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POST-SURGICAL PAIN PUMPS

Friday, October 26th, 2018

A common reasons patients put off having the cosmetic surgery they have always dreams of is their concern about post-surgical pain. While pain is a valid concern, it doesn’t have to be. Today, we offer our patients a simple way to manage pain without pills (narcotics).

This technology is called a pain pump. While the majority of the surgeries we perform at Cosmetic Plastic Surgery do not results in much post-surgical pain, utilization of a pain pump can offer a more comfortable recovery period for those procedures that do or for those individuals who have a low pain threshold.

A pain pump is a simple, non-electrical device that delivers local anesthetic (numbing

medication) such as Marcaine, directly to the surgical site after your surgery, allowing you to recover from surgery without the typically discomfort.

The pain pump looks like a small ball or balloon and comes in it’s own strapped carrying case. Dr. Castillo connects the pain pump at the surgical site at the time of surgery. It will deliver medication to the surgical area slowly and continuously through tiny catheters for 3-4 days. As the patient, you do not have to do anything with the pain pump. It is automatically regulated; you just get to reap the rewards of steady relief!

The pain pump offers pain management without the side effects of traditional methods of pain control like oral pain medications. This means you can avoid the potential side effect that oral pain medications often cause such as:

      •mental fogginess             •drowsiness              •nausea             •vomiting             •dizziness            •constipation

For patients who are narcotic sensitive or allergic, this can be a first-rate alternative for pain management. Patients who elect to use pain pumps are typically moving, driving and functioning and return to normal life activities more quickly since the affects are limited to the surgical area, the rest of your body & mind remain unaffected and have normal function.

While it does add about $350.00 to the cost of your surgery, the feedback we receive from our patients is that use of the pain pump provided them with a much smoother and quicker recovery than they had originally anticipated.

 

Yours Truly,

Roxanne Grace Hammond
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com 

Join us on Facebook@  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT OUR BLOG:  http://www.cosmeticplasticsurgery.com/blog

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

 

 

 

Facial Plastic Surgery IS the new BLACK.

Friday, January 15th, 2016

ORANGE  isn’t the new BLACK  this season!  It looks like Facial Plastic Surgery IS the new BLACK in 2016.

2015 and heading into early 2016, facial plastic surgery has gained a tremendous popularity; what’s more, it seems to be a very open topic. Patients, especially women aren’t hiding anymore. Even in Dr. Castillo’s mid-west conservative Cosmetic Plastic Surgery practice, it seems to me that “don’t ask, don’t tell” has changed to “hey, I just told my girlfriend about my facial plastic surgery experience and she will be in your office next week for a consultation.” Over the past year, facelifts https://www.cosmeticplasticsurgery.com/cosmetic-surgery/face-lift.cfm have become our most popular surgery. We are currently doing more facial plastic surgery than breast augmentations!

So why has facial plastic surgery become the hot ticket, mainstream item of today? Why is facial plastic surgery more acceptable in 2015-2016 then in the past? Why are more patients willing to share the very information we as Cosmetic Plastic Surgery professionals go to great lengths to keep confidential for them? So confidential in fact, that in the high-tech year of 2016, we still use only paper charts. We do not keep any patient records online as other healthcare facilities do today.

Well, I’m not a behavioral expert, so I can only speculate… Of course, there is the idea that baby-boomers make the largest segment of the population and they fall within the age category for most face lifts, but I think that is only a small part of the equation as the baby-boomer factor has been relative for years and this seems to be a new phenomenon.

I think that women are more empowered today than they were even 10-15 years ago. They hold high-powered positions in the work place, they are now often the bread-winner, and are more regarded as equals then ever before.   I think this has given many women the voice to openly discuss and go after what they want and need to improve their quality of life. They have gotten a taste of what a self-improvement can do for their quality of life whether it be obtaining a personal exercise coach, dental work, hair color or a face lift. Instead of trying to hide their decisions, they are now speaking out to say “I love my results and I’m so happy I did this for myself!” They want to share their personal joy and are willing to let their friends in on their secret so they too can reap the rewards of self-improvement.

We also have to consider the power of media. Plastic surgeons are being interviewed and quoted in top magazines regularly, discussing the latest advances in procedures and techniques. Celebrities are more open about having cosmetic procedures. There are multiple TV shows about cosmetic surgery (though some a little unrealistic for my taste) that take the viewer through the journey.

Caitlyn Jenner, although not your typical plastic surgery case, has brought much attention to cosmetic surgery and the changes that can be accomplished to help one meet their goals. All of these things make it more relative to the average person just wanting to look and feel their best. It show’s us that there are numerous surgical and non-surgical options and we can have some say on how we age and how we take care of our body, our health, our skin; our over-all appearance.

Dr. Castillo’s patient’s appreciate the natural, “less-obvious,” well-rested, youthful look that he has built his reputation on. Patients often tell me that they are so amazed that no one has figured out that they had facial surgery (that’s the sign off really good surgery by the way!). There friends just notice how great or well-rested they look. Most just assume they got a new hair cut or a new mattress. Recently, I have had several patients share with me the idea that they had no intension of telling anyone about their surgery or skin rejuvenation procedure, but after surgery, they found themselves so happy with their decision and results and have gained so much self-assurance that are now confidence enough to share their story with their friends and say “yes, I had a facelift and if your interested, I’ll be happy to give you the name of my surgeon.”

DSC_0040Roxanne 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

VISIT MY BLOG:

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

Elf Ears After A Facelift

Friday, December 11th, 2015

On occasion, a patient will come into my Champaign-Urbana Cosmetic Plastic Surgery Center searching for advice on how to fix their “elf ears” after having a facelift elsewhere.

The normal expectation after a facelift is to obtain a more youthful appearance by improving of issues like jowls, neck folds, sagging skin etc but what about surprises like distorted ear lobes often called “elf” ears, “pixie” ears or “witches”ears?  This can occur during a facelift procedure when the ear lobe is pulled down and lacks the right angle between the lower portion of the lobe and the facial / neck area below it.

While some surgeons can produce this type of  unfortunate result / complication which is a tell tail sign that you just had a facelift with an undesirable outcome, I find it easy to correct with a natural looking end result.

The reason “elf ears” can occur after a facelift is because there is too much tension at the junction between the lowest part of the ear and the face – something that an experienced facial plastic surgeon would NOT do.  To correct this issue, I generally remake the lower incision without removing any skin and elevate the lower facial skin to a fixed point in the firm deep tissue (Parotid Facia).  This elevates the earlobe and returns the natural, round shape to the previously stretched earlobe releasing the downward pull of the earlobe.

This simple correction can be performed under local anesthesia and the patient is quickly back to normal daily activity.

Dr. G. D. Castillo

Dr. G. D. Castillo

 

 

 

 

 

G. D. Castillo, M.D. FACS
COSMETIC PLASTIC SURGERY CENTER                                                                    https://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

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

 

Options For The Aging Face

Thursday, March 6th, 2014

During the American Academy of Facial Plastic and Reconstructive Surgery Meeting in San Diego, it was stated that the AAFPRS had recently released a new study that found 39% of women were most worried about sagging cheeks or under eye bags, while 33% of women were most worried about lines and wrinkles.  28% of women were most worried about the “turkey neck” effect.

Being a women (and working with an incredible mentor and internationally-renown facial plastic surgeon for years; G.D. Castillo, M.D.) these stats come as no surprise to me.  Of course we women worry sagging cheeks, under eye bags, wrinkles, and the dreaded t-t-t-turkey neck.  It’s normal to want to be the best version of ourselves!  Stop for a minute and think about the women in your life who make a real effort to look their best, exercise, eat healthy.  Those people get things done!  They enjoy life! They are advancing in their careers, moving forward in their personal lives, involved in the community. They are movers and shakers. Looking good and feeling good about how you look is a true life motivator.

I cannot think of single women I know who is excited about the arrival of the next sign of aging. We are always scanning the mirror at home or in the car to make sure we look good – checking for lettuce in our teeth, smeared lip stick, dark circles that might need camouflaging… you know the drill.  For those  who say that’s simply being vain, well, maybe, but in my opinion a little vanity is a great thing. I think it means you care about how you represent yourself.  To me that is self respect.  Something we should all have because we all deserve it.  After all, if we don’t respect ourselves, who will?

I remember when my youngest daughter was about four years old.  She always had a way put a positive spin on things, always encouraging and complimenting others. We were on the floor playing a matching game when she looked at me and said “Wow mommie, the hair right here on the top of your head is shiny white.  Mommie, you are doing a great job at that!”  Cute as that was, you better believe my head was covered in chocolate expresso hair color with in the hour!

We all know aging is inevitable but that doesn’t mean we have to accept it gracefully with no attempt to slow the process.  This blog is called “Anti-Aging” with Grace after all.

Well not to worry (besides worrying just causes frown lines and then everyone thinks your angry all the time).  With the advances in technologies and the growing experience in plastic surgery and skin rejuvenation at your disposal, you have both surgical and non-surgical options available to wash your worries and your wrinkles away!  

SAGGING CHEEKS:

  • Non-surgical options

1. Dermal fillers can be used to restore volume loss in sagging cheeks.

  • Surgical options
  • 1.  A facelift – Fortunately, today facelifts are really customized for the individual’s needs.  There are Mini-facelifts, which is a limited facelift generally indicated in someone with early signs of aging (late 30’s to late 50’s) and are most effective in people with facial aging rather than neck aging.  Mid-facelifts, which elevate of the mid portion of the face. This type of facelift is needed in patients that have either facial sagging or lacking facial volume in the second 1/3rd of the face. Traditional facelifts are the treatment of choice for those who have of both the sagging of the cheek and the neck area.***Keep in mind that when sagging tissue is present, non-surgical results will not compare to the results of surgical removal of tissue, which is the hallmark of any kind of surgical facelift.

UNDER EYE BAGS:

  • Non-surgical options –
  1.  Try cutting out salt and preservatives from your diet for one month.  Observe over the month whether or not the bags disappear or reduce to a tolerable state. Salt / preservatives are found in prepared foods such as those you purchase from a deli or restaurant and in canned or boxed foods and can be responsible for puffy under-eye bags. If you see considerable improvement, you may be able to avoid partaking in the options below just by avoiding salt and preservatives.
  2.  Dermal fillers Hyaluronic acids (Restylane, Perlane, and Juvaderm) can be used fill in depressed curves that form between the cheek and the bag to provide a more natural, youthful contour.
  3.  CO2 Micro-fractional laser resurfacing can help to tighten the lower eyelid skin but it will not improve excess fat deposits.
  • Surgical options

       1.   Lower Eye Lid Surgery (Blepharoplasty) – This may include the removal of fat from the lower lid area or the transplant of fat to the area depending on the needs of the patient.

FINE LINES AND WRINKLES:

  • Non-surgical options
  1. CO2 Micro-fractional laser resurfacing is a minimally invasive treatment that typically produces the best non-surgical results for fine lines and wrinkles.  It will also remove brown spots and other pigment and texture changes that often present along with lines and wrinkles.
  2. Botox® can be used to smooth out lines and wrinkles of the forehead, between the brows, and around the eyes.
  3. Dermal fillers such as Juvederm®, Perlane®, Restylane®, orRadiesse® can be used to replace volume and fill in lines and wrinkles.
  • Surgical options
  1. CO2 full face laser resurfacing, (not to be confused with CO2 Micro-Fractional Laser resurfacing) can smooth out lines, wrinkles, tighten the skin, increase collagen, improve poor texture and pigment issues, and unwanted spider veins. If you are experiencing structural sagging a facelift or cheek lift may be done simultaneously.
  2. Facelift– As individuals age, they tend develop lines an wrinkles caused by loose skin and lax underlying muscle structure. A Rhytidectomy or facelift is designed to remove loose skin and tighten lax underlying structures which result in a lasting, more youthful appearance.
  3. Fat Transplantation can sometimes be used to replace volume loss of the face, relieving the lines that have developed due to loss of facial fat that can happen during the aging process.

TURKEY NECK:

  • Non-surgical options –
  1. Beyond managing your weight and avoiding the yo-yo weight effect along with protecting your skin from UV radiation to preserve collagen and elastin, your best bet is a trip to the O.R.  Once you develop a turkey waddle, there is not much in line of non-surgical options that provide true improvement.
  • Surgical options –
  1. Neck lift – This procedure is often combined with a cheek lift. The typical neck lift or neck/cheek lift consists of a modified type of facelift in which the main emphasis is to tighten the muscle structure and remove as much excess neck skin and fatty tissue as possible, resulting in a smooth, youthful contour of the neck, jawline, and lower face.
  2.  Chin implant surgery – also known as a mentoplasty is needed when a patient has a short mandible or recessed chin. The lack of adequate bone structure tends to accentuate jowls and loose, sagging skin around the neck.
  3. Neck liposculpture – This may be all that is needed to correct a double chin or turkey neck.  During this procedure, fatty tissue is removed via liposuction and the musculature of the neck is tightened to create a defined jawline. In some instances, neck liposculpture may be combined with a chin implant to correct a recessed chin. Patients can return to work within 3 to 4 days.

Yours Truly,

Roxanne Grace Hammond

Skincare and Laser Specialist

Cosmetic Plastic Surgery

 

 

 

 

 

Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY  

https://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK:

http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Doctor, Am I Ready For A Facelift?

Thursday, November 15th, 2012

A number of our patients present with the above question and related similarities, like am I too young for a facelift?  Is it better to do it when I have significant sagging?  Is it better to do it when I’m younger because my tissue will respond better?  Etc.

The first thing to remember is that when one has an issue with their appearance and considers a facelift, it’s typically because there are some jowls, some loose tissue in the neck, a double chin, facial wrinkling, etc.  The idea that we are aware of one or more of the above issues does not necessarily mean that other people realize or notice those things in our faces.  It is often only us that notice the problem and are quite self conscious about it.  It is because of that particular issue, and that is, that there is something that is bothering us and it affects the way we relate to other people because we are quite self conscious about it, that the answer lies 100% within ourselves.  No other person, that is, a physician, a loved one, a friend, or anyone else can truly advise someone when to have a facelift.  We need to take care and correct any and all of those issues when and if they bother us, because the truth is that once we have them fixed it may be that some people notice it, it may be that everyone notices it, or it may be that no one notices it.  Where it will have a significant and dramatic effect is in how we react to the surgery itself and the positive effect that it has in our attitude and in our self-esteem.

 

It is also helpful to remember that you can have one of two ways of thinking.  The first one is you may want to take care of issues before they become quite noticeable.  The reasoning behind this is that you will never really truly show the signs of aging because you have taken preventive measures and corrected those issues before they became noticeable.  On the other hand, you may have the train of thought of I am going to wait until I truly have issues because I may be able to take care of all issues at the same time.

 

There is no right or wrong answer.  The idea here is that in a competitive society where youth is valued over many other qualities.  The idea of remaining youthful and presenting an active, energetic figure makes sense to a lot of people.  In the final analysis, we always must remember that the effect of a facelift impacts one person alone – and that person is ourselves.  The positive effect that it has in interpersonal relations due to the increase in self-esteem makes us the direct beneficiaries of the procedure.

 

G.D. Castillo, M.D. FACS
Facelift Expert

Director of COSMETIC PLASTIC SURGERY CLINIC                                                                     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

Has Facetime influenced an increase in chin implants?

Wednesday, April 18th, 2012

 

 

For those of you who listened to news on the way to
work in yesterday morning, you may have heard some surprising statistics
released by ASPS (American Society for Plastic Surgery). The statistics state
that there was a 71% increase in the number of chin implant surgeries
(Mentoplasty) performed from 2010 to 2011. Whoa!  Even I was surprised at
that number. That is a more hefty increase than breast augmentation;
liposuction and Botox combine, according to the ASPS.  Like everyone else listening to those
statistics, you’re probably wondering what the driving force is behind the 71% increase
in chin augmentations over the course one year.

Now, I am not surprised that chin implants are popular  choice, as they are a true un-glorified work horse in the quest to improve
facial harmony.  This procedure has been  around for decades with hundreds of thousands of enriching success stories.  Best of all, it’s undetectable, even to your  closest friend!

 

 

Chin implant surgery is rarely thought of, often  misunderstood, but immensely rewarding. The idea behind a chin implant isn’t to go in looking like Keira Knightley and come out looking like Jay Leno. People often
have an image in their head of looking like a caricature, but I assure you that  isn’t the case.  At least not in the  skills hands of a plastic surgeon like G.D. Castillo, .D.https://www.cosmeticplasticsurgery.com/cosmetic-surgery/chin-surgery.cfm  It is a subtle change that can simply restore  a profile of the lower face and the neck to achieve more youthful look.  The best candidates for this procedure are  those who have a weak or receding chin, jowls, excessive neck tissue or a
larger nose.

Dr. Castillo, at Cosmetic Plastic Surgery Clinic uses Chin  implants to solve various facial and neck concerns, not just to increase the  protrusion of the chin”.  Chin augmentationhttps://www.cosmeticplasticsurgery.com/cosmetic-surgery/chin-surgery.cfm can be used to correct a weak or recessed chin by re-establishing  the proportional balance of the face for many of our Central Illinois patients.  In males in particular, a strong chin is  associated with masculinity and strength.  Men who present with a strong chin or jaw line are often perceived as  leaders, men of power and assertiveness.  In the case of a female face, a chin implant can create proportional  balance, ridding unwanted jowls and saggy neck tissue.  The result changes a round face into a more chiseled, femine form.

A receding chin can also make a normal sized nose appear  large or prominent nose appear even larger.
In some cases, a Rhinoplasty (nose job) https://www.cosmeticplasticsurgery.com/cosmetic-surgery/rhinoplasty.cfm is used in combination with chin augmentation to adequately provide the best facial balance possible.

An increasing number of both our male and female patients seeking  plastic surgery are bothered by their increasing jowls and a double chin,  whether the condition is due to a congenital deformity or normal aging.  Jowls and sagging neck tissue concerns have
recently become amplified with the use of video chatting tools like Skype and Facetime by Apple.  If you haven’t  experienced the different ways to communicate via video, check it out.  Though I caution you – this activity is not  for the faint at heart.   For many of us heading into a more “mature” stage of life, it may not be so flattering.  A chin implant or chin implant with a mid- cheek / neck lift or neck liposuction can erase their concerns and put patients at ease once again.

This truly is a 10 years younger type procedure!

 

Roxanne, Skincare & Laser Specialist

 

Roxanne Hammond, RMA

Skincare and Laser Specialist

G. D. Castillo, M.D.

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

LIKE US ON FACEBOOK:

http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

800-252-7123 (within IL)

217-359-7508 Savoy (Champaign-Urbana)

309-662-0436 Bloomington