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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

 

 

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.

 

Ask Our Expert: Options For Males With Large Breasts

Friday, June 14th, 2013

 

Does Dr. Castillo offer a procedure for males with large breasts?

Dr. Castillo:  Correcting large male breasts is one of the most life changing cosmetic surgeries for men. For some men, having large breasts significantly affects the way they see themselves, resulting in a depletion of self-esteem.  It changes the way they relates physically and emotional to others.  It changes how they play with their children.  It reduces their level of activity and willingness to be social.

BEFORE Male Breast Reduction

Does this happen to a lot of men?

Dr. Castillo: Yes, much more often than one would think.  It is actually quite common.  It can be related to genetics, hormones, or higher weight. It is easy to correct with a combination of breast liposuction and the surgical removal of undesired tissue through a small incision.

AFTER Male Breast Reduction Surgery by Dr. G.D. Castillo

When can they return to work?

Dr. Castillo:  Light work duties can be resumed with in two to four days after male breast reduction surgery.

What are the age limits for male breast reduction?

We perform breast reduction by liposuction as early as age 14.  If a young male (age 14 and up) has had an endocrinology study completed that indicates the need for surgical tissue removal then in those instances surgical breast reduction would be performed.

 

What makes you qualified to perform these procedures:

Dr. Castillo:  I am the only triple-board certified cosmetic plastic surgeon in the region and have been performing cosmetic surgery for more than 3o years. I am the past president of the American Society of Liposuction Surgery and the past-president of the American Academy of Cosmetic Surgery.

G.D. Castillo,M.D., FACS
Cosmetic Plastic Surgery Center

 

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

 

 

Top 10 Reasons – Breast Augmentation

Monday, February 6th, 2012

TOP 10 REASONS women elect to get breast implants:

Breast augmentation is one of the most popular cosmetic surgeries performed by Dr. Castillo https://www.cosmeticplasticsurgery.com/cosmetic-surgeon/  in his state-of-the-art surgical facility, Cosmetic Plastic Surgery Clinic in Savoy (Champaign-Urbana area). We are often told by our Champaign, Illinois breast augmentation patients, Bloomington, Illinois breast augmentation patients and patients from the surrounding area that their lives have been truly enhanced by their decision to have breast enlargement. The following are the most popular reasons women elect to have breast augmentation.

1. Larger Breasts – Some women simply would like to have larger breasts. Many women express that small breasts creates a more masculine feeling and they desire to feel more feminine.
2. Volume loss – After child birth / breast feeding, many women experience volume loss and develop sagging breasts. Implants can help to restore their lost volume and position. An increasing number of women utilize breast augmentation as part of a “mommy make-over” to restore their body when they are finished having children.
3. To improve their body balance – Increasing the breast size is often all that is needed to balance out your body proportions.
4. To improve their self-confidence.
5. Breast asymmetry – When one breast is smaller than the other, breast augmentation is often used to equalize the breast size and shape.
6. After weight loss – Weight loss can create significant changes in the shape and size of your breasts. Implants can help to restore the shape and size.
7. Breast shape – Breast Implants can help create a fuller, round breast shape or a natural tear drop shape and increase your cleavage.
8.To increase clothing options Breast Deflation  – Breast augmentation will allow you to wear clothing styles that you were unable to wear prior to surgery.
9. Breast ptosis – Breast ptosis (sagging) occurs for a number of reasons, including age, pregnancy, breast feeding, weight loss, and excessive sun exposure. Implants can add volume or fullness to restore a more youthful look to an otherwise sagging breast.
10. Improve self-esteem– As women, we are our own worst critic. Having breasts that in some way make us feel less than adequate can have a large impact on our self-esteem.

Roxanne 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

Roxanne, Cosmetic Plastic Surgery Clinic

Breast Implants And Safety

Thursday, January 5th, 2012

A recent announcement effecting PIP implants is the corollary of a long string of problems that the French
manufacturer has had with their breast implants.  A company named Poly Implant Prosthetics,
based in France, produced silicone breast implants and utilized non-approved industrial silicone
to fill such implants.  Because of multiple problems with these particular implants, they were the subject of a
medical device alert with the recall of all implanted stocks.  It is evident that PIP breast implants have
been sold in approximately 64 different countries throughout the world, and
there appears to be a question of genotoxicity with these implants.  Fortunately for all of those in the United
States, PIP implants were never approved by the FDA.  Therefore, the only patients that may be
effected in the United States may be those who traveled abroad to have their
surgery, or those very few breast implants that may have been done by
physicians using non FDA approved implants.

 
It is worthwhile to ponder the point of safety in implants, and in that respect, a
careful plastic surgeon in the United States would use companies that have long
track records and approved FDA implants. There are two companies that produceimplants in the United States;
Allergan and Mentor. Allergan http://www.allergan.com/treatments/medical_aesthetics/breast_aesthetics.htm produces the line of McGhan implants (both saline
and silicone), and Mentor www.mentorwwllc.com/global-us/Breast.aspx produces both saline and silicone implants as well.
Both of these companies are well diversified, well funded, and their line of breast
implants follow strict guidelines and a registry.  The registry means that the breast implants
that are produced have serial and lot numbers that can be traced to the patient
who was implanted with such device.  In case of any type of difficulty with the implant, the physician and/or
manufacturer would be able to communicate with the effected patient through their physician.  Both Allergan and Mentor have stellar records
of patient safety with their implants.

I have been performing breast augmentation with implants produced by Allergan or Mentor in my
Champaign and Bloomington, Illinois, Cosmetic Plastic Surgery practice for more
than 25 years.  Their reliability is outstanding with a less than 1% deflation rate in saline implants.  Most of our patients choose saline implants
due to their very low problem ratio and great patient acceptance and satisfaction.

 

Feel free to
address any questions regarding implants, safety, breast implant surgery, or
other cosmetic procedures to us at any time.

 

Dr. Castillo, Premieir Breast Surgeon in Central Illinois

G.D. Castillo, M.D.

COSMETIC PLASTIC SURGERY

Become a Facebook Fan of CPS @  http://www.facebook.com/pages/DrCastilloCosmeticPlasticSurgery

https://www.cosmeticplasticsurgery.com

800-252-7123 (within IL)

217-359-7508 Savoy (Champaign-Urbana)

309-662-0436 Bloomington