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MINIMIZING BRUISING AFTER DERMAL FILLER INJECTIONS:

Wednesday, July 23rd, 2014

Create balance with dermal fillers. Lasts upto 18 months.

Dermal fillers such as Voluma, Perlane, Juvaderm, Restylane or Radiesse are one of the most popular non-surgical solutions to improve aging skin. Dr. Castillo’s patients choose dermal fillers because it is a great way to increase volume in areas where the aging process has deflated their lips, cheeks, temples, or lower lids.  It is a quick way to fill in unwanted lines around the mouth and face to restore a more smooth, youthful appearance.

Though this treatment is not a facelift by any means, dermal fillers have made a place for themselves in the world of beauty enhancement and anti-aging.  Even though dermal fillers cannot truly provide the results of a facelift, they are at the height of their popularity today and their use is growing by leaps and bounds.

I think their increase in popularity has much to do with the idea of how they are marketed.  They are often referred to as a “no down-time” treatment in comparison to a facelift which does require a brief down time.

You can have this treatment done on a free afternoon.  Dr. Castillo typically injects a local anesthetic to assure that you are comfortable during the procedure. You will be numb and have difficulty speaking for 2-4 hours after the treatment due to the localized numbing. Most people are ready to be seen socially by the next day.

While some patients can experience minor bruising or swelling, these side effects can be minimized or avoided with a little bit of preparation before their treatment.

·      EXPEREINCE is key!

Here is where preparation begins.  Do your homework.  Injecting dermal fillers within or under the skin is not as easy as it seems and far from a cookie cutter treatment.  You will be best served seeking a board certified Facial Plastic and Reconstructive Surgeon’s office.  They have the detailed training, expertise and experience to achieve your desired results.  Also keep in mind that on the rare chance that an adverse reaction could occur, you want to choose an injector who is qualified and experienced enough to recognize and treat your reaction. There is a multitude of decisions to be made and you want to make sure your injector is qualified to make them…

1.    Is this patient a good candidate for dermal filler?

2.    Which type of dermal filler should be used?

3.    How deep should the filler be placed?

4.    Which anatomical areas should be avoided?

5.    Which is injection technique is best or this case?

  • DISCONTINUE “BLOOD THINNERS” one week prior to your treatment.

Dr. Castillo recommends discontinuing all aspirin (acetylsalicylic acid), NSAIDS / blood thinners one week prior when possible, for his patients.  This will significantly reduce your chances for bruising. Blood thinners delay the coagulation process that would normally occur after an injection. This may result in an unwanted bruise. Typical over-the-counter medications such as Aspirin, Ibuprophen, Advil, Aleve, Motrin would fall under this category along with a number of vitamins and supplements such as fish oil, Vitamin E, St. John’s Wart and Primrose oil.  If you need to take mediation for discomfort, OTC Tylenol can be used.

  • AVOID STRENUOUS EXPERCISE

Strenuous exercise can prolong your symptoms and is best avoided for the first 48 hours after your dermal filler.

  • APPLY A COLD COMPRESS

If swelling occurs, applying a cold compress to the treated area can help reduce swelling more quickly. It can help for the first 12 hours after treatment, but should not be used beyond 24 hours after your treatment.

If you have further questions about dermal filler solutions, schedule an appointment with Dr. Castillo 217-359-7508 or leave your questions in the blog comment box.

 

Yours truly,

 

Roxanne Hammond, Skincare and Laser Specialist Cosmetic Plastic Surgery Center

Roxanne Grace Hammond
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

 

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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

 

 

 

 

 

 

 

 

 

 

“ASK OUR EXPERT” – “Does Botox Really Help With Lines & Wrinkles?”

Monday, March 11th, 2013

QUESTION:  Roxanne, does Botox really help with lines and wrinkles? Is it safe?  Where can it be used?

ROXANNE:  Personally, I love it! It’s the number one non-surgical cosmetic procedure for a reason.  It works!  Dog may be man’s best friend but Botox Cosmetic® is definitely mine.  🙂    I find that the biggest downside with Botox is that once you experience life with it, you won’t want to go without it!

Botox Cosmetic® works by temporarily relaxing the muscles of the upper face that create expression lines.  This results in a temporary loss of facial lines and wrinkles for about 3 to 6 months.  It is a very cost effective anti-aging treatment and doesn’t require any down time. Botox can make remarkable improvements to the aging face.

Botox Cosmetic® has more than a 20 year track record for safety and effectiveness.  Botox is very safe WHEN injected by a specially trained clinician such as in the office of a plastic surgeon, cosmetic dermatologist, cosmetic surgeon, or facial plastic surgeon.   Botox is a medical treatment and should only be performed in a medical facility.  Please, for your own safety, avoid all temptations to attend a “Botox Party” at your local salon or girlfriend’s home.  If you receive one of these invitations, burn it and never look back!

At Cosmetic Plastic Surgery Center, the most commonly treated area is the glabella.  This is where the vertical lines appear between the brows creating an angry appearance. We often treat forehead lines and lines around the eyes commonly referred to as crow’s feet as well.  Dr. Castillo uses a very specialized technique to actually raise the eye brows.  This technique opens up the eyes and gives that well rested, alert look many of his patients are looking for.  It’s almost like an instant eye lift!  For those who’s skin is  showing signs of years of sun worshiping, even more results can be achieved when you combine Botox Cosmetic® with other non-invasive treatments like CO2 Micro-Fractional Laser Resurfacing or Intense Pulsed Light.

 

Yours Truly,

Roxanne Hammond

 

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

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

Could Zinc be a Botox® Booster?

Thursday, January 24th, 2013

 

The effects of Botox®  and other botulinum toxin injections such as Dysport, and Myobloc are estimated to last about 3 – 4 months for the average patient.  However, in some cases it is observed that the effects can last for a longer or shorter period of time.  It has been observed that the results can even differ from treatment to treatment in the same patient without any real explanation as to why.  Dr. Charles Soparkar, an Oculoplastic surgeon from Texas noticed this in his practice and began to investigate.  He realized there may be a link between Botox® and Zinc.

Dr. Soparkar’s study was recently released indicating the mineral Zinc as a “Botox® Booster.” The study by Dr. Charles Soparkar and his team indicates that when patients in the study took Zinc Citrate 50 mg in combination with the enzyme phytase 3000U for four days prior to the injection, they saw not only an increase in the effectiveness of neurotoxins (Botox® Cosmetic, Dysport, Myobloc) but also in the longevity.

Neurotoxins such as Botox® Cosmetic, Dysport and Myobloc are used to temporarily smooth facial lines and to decrease spastic muscle movement.  Botulinum toxin is thought to require a certain baseline zinc level in the body because each molecule of the botulinum toxin must bind to a molecule of zinc to be effective. Phytase is an enzyme which increases the body’s ability to absorb zinc and is therefore thought to increase the effectiveness and duration of Botox® and the like. In this study, 92% of the patients who took both zinc citrate and phytase had on average a 30% increase in the duration of the Botox® injection and 84% of patients reported an improved effect when compared to Botox® with Zinc only or a placebo only. One thing to consider in this study is that it appears that over half of the patients were over the age of seventy. Could that explain the increased effectiveness of Botox® in this study since Zinc levels are often lower in patients of this age group?

This study was carried out by researchers from Baylor College of Medicine, MD Anderson Cancer Center, the Methodist Hospital and Weill Cornell University.   The patients in this study were being treated for blepharospasms, hemifacial spasms and facial wrinkles.

While this study may offer answers to why Botox® lasts longer in some patients, keep in mind that the author of this study has a patent pending for the use of zinc and phytase for enhancing the efficacy of botulinum toxins injections, which presents a conflict of interest for the author of the study. His pending patent is for a prescription supplement called Zytate, manufactured by OCUSOCT Inc.  Each prescription costs about $80.00 for a five day regimen.

If you find the effectiveness of your Botox® treatments to vary it could be worth testing your zinc levels. I hope the author of this study is on to something as I am sure both Dr. Castillo and our patients would be very excited if we would offer a option for more effective, longer lasting Botox®.  However, I would like to see the results of other large clinical trials on this topic done by other researchers before drawing a final conclusion.

 

Yours Truly,

Can we now offer a "Botox® Booster" to our patients for a longer lasting, more effective result?

Anti-Aging With Grace…

 

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

 

 

 

ILLICIT BOTOX™ SURFACES IN THE UNITED STATES

Wednesday, December 26th, 2012

The FDA, through its regulators, reportedly warned 350 medical practices that they may have purchased unapproved (presumed counterfeit) versions of the drug Botox™ from a network of wholesalers controlled by Canada Drugs, an international supplier that has been previously linked to fake cancer medicines.  This was reported in the Wall Street Journal on December 24, 2012.  Although little known to people (patients), physicians can go across the border and buy drugs from Canada.  When a practice does that, they take the risk of buying medications that are not approved by the FDA, and that have a significant potential for being counterfeit.  When one talks about expensive medications like Botox™ in which one vial sells in the United States for close to $700.00, the temptation and potential for abuse is huge.  Not only can these medications be fake and have absolutely no effect, they can also be harmful from the standpoint of the content, and also sterility.

 

As a consumer, it would be advisable that you would find out from your medical provider if the Botox™ that you are receiving comes from an approved source; that is, a legal representative from the company Allergan, which markets and has registered Botox™.  While physicians and patients can save big money by going outside of the United States and buying drugs in Canada or elsewhere, the potential for counterfeit, useless or harmful medication is high.  At Cosmetic Plastic Surgery with offices both in Champaign-Urbana (Savoy) and also in Bloomington-Normal, we stock and provide our patients with only 100% Botox™ that has been obtained through legal distributors in the United States from the company Allergan, where safety has been monitored through multiple steps, not only by the company, but by FDA representatives through their mandated and approved procedures.

Yours Truly,

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

Ask Our Expert –

Monday, September 24th, 2012

BALANCING BEAUTY

QUESTION:  When I read anti-aging articles, they often refer to facial balance.  Can you explain what that means?

ANSWER:  I belive what they are referring to is a “basic formula” used to describe a well-balanced face, proportionately speaking.  This balance is seen when the face’s prominent features, meaning the brows, eyes, cheeks and lips are proportionate to each other.   The eyebrows should be aligned with eachother with a slight arch toward the outer or lateral portion of the brow.  When looking at the eyes, there should be a 1/2″ between the upper lid and and the eyebrow.  The lateral or outer corner of the eye should angle up just a touch.  Prominent cheekbones are a sign of beauty.  They should be full and high set.  An oval shape that tapers itself back as you follow then back toward the ears is most desirable.  Last but not least are the lips.  The lower lip should be 2/3 larger than the upper lip.

Create balance with dermal fillers.
Lasts upto 18 months.

In the hands of an expert injector and Cosmetic Surgeon such as Dr. Castillo (not your neighborhood spa), Botox Cosmetic® and dermal fillers such as Juvederm®, Radisse® or Perlane® can be a quick, effective way to improve the lack of proportion in the face.  Botox Cosmetic® or Dysport® can be used to improve the arch of the lateral brow.  This technique can also add some distance between the brow and upper lid helping to restore or create that missing balance.  Dermal fillers or fat transplantation can be used to give fullness the cheeks, creating a more prominent and defined cheekbone. Dermal filler or fat transplantation can also be used to plump up the lips, and to give better definition.

Though all these facial features can be improved by the above mentioned techniques, it is important to remember the goal; proprotional balance. It is the the key to looking natural and maintaining a youthful appearance.  If too much focus is placed on one of these prominent facial features, you will once again be out of proportion often resulting in an “over-done” less youthful appearance.

Balance is the key to life…and apparently to physical beauty as well!

 

Yours Truly,

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

 

 

 

Budgeting for Beauty – Part 3

Tuesday, December 27th, 2011

Roxanne, Skincare and Laser Specialist

If you’re still under the impression that Dog is man’s best friend, then you haven’t experienced Botox Cosmetic®. Botox Cosmetic® is the most performed cosmetic procedure in the United States for a reason. It works! Better yet, it takes 5 minutes and then you are off to drop the kids at soccer practice. No one wants to be the oldest looking mom or dad at play group, but taking time out for ourselves can sometimes be a challenge. Botox® is a great solution that requires no down-time, little investment and offers great improvement. Over the years, the media has wrongfully mislead the public about Botox Cosmetic®. I think it would be best to start by discussing the facts about Botox®.

Botox® https://www.cosmeticplasticsurgery.com/cosmetic-surgery/botox.cfmhas been FDA approved and utilized in the US and Canada for over 19 years. Botox® was first used to treat muscle spasms. Canadian ophthalmologist, Dr. Jean Carruthers noticed that it had a side effect of reducing wrinkles. She and her husband, a dermatologist, began using Botox® off label for wrinkle reduction with impressive results. In2002, the practice of utilizing Botox Cosmetic®  for wrinkle reduction became widespread in the US when the same formulation received FDA approval for the treatment of facial lines.Botox Cosmetic® is purified protein that is injected with a very small needle directly into over-active muscles. It relaxes the muscles, creating a smoothing out of lines created by repetitive expressions or motions.Botox can be used to improve the appearance of frown lines, forehead lines, and crow’s feet. Injected properly, it can even raise the eye brow, giving the patient a bright-eyed, well rested look. Because the needle so small, there is very little to no pain involved. These injections to do not require down-time and you can return to your daily activity without any visible signs of treatment. Treatment performed by a trained professional should never create an “expressionless or “frozen” appearance. That being said, please do not receive Botox injections at a Botox party at your girlfriend’s house. Authentic Botox is ONLY available through a physician’s office. The effects of Botox lasts 3-4 months. In my opinion, the biggest downside to using Botox is once you see the results, you will want to continue using it!In our office, Botox Cosmetic ranges from $300 – $400 per visit. This is a very low cost way to obtain a more youthful appearance. We offer additional discounts to established patients making it even more affordable.I would like to leave you with this thought today. When your budget is forcing you to make tough decisions how to best invest you money and you are trying to decide whether to purchase a new outfit with shoes and accessories to match or invest in a skin care treatment, remember this:(coming from a fashion enthusiast!! ) while you may get a couple season out of your wardrobe purchases, but your skin will stay with you through out every season of your life.Continue to check back with us, as we will continue to review technologies available, letting you know which ones are worth your investment.

Roxanne Hammond, RMA
Skincare and Laser Specialist
COSMETIC PLASTIC SURGERY CLINIC
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800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

Botox and Dermal Filler rebates available

Friday, December 3rd, 2010

Holiday Cash Back

I love the holidays; the food and aromas, the beautiful decorations, the social events, and the time with my family but it can also be so exhausting!  We tend to spread ourselves way too thin, taking care of everyone but ourselves. The next thing you know, you find yourself staring in the mirror, looking worn-out, trying to wish away dull skin, forehead lines, deep grooves between the eye brows or lines around the eyes just in time to walk into your next holiday gathering looking fabulous and radiant, as though you are not completely frazzled! Sound familiar?

If you could be granted a wish this holiday season, would you choose to look radiant and refreshed at all of your holiday gatherings, or keep you’re hard earned cash instead?  Hummm – decisions, decisions, decisions…

At Cosmetic Plastic Surgery Clinic, we don’t want you to have to choose.  This year Cosmetic Plastic Surgery Clinic is excited to announce that the manufacturers of Botox, Dysport, Juvederm, Perlane and Restylane are offering impressive rebates to assure you look and feel you’re best this holiday season.

The manufacturers products that relax facial lines such as Botox or Dysport are offering rebates of up to $50.00 per treatment!  You can save up to $75.00 on dermal fillers such as Juvederm, Perlane, and Restylane to plump the skin and lips, erasing and filling lines around the mouth , nasolabial folds, marionette lines and adding volume where needed.  This adds up to an even bigger savings for those of you who are already receiving discounts with your Cosmetic Plastic Surgery VIP membership!

Unfortunately, these impressive rebates are time limited.   Starting now, you can schedule an appointment at Cosmetic Plastic Surgery Clinic in Savoy (217-359-7508) or Bloomington (309-662-0436) for Botox or Dysport, and / or a dermal filler to smooth out your skin and erase lines and wrinkles.  We will be happy to answer any questions you may have about the details of these special rebate offers at the time of your call.

Dr. Castillo and his staff wish you a wonderful holiday season.

This blog was written by Roxanne,

Medical Skincare and Laser Specialist

Cosmetic Plastic Surgery Clinic