When looking at the eyes, there should be a 1/2″ between the upper lid and and the eyebrow.  The lateral or outer corner of the eye should angle up just a touch.  Prominent cheekbones are a sign of beauty.  They should be full and high set.  An oval shape that tapers itself back as you follow then back toward the ears is most desirable.  Last but not least are the lips.  The lower lip should be 2/3 larger than the upper lip.

Create balance with dermal fillers.
Lasts upto 18 months.

In the hands of an expert injector and Cosmetic Surgeon such as Dr. Castillo (not your neighborhood spa), Botox Cosmetic® and dermal fillers such as Juvederm®, Radisse® or Perlane® can be a quick, effective way to improve the lack of proportion in the face.  Botox Cosmetic® or Dysport® can be used to improve the arch of the lateral brow.  This technique can also add some distance between the brow and upper lid helping to restore or create that missing balance.  Dermal fillers or fat transplantation can be used to give fullness the cheeks, creating a more prominent and defined cheekbone. Dermal filler or fat transplantation can also be used to plump up the lips, and to give better definition.

Though all these facial features can be improved by the above mentioned techniques, it is important to remember the goal; proprotional balance. It is the the key to looking natural and maintaining a youthful appearance.  If too much focus is placed on one of these prominent facial features, you will once again be out of proportion often resulting in an “over-done” less youthful appearance.

Balance is the key to life…and apparently to physical beauty as well!

 

Yours Truly,

Roxanne Hammond, RMA
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