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Ask Our Expert – Will My Nose Get Smaller?

Tuesday, June 17th, 2014

Question:  I had Rhinoplasty two weeks ago.  Will my nose get smaller over time?

Answer: Dear reader, I would first encourage you to speak with your plastic surgeon regarding your concerns as he will be able to best answer your questions as your surgeon.  However, in general, two weeks is definitely too short of a time period to make any kind of decisions as to what the final outcome will be from your nose surgery.  Six to Eight weeks after surgery, you will be better able to evaluate the nasal dorsum. Ittakes time for swelling to settle down and for the nose to take its shape.

Rest assured that your nose will continue to change for up to one year post-surgery.

 

 

 

 

 

G.D. Castillo, M.D., FACS

COSMETIC PLASTIC SURGERY CENTER

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

ASK OUR EXPERT – Can the general mass of my nose be made smaller?

Wednesday, May 28th, 2014

Q:  Can you tell me if the general mass of my nose be made smaller by the photos I have enclosed?

 

A: There seem to be two things that are quite obvious, the first one is that there is a greater width at the base of the nose (the radix) and the second one is that there is an obvious disconnect between the bony nose and the cartilaginous nose, that is between the top and the bottom half of the nose.  When the transition between the cartilaginous and bony nose is quite sharp, there is an unsettling disconnect of the nose that nasal surgery can correct by narrowing the bony pyramid of the nose.  The cartilaginous portion of the nose can be tailored at the same time to fit onto the bony nasal dorsum.

Rhinoplasty is one of the most popular procedures performed in my champaign, cosmetic plastic surgery facility today and is one of the most rewarding for our patients. Should you choose to have a consultation for further assessment, we can review before and after photos of real patients with issues similar to yours to give you some idea of the type of results that are generally achieved with a rhinoplasty.

Sincerely,

 

 

 

 

 

G.D. Castillo, M.D. FACS

Director of Cosmetic Plastic Surgery Center

www.cosmeticplasticsurgery.com

 

 

Ask Our Expert: What type of surgeon should I consult with for micro-fat transplantation to my face?

Thursday, April 10th, 2014

Question:  What type of surgeon should I consult with for micro-fat transplantation to my face?

Answer:

Dear reader,

There are a few important factors to consider when choosing a surgeon:

  • Board certification – It is always important to have surgery and/or procedures done by a physician who is board-certified in the specialty associated with that procedure.  For fat transplantation to the face, you would look for a surgeon who is board-certified in facial plastic and reconstructive surgery.
  • Experience – Once you locate a board-certified facial plastic and reconstructive surgeon, the next step is to find out how much experience the surgeon has with fat transfer procedures and particularly, micro-fat transplantation to the face.  Experience of greater than 20 cases would be essential.
  • Real Patient Photos – I would ask to see some pictures of patients in his or her practice who have had this procedure done by him or her.  Surgeons who are experienced in this area should have a collections of before and after photos to show their work.

 

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

 

 

 

 

 

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

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

XEOMIN NOW AVAILABLE AT COSMETIC PLASTIC SURGERY CENTER

Monday, February 3rd, 2014
Move over Botox Cosmetic®, there’s yet another new kid in town or at least in Dr. Castillo’s plastic surgery practice. If you are a frequent reader of Cosmetic Plastic Surgery Center’s “Anti-Aging With Grace”blog, https://www.cosmeticplasticsurgery.com/blog/then you likely remember a blog discussion about Dysport®, as the first alternative to Botox Cosmetic®. Now Xeomin® has hit the wrinkle reducing scene. I’m sure this will have many of millions of neurotoxin users wondering which one gives the best results.In a nutshell, what you as the consumer need to know is basically they all work very well and have a long history of safety and effectiveness. These three neuro-muscular modulators; Botox Cosmetic®, Dysport® and now Xeomin® are very similar with a few slight differences in how they are made but the end result is the same. They all smooth wrinkles to create a more youthful, alert look. They were all developed by large, well-established, reputable drug companies (Allergan, Medics, Mertz). They are all FDA-approved. They are all a form of botulinum toxin, which is a purified neurotoxin with many on and off label uses from treating migraines and muscle spasms to my personal favorite…erasing wrinkles and angry eye brows.In my opinion, the most important decision you will make when deciding to smooth out your wrinkles with Botox®, Dysport® or Xeomin®, isn’t which product to choose but rather WHO will be administering your injection. This were you really need to concentrate your efforts. Seek out a board-certified facial plastic or cosmetic surgeon or a cosmetic dermatologist who has the long-standing experience and skill necessary to give you the look you desire.And please…stay clear of Botox® parties!!

 

Yours Truly,

Roxanne Hammond, Skincare & Laser Specialist

Cosmetic Plastic Surgery Center https://www.cosmeticplasticsurgery.com/

 

Visit us on facebook  @ https://www.facebook.com/DrCastilloCosmeticPlasticSurgery

 

 

 

 

 

 

 

 

 

 

“Make-Up For Lost Sleep

Tuesday, January 21st, 2014

“MAKE-UP” FOR LOST SLEEP

At a recent staff holiday dinner for Cosmetic Plastic Surgery Center, Dr. Castillo and the staff were discussing different articles about insomnia and the activities that can make it worse like using your computer or watch television just before you go to bed.  On the way home that night I realized that what our conversation was missing was what to do the morning after.

Sometimes trying to get your “beauty rest” can just be ugly! For most, there is long list of things that often get in the way of a full eight hours of peaceful, uninterrupted sleep;  late night work obligations, social events, an ill child,  insomnia…  For others it is the inability to turn off the brain the night before a big event, whether it is a holiday party you’ve been planning for months, an early morning flight to paradise or a high-intensity business meeting.  Whatever the reason, missing your beauty sleep isn’t pretty!  It results in tired, red, puffy eyes and dull, lifeless skin.  You might as well hang a sign around your neck that says “approach with caution, functioning only on auto-pilot today.”

So what can you do help conceal the signs of a sleepless night? Start drinking water as soon as your feet hit the floor, sooner if you can get bedside service.  The natural thing is to go right for the coffee, which isn’t a bad idea to jump-start the brain but remember that coffee is a natural diuretic so continue to push the water throughout the day.  Hydration is key!

After you have cleansed your face, exfoliate to remove dead skin cells.  This is a quick, effective way to help brighten your complexion.  I recommend one of two exfoliation options;

  • Use a thin buff puff sponge in a circular motion during your cleansing process or
  • Dr. Castillo https://www.cosmeticplasticsurgery.com/   offers an at home Microdermabrasion scrub which is great for exfoliating while in the shower. It’s perfectly round spheres assure an effective exfoliation without damaging your skin cells.

Next apply a facial moisturizer followed by a broad-spectrum UVA/UVB sunblock.  Once you have a soft, moisturizer,  exfoliated and UV protected canvas to paint on, the real work begins…

Tired looking eyes are a dead give-away that you’re missing a few zzz’s so good eye camouflage is essential.  The following tips can help conceal

your sleepy eyes:

  • If time allows, apply something cool to the eye area like refrigerated cucumber slices, a bag of peas or cold pack for a few minutes before you get started to with help with the puffiness.
  • Apply a VERY thin layer of under-eye concealer to the lower eye lids if dark circles are present.
  • Apply a VERY thin layer of eye lid primer to the upper eye lid.  This generates a monochromatic skin tone and preps it for the steps that follow.
  • Apply Luxe Liquid foundation (available in Dr. Castillo’s skincare suite) to the entire face.  Its diamond powder technology help refract the light to give you a soft glow and hide imperfections such as lines around the eyes.
  • Use a peach colored eye liner in the inner corner of the eyes and just under the lower lash line. This will help conceal redness.  It can also be used at the outer corner of the lower lash line to create an instant eye lift.
  • To create an even more open, alert eye, use a near white or cream color eye shadow to the inner 1/3rd of your upper eye lid.
  • Mascara – Think of it as your American Express for the day –“DON’T leave home without it!”  This will help to frame and define the eyes further.

If that doesn’t quite do the trick, add a bold color to your lips, highlighted with gloss to divert their eyes away from yours.  And remember to always wear a smile!

 

Yours Truly,

 

 

 

 

Roxanne Hammond, Skincare & Laser Specialist

Cosmetic Plastic Surgery Center https://www.cosmeticplasticsurgery.com/

Join us on Facebook https://www.facebook.com/DrCastilloCosmeticPlasticSurgery?ref=hl

 

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