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LOVE YOUR BODY NOW

Friday, February 12th, 2016

 

LOVE YOUR BODY!

Body bulges can create such a frustration, even for most dedicated gym rats. While body bulges may appear as a result of too much eating mixed with too little exercise, it’s not the only reason for fatty bulges. Sometimes, it is simply the body you were born with. Some bodies, even when at a “normal” weight, with good diet and exercise habits, do not change easily and being disproportionate can be a constant struggle, affecting ones self-image.

I have performed thousands of liposuction /  liposculpture procedures in my Cosmetic Plastic Surgery Center in Champaign, through out my career as 4523a Cosmetic Plastic Surgeon. I have seen countless cases of men and women who struggle with bulges whether they are over weight or under weight. If you where born as an apple or pear shape and you fight constantly to maintain or obtain the body shape you want; if fat bulges of the hips, knees, buttock, or thighs etc. are related to lack of proportion, there is a successful, predictable solution at hand.

CPS Blog Photo Nude body5007Traditional liposcultpure is the best solution for contouring your body into a shape that is pleasing to you, leaving you looking and feeling fabulous in any outfit! Suctioning a significant amount fat cells from the appropriate areas can have a magical effect, creating slender, graceful and vivacious female contour or a lean, fit and muscular male form. It is safely performed under general anesthesia in my out-patient surgical facility, with a four day recovery.

There are so many terms used to describe options of fat removal today that it is sometimes difficult to keep them all straight.   Media loves to romanticize new fad techiques like Cool Sculpting or Smart Lipo for example so don’t let them woo you! Just because they are new, does not mean they provide the best or safest long-term solution void of issues.

I believe that traditional liposculpture offers my patients best results. It is a modern and proven technique that in the hands of an experienced, board-certified cosmetic surgeon offers long-term, predictable, smooth results with thousands of ecstatic patients who now love their body

Dr Castillo 001 175 x 175

 

 

 

 

 

G. D. Castillo, M.D.

COSMETIC PLASTIC SURGERY                                                                   https://www.cosmeticplasticsurgery.com

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VISIT MY BLOG:

https://www.cosmeticplasticsurgery.com/blog/
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

Preparing For Your Breast Augmentation

Thursday, January 28th, 2016

Preparing for your Breast Augmentation:

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Whether you have already scheduled your breast augmentation at Cosmetic Plastic Surgery Center or are just thinking about enhancing the size and shape of your breasts, here are a few things you should know about preparing for your surgery.

Personal Arrangements to consider:

  • You will need to arrange for a friend or family member to drive you to and from surgery.
  • Arrange for a responsible adult to stay with you for the first 24 hours.
  • Arrange child care for the first day if needed.
  • Fill any prescriptions prior to your surgery day.
  • If you are coming from a distance and want to stay over night in a hotel, Dr. Castillo has an arrangement with a local Hotel (I-Hotel) that offers a special package including transportation to and from the office from the hotel, dinner and breakfast for you an your care giver and accommodations. Our staff will be happy to assist in those arrangements.

10 days before surgery:

Now is the time to discontinue taking all NSAID medications including aspirin, Ibuprophen, Aleve, Motrin, along with fish oil and Vitamin E. This needs to be done 10 days prior to your surgery. These are all blood thinners and can create unwanted bleeding. If you are unsure if a medication or vitamin supplement contains any of these ingredients just make a simple phone call our office or your pharmacist for clarification.

Pre-Op Visit 7-10 days before breast augmentation surgery:

You will come for a pre-operative visit about 7-10 days prior to your surgery. Dr. Castillo will draw some lab work, perform a brief history and physical and take your before and after photos. You will be given any needed prescriptions duSS Pre-OP exam copy2ring this visit so that you will have time to fill them prior to your surgery and you will be given plenty of time to ask any final questions.

 

 

 

 

 

3 days prior to breast surgery:

It is time to begin using the Betadine skin cleanser you received at your pre-op visit. You will use this cleanser once each day and again the morning of surgery to cleanse from your neck down to your belly button just as you would use your regular body cleanser. Then rinse it off. Don’t worry, though this is a Betadine product, it will not stain your skin.

One day before your breast surgery:

It is time to begin taking the antibiotic you received at your pre-op visit. You will take a total of four capsules today, one at breakfast, lunch, dinner and bedtime. You will not be able to eat or drink after midnight so have a nice, relaxing dinner and plan for a peaceful, stress-free evening.

Please remove any fingernail polish (from at least one finger and toe) as it can interfere with our monitor.

Surgery Day:

Today is a big day for you so it’s normal to be a little nervous and excited all at the same time. Just remember that you are in very experienced hands and within in a few short hours you will be recovering in the comforts of your own home.

Remember not to eat or drink anything, including water, the day of your surgery. The only exception to this of course is your antibiotic. You will need to take one more antibiotic before leaving you home with a small sip of water. If you take other daily medications, Dr. Castillo will let you know at your pre-op visit if you are to take those medications before arriving for surgery as well.

You will need one last shower using the Betadine skin cleanser before arriving for surgery. Do not apply body lotion or oils, as it will interfere with our monitor leads. We also ask that you arrive to surgery free of all make-up and jewelry.

Your driver is welcome to wait in the lobby or they may leave a phone number with our staff and we can call them when you are in the recovery room.

What to wear the morning of surgery:

Planning this ahead of time is more important than you might think. Wear loose comfortable clothing that is easy to slip on and off. Buttons and zippers are definitely your friend and will be over the next week! Avoid pull-over tops as it may be quite uncomfortable for you to raise your arms high enough to get your shirt on and Dr. Castillo will ask that you do not raise you hands above your head for the first week after surgery. Select a pair of shoes that do not have a heel. The affects of anesthesia can make it tricky to walk in heels without injuring yourself.

Don’t worry about bringing a bra to fit your enhanced breasts. We have taken care of that for you!

When you arrive at the office, we will collect a urine specimen for our standard pre-surgical pregnancy test. Once your surgery is completed you will rest comfortably in our recovery room for about 1 ½ hours with your own personal staff member to care for all of your needs. You will then be released to go home with a full set of post-care instructions. Once you are home, you will be able to eat and drink and will finish out the rest of your antibiotics.

Rest at home on the day of surgery but you can get up as move around as tolerated. You can even take a peek at new and improved breasts!

 

Post Breast Augmentation Massage

Thursday, October 15th, 2015

My thoughts on the value of massaging breast implants.

There is a controversy following breast surgery as to should breast implants be massaged or not, and in order to answer this question we need to go into just what happens during a breast augmentation.

CPS Blog Photo 5042 A breast augmentation typically done below the pectoral muscle (submuscular) is one in which a pocket is developed beneath the breast, above the thorax (chest cage), and in between the midline (the sternum), and the lateral border of the pectoral muscle just before the armpit (axilla).  This pocket needs to be large enough to accept and contain a breast implant.  We need to remember that a breast implant is typically an envelope filled with saline solution or an envelope filled with silicone gel.

In my Champaign and Bloomington-Normal cosmetic surgery practices, typically we use saline prostheses; however, these thoughts are applicable to both silicone and saline prostheses.  Neither saline solution or silicone gel can get hard; however, certain implants (breasts) become firm or hard.  So, how does this happen?  In order for an implant to feel firm or hard your body needs to make a capsule, that is, a cover over the implant that is tight.  This can happen even if it is not very thick.  We actually can make a good example by putting a piece of Kleenex on top of an implant and putting some pressure with that Kleenex over the implant, this will make the implant feel pretty hard.  So, it is not difficult to make an implant feel firm or hard if even a thin capsule becomes snug or tight over an implant.

Massaging will prevent this capsule over the implant from becoming “tight” over the implant.  This is done by moving the prosthesis up, down, towards the sternum and towards the axilla.  When one does this, there is more room inside of the pocket for the implant to fit in.  This keeps the implant feeling soft.  This is important not only because implant will feel soft but it is also important in the sense that an implant which moves freely inside of the pocket is one that allows the breast to move normally and behave as a natural breast.  A natural breast moves with normal chest movements so we could even say that there is a certain wiggle of the breast when one moves.  This is desirable and relates to the normality of a breast as compared to a breast that is fixed to the chest wall and it looks fake or unnatural which is typically the case when a prosthesis feels firm.

While we don’t know why some implants become firm in some people and do not in others, we do know that through massage, we can create a wide pocket for the implant to  “live” in.  This allows the implant to feel softer than it would if the pocket was tighter.  It is this simple reasoning that is the answer as to why it is not only desirable but also necessary to massage an implant after breast augmentation surgery.  There really are no drawbacks to massaging an implant.

We also need to remember that in order for an implant to be able to be massaged, it needs to be a prosthesis that is smooth.  Textured prostheses do not lend themselves to movement and so they should not be massaged.  By in large most Breast enhancement surgeries today in the United States are carried out with smooth prostheses, so the argument that all prostheses should be massaged is a good one.

 

 

 

GD. Castillo, MD, FACS

COSMETIC PLASTIC SURGERY https://www.cosmeticplasticsurgery.com

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800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

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Ask Our Expert: Why are more breast augmentations done with implants rather than fat transplantation?

Friday, May 16th, 2014

 

QUESTION:  If fat transplantation can be used for breast augmentation, why is it that its done only in a few cases and most cases of breast augmentation are done with implants?

 

ANSWER:  Breast augmentation with fat transplantation has some limitations and those limitations have to do with:

 

  1. Availability of fat – one needs to have a fair amount of fatty tissue in order to harvest it from the area, while at the same time, contouring that area and creating  a pleasing shape.  Then the harvested fat needs to be transplanted into the breast tissue and incorporated into the breast tissue.  Fat is incorporated into the breast tissue at a slow rate (see #2).
  2. Large volume increase – the idea that during a single procedure of fat transplantation one can change the breast shape to be much larger is not quite possible.  It is not possible because fat needs to be incorporated as living tissue in the breast.  In order for this to happen, it needs to be placed in small amounts in multiple places so that the existing tissue develops new blood vessel circulation and incorporates this fatty tissue as normal living tissue.  For practical purposes, the breast can only be augmented by approximately 4 ounces per breast.  This is a smaller change than most people would like to have. 
  3. Cost – while one can increase the size of the breast in a very significant way with a single trip to surgery and the placement of saline or silicone implants, in order to accomplish the same thing with fat one would need to have several sessions of fat transplantation over a period of time in order to accomplish the same volume.

 

G.D. Castillo, M.D. FACS
Breast Augmentation Expert

 

 

 

 

 

G. D. Castillo, MD, FACS

Director of Cosmetic Plastic Surgery

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

 

 

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.  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

 

 

THE PAPER TRAIL – INSURANCE AND MEDICAL NECESSITY

Friday, June 28th, 2013

In Illinois Plastic Surgeon, G. D. Castillo, MD’s  practice, we do help patients whose cases qualify as medically necessary procedures; i.e., upper blepharoplasty https://www.cosmeticplasticsurgery.com/cosmetic-surgery/eyelid-surgery.cfm for vision constriction (excess skin obscuring vision),  or septoplasty https://www.cosmeticplasticsurgery.com/cosmetic-surgery/rhinoplasty.cfm  to correct a nasal obstruction that interferes with proper breathing and causes recurring sinus-type ailments  or breast reduction https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-reduction.cfm to correct gigantomastia (overly-large breasts) resulting in postural changes causing neck and back pain, mastodynia (breast pain), dermatitis (skin irritation) and difficulty with movement.

When submitting a predetermination of medical benefits for these patients, insurance companies do ask for proof of medical necessity.  What does this mean for our patients?

What insurance companies are looking for is proof (a written medical record and/or diagnostic tests) that the patient will not obtain relief from their symptoms via conventional (non surgical) treatment such as medications, physical therapy and/or life-style changes.  Let’s take two hypothetical cases and examine the process and possible outcomes.

Patients Jane and Jenny Doe present for consultation with complaints of large breasts that are causing increasing discomfort .

Examination by Dr. Castillo discloses gigantomastia resulting in postural changes causing shoulder strapping (deep bra strap grooves from the weight of the breasts), neck pain, and back pain https://www.cosmeticplasticsurgery.com/patient-stories/.  They have difficulty with everyday movement and exercise.  They have painful, aching breasts (mastodynia) and suffer chronic dermatitis from breasts chafing against the chest wall.  Their body mass index (BMI) is within the normal range and both will require the insurance standard of 400+ grams of tissue to be removed from each breast.

Jane has suffered in silence for years.  She has not sought professional medical attention for her symptoms in the past and has treated her conditions (dermatitis, neck/back pain, etc.) with over-the-counter remedies – none of which have offered her the long-term relief she desires because they do not address the underlying source of her discomfort – gigantomastia.

Jenny, on the other hand, has been proactive in seeking professional assistance with the goal of long-term relief.  She has sought advice from her primary physician and has undergone treatment with both physical therapy (exercise to strengthen her musculature) and medications, all of which are documented in her medical history.  Upon determination that conventional treatment will not alleviate her problems, her physician has made a recommendation for breast reduction surgery and referred her for consultation with Dr. Castillo.

Our office submits a predetermination of medical benefits request to each of their respective insurance companies.  Jenny’s insurance company replies that the procedure of breast reduction surgery qualifies for benefits according to the limits/levels of her individual policy.  Jane’s insurance company replies that they require additional proof of medical necessity (unsatisfactory response to conventional therapy) and attaches a list of their requirements prior to breast reduction approval.

Both women have the exact same medical situation but Jenny’s efforts have resulted in a positive reply from her insurance company and she is able to schedule her surgery right away.  Jane is faced with the prospect of enduring her symptoms while she begins the medical documentation process or absorbing the financial responsibility alone.

I wish I could say that we’ve never experienced these scenarios, but we have.  It’s important to not ignore your medical symptoms and to seek professional advice from your physician.  The “paper trail” of medical necessity can be the difference between obtaining relief versus continuing on the spinning wheel of discomfort.  Arming yourself with the documentation you need for medical insurance coverage just makes good sense while suffering in silence is counter productive.

Do you have questions regarding insurance coverage or medical necessity?  If so, please don’t hesitate to give us a call at 800-252-7123.  We are strong advocates for our patients and are happy to help.