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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

Mommy Make-Over

Monday, July 27th, 2009
As little girls, we’ve all watched enough Disney to know that, just in the nick of time, our fairy god mother arrives, waves her glamour wand and poof – happily ever after begins.
Then we have our first child and reality sets in. Who knew such beautiful little angels would do such unspeakable things to our bodies! If you have ever thought “Where is my Fairy Godmother now?” you’re not alone. I think most of us have stood in front of a mirror months or even years after giving birth in hopes that Fairy Godmother will arrive and grant our wish for a mommy make-over! Just like Cinderelli, we take care of everyone around us. We “make the fire, fix the breakfast, wash the dishes, and do the mopping…”
As moms we give so much of our time, energy and love to everyone around us that we often forget to take care of ourselves. We’ve all heard the term “kids can be cruel.”  We just didn’t know it was in reference to what was about to happen to our bodies after pregnancy! We are left with sagging skin where our waist used to be. Breasts are now distorted and stretch out. There is weight gain of the hips and thighs. Our new saddlebags become a quick reminder that we are probably no longer eligible for low rise jeans.
For most of us, pregnancy takes a huge toll on our body. With child-bearing, raising a family, car pool, homework, household chores, not to mention sun damage, age and heredity hovering over us, our own well being and self development can get lost in the shuffle. We are so busy that we don’t even notice until someday, a friend or even a complete stranger makes a comment that really sticks.
Perception is reality. How we view ourselves and how we think others view us determines much of how interactive we are with those around us.  All of the changes we see on the outside can have some damaging effects on the inside as well. We lose self-respect, confidence and spirit.  We become less socially active. Sound familiar?
Since you are reading this blog, I am going to assume there is something about your body that makes you uncomfortable. What is it that bothers you? Do you find yourself repeatedly thinking about a particular area of your face or body?  How many times have you thought about it today? In the last 6 hours?
Maybe it’s your abdomen. Maybe it just hasn’t recovered after the birth of your second child. Often, it doesn’t matter how health conscious and physically fit you are. You cannot exercise away the stretched out, saggy skin hanging from your abdomen that once provided a safe place for your precious bundles of joy to develop. Maybe you find yourself so self-conscious that it is becoming more and more difficult for you to expose your body to your partner. You’ve traded in your bikini for a one piece with a skirt. You find yourself selecting styles of clothing that attempt to hide your body instead of ones that say you are vibrant, assured women.
Maybe you are a single mom who has a strong desire to begin the search for your prince charming. But, saying yes to that first date has you terrified. You don’t feel good about the changes that have occurred in your body. That stops you from coming across as the fun, outgoing, intellectual that you are. Maybe it’s the uncontrollable, extended greeting your arm gives; you know, when the underside of your arm continues to wave to your friend long after you’ve stopped. Maybe you’re an empty nester now and you would like to finally do something for yourself.
Many women are no longer waiting for their fairy godmother to wave her magic wand. They are taking charge, no longer accepting that their distorted bodies are the price they have to pay for having a family. I guess you could say that they are asking Dr. Castillo to wave his magic scalpel instead.
Often, Mothers walk into our office for the first time with their shoulders hanging low. They are reserved, tired, insecure. By the day of their surgery, a change has already begun. It takes courage to take charge and force a change. Of course they are a little nervous. But they are so excited! How many people do you know who head off to surgery with a big smile on their face?  After their “mommy make-over,” they become renewed. They are suddenly reunited with the person they used to be.  Their families have miraculously survived during the recovery period. They have a new brand new attitude. They are energetic. They laugh more. They smile more. They walk straight up, looking out at what the world has to offer.
Cosmetic surgery is not the right choice for everyone. If you are considering it, do your homework. Ask lots of questions at your consultation. If you do not feel comfortable during the consultation, seek out other doctor. You need to develop realistic goals. Having cosmetic surgery will not fix your problems. However, substantial changes can occur in patients who choose cosmetic surgery for the right reasons. It often changes their quality of life. In many cases, patients become motivated to live a more health conscious, socially active lifestyle.
As mothers it’s important to remember that we are also individuals. It’s okay to be a mom and still want to be sexy, current and confident. In fact, who could possibly be a better role model for your children than a self-assured, strong, healthy, enthusiastic mommy?

As little girls, we’ve all watched enough Disney to know that, just in the nick of time, our fairy godmother arrives, waves her glamour wand and poof – happily ever after begins.

Then we have our first child and reality sets in. Who knew such beautiful little angels would do such unspeakable things to our bodies! If you have ever thought “Where is my Fairy Godmother now?” you’re not alone. I think most of us have stood in front of a mirror months or even years after giving birth in hopes that Fairy Godmother will arrive and grant our wish for a mommy make-over! Just like Cinderelli, we take care of everyone around us. We “make the fire, fix the breakfast, wash the dishes, and do the mopping…”

As moms we give so much of our time, energy and love to everyone around us that we often forget to take care of ourselves. We’ve all heard the term “kids can be cruel.”  We just didn’t know it was in reference to what was about to happen to our bodies after pregnancy! We are left with sagging skin where our waist used to be. Breasts are now distorted and stretch out. There is weight gain of the hips and thighs. Our new saddlebags become a quick reminder that we are probably no longer eligible for low rise jeans.

For most of us, pregnancy takes a huge toll on our body. With child-bearing, raising a family, car pool, homework, household chores, not to mention sun damage, age and heredity hovering over us, our own well being and self development can get lost in the shuffle. We are so busy that we don’t even notice until someday, a friend or even a complete stranger makes a comment that really sticks.

Perception is reality. How we view ourselves and how we think others view us determines much of how interactive we are with those around us.  All of the changes we see on the outside can have some damaging effects on the inside as well. We lose self-respect, confidence and spirit.  We become less socially active. Sound familiar?

Since you are reading this blog, I am going to assume there is something about your body that makes you wish you could change. What is it that bothers you? Do you find yourself repeatedly thinking about a particular area of your face or body?  How many times have you thought about it today? In the last 6 hours?

Maybe it’s your abdomen. Maybe it just hasn’t recovered after the birth of your second child. Often, it doesn’t matter how health conscious and physically fit you are. You cannot exercise away the stretched out, saggy skin hanging from your abdomen that once provided a safe place for your precious bundles of joy to develop. Maybe you find yourself so self-conscious that it is becoming more and more difficult for you to expose your body to your partner. You’ve traded in your bikini for a one piece with a skirt. You find yourself selecting styles of clothing that attempt to hide your body instead of ones that say you are vibrant, assured women.

Maybe you are a single mom who has a strong desire to begin the search for your prince charming. But, saying yes to that first date has you terrified. You don’t feel good about the changes that have occurred in your body. That stops you from coming across as the fun, outgoing, intellectual that you are. Maybe it’s the uncontrollable, extended greeting your arm gives; you know, when the underside of your arm continues to wave to your friend long after you’ve stopped. Maybe you’re an empty nester now and you would like to finally do something for yourself.

Many women are no longer waiting for their fairy godmother to wave her magic wand. They are taking charge, no longer accepting that their distorted bodies are the price they have to pay for having a family. I guess you could say that they are asking G.D. Castillo, M.D.,  to wave his magic instead.

Often, mothers walk into our office for the first time with their shoulders hanging low. They are reserved, tired, insecure. By the day of their surgery, a change has already begun. It takes courage to take charge and force a change. Of course they are a little nervous. But they are so excited! How many people do you know who head off to surgery with a big smile on their face?  After their “Mommy Make-Over,” they become renewed. They are suddenly reunited with the person they used to be.  Their families have miraculously survived during the recovery period. They have a new brand new attitude. They are energetic. They laugh more. They smile more. They walk straight up, looking out at what the world has to offer.

Cosmetic surgery is not the right choice for everyone. If you are considering it, do your homework. Ask lots of questions at your consultation. If you do not feel comfortable during the consultation, seek out other doctor. You need to develop realistic goals. Having cosmetic surgery will not fix your problems. However, substantial changes can occur in patients who choose cosmetic surgery for the right reasons. It often changes their quality of life. In many cases, patients become motivated to live a more health conscious, socially active lifestyle.

As mothers it’s important to remember that we are also individuals. It’s okay to be a mom and still want to be sexy, current and confident. In fact, who could possibly be a better role model for your children than a self-assured, strong, healthy, enthusiastic mommy?

 

Click photo to view our Mommy Make-over page

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