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The Weekend Facelift

Friday, November 30th, 2012

So you probably have heard the term “weekend facelift” and are 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?  This procedure is remarkably effective at improving the jaw/neck line and correcting a double chin.  There are some caveats that one needs to know and understand because it is not a procedure that can be carried out in all patients.  In order to have a so-called weekend facelift, most of our Champaign and Bloomington, Illinois, 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 begin to have issues in their mid-30s.

How is a weekend facelift performed?

This minimally invasive version of a facelift is carried out through a very small incision, typically smaller than 1 inch, right underneath the chin which is not noticeable. Through this incision, the fatty tissue in the neck area up to the jawline is removed. Sometimes a small amount of fatty tissue can be removed from the jowl area.  Through the same incision, a tight pocket for a chin implant is created just in front of the jaw. 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 that is svelte with good definition in the jaw/neckline area. Facial symmetry is improved because the lower third of the face is more proportionate after the procedure. Visit my online photo gallery to see the results of a weekend facelift patient.

Who is not a good candidate?

People who are not good candidates for a weekend facelift are typically those above the age of 60 and those 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.

What is recovery like after a weekend 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 recovery is typically easy.  Usual side effects are mild pain in the chin area for 2 to 3 days, bruising in the lower portion of the neck, some swelling in the anterior jaw area, and the neck area as well.

To find out more about the weekend facelift and other facial rejuvenation procedures, request a consultation online with Dr. G. D. Castillo or call one of our offices.

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

 

 

 

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

Wednesday, August 22nd, 2012

 

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:

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.

 

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, Skincare & Laser Specialist

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

Ask Our Expert: Retin-A

Friday, July 20th, 2012

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!  Both our Bloomington area and Champaign area Cosmetic Plastic Surgery Clinic 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.

Roxanne, Skincare & Laser Specialist

 

 

 

 

COSMETIC PLASTIC SURGERY
Like us 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

Ask Our Expert – On Smoking

Thursday, March 1st, 2012

Q:  Why do I have to stop smoking before Dr. Castillo will perform my facelift?

A:  I recongnise that the thought of breaking the habit of smoking can be an overwhelming one.  It is a difficult process but Dr. Castillo asks this of you to assure you have an uneventful surgical experience. Dr. Castillo does not perform certain cosmetic surgery procedures on smokers (facelift, bdominoplasty /tummy tuck, breast reduction or breast lift) because smoking will put you at risk for some serious complications.  Because smoking obstructs the healing process, it is immensely damaging to your skin, particularly that of the face. Smoking can cut off the blood supply to the skin which will result in necrosis or tissue death. This means that the surface skin dies, creating an open wound instead of adhering together to form a closure. Through extended post-surgical care, these wounds eventually re-adhere but it may result in unpleasant scarring and stress.

We see transformations at the office on a daily basis. By that I am not just referring to physical transformations.  Cosmetic surgery frequently empowers our patients to imporve all aspects of their lives.  They often discover a new excitement for life.  They laugh more, make healthier food choices, work out and best of all kick those health hazzardous habits like smoking.  At Cosmetic Plastic Surgery, we are here to support you, encourage you and cheer you on but the decision to welcome changes and take charge of what you want your future to look like is up to you.

Best Wishes!

 

Ask Our Cosmetic Surgery Expert

Roxanne, Skincare & Laser Specialist

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

 

 

 

Ask Our Expert: Chapped, Dry Winter Lips

Monday, February 20th, 2012

Q: My lips get very dry.  They peel and crack and the skin around my mouth gets chapped and sore during the winter.  What can I do to stop this?  I have tried several brands of chapstick without getting relief.

A: Just like the rest of your skin, your lips suffer during weather changes too.  It is important to protect them from the sun and keep them well moisturized.  Protect your lips from sun exposure all year long, not just in the summer.  Remember that UVA rays are present 365 days per year.

I have a few recommendations for you:

  1. Use a medical grade broad-spectrum UVA/UVB sunblock on your lips-

When choosing a sunblock, look for one that says broad or full spectrum UVA/UVB protection on the label.  Then look at the ingredient listing on the back.  It needs to list either titanium dioxide or zinc oxide, preferably 7% or higher. I recommend TiSilc 60.  TiSilc 60 contains a high percentage of Zinc oxide to reflect dangerous UV radiation.  Using sun protection is even more important for cracked, dehydrated lips as they will be damaged more easily than well hydrated skin. TiSilc 60 also contains soothing Green Tea Extract, antioxidants and is a moisturizer.

  1. Avoid licking your lips-

The re-wetting of your lips will not only chap your lips but the wetness will also break down your sunblock.  Remember, there is no true “waterproof” sunblock.  They are just water-resistant (good for up to 80 minutes once wet).

  1. Drink more water –

Remember, dry lips are a sign that you are not drinking enough water.  If your lips are dehydrated, increase your water consumption.

  1. Apply a hydrating lip treatment or balm on top of the sunblock-

Using an ointment or balm will prohibit moisture from escaping, keeping your lips hydrated.  This can be as simple as applying Vaseline at bedtime or throughout the day.

We carry two great options at Cosmetic Plastic Surgery Skin Restoration and Laser Institute. I recommend one of two options:

The first option is Glo Minerals Lip Balm:

Glo Minerals Lip balm is available in Mint and Cherry.  Glo Minerals Lip Balm works well to re-store moisture and relieve irritated, chapped skin around the mouth. It protects lips with broad-spectrum SPF 15 while nurturing botanicals of hemp seed oil, meadowfoam and mango seed butter soothe and heal. You will begin to notice smoother, softer lips within a few applications. You can even apply it to the skin around your lips (before you put on your make-up).  It is clear so it will blend in. It can be used by itself, with a lip liner or under your lipstick. This treatment can be applied multiple times per day.  Remember to re-apply this treatment at bedtime for increased hydration.  Cost $12.50

Option #2: Exfoliating Lip Wand

With the new Exfoliating Lip Wand, you can tranform your lips in one easy step! Nourishing wax microcrystals derived from jojoba seeds slough away dry skin and then melt on contact to deliver soft, smooth and hydrated lips. It is enhanced witha light peachy scent that is simply delicious! Cost: $16.00

Option #3 – TNS Lip Plump System

This is a 2- step system that provides increased lip volume while gently exfoliating dry skin and providing much needing hydration.

TNS Lip Renewal

This  treatment cream combines the rejuvenating strength of the patented growth factor blend TNS® and collagen-filling spheres to enhance the fullness of the lips and smooth surface imperfections.

  • Rapid-action skin smoothing and softening effect
  • Improvement of lip texture and condition
  • Increase of lip volume

Lip Plumper

This clear plumping gloss with niacin enhances the natural color of lips.

  • Enhances natural lip color
  • Give lips fuller, more youthful look
  • Increase of lip volume
  • Rapid-action skin smoothing and softening effect
  • Improvement of lip texture and condition
  • Increase of lip volume

Cost:$52.00

 

Roxanne, Skincare & Laser Specialist

Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
Become a Facebook Fan of CPS @  http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana), IL
309-662-0436 Bloomington, IL

The Secrets of Permanent Weight Loss

Thursday, January 5th, 2012

In both the Savoy and Bloomington locations Cosmetic Plastic Surgery Center, we receive a lot of questions about how to lose weight and keep it off from patients who are concerned about their increasing weight and those who want to maintain their results after procedures such as liposuction or abdominoplasty.  What follows are the basics – that is, bringing a complex subject to a minimum denominator; knowledge and good lifestyle eating and exercise ethics are what it takes to loose weight and stay thin.

Though it can feel like one hardly eats anything but still gains weight,  the reality is quite different.  The very basic principle  of weight control is that you will gain weight if you consume more calories than you burn – period, no exceptions.

Have you ever heard people say that if  you exercise enough you will lose weight?  While that is true, the basic principle here is that you absolutely cannot depend on exercise alone to bring your weight down.  It has to be proportional with a decrease in the amount of food you eat, how that food is consumed and which foods you are consuming.

How To Loose Weight And Keep It Off Concepts:

1.     Water intake: The basic principle of a good lifestyle eating ethic is to consume water.  Here, you must read exactly what it says – water.  Water is not soda, or tea, or any other form of liquid.  Water is water.  Basic research shows that if you drink a minimum of one glass but better yet two glasses of water prior to your meal, you will consume less food and you will lose weight.  There are many reasons for this to happen, but suffice it to say that basic research has proven this without a doubt.  It is also important to drink water during the day.  In fact, often our bodies confuse hunger with dehydration.  If you have already eaten and are searching for a snack, replace that snack with a glass of water.  Wait 20 minutes.  You may find that your desire for a snack is gone.  Again, I must remark how important it is that it be water – not sweetened water, not flavored water, not anything else other than simple water.  Look around you and you will find that trim, thin, fit people drink only water.

2.     Reduce your portion sizes: Living in a nation where restaurants serve such large portions has been a big injustice to our health and over-all lifestyle.  Over the past few decades, we have begun to consume much larger portions than in the past.  As a result, we have become an obese nation with many weight related health problems. The more unhealthy food we consume, the more our bodies crave them. The truth is, the older we get, the less caloric intake our body requires.  Simply put, we must consume less calories in our 40’s than we did in our 30’s, and less in our 50”s than in our 40”s, and less in our 60”s than we consumed in our 50’s and so on.  I suggest beginning to decrease you portion sizes by eating until you are no longer hungry instead of eating until you are full. Decreasing portion sizes can be difficult when you are enjoying your meal, however if you consistently stick to this rule, you may find it much easier to accomplish.

3.     Restrict or avoid salt, sugar, fat and preservatives: Remember that there are enemies in food that you must restrict or avoid.  Those are salt, sugar, fat and preservatives.  All of the above are contained in most fast foods, prepared foods, canned foods (even canned vegetables), deli prepared foods, packaged foods, etc. While busy schedules may make it difficult for some people to prepare their own meals and go back to a primarily natural source of foods, you must maintain a high alert state for foods that are high in salt, sugar, fat and preservatives.  Remove those enemies from your diet.  One way to avoid these types of foods, even with a busy schedule, is to prepare foods in advance.  Prepare healthy meats and meals in advance, refrigerate or freeze them until needed.  Cook enough brown rice for a few days. Consider adding a fresh veggie, or cilantro, pepper, or a small amount of white raisins and almonds to your brown rice to vary the flavor.  Retrieve it from the refrigerator as needed.  Prepare large quantities of low-sodium soups with fresh veggies, adding fish or chicken protein if you choose.  Freeze it in portion size containers.  Not only will this method reduce the amount of food enemies in your diet, it will allow you to prepare healthy meals in no time.

4.     Avoid simple carbohydrates: Carbohydrates are not necessarily bad foods; however, simple carbohydrates create a high glycemic state; that is, they increase your blood sugar rapidly which is damaging to many tissues in your body.  It is important to avoid simple carbohydrates and that means sugar and refined grains (reduce the amount of bread and pasta to a minimum and make sure that when you eat these items they are prepared from whole grains).  Glycemic states not only create an easy avenue for your body to store fat, they are also highly damaging to tissues that contain a large number of blood vessels (for example, the retina).

5.     Vegetable proteins :  Increase the amount of vegetable proteins in your diet.  Vegetable proteins offer a great advantage as a food source. They burn slowly, which will keep you from becoming hungry.  You will go for longer periods of time with less hunger.  Vegetable proteins are contained in all legumes (foods that come from a pod) like any kind of bean, lentils, garbanzo (chick peas), etc.  Again you can easily prepare these vegetable proteins in advance and refrigerate or freeze them until needed.

6.     Exercise: Remember to maintain a program of exercise that fits your lifestyle.  That is, don’t create an exercise schedule that requires you to give more time than your schedule allows, it will set you up for failure. It should still allow for the normal routine of your life. That is; work, kids, food preparation, recreation, etc.  The amount of time spent exercising will vary from individual to individual, but it will require anywhere between 30-60 minutes three to five times per week.

7.     Honor the food that you eat: When you are ready to eat, do not eat on the go.  Break habits of eating while driving, eating while watching TV, eating while studying, etc.  When you are ready to eat, drink 1-2 glasses of water then sit down, preferably with family and friends and eat your food slowly.  If you are spending less than five minutes eating your food – you are definitely eating too fast.  When you eat food in small bites it takes you longer to consume your food and you will give time for your body to register that food has been added to your system.  The mechanism of satiation (the feeling of being satisfied or full) takes some time to develop after food has been added to your stomach.  To honor and value the food that you eat means making it an event of importance.  It is one that deserves your full attention.

Co- Author, G.D. Castillo M.D.

This blog entry was co-authored by G.D. Castillo, M.D. FACS  Director of Cosmetic Plastic Surgery Clinic and Roxanne Hammond, Skincare and Laser Specialist, Cosmetic Plastic Surgery Clinic

Co – Author, Roxanne Hammond, Cosmetic Plastic Surgery Clinic