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ASK OUR EXPERT:How do I choose the implant size that is right for me?

Thursday, July 30th, 2009

Q:  I am considering breast augmentation. How do I know which size implant I should chose?

A:  Making the decision about breast size is a very personal decision. If you have not already had a consultation with a reputable cosmetic plastic surgeon, I recommend that you talk with one. Your surgeon and his staff should be able to answer many of your questions about implants and sizes. They should be able to talk with you more about how to select the right sizing with your particular body shape while keeping your goals in mind. Here are 3 options that can help you make a visual decision about sizing.
OPTION #1:
The majority of surgeons use “the baggie of rice method,” although Dr. Castillo offers a much more realistic option for his patients in both the Savoy (Champaign – Urbana) and Bloomington offices. To utilize the at home baggie of rice method, you can put rice, oatmeal, or birdseed in a sandwich baggie. Do not use a zip lock baggie as they are too firm. (1 ? cups = 10 ounces or 1 ? cups = 12 ounces…) Most breast augmentations utilize between 9 – 14 ounces for each breast (270cc – 420cc per breast). You should probably start with 10 ounces then adjust as you prefer. Select a bra for the size you want to be. Put the filled baggies inside the unpadded bra. Once you find the size baggie you are comfortable with, you may want to wear it for a few hours, with different shirts, do some normal daily activities…this will help you decide if the size is truly comfortable.
OPTION #2:
In both our Savoy and Bloomington offices, Dr. Castillo provides the option of trying on professional sizer implants in the office. This option by far offers the most natural, realistic visual comparison.  We have a variety of sizes so that our patients can get a good idea of what their results will look like.
At the time of the consultation, we give the patient an unpadded bra. The patient can also bring one if she knows about what size she would like to be. I suggest that our patients bring 2 different style tops; one form-fitting, one loose fitting. This gives our patients a great feel for how each size can change their body appearance. Of course our specially training staff is available to personally assist each patient and answer any questions they may have. Our patients love this option.  I think they feel much more confident in their decision.
OPTION #3: NEW
Allergan, the makers of Natrelle Breast Implants, Botox, Juvederm and Latisse, just started offering an exclusive kit for women who are considering breast implants. You can order this kit for $45.00 on-line by going to Natrelle.com. The kit includes four sample implants (275cc, 325 cc, 375 cc, & a 425 cc), a bra and an educational DVD and booklet, plus a total of $170.00 in rebates! The rebates include:

A:  Making the decision about breast size is a very personal decision. If you have not already had a consultation with a reputable cosmetic plastic surgeon, I recommend that you talk with one. Your surgeon and his staff should be able to answer many of your questions about implants and sizes. They should be able to talk with you more about how to select the right sizing with your particular body shape while keeping your goals in mind. Here are 3 options that can help you make a visual decision about sizing.

OPTION #1:
The majority of surgeons use “the baggie of rice method,” although Dr. Castillo offers a much more realistic option for his patients in both the Savoy (Champaign – Urbana) and Bloomington offices. To utilize the at home baggie of rice method, you can put rice, oatmeal, or birdseed in a sandwich baggie. Do not use a zip lock baggie as they are too firm. (1 1/4 cups = 10 ounces or 1 1/2 cups = 12 ounces…) Most breast augmentations utilize between 9 – 14 ounces for each breast (270cc – 420cc per breast). You should probably start with 10 ounces then adjust as you prefer. Select a bra for the size you want to be. Put the filled baggies inside the unpadded bra. Once you find the size baggie you are comfortable with, you may want to wear it for a few hours, with different shirts, do some normal daily activities…this will help you decide if the size is truly comfortable.

OPTION #2:
In both our Savoy and Bloomington offices, Dr. Castillo provides the option of trying on professional sizer implants in the office. This option by far offers the most natural, realistic visual comparison.  We have a variety of sizes so that our patients can get a good idea of what their results will look like.

At the time of the consultation, we give the patient an unpadded bra. The patient can also bring one if she knows about what size she would like to be. I suggest that our patients bring 2 different style tops; one form-fitting, one loose fitting. This gives our patients a great feel for how each size can change their body appearance. Of course our specially training staff is available to personally assist each patient and answer any questions they may have. Our patients love this option.  I think they feel much more confident in their decision.

OPTION #3: NEW
Allergan, the makers of Natrelle Breast Implants, Botox, Juvederm and Latisse, just started offering an exclusive kit for women who are considering breast implants. You can order this kit for $45.00 on-line by going to Natrelle.com. The kit includes four sample implants (275cc, 325 cc, 375 cc, & a 425 cc), a bra and an educational DVD and booklet, plus a total of $170.00 in rebates! The rebates include:

  • $50.00 off your breast implants
  • $50.00 off your next Botox injection
  • $50.00 off your next Juvederm dermal filler
  • $20.00 off Latisse (for longer, thicker lashes)

I have viewed the DVD. I think it would be helpful for anyone who is considering breast implants. The DVD introduces you to a patient who has Natrelle breast implants as she shares her experience with her daughter who is now considering breast enhancement. You will view some before and after photos of breast augmentation. More importantly, the DVD takes you through a consultation so you know what to expect. I think this kit will be helpful in preparing you to ask the right questions when you are talking with your surgeon.

I would recommend using your own unpadded bra with the sample implants. The sample implants from this kit allow you to try them on with different pieces of clothing in the privacy of your own home. This will help you get a good idea of what size implants you will be comfortable with. In my opinion, they do not give near the realistic visual as the professional implants that we have in the office. The implant samples from the kit do not provide as smooth or realistic shape as our profession implant provide.  Therefore, even if you purchase the kit, I would still recommend taking advantage of the profession sizer fitting at our office.

If you are interested in getting further information on breast augmentation (breast enhancement) options, call our office to schedule a consultation with G.D. Castillo, M.D. at 217-359-7507 for the Savoy location (Champaign-Urbana area) or 309-662-0436 for the Bloomington, IL location.

https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm

https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=10

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

ASK OUR EXPERT: Maintaining beautiful skin

Thursday, July 23rd, 2009

Q: Lately, friends have made comments about me looking tired. They are right, I do look tired. My skin just looks dull. I am starting to develop lines and brown spots! I even seem to have extra “baggage” around my jaw line. I am only 43 years old! How can that be? I am very a bubbly, energetic decorator / designer who sleeps and eats well. I haven’t really worried about skincare in the past because my skin has always looked great. How can I avoid looking older than I am and definitely older than I feel? Is it too early to start using anti-aging products and treatments?

A: I think the key to longevity is early maintenance. You mentioned you are a decorator, so bear with me as I “attempt” to speak your language…
Think of your skin as a home. Your home can be a beautiful older home or it can be an old home. The difference between a beautiful older home and an old home is maintenance. A well maintained home that is freshly painted and properly cared for with necessary maintenance becomes a beautiful older home.  Otherwise, if we neglect our home, the only thing we’ll have is an old home. We must do those necessary repairs as they are needed, or one day you may wake up to find out that your once beautiful home is worn down and no longer reflects who you are anymore. By this point, it may need to be completely remodeled before you feel at home in it again (surgery).
There are three things that you absolutely need to do to your skin to maintain it.

A: I think the key to longevity is early maintenance. You mentioned you are a decorator, so bear with me as I “attempt” to speak your language…

Think of your skin as a home. Your home can be a beautiful older home or it can just be an old home. The difference between a beautiful older home and an old home is maintenance. A well maintained home that is freshly painted and properly cared for with necessary maintenance becomes a beautiful older home. Otherwise, if we neglect our home, the only thing we’ll have is an old home. We must do those necessary repairs as they are needed, or one day you may wake up to find out that your once beautiful home is worn down and no longer reflects who you are anymore. By this point, it may need to be completely remodeled before you feel at home in it again (surgery).

There are three things that you absolutely need to do to your skin to maintain it.

  1. Daily (that’s 365) use of UVA / UVB sunscreen with SPF 45 or higher.
  2. Continued exfoliation (retinol, Retin-A, glycolic acid, microdermabrasion, chemical peels…)
  3. The proper use of moisturizers.

The best way to avoid looking older is to protect your skin 365 days of the year. Many patient’s have said “Roxanne, if I only use one skincare product on my skin, what would you recommend?”  I can assure you my answer is always the same – “UVA / UVB broad- spectrum SUNSCREEN.”  All other anti-aging skincare products are pointless if you are not using sun protection.  I would recommend that you refer back to two earlier blog posting’s (if you haven’t already).

Medical-grade skincare products are the best way to properly moisturize and maintain the skin. These products are dispensed only by a physician. They are not available over-the-counter because they are generally of a much higher concentration. A daily medical-grade skincare program will help maintain results from skin treatments and reverse signs of aging.

There are some simple, effective, in-office treatment options for early maintenance. Medical microdermabrasion, laser treatments, chemical peels, or intense pulsed light photo facials can help to restore a youthful appearance. You might be surprised how much younger one can look by just evening out the skin tone, removing brown spots and keeping the skin well hydrated. CO2 CO2 Micro-Fractional Laser ResurfacingMicro-Fractional Laser Resurfacing can more aggressively reduce lines and brown spots, build new collagen and improve skin texture and laxity. Using a combination of both in-office skin treatments and a medical-grade home skincare program will give you the best results in early skin restoration.

Roxanne, Cosmetic Plastic Surgery Clinic

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  217-3508 Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
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800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington


or 309-662-0436

ASK OUR EXPERT: How to choose effective skincare products

Wednesday, July 15th, 2009

Q: I have a drawer full of lotions and creams that don’t work. There are so many skincare products out there.  How I know which skin care products work and which ones do not?

A: Well, first of all, you are on the right track. Maintaining youthful, healthy looking skin does require an effective home-care routine. With the abundance of the over-the-counter and infomercial skin care products available today, I understand how confusing and frustrating it can be to choose effective skincare products without wasting your time and your money.
My first recommendation:
Consult a reputable doctor who specializes in facial aging such as a cosmetic or facial plastic surgeon. Remember, just because “M.D.” appears behind their name, it does not make them an expert in every field of medicine. Technology is always changing, so it’s important to consult with someone who is up to date on those changes. Many times cosmetic or facial plastic surgeons will have a Medical Skincare Specialist on staff, such as myself.
My job is to take the guess work out of the equation. Most often, patients come to the consultation, very frustrated. They just want to look their best. But they feel like they have wasted a lot of time and money experimenting with different products, just trying to narrow down what works and what doesn’t.
During a skincare consultation at Cosmetic Plastic Surgery Skin Restoration and Laser Institute, we listen to the patient’s skin concerns and their goals. Then we talk about the options they may have.  During this time you get lots of great, FREE information to help them understand what ages the skin, how to avoid it, and works for their particular skin issues. They get a better understanding of what each product does and how to best maintain results. We de-bunk many of the media driven myths that are out there and answer any questions the patient may have. I would also recommend that you do not relay on magazines, talk shows, or infomercials as much of that information is misleading.
My second recommendation:
Use only products have SCIENTIFICALLY PROVEN clinical data to support their effectiveness. When is the last time you seen an infomercial offer a non-affiliated, SCIENTIFIC CLINICAL STUDY for their latest, greatest “miracle in a jar?”  Ummm, never! So, I guess we shouldn’t be surprised when it doesn’t work right?
I cannot stress enough the difference that a medical grade skincare program can make in the way your skin looks, acts and feels for the same cost as you would pay at the mall. The main differences between over–the-counter-skincare and medical-grade skincare are strength and effectiveness.  Medical-grade skincare is typically formulated at a much higher strength, as it is used under the care of a physician. Medical-grade skincare is tested in a blind or double-blind clinical study to prove its effectiveness. Over-the-counter skincare is not. Therefore you do not know if you are really getting what you are paying for. Unlike over-the-counter skincare, medical-grade skincare must be FDA-approved. The ingredients are listed in order of quantity as well.
I guess what I am saying is that you do not need a drawer full of skincare products to get the results you want. You just need the right products and the scientific-based knowledge to know the difference.
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

A: Well, first of all, you are on the right track. Maintaining youthful, healthy looking skin does require an effective home-care routine. With the abundance of the over-the-counter and infomercial skin care products available today, I understand how confusing and frustrating it can be to choose effective skincare products without wasting your time and your money.

My first recommendation:

Consult a reputable doctor who specializes in facial aging such as a cosmetic or facial plastic surgeon. Remember, just because “M.D.” appears behind their name, it does not make them an expert in every field of medicine. Technology is always changing, so it’s important to consult with someone who is up to date on those changes. Many times cosmetic or facial plastic surgeons will have a Medical Skincare Specialist on staff, such as myself.

My job is to take the guess work out of the equation. Most often, patients come to the consultation, very frustrated. They just want to look their best. But they feel like they have wasted a lot of time and money experimenting with different products, just trying to narrow down what works and what doesn’t.

During a skincare consultation at Cosmetic Plastic Surgery Skin Restoration and Laser Institute, we listen to the patient’s skin concerns and their goals. Then we talk about the options they may have.  During this time you get lots of great, FREE information to help them understand what ages the skin, how to avoid it, and works for their particular skin issues. They get a better understanding of what each product does and how to best maintain results. We de-bunk many of the media driven myths that are out there and answer any questions the patient may have. I would also recommend that you do not relay on magazines, talk shows, or infomercials as much of that information is misleading.

My second recommendation:

Use only products have SCIENTIFICALLY PROVEN clinical data to support their effectiveness. When is the last time you seen an infomercial offer a non-affiliated, SCIENTIFIC CLINICAL STUDY for their latest, greatest “miracle in a jar?”  Ummm, never! So, I guess we shouldn’t be surprised when it doesn’t work right?

I cannot stress enough the difference that a medical grade skincare program can make in the way your skin looks, acts and feels for the same cost as you would pay at the mall. The main differences between over–the-counter-skincare and medical-grade skincare are strength and effectiveness.  Medical-grade skincare is typically formulated at a much higher strength, as it is used under the care of a physician. Medical-grade skincare is tested in a blind or double-blind clinical study to prove its effectiveness. Over-the-counter skincare is not. Therefore you do not know if you are really getting what you are paying for. Unlike over-the-counter skincare, medical-grade skincare must be FDA-approved. The ingredients are listed in order of quantity as well.

I guess what I am saying is that you do not need a drawer full of skincare products to get the results you want. You just need the right products and the scientific-based knowledge to know the difference.  Dr. Castillo offers free skincare consultations with me. During this consultation you will receive valuable skincare information to help determine the best options for your skin.  If you would like to take advantage of this offer, just all our Savoy (Champaign-Urbana Il.) office 217-359-7508 or our Bloomington office at 309-622-0436 to schedule at appointment.

Roxanne, Skincare and Laser Specialist

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