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

Friday, May 16th, 2014

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

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

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

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

 G. D. Castillo, MD, FACS

Director of Cosmetic Plastic Surgery

ASK OUR EXPERT: FAT TRANSPLANTATION

Wednesday, April 30th, 2014

 

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

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

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

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

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

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

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

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

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

Director of Cosmetic Plastic Surgery

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

 

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

 

 

Mommy Make-Overs For Empty Nesters

Sunday, May 12th, 2013

 

I had dinner with one of my dearest girlfriends recently.  By the start of our second glass of wine we got right down to the nitty gritty – “L.A.C. of purpose” (Life After Children).  She is now an empty nester and life without her children in her home has been a serious adjustment  as life as she has known it, is now changed forever. She is a bright, beautiful, enthusiastic woman who runs a multimillion dollar company yet she found she is lacking something…a passion or purpose in this new empty nesting stage of her life. She isn’t sure how to fill all of the evening time that used to be absorbed by the kid’s activities and shared that home just doesn’t feel the same.  The idea of focusing on herself is new territory and the process is a slow one. She has been the ultimate caregiving for years. It is what she does, part of her identity.  I have spoken to many of my mom friends who have also been deflated by this life changing event. It is indeed a lot to take in.

As I have one child down and one to go, I am listening to them carefully and taking notes. I’m preparing myself for that same empty nester syndrome as we speak. I have been told that I was a little crazy for about a year before my oldest daughter left me behind to further her education.  As the days rush closer and closer to senior year for my youngest, I can feel a pinch of sadness each morning as I flash her a smile and wish her a good day at school, knowing there are only 191 more opportunities to say that ever. I’m already starting to morn her absence and she hasn’t even left yet!

It seems to me that no matter how we try, moms just can’t emotionally prepare for this event, we just can’t. It just leaves a hole in the middle of our chest. And there is no one who can fill it but us. As little girls we prepare for adult life by pretending to get married on the school playground and spending countless hours mothering our dollies.  But in all those years, I don’t ever remember pretending that the kids actually grew up and left home!  My dolls never got too old to sit on my lap and listen to their favorite bedtime story or too old to be seen being dropped off at the movies by their mommy.  I don’t ever remember walking into the red, white and blue playhouse my dad built for me, pretending to return home from work to be over- come by the sadness my homes new silence brings when the kids aren’t there to greet me… no more banquets or ballgames to rush off to…just a perfectly clean, perfectly silent, perfectly empty, nest.

Being a mom is like a continual series of small demotions until one day when we finally get fired or retired – I’m not really sure which it is…

As a mom you have dedicated your life to attending ballet recitals, baseball games, band concerts, weekend volleyball tournaments, school plays and talent shows (where of course your child was the best, oh wait, no, that was mine  lol).  You have played Pokémon, Barbie’s, and settled fights over who gets to be the RED Power Ranger. You taught your child to ride a bike and master the multiplication tables.  You have watched endless hours of Bugs Bunny, Banana’s In Pajamas, and Boy Meets World.  You know you’ve caught yourself singing Barney songs in the car even when you kids weren’t with you!  You’ve kissed boo boos, dried the tears of a bad haircut and had uncomfortable but necessary sex talks. You’ve cured everything from colds to crushed hearts.  You’ve dragged your entire family’s luggage from one side of the airport to another all because your little princess wanted a Cinnibon. You have thrown school holiday parties, picked out prom dresses and first cars, spent hundreds of hours worrying about facebook, dating, drugs, alcohol, and college degrees.

You have planned carefully to teach them all of the lessons they would need to successfully go out into the world as a responsible, respectful citizen and then at some point they actually have the audacity put those tools work.  They have left your nest.  Now what?

Now what?  That is the question many empty nesters are asking. Well you can spend day after day curled up under the covers of their empty bed looking at photographs from years past or you can decide that it’s finally time to focus on you and find your next adventure in life.

I see this same empty nester syndrome in many of our patients at Cosmetic Plastic Surgery Clinic.  The ones I see are the take charge empty nesters who aren’t sitting back in their rocking chairs though.  They have been through the dark side of empty nesting and came out swinging.  That is the path I hope to take.  They are finding new careers, new passions, new hobbies. They are taking time to eat better, exercise more, and try new things.  They are acknowledging and take care of the issues that bother them and embracing the things they enjoy.

Before

Mommy Make-Overs are gaining significant popularity not only in Dr. Castillo’s practice but world-wide.  According to the American Academy of Cosmetic Surgery, “in 2011, female patients sought to get their pre-baby” form back by requesting 320,000 breast augmentations, 290,000 liposuctions and 144,000 tummy tucks.”  Today, most women would like to remain as youthful as possible.  The body changes that occur during and after pregnancy or during and after menopause can make that near impossible.

“Mommy Make-Overs” aren’t just for new moms. More often, “Mommy Make-Over” procedures are very appealing to women who have recently found themselves to be an empty nester.  In talking with one of our Mommy Make-over patients she shared “For years I’ve dreamed of having my body back.  Now that my kids

After

are gone, I finally have time to focus of me.“

Being a mom, though irreplaceably rewarding, is also the most demanding job you will have. It takes a toll on both your body and your spirit.  Too many nights sitting up polishing off the last of the Ben & Jerry’s while waiting for your new driver to arrive home safely has earned you a thick mid-section to match the already present muffin top, sagging skin and weak abdominal muscles you earned with the birthing of your children. You have lived far too long with elongated, deflated sacks that you used to recognize as breasts before breast feeding your little darlings.

It seems like society has placed mothers in a role that is much like a super-hero of sorts.  More than in years past, today’s moms are BUSY! We do it all! We are educated, over-scheduled, over-worked, under-rested creatures who find time to affectionately care for everyone but ourselves. I often here from mommy make-over candidates that they have been bothered by the appearance of their post-pregnancy breasts and body for years but just never had the time or left over energy to do something about it while they were still raising children.

Samuel Ullman once said “Years may wrinkle the skin, but to give up on enthusiasm wrinkles the soul.   So this Mother’s Day wish for all the empty-nest mommy’s out there is to take this opportunity to give yourself a mommy makeover, whatever that may be to you.  You have done your job.  You have introduced kind, successful, respectful citizens into society.  Take a breath, pat yourself on the back.  Now focus on you! Make a list of things you’ve always wanted to do and get started!  Discover new books, old passions, take better care of your health and your skin, take an adventure with a good friend, or maybe even get your body back with a Mommy Make-Over by Dr. Castillo.  You have certainly earned it!  With any luck you will re-discover yourself and your adult children will discover that their confident, interesting, evolving mom is someone they really enjoy spending time with.

Congratulations on a job well-done ladies!

Happy Mother’s Day!

Roxanne

Skincare & Laser Specialist

Cosmetic Plastic Surgery

 

 

 

Wrinkley, Crinkley Cleavage

Wednesday, December 26th, 2012

Wrinkley, Crinkley Cleavage

Have you have had that shocking moment where you stumble out of bed, make your way toward the shower, pass the mirror, catch a peek on the way and see…what…rub your eyes to get a more clear view, fumble for your spectacles, say a quick prayer, and head back for another look in the mirror… “what?  How can that be??? Chest wrinkles?  Chest wrinkles!  Really!  Oh come on, you’ve got to be kidding me.  This is not the best way to start a day.”

Score: Mirror – 1, Self-Esteem – 0.

Even those of us who have the greatest capability for denial somewhere down deep recognize that someday, far, far away of course, but some day, we will develop a few lines or wrinkles on our face…but on our chests??  Is this some kind of cruel joke?  “Is this nature’s way of punishing me for that time I didn’t return the shopping cart to the cart coral at Target because it was raining and I didn’t want my hair to turn into a frizz ball?”   Rest assured (though I know this is no real comfort) at some point most of us have a moment, maybe not a chest moment, but a moment where some part of the aging process knocks us off our feet for a bit.

The good news is science is prepared to re-inflate the bubble that nature just popped.  Bless the brilliant men and women who have dedicated their lives to creating and improving laser technology. There should be a holiday, maybe even two, named after them don’t you think?

Bride-to-be gets Co2 Micro-Fractional Laser Resurfacing to remove chest lines, brown spots and skin laxity before her big day!

The other good news is you are not sentenced to a life of hiding your wrinkled cleavage.  There are a few ways to correct the damaged skin of your chest.

1. Most importantly, PROTECT your chest from UV radiation.  Use a medical-grade, broad-spectrum, physical sunscreen that contains Zinc Oxide, Titanium Dioxide or both every day of the year. I recommend a sunscreen called Sun Defense by Castillo MD Skin Science.  It offers effective sun protection consisting of a 12% Zinc Oxide and 7.5% Octinoxate for both our cosmetic surgery and skin rejuvenation patients.

2.  Stay away from tanning beds, period.  They are the enemy!  UVA rays kill elastic fibers and will only create more damage to your skin.  Tan skin IS damaged skin.  Damaged skin will result in wrinkles eventually.

3. Use UV protective clothing and a wide brimmed hat to provide additional protection.

4. Talk with a board-certified cosmetic surgeon who has extensive experience with CO2 Micro-Fractional Laser Resurfacing on the chest.  (Just a side note: Dr. Castillo was one of the first Cosmetic Surgeons in the Mid-West to offer this procedure.)  Micro-Fractional Laser Resurfacing will decrease the lines of your chest (décolletage) while building collagen and tightening the treated skin.  It will also make a significant improvement to the texture of your skin and decrease or remove your brown spots and discoloration. In some cases more than one treatment may be necessary due to the delicate state of the chest skin.

5. Medical Grade skincare products – There are effective medical grades skincare products created to specifically treat the chest area.  These products will not solve your problem alone but work well to support and prolong the effects of CO2 Micro-Fractional Laser Resurfacing on the chest.

Yours Truly,

 

Laser Specialist at Cosmetic Plastisc Surgery in Illinois was one of the first to use a successful protocal with CO2 Micro-Fractional Laser Resurfacing for necks in the midwest.

Anti-Aging With Grace…

Roxanne Grace 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

 

 

The Artist Vision of Liposculting

Monday, September 10th, 2012

If you are considering liposculpture, then you are likely wondering how to select your surgeon.  Among the most important of attributes of a skilled cosmetic plastic surgeon is the understanding of the human form and what makes it beautiful.  Many plastic surgeons possess the medical training and ability to perform liposculpture, while a smaller number possess the artistic vision it takes to sculpt.   The process of removing fat may be straight-forward, but sculpting the body is not.  Dr. Castillo https://www.cosmeticplasticsurgery.com/  recognizes that it isn’t how much fat he removes that determines superior results, but rather it is how much fat he leaves behind.

Liposculpting is just that.  “Sculpting”.  It is having the vision to look at a pair of love handles and know just what to take and just what to leave behind to sculpt the sensual lines and curves from the low back over the buttocks that our patient so desires.

 

Superior liposculpture https://www.cosmeticplasticsurgery.com/cosmetic-surgery/liposuction.cfm results is obtained when your surgeon has gained the medical training, experience and has cultivated the artist vision that is mandatory. It is more than a medical procedure.  It is an art form.  Understanding the beauty of the human body is part of the training that makes an exceptional cosmetic surgeon.

Have you ever thought of liposculpture as an art form?  This is an important consideration when searching for the right cosmetic plastic surgeon. Did yo know that Dr. Castillo is the Past-President of the American Academy of Liposuction surgery?  If you would like more information on how Dr. Castillo can help transform your body into the body of your dreams, call Cosmetic Plastic Surgery Clinic at 217-359-7508 with locations in both Champaign-Urbana and Bloomington, Illinois.

Roxanne Hammond, 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