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The Liquid Facelift – Truths In Reporting and Advertising?

Thursday, August 27th, 2009
On August 12, 2009, CBS had a program in which they demonstrated the so-called “liquid facelift.”  As it is shown, there were injections placed in appropriate areas of the face to diminish facial lines and furrows by injecting a product called Sculptra TM.  It incorrectly refers to Sculptra TM as being a  filler that was just recently approved, since it has been approved by the FDA for years for the treatment of immune-suppressed patients, and particularly directed at AIDS patients.
I take issue with describing this injectable as a “liquid facelift.”  In fact, it is not.  It is simply an injection to replace some of the volume loss in certain areas of the face.  It definitely does not give or even approximate the results of a mini facelift or regular facelift.  To compare the results of an injectable to a facelift is grossly unfair to the public and plays on the sensitivities of those who are looking for an alternative to surgery.  If what an individual needs is a facelift, then they are wasting their money on temporary filler.
Please do not misunderstand me.  There is nothing wrong with injectables.  I use them in my practice frequently with great success.  The whole idea is that it is very important to match the problem with the correct solution.  By that I mean that if there are already set-in facial problems like jowls, sagginess and volume loss, the most effective way of dealing with it is through a surgical procedure. Anything else would be at best a compromise.  For most patients, it would be a waste and a disappointment.
If, on the other hand, the patient is looking to treat early aging changes such as volume loss without sagginess or jowls, commonly seen after age 30, then an injectable such as Sculptra TM would be a good alternative. It will help minimize some of the volume loss effects of aging for approximately a year or two.  However, the physician injecting this filler needs to have a very good artistic eye in order to be able to inject the filler where it will have the most effect.  The goal is to minimize the normal shadows of light and to minimize the highs and lows that tend to develop as a result of facial aging.
The cost is another factor one needs to consider since it is likely that one may need $1,000.00 and $2,000.00 worth of Sculptra TM to accomplish the desired effect.  This needs to be taken into consideration because when one uses facial filler the effects are only temporary.  Within a period of 6 to 24 months, the effect is completely lost. When comparing this with the results of a surgical procedure like a facelift, one must realize that though the effects of a facelift may be modified by time (the aging process), the improvements will be with the person for life.
The report stated that you could go out the night of the injection and that is in essence, untrue.  Even in the hands of the most skilled professional, a moderate amount of swelling occurs with the injection of any filler within the face.  Bruising can also occur.  One should probably allow 3-4 days after an injectable before planning to attend a social engagement.
As with any other filler, Sculptra TM is a volume replacement agent which will be useful on a temporary basis. We should never call an injectable a “liquid facelift.”  We should call it exactly what is it, which is the correction of volume loss by use of a facial filler (injectable). This is much more accurate and honest reporting.
This blog entry was written by G.D. Castillo, M.D., FACS; Triple board-certified, Director of Cosmetic Plastic Surgery Skin Restoration and Laser Institute.

On August 12, 2009, CBS had a program in which they demonstrated the so-called “liquid facelift.”  As it is shown, there were injections placed in appropriate areas of the face to diminish facial lines and furrows by injecting a product called Sculptra TM.  It incorrectly refers to Sculptra TM as being a  filler that was just recently approved, since it has been approved by the FDA for years for the treatment of immune-suppressed patients, and particularly directed at AIDS patients.

I take issue with describing this injectable as a “liquid facelift.”  In fact, it is not.  It is simply an injection to replace some of the volume loss in certain areas of the face.  It definitely does not give or even approximate the results of a mini facelift or regular facelift.  To compare the results of an injectable to a facelift is grossly unfair to the public and plays on the sensitivities of those who are looking for an alternative to surgery.  If what an individual needs is a facelift, then they are wasting their money on temporary filler.

Please do not misunderstand me.  There is nothing wrong with injectables.  I use them in my practice frequently with great success.  The whole idea is that it is very important to match the problem with the correct solution.  By that I mean that if there are already set-in facial problems like jowls, sagginess and volume loss, the most effective way of dealing with it is through a surgical procedure. Anything else would be at best a compromise.  For most patients, it would be a waste and a disappointment.

If, on the other hand, the patient is looking to treat early aging changes such as volume loss without sagginess or jowls, commonly seen after age 30, then an injectable such as Sculptra TM would be a good alternative. It will help minimize some of the volume loss effects of aging for approximately a year or two.  However, the physician injecting this filler needs to have a very good artistic eye in order to be able to inject the filler.

ler where it will have the most effect.  The goal is to minimize the normal shadows of light and to minimize the highs and lows that tend to develop as a result of facial aging.

The cost is another factor one needs to consider since it is likely that one may need $1,000.00 and $2,000.00 worth of Sculptra TM to accomplish the desired effect.  This needs to be taken into consideration because when one uses facial filler the effects are only temporary.  Within a period of 6 to 24 months, the effect is completely lost. When comparing this with the results of a surgical procedure like a facelift, one must realize that though the effects of a facelift may be modified by time (the aging process), the improvements will be with the person for life.

The report stated that you could go out the night of the injection and that is in essence, untrue.  Even in the hands of the most skilled professional, a moderate amount of swelling occurs with the injection of any filler within the face.  Bruising can also occur.  One should probably allow 3-4 days after an injectable before planning to attend a social engagement.

As with any other filler, Sculptra TM is a volume replacement agent which will be useful on a temporary basis. We should never call an injectable a “liquid facelift.”  We should call it exactly what is it, which is the correction of volume loss by use of a facial filler (injectable). This is much more accurate and honest reporting.

G.D. Castillo, M.D. Premier Cosmetic Surgeon in Central Illinois


G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
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309-662-0436 Bloomington

 

Mommy Make-Over

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

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

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

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

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

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

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

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

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

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

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

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

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

 

Click photo to view our Mommy Make-over page

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

Myths and Truths about Surgery in the Older Individual

Friday, June 26th, 2009
The portion of the population in the United States that is 65 or older will continue to steadily increase.  The US Census Bureau expects that by the year 2030, one out of every five Americans will be age 65 or older.  This fact alone suggests that the popularity of cosmetic surgery in the older individual will steadily increase.
Age alone is not a determinant of who can or who should have cosmetic surgery. The age of the patient is irrelevant to the safety and the appropriateness of surgery. The relevant issue is the health of the individual. In a healthy individual, such as one who does mild to moderate exercise and takes few medication, cosmetic surgery is an extremely safe and rewarding surgical procedure.  By the same taken, an individual who may only be in their 40’s but is on high blood pressure medication and smokes, is a significant surgical risk.
As an individual ages, there seems to be a natural tendency and trend toward participating in less activities and being less socially involved. It surprises no one that when an individual looks younger, they will act younger. They will participate in a greater number of social activities. Those patients who are seeking to look younger are generally patients who have what is referred to as “cognitive and emotional vibrancy.” This refers to the degree of awareness, connectedness, and involvement that the individual may have in the current issues of the day.  One could say that a window of cognitive vibrancy would be demonstrated with high physical energy and animated facial expression.
Of extreme importance is the fact that older individuals have less hang ups and less need to prove themselves.  Under these circumstances, the effects of cosmetic surgery tend to be much more satisfying. The need for perfection is not generally there. They are looking for improvement, not necessarily a homerun.

oldercoupleThe portion of the population in the United States that is 65 or older will continue to steadily increase.  The US Census Bureau expects that by the year 2030, one out of every five Americans will be age 65 or older.  This fact alone suggests that the popularity of cosmetic surgery in the older individual will steadily increase.

Age alone is not a determinant of who can or who should have cosmetic surgery. The age of the patient is irrelevant to the safety and the appropriateness of surgery. The relevant issue is the health of the individual. In a healthy individual, such as one who does mild to moderate exercise and takes few medication, cosmetic surgery is an extremely safe and rewarding surgical procedure.  By the same taken, an individual who may only be in their 40’s but is on high blood pressure medication and smokes, is a significant surgical risk.

As an individual ages, there seems to be a natural tendency and trend toward participating in less activities and being less socially involved. It surprises no one that when an individual looks younger, they will act younger. They will participate in a greater number of social activities. Those patients who are seeking to look younger are generally patients who have what is referred to as “cognitive and emotional vibrancy.” This refers to the degree of awareness, connectedness, and involvement that the individual may have in the current issues of the day.  One could say that a window of cognitive vibrancy would be demonstrated with high physical energy and animated facial expression.

Of extreme importance is the fact that older individuals have less hang ups and less need to prove themselves. Under these circumstances, the effects of cosmetic surgery tend to be much more satisfying. The need for perfection is not generally there. They are looking for improvement, not necessarily a home run.


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

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

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

Director of Cosmetic Plastic Surgery Clinic
COSMETIC PLASTIC SURGERY
 

Budgeting For Beauty – Part 1

Sunday, March 29th, 2009

Today’s economic slow down has left a deficit in the “beauty budget” of many. Unfortunately, this has occurred at a time when we must look and feel our best in the work force as a sense of job security or in hopes of landing a new job. Let’s face it, rational or not, we are often judged not only on our job performance but on our appearance as well. If we walk into an interview appearing outdated, a perspective interviewer may perceive our ideas and abilities to be outdated as well. How well we take care of ourselves reflects on our ability to manage all that life throws our way.

Feeling good about ourselves improves our confidence, self-esteem, and productivity. Therefore, a certain amount of vanity can be a good thing. I believe when looking for ways to insure a return on your financial investments, investing in yourself may be one of your best options.

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