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Spot Reduction by Liposuction

Wednesday, September 7th, 2011

G.D. Castillo, M.D.  has been sculpting bodies into a more proportionate form in his Cosmetic Plastic Surgery practice since 1983, through liposuction or liposculpture.  While maintaining a good diet and a realistic exercise routine is vital to looking good and maintaining a healthy body, there is no such thing as “spot reduction” thru diet or exercise.  This fact often causes an otherwise reasonable active individual to struggle with their body image and their inability to self-correct those problem areas.  Often patient’s maintain abnormally low weight in attempt to reduce their body bulges.  When that doesn’t work, it is often interpreted as a failure and many find it difficult to remain dedicated to their exercise routine and healthy eating habits.

Liposculpture or Liposuction is used to reduce volume and re-contour specific areas of the body by suctioning out the fat that over-collects in certain areas, disrupting the inherent, sensuous flow of the human body.   Through the use of Liposculpture, Dr. Castillo is able create a feminine contour from the hips to the buttock that would boost any women’s confidence. He is able to create a smooth, naturally flowing contour of the body that restores self-pride for both our male and female our patients.

After liposuction, patient’s often become re-invested in making healthy food choices and staying consistent in their exercise program because liposuction has given them the encouragement they needed to continue on a path of healthy living.  After reducing the problem areas, patients can finally see that their hard work truly is paying off every time they look in the mirror.

While liposuction is often used for volume reduction, the best candidates for liposuction are those who are reasonable fit but have some problem areas though it can also be used for volume reduction.  Liposuction can be used to “spot reduce” nearly any area of the body.  It can also be used in conjunction with other cosmetic plastic surgery procedures to enhance the results.  For instance, it can be used during a facelift for a patient who carries extra weight in his or her face, or to reduce a double chin or jowls during a mini-facelift.  In some cases liposuction is used in combination with an abdominoplasty or tummy tuck. It can be used to reduce arm fat during a Brachioplasty or arm lift.

Imagine being a woman who feels compelled to wear long skirts or pants in the heat of summer because she is too embarrassed to expose her thighs. Imagine the frustration that comes with realizing that no matter how thin and fit you are your thighs or hips will always be larger or disproportionate to the rest of your body.  Consider how frustrating it must be for a male who eats consciously and exercises but cannot decrease the bulk of his breasts or his love handles through those means. For patients like these, Liposuction or Liposculpture can make a tremendous improvement in their quality of life.

Dr. Castillo is compassionate toward the struggles that individuals go through, and he is passionate about helping them reach their goals. As the Past-President of The American Society of Liposuction Surgery and the Past-President of the American Academy of Cosmetic Surgery, Dr. Castillo continues to be an influential leader in liposuction surgery.   If you would like more information on Liposuction or Liposculpture, call Cosmetic Plastic Surgery Clinic in Savoy (Champaign – Urbana area) at 217-359-7508 or Cosmetic Plastic Surgery Clinic in Bloomington at 309-662-0436 to schedule your consultation with G.D. Castillo, M.D., FACS.

DSC_0574Roxanne 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 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 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

Liposuction Vs. Abdominoplasty

Friday, July 29th, 2011

 

LIPOSUCTION   VS.   ABDOMINOPLASTY

People and physicians alike have difficulty deciding if liposuction or abdominoplasty is the best procedure when both fat and excess skin coexist.  Generally speaking, liposuction is best when we need to remove a fair amount of fatty tissue from areas where it has accumulated over time.  This would be the upper and lower abdomen, waist area, hips, upper buttocks, etc.   On the other hand, abdominoplasty is used typically when we have an apron in the lower portion of the abdomen and/or loose skin without a lot of fatty tissue in the abdominal area, whether it’s above or below the umbilicus.  Abdominoplasty is most frequently needed after pregnancy where the white tissue that covers muscles (fascia) has stretched out and relaxed.  This allows the abdomen to bulge and so the chief complaint is that of an abdominal “pooch” or loose skin, whether it is an abdominal apron or relaxed wrinkled skin over the abdominal area.

The difficult decision, however, comes when we have someone who has both loose abdominal fascia, wrinkled skin and also an excess accumulation of fatty tissue in the hips, upper buttocks, waist, upper back, and upper and lower abdomen.  In these instances, many times both of the procedures are necessary; HOWEVER, they cannot be carried out during the same surgical setting since extensive liposuction would create injury to the blood vessels that are necessary to keep the abdominal flap (that is, the anterior skin covering the abdomen that is going to be stretched from the umbilicus to the pubic area) in good nourishment.  In such an instance, the best solution is to carry out an abdominoplasty or liposuction first as a staged procedure and later coming back and doing secondarily whatever is necessary.  While this is in many instances the best avenue, it is also costlier and for this reason we tend to avoid it.  Typically, if this is necessary, it would best to carryout the liposuction first since in some instances liposuction will tend to solve both problems.

In our consultations for liposuction and abdominoplasty in Champaign-Urbana or Bloomington-Normal area offices, we do a very complete evaluation of the best procedure on an individual basis, keeping in mind that while to solve most problems both procedures would be necessary, in many instances proper evaluation will yield a good result with only one procedure as long as the right one is used to solve the primary problem, whether it be excess tissue or excess fat.

Dr. G.D. Castillo, Illinois Cosmetic Surgeon

G. D. Castillo, MD, FACS

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

Why Do We Favor Traditional Tumescent Liposuction Surgery?

Friday, March 11th, 2011

I see a large number of patients for liposuction in Champaign-Urbana and Bloomington areas. Many times they ask about newer techniques that they have seen advertised. Over the years, we have employed most of the newer techniques of liposuction surgery, including tumescent, ultrasonic assisted, power assisted, and laser assisted liposuction surgery. We also investigated forms of removing fatty tissue without surgery (mesotherapy) as early as 1992. We have found that none of the older or newer techniques come close to the results and safety of traditional tumescent liposuction and ultrasonic assisted tumescent liposuction surgeries. For that reason, we have continued to employ this type of liposculpture.

A recent study (survey) conducted by the American Society of Aesthetic Plastics Surgery (ASAPS) confirmed the findings that we have reported for many years. In this study, the ASAPS found that more than half of its members prefer and employ tumescent suction-assisted lipectomy (SAL) or traditional liposuction, and consider it one of the safest procedures for fat removal. The same study found also a high satisfaction rate with ultrasound assisted liposuction surgery, but much less enthusiasm for laser assisted liposuction due to complications and inferior results.

This is quite an important study because it polled 1,713 members and they responded to 17 questions on fat removal techniques, management and complications. This explored traditional and newer fat removal technologies. Of these 1,713 members, 492 responded and generated the survey result which we quoted.

The reason why we agree with the data generated by this survey is that all of the newer techniques have higher complication rates and the results are less favorable compared with the excellent results obtained with traditional ultrasonic and/or tumescent liposuction.

Generally, manufacturers of newer technologies, through heavily funded marketing campaigns, try to sway the opinion of the public toward their newer technologies, mainly for self-serving purposes. To date, all peer review studies have given a big nod to the tumescent and ultrasonic liposuction, which has been in use for over 20 years with a stellar safety track record and very impressive results.

This blog was written and
Submitted by G. D. Castillo, MD, FACS
Cosmetic Plastic Surgery

FDA ISSUES A WARNING…”LIPODISSOLVE.”

Monday, August 23rd, 2010

FDA ISSUES A WARNING TO MEDICAL SPAS, RAISING THE ISSUES OF SAFETY AND EFFECTIVENESS OF “LIPODISSOLVE.”

Medical Spas around the country were recently issued a warning from the FDA for making misleading and/or false statements about the safety and effectiveness of LIPODISSOVE.  At Cosmetic Plastic Surgery Clinic in Savoy (Champaign-Urbana) and Bloomington, we encourage consumers to think twice about signing up for an elective procedure like Lipodissolve that could be putting them at risk.   While many people believe that lipodissolve is a brand new procedure brought about by “leading edge medical spas,” in reality it is simply the use of multiple injection s of a combination of drugs that is said to create possible partial destruction of fat cells.  Consumers need to be aware that these substances have not been evaluated by peer review and have not been approved by the FDA. The safety of the drugs being used in Lipodissolve is unknown.

The use of these drugs began many years ago in the 1970’s in Europe and South America when drugs were used to try to modify the structure of fat in a technique called mesotherapy.  Mesotherapy was not able to provide safe, consistently effective results. More recently, Mesotherapy was “re-invented” in the United States through the term of Lipodissolve.  Spas inject deoxycholate or phosphatidylcholine into the fat to destroy and/or modify the structure of fat.  The effects of the medication cannot be properly controlled, since the diffusion rate; that is, the rate in which the substance moves through the tissue cannot be predicted. Therefore, the reach of these substances vary from individual to individual and from injection to injection.  If one looks at the results of mesotherapy throughout the years in Europe and South America, they have been haphazard.  The procedure has never been able to gain a foothold as a venue for treatment of fat deposits anywhere in the world.  The resurrection of this technique in the United States is at the present time, an unproven technique without validation by peer review and is outside the limits of approval by the FDA.  Frankly, practitioners that use these drugs, whether in a medical spa or outside a medical spa, do it at their own risk.  In my opinion, they also put the safety and well being of their patients and/or subjects at risk.  Specifically, the FDA sent letters in April to the following spas:

  • Monarch Medspa, King of Prussia, PA
  • Spa 35, Boise Idaho
  • Medical Cosmetic Enhancements, Chevy Chase, MD
  • Innovative Directions in Health, Edina, MN
  • PURE Med Spa, Boca Raton, FL
  • All About You Med Spa, Madison, IN

Stating that the drugs utilized have not proven to be safe and/or effective, also noting that these substances have not been approved and that the involved companies have made claims that lipodissolve has an outstanding safety record and is superior to other fat removal techniques including liposuction.  FDA regulators have called on the spas to stop making such misleading claims of safety and effectiveness, and to notify the agency within 15 days of what steps they are taking to correct the violation.

The FDA, as a regulatory agency, has received reports of adverse effects such as scarring, skin irregularity, painful nodules in the subcutaneous tissue where the material was injected, etc.  As consumers, we need to remember that tumescent liposuction as a procedure has proven to be safe and effective by peer review. It is practiced worldwide.  Tumescent Liposuction has an unmatched safety record and when done by experienced cosmetic or plastic surgeons, has revolutionized the treatment of bulges, fat pockets and localized unsightly fat deposits.  Buyers beware – gimmicks cannot replace proven procedures.    The FDA seems to corroborate what surgeons have known for many years.  While tumescent liposuction has been proven safe and effective, no such approval exists for lipodissolve.

Dr. Castillo, Past-President of American Society for Liposuction Surgery

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

Gynecomastia – Large Breasts in Males

Friday, October 2nd, 2009

When males of any age develop large breasts, it can be very damaging to their self-esteem. Though large male breasts are actually quite common, often the result is social isolation. This creates a distressing and debilitating body image that most males try to camouflage with tight upper garments and very loose clothing.

Many of our male patients who suffer from excessive breast tissue, express their inability to really enjoy life. They are embarrassed to take their shirt off.  It constricts their willingness to be social and participate in sports. They are unable to enjoy vacations at the beach and most summer related activities.  Most importantly, it changes their ability to interact within key relationships in their lives.  Many males find it difficult to feel masculine during intimate moments with their partner. They find that it even inhibits the way they interact or play with their children.

Male breasts are the result of increased volume of both fat and glandular breast tissue.  At Cosmetic Plastic Surgery, our patients learn that male breast tissue is indeed an occurrence in 100% of males. However, this tissue is vestigial, that is, it is present in very small amounts in most males  For reasons associated with genetics, diet, and environmental factors, the amount of both fat and breast tissue can increase in the breast area of males of all ages (aging men, young men, children alike…).

At Cosmetic Plastic Surgery, the treatment for this problem is both effective and simple.  Very often patients ask me, “Dr. Castillo, can this problem be solved with liposuction?”  The answer is a definitive no. The treatment is two-fold.  It involves the removal of fatty tissue from the pectoral area through liposuction with very small cannulas. We do this using traditional tumescent liposuction techniques and ultrasonic-assisted liposuction.

Then we create a small, invisible incision in the nipple- areolar region. This incision is utilized as a window. With special, delicate instruments, we use this window to remove a significant portion of breast tissue which in most individuals is not accessible for removal through liposuction, because it is very thick, fibrous, glandular tissue.  It is removed by dissection with special instruments that create no injury to the surrounding tissues.  The entire procedure takes two hours, and cleanly and effectively removes all of the offending breast and fatty tissue from the area.

A fitted garment is used and worn underneath normal clothing for the first week after surgery. Very small sutures are removed within six days after the procedure.The patient is allowed to do routine light physical activities within three days after the procedure.  This procedure, known as excision of male Gynecomastia will help to resolve the lack of self-confidence that can occur after years of teasing and scrutiny. It will reveal a more masculine male contour of the chest. It has been universally successful and there is a remarkable lack of problems associated with it. The changes in self-esteem and positive personality reinforcement are seen immediately.  It has been a most satisfying way of correcting a rather disturbing problem for our patients.

If you would like further information on this subject, call our office to schedule a consultation. During consultation, we can discuss your desires and concerns. You will be able to view before and after photos of other patients who have undergone this procedure.  We will answers any questions you may have and give you the information needed to help you decide if this procedure is right for you.

Click on this link to view male breast reduction photos : https://www.cosmeticplasticsurgery.com/photo-gallery/details.cfm?ID=29&StartRow=1

Click this link to learn more about Dr. Castillo and liposuction :  https://www.cosmeticplasticsurgery.com/cosmetic-surgery/liposuction.cfm

Dr. G.D. Castillo, Triple-Board Certified Cosmetic Surgeon

G. D. Castillo, M.D., FASC
Director of 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