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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

Ask Our Expert: Liposuction Vs. Liposculpture

Thursday, August 25th, 2011

 

Q: What is the difference between liposuction and liposculpture?

A: Though both of these cosmetic surgeries are used for body contouring. Liposuction is a two dimensional cosmetic surgery, while liposculpture is a three dimensional cosmetic surgery. Liposuction and liposculpture can be used to contour any body shape, though we use it primarily for body contouring in individuals who are reasonably fit but have some problem areas.  Removal of fat in specific areas such as the love-handles, waist, thighs, back or arms allows the patient to feel more proportionate and confident in and out of their clothing. 

Liposuction can also be used as a volume reduction tool.  We are able to remove up to two gallons of fat during this procedure.  The results of this procedure create an over-all slimmer, more proportionate body shape in an otherwise full-figured individual. 

At Cosmetic Plastic Surgery Clinic in Savoy, G.D. Castillo, M.D. FACS performs liposuction or liposculpture https://www.cosmeticplasticsurgery.com/cosmetic-surgery/liposuction.cfm on both men and women from late teens to seniors. In most instances, patients are back to work in four to five days. https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=5

Did you know that Dr. Castillo is the Past-President of the American Society of Liposuction Surgery?  He is very proud of honor as he was nominated by his peers (other surgeons) across the nation to represent, lead and teach within the prestigious American Society of Liposuction Surgery. 

Roxanne, Cosmetic Plastic Surgery Skin Rejuvenation and Laser Institute

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)
309-662-0436 Bloomington

Ask Our Expert: Liposcpture/Liposuction

Tuesday, August 9th, 2011

Topic: Liposculpture / Liposuction

Q: Why does Dr. Castillo still recommend liposculpture over newer treatments like Smart Lipo?

A: At Cosmetic Plastic Surgery Clinic, Dr. Castillo investigated newer fat reduction treatments Smart Lipo, Ultrasonic Lipo and others you may have read about.  The simple truth is that we want the very best outcome for our patients.  We have chosen to stay with traditional tumescent liposculpture because it’s the only one that can be used for contouring in 3600, also known as tri-dimensional body sculpting.  Traditional liposculpture offers consistent, predictable, superior results.  Today there is simply no substitute for tumescent liposculpture for accurate results, speedy recovery, lack complications, and it is affordable.

Sometimes newer trends are not as effective.  They are just well marketed.  At this time, the newer fat reduction procedures DO NOT offer ANY advantages to our patients.  They only decrease safety and increase cost, two things we are not willing to compromise on just to keep up with the latest marketing fad.

Roxanne Hammond

Skin Care & Laser Specialist for Cosmetic Plastic Surgery

Roxanne Hammond, RMA, Skin Care & Laser Specialist for Cosmetic Plastic Surgery, Skin Rejuvenation & Laser Institute

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)

309-662-0436 Bloomington

https://www.cosmeticplasticsurgery.com/cosmetic-surgery/liposuction.cfm

Ask Our Expert – Stress Acne

Tuesday, August 9th, 2011

Ask Our Expert:  Social Acne

Q: The only time I seem to get acne is just before an important social event.  Could this really be happening or is it just my imagination?  Is there something I can do to prevent these embarrassing breakouts?

A:  The stress generated from preparing for a social event and wanting to look your best can have a large effect on your skin.  Increased stress can actually have a physical effect on your skin because stress increases the production of cortisol.  Cortisol is a stress hormone that can boost oil production.  Dead skin cells are then pulled into your pores causing acne to form. When your oil glands quickly become over-active, it can not only cause those embarrassing breakouts that you are referring to but often leaves skin looking dull and lifeless.

I would recommend scheduling an appointment at Cosmetic Plastic Surgery Clinic about a 7 – 10 before your next stressful event for a Vitalize Peel. For your convenience, Dr. Castillo offers this treatment at both his Savoy (Champaign – Urbana) and Bloomington locations.  The Vitalize Peel will eliminate much of the dead skin cells before they can be pulled down into pores when you experience that stress-hormone release. It will also leave your skin radiant and refreshed for your big event.  During this appointment we can also talk about  designing a medical grade skincare program around these issues.

Roxanne, Cosmetic Plastic Surgery

 

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)  309-662-0436 Bloomington

Ask Our Experts! Topic – Liposculpture/Liposuction

Wednesday, August 3rd, 2011

Q: Why does Dr. Castillo still recommend liposculpture over newer treatments like Smart Lipo?

A: At Cosmetic Plastic Surgery Clinic, Dr. Castillo investigated newer fat reduction treatments such as Smart Lipo, Ultrasonic Lipo and others you may have read about.  The simple truth is that we want the very best outcome for our patients.  We have chosen to stay with traditional tumescent liposculpture because it’s the only one that can be used for contouring in 3600, also known as tri-dimensional body sculpting.  Traditional liposculpture offers consistent, predictable, superior results.  Today there is simply no substitute for tumescent liposculpture for accurate results, speedy recovery, lack complications, and it is affordable.

Sometimes newer trends are not as effective. They are just well marketed.  At this time, the newer fat reduction procedures DO NOT offer ANY advantages to our patients.  They only decrease safety and increase cost, two things we are not willing to compromise on just to keep up with the latest marketing fad.

If you have any questions regarding this topic or in general, please don’t hesitate to contact us at any of the links below.

https://www.cosmeticplasticsurgery.com/contact.cfm

https://www.cosmeticplasticsurgery.com/cosmetic-surgery/liposuction.cfm

Roxanne Hammond

Skin Care & Laser Specialist for Cosmetic Plastic Surgery

Roxanne Hammond, RMA

Skin Care & Laser Specialist for

Cosmetic Plastic Surgery, Skin

Rejuvenation & Laser Institute

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)

309-662-0436 Bloomington

Ask Our Expert – Mastopexy (Breast Lift)

Thursday, April 14th, 2011

POPULAR BREAST LIFT (MASTOPEXY) QUESTIONS:

1.     Where are the scars after a breast lift? Will I be able to wear bikinis and low v-neck tops or dresses after a Mastopexy? Yes.  The scars following a breast lift are located around the areolar complex and in the lower portion of the breast where they will be hidden by your swim suit or clothing.  Dr. Castillo’s patients also find that because of the higher position of the breast following a breast lift, they are able to wear many clothing options that they were unable to wear prior to the surgery.

2.     At what age can a Mastopexy be performed?

A Mastopexy can be performed at any time after the breasts are fully developed.

Typically, Dr. Castillo performs a Mastopexy to correct sagging breasts which usually does not occur before the mid-thirties. It is at this age that the breast tissues can begin to suffer the natural consequences of gravity.   However, many times after pregnancy and breast feeding, the breast becomes less firm and tends to sags, in which a breast lift may be needed much earlier in life.

3. Can I breast feed a baby after having a breast lift? 

Yes.  The normal breast channels carrying the product of milk glands are undisturbed by this procedure and lactation should not be a problem following this procedure.

4.     Will my breasts feel natural after a breast lift?

Yes. At Cosmetic Plastic Surgery Clinic, G.D. Castillo, M.D. utilizes Mastopexy procedures to repositions the breast.  It does not change the consistency and / or feel of the breast tissue.

5. Will a breast lift make me look like I have breast implants?

No.  Although during the first few weeks of healing, your breasts may appear  more full on top, much like the look created by breast augmentation. This top fullness will resolve itself once the breast tissue relaxes.

6. Can Dr. Castillo decrease the size of my areolas at the time of a breast lift? 

Yes.

7.     Does a Mastopexy require hospitalization after the procedure?

No.  All of our cosmetic surgeries, including Mastopexies, are performed in our on site surgical facility in Savoy, Illinois.  You will recover for approximately 1 1/2 hours after your surgery, and then you will be released to recover in the comforts of your own home without being exposed to many of the illnesses that one might be exposed to in a hospital. At Cosmetic Plastic Surgery Clinic, we are performing surgery only on healthy patients.

To view before/after photographs of the mastopexy procedure, please utilize the web address below to navigate to our photo gallery.

https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=12

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)
309-662-0436 Bloomington

Insurance Coverage – Is It A Possibility?

Wednesday, October 14th, 2009

Q:  Will my insurance cover this procedure?

A: While many procedures performed by G.D. Castillo, M.D. at Cosmetic Plastic Surgery Clinnic are solely cosmetic in nature, there are a number of procedures that may qualify for insurance coverage. For example, rhinoplasty or a “crooked nose deformity” may qualify for insurance coverage if it is performed to repair a deviated septum that is causing a blockage in the nasal passage for the patient.  Another procedure that may qualify is breast reduction if the patient is experiencing symptoms caused by the weight of the breasts, like back, neck or breast pain, difficulty with exercise, or interference with work duties. Upper blepharoplasty (eyelid surgery) may qualify for benefits if drooping skin is obscuring a patient’s vision.

The most important question for insurance companies is medical necessity – is there a medical reason for having this procedure, or is it solely being performed for aesthetic reasons?

Regardless of policy terminology, the insurance company Utilization Review Department’s determination of benefits will both begin and end on this basic question as defined by their own criteria.

Medical necessity often begins with proof that conservative medical treatment has been tried prior to a surgical recommendation and has not alleviated the problem.  With so many over-the-counter options available to the consumer today, many people are not reporting their symptoms and the frequency of their symptoms to their physician.  This lack of documentation can delay insurance eligibility since the background information as to conservative treatment is not documented within the patient record.  This is just one reason why it is important that patients communicate with their physician as to frequency of symptoms and response to the recommended treatment, including any over-the-counter remedies that the patient may be using.

As one example, a woman with large pendulous breasts may ask for a prescription or referral from her physician to have a bra constructed to help support the weight of her breasts to help alleviate her discomfort.  She should report any rashes or break down of her skin that may be caused by the size of her breasts as well as reporting the results of remedies she is utilizing, regardless if she is using a prescription medication or an over-the-counter product.  She should report any back or neck discomfort and be checked for postural difficulties and shoulder strapping (grooves or indentations in the shoulders caused by the weight of the breasts supported by bra straps).

If you believe that you have a condition that would be helped by a procedure that may qualify as medically necessary, you can call your insurance company’s benefit department and ask them to inform you of the coverage available in your specific policy, and further, to send you, in writing, their exact criteria for determining medical necessity for that procedure.  I’ve seen cases over the last 14 years where a few months of well-documented, failed conservative treatment has made the difference in obtaining insurance benefits for permanent surgical relief.

A consultation with Dr. Castillo at Cosmetic Plastic Surgery may be all that’s necessary to determine if insurance reimbursement is a possibility.  These consultations are available in both our Savoy and Bloomington, Illinois offices.

It’s well worth the effort!

Ask Our Expert: Rosacea

Wednesday, August 12th, 2009

Q: I have had Rosacea for several years. It seems to be getting worse. It has become embarrassing during social situations. I have tried a few creams recommended by my doctor. I didn’t see much improvement.  Can you recommend other options to try?

A:  Rosacea can be difficult to live with and tricky to treat. There is no cure for Rosacea. We can only treat the symptoms to make it easier to control. It generally requires more than one type of treatment to combat the symptoms. There are still many medical unknowns related to Rosacea. However, over the past few years, we have gained a much better understanding of how to reduce the symptoms of Rosacea.
My first recommendation is that you keep a journal for awhile to help you indentify the things that trigger your Rosacea symptoms. Once identified, try to reduce the exposure you have to your triggers.
Some triggers may include (but are not limited to) the following:

A:  Rosacea can be difficult to live with and tricky to treat. There is no cure for Rosacea. We can only treat the symptoms to make it easier to control. It generally requires more than one type of treatment to combat the symptoms. There are still many medical unknowns related to Rosacea. However, over the past few years, we have gained a much better understanding of how to reduce the symptoms of Rosacea.

My first recommendation is that you keep a journal for awhile to help you indentify the things that trigger your Rosacea symptoms. Once identified, try to reduce the exposure you have to your triggers.

Some triggers may include (but are not limited to) the following:

  1. Sun or wind exposure
  2. Cold or hot temperatures
  3. Spicy foods
  4. Alcohol consumption
  5. Stress
  6. Hot drinks

The proper treatment selection will depend on the symptoms you are experiencing.  Papules or pustules are often treated with antibiotics such as erythromycin or tetracycline.  Topical treatments (medicated creams…) can also be used in conjunction with oral medications. The topical treatments can also be used to reduce the burning sensation that is sometimes related to Rosacea.  Redness may be reduced over time as well.  If papules or pustules are present, low-concentration medical-grade glycolic acid peels may also be used in conjunction with the above mentioned treatments. This will help to thin the most outer layer of skin which may help to resolve some of the eruptions and can also encourage better penetration of the topical medications being used.

Telangiectacia (superficial broken vessels) is a universal component of Rosacea. It will not respond to the above treatments.   A uniform treatment of  light-therapy (Intense Pulsed light or laser) will improve telangiectacia and redness.  Not all Intense Pulsed Light, laser systems or operators are equal.  010It is important to select an expert to plan your treatment program.  Remember experience is the key to getting the results you want. Expect to have a series of light treatments, approximately 3-6 treatments about three weeks apart. Once the series is completed, the redness and telangiectacia should be much improved. Over time, it is likely that “touch –up” treatments will be needed to keep it under control.

I have not been that impressed with topical agents for redness in the past.  However, about 1 – 1-1/2 years ago, we began using a new medical grade Rosacea cream.  Within a few weeks our patients were reporting that they could see a reduction in facial redness. Our patients come back to the office to purchase more of this product BEFORE they run out of it.  That tells me they are continuing to have long term success with this product. This product is an excellent choice for post light therapy maintenance.

A  medical grade Rosacea skincare program designed by an expert may also give you additioLush Simplicity Kitnal relief.  Specific products can give much needed soothing, gentle exfoliation, hydration, and sun protection. Keep in mind that while exfoliation is still important, you should choose methods that do not include using abrasives or scrubs on your skin. I like the Retexturing Complex by Castillo Md Skin Science.  It give effective, yet gentle, granule-free, exfoliation with anti-inflammatories, soothers and hydrators all in one product.

Camouflage can also be an option.  Dr. Castillo carries medical-grade camouflage and mineral cosmetics in both the Savoy (Champaign-Urbana area) and the Bloomington offices.  You can schedule a camouflage appointment with me, Dr. Castillo’s skincare and laser specialist at no charge.  I do not recommend camouflage if you are having active difficulty with acne-like lesions.

Controlling Rosacea requires persistently protecting your skin from sun exposure.  Using UVA / UVB broad-spectrum sunscreen 365 days per year is of great importance.  I would suggest a medical grade physical sun block containing high percentages of Titanium Dioxide or Zinc Oxide.  Wear sun glasses and a wide-brim UV protected sun hat when you are outside for additional protection.

 

Roxanne, Skincare and Laser Specialist

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

Join us on Facebook! http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

This question was answered by Roxanne, Medical Skincare and Laser Specialist at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Please contact us for additional information at 217-359-7508 or 309-662-0436