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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

 

Post Breast Augmentation Massage

Thursday, October 15th, 2015

My thoughts on the value of massaging breast implants.

There is a controversy following breast surgery as to should breast implants be massaged or not, and in order to answer this question we need to go into just what happens during a breast augmentation.

CPS Blog Photo 5042 A breast augmentation typically done below the pectoral muscle (submuscular) is one in which a pocket is developed beneath the breast, above the thorax (chest cage), and in between the midline (the sternum), and the lateral border of the pectoral muscle just before the armpit (axilla).  This pocket needs to be large enough to accept and contain a breast implant.  We need to remember that a breast implant is typically an envelope filled with saline solution or an envelope filled with silicone gel.

In my Champaign and Bloomington-Normal cosmetic surgery practices, typically we use saline prostheses; however, these thoughts are applicable to both silicone and saline prostheses.  Neither saline solution or silicone gel can get hard; however, certain implants (breasts) become firm or hard.  So, how does this happen?  In order for an implant to feel firm or hard your body needs to make a capsule, that is, a cover over the implant that is tight.  This can happen even if it is not very thick.  We actually can make a good example by putting a piece of Kleenex on top of an implant and putting some pressure with that Kleenex over the implant, this will make the implant feel pretty hard.  So, it is not difficult to make an implant feel firm or hard if even a thin capsule becomes snug or tight over an implant.

Massaging will prevent this capsule over the implant from becoming “tight” over the implant.  This is done by moving the prosthesis up, down, towards the sternum and towards the axilla.  When one does this, there is more room inside of the pocket for the implant to fit in.  This keeps the implant feeling soft.  This is important not only because implant will feel soft but it is also important in the sense that an implant which moves freely inside of the pocket is one that allows the breast to move normally and behave as a natural breast.  A natural breast moves with normal chest movements so we could even say that there is a certain wiggle of the breast when one moves.  This is desirable and relates to the normality of a breast as compared to a breast that is fixed to the chest wall and it looks fake or unnatural which is typically the case when a prosthesis feels firm.

While we don’t know why some implants become firm in some people and do not in others, we do know that through massage, we can create a wide pocket for the implant to  “live” in.  This allows the implant to feel softer than it would if the pocket was tighter.  It is this simple reasoning that is the answer as to why it is not only desirable but also necessary to massage an implant after breast augmentation surgery.  There really are no drawbacks to massaging an implant.

We also need to remember that in order for an implant to be able to be massaged, it needs to be a prosthesis that is smooth.  Textured prostheses do not lend themselves to movement and so they should not be massaged.  By in large most Breast enhancement surgeries today in the United States are carried out with smooth prostheses, so the argument that all prostheses should be massaged is a good one.

 

 

 

GD. Castillo, MD, FACS

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

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Could a Non-Surgical Nose Job Really Work?

Friday, October 2nd, 2015

With the increased use of injectables through out the face, injectables as known as dermal fillers have come to play a role in managing small deformities of the nose.  Sometimes people refer to these derma filler injections to the nose as a non-surgical nose job.  In reality, it is not really a nose job, but rather the camouflaging of a deformity that can be corrected without the need of surgery.

A few examples of deformities that would possibly fall under this category would be:

1. A small dent on the side of the nose

2. A skin deformity related to scar and/or trauma

3.  A small nasal hump on a nose in which an experienced cosmetic or plastic surgeon could add dermal filler above and below the hump, adding volume to create the illusion of a straight nasal dorsum or straight nasal bridge.

While I do find patients who fall in this category in our consultations for nasal surgery in both Bloomington/Normal and Champaign/Urbana, it is the minority of the noses that can be corrected through injectables.  Most of the patients seeking a nasal change do require changes about nasal cartilages and/or bones that would necessitate surgery as the treatment of choice.

When injectables can be used, one of two substances can usually be utilized.

1. Hyaluronic Acid– [Voluma, Restylane Silk, Restylane Lift, Juvaderm, Perlane, etc.,)

2. Hydroxy Appetite (such as Radiesse)

If you are thinking about undergoing nasal surgery and/or changes to your nose, your surgeon can easily point to the areas that can be corrected with either injectables and/or surgery and should be able to show you pictures of corrections that he has performed.  We have an extensive showcase of before and after photos of multiple types nasal deformities to demonstrate the corrective surgeries we have performed in our practice.  Our patients find this helps in a significant way when they are trying to address his own personal issues.

 

Dr. G. D. Castillo

G. D. Castillo, M.D. Cosmetic Plastic Surgery Center https://www.cosmeticplasticsurgery.com BECOME A FACEBOOK FAN OF CPS @ http://www.facebook.com/DrCastilloCosmeticPlasticSurgery VISIT OUR BLOG: https://www.cosmeticplasticsurgery.com/blog 800-252-7123 (within IL) 217-359-7508 Savoy (Champaign-Urbana) 309-662-0436 Bloomington

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Interview with Skin & Laser Specialist, Roxanne – Question #3

Tuesday, September 15th, 2015

Question: Why do people come to the skin rejuvenation suite at Cosmetic Plastic Surgery?

3057Roxanne: “Most men and women, even teens simply want to become a better version of themselves.

  • They may have a special occasion coming up like a wedding, vacation or new job.
  • They may want to learn more about how CO2 Micro-Fractional laser resurfacing can improve their lines, wrinkles, texture and brown spots to give them a fresher, more youthful look.3182014 101
  • Some are seeking one of our signature facials or microdermabrasion to relief stress and brighten their appearance while others are working on self-improvement with chemical peels, hair reduction or vein therapy.“
  • In January of this year, to support the services that the skin rejuvenation suite offers, Dr. Castillo introduced his medical-grade skincare line https://www.cosmeticplasticsurgery.com/cosmetic-surgery/skincare-products.cfm   [contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Message’ type=’textarea’/][/contact-form]
  • The new skincare line has been a huge success and the results speak for themselves! This has brought a new sector of patients to us who are simply tired of being disappointed by empty promises made by over-the-counter skincare product lines. Trial sizes are available for most of the products so patients can try them out before purchasing a full size product. It is a nice benefit for the patient and they come back so excited, bursting with compliments about the skincare products they tried. As I always say, “you don’t need a cabinet full of skincare products, just the right products and knowledge to know the difference!”Microdermabrasion ScrubIMG_2054

Lush Simplicity Kit

How can a professional Skincare Specialist help me?

Wednesday, August 26th, 2015

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As a skincare specialist,  I will closely examine your skin, take a detailed history, discuss any skin conditions, allergies and concerns. Each of these factors along with your goals are compiled to develop the best plan for you. We will discuss in detail why we recommend a specific treatment such as CO2 Micro-Fractional Laser Resurfacing, Intense Pulse Light or skincare product, as it pertains directly to you.  You will leave with a clear understanding of the benefits and risks and what to expect before and after your treatment.cps social media 009upcloseprint

I think our skincare patients would tell you the most valuable advantage is the wealth of information and advice you will receive. We remove the guess work, the myths, the false hype of the next best fad and simply present you with proven-effective options that will help you reach your goals. A skincare specialist can educate you on the right ingredients for cleansers, moisturizers, sun screens, anti-oxidants, boosters and retinoids to help you see results fast and get the most out of each application not to mention the fun stuff like experimenting with different make up colors and looks.

Once you have established a patient relationship with me as your skincare specialist, I am available to discuss questions or directions you may have forgotten over the phone.  This type of individualized service just isn’t available at a makeup counter or through on-line ordering.  Our goal is to prescribe the right treatments and at-home products so that you never again end up with a drawer full of products that don’t work!

Yours truly,

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

https://www.cosmeticplasticsurgery.com

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

VISIT MY BLOG:

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

Interview with Skincare & Laser Specialist, Roxanne – Question #1

Thursday, July 23rd, 2015

Question: How has the skin rejuvenation suite at Cosmetic Plastic Surgery Center sustained its success over the past 25 years?

Roxanne: “We are fortunate enough that the Skin Rejuvenation Suite has a wonderful, well- respected, word-of-mouth reputation I would imagine is due to many factors:”

  • 1. “Our focus at Cosmetic Plastic Surgery Center has always been about providing the best possible experience for each patient, every time. The nature of our services allows us to make deep connections with our patients as we guide them through their journey both surgically and non-surgically.”
  • 2. “We are a state-of-the art, accredited facility with a physician / plastic surgeon who has over 30 years experiencCosmetic Plastic Surgery 9/11/12e in this field and as a staff, we all benefit from working under his direction. Dr. Castillo has created a well-oiled, professional, educated team of caring individuals, simply making us good at what we do, whether it is plastic surgery, Botox or skin rejuvenation. “
  • 3. “We do not work on commission. This means it’s a relaxed environment not only for the staff but for our patients as well. If there is a service that a patient is interested in, we tell them about it but our patients are never pressured to do anything. I believe this is yet another reason why patients refer others to us. Who would want to refer a friend to an office that is willing to pressure their friend into anything?” You will never find that kind of mentality or leadership here.
  • 4. “We are not interested in offering every new fad that comes along. We are interested ONLY in offering our patients the highest-quality skin rejuvenation and skincare product regimens that offer real improvements. Essentially, we are all results oriented perfectionists here and we want what our patients want; the best results possible!”

 

 

 

 

Lifestyle Lift Goes Bankrupt

Friday, June 26th, 2015

Lifestyle Lift Goes Bankrupt 

Many of us are familiar with the heavily advertised “Lifestyle Lift,” a so called “corporate facelift factory” that generated many headaches for many plastic surgeons having to treat or correct problems created by second-rate surgical procedures done in centers affiliated with Lifestyle Lift.

Unfortunately, in my Cosmetic Plastic Surgery practices in Savoy and Bloomington, I have seen numerous Lifestyle Lift patients with poor results who were seeking corrections of their Lifestyle Lift from an experienced Board-certified cosmetic plastic surgeon. This past March, the national chain filed for bankruptcy and the million-dollar per week advertising campaign that fueled their operation seized to exist.

The idea that hundreds of complaints have been filed over the course of their operation isn’t surprising.  The idea that you can pick a sophisticated surgical procedure that was described for over a hundred years and evolve it into a cut-rate, under-developed procedure and market it under your own corporate name sounds absurd but it is indeed what happened!  Imagine that you pick up colonoscopy and begin centers marketing “Lifestyle Colonoscopy” as something revolutionary, better, more special and then channel patient’s to your centers. Would we as physicians support that?

As physicians, we would not; because when we find a modification to a surgery that is an advancement for science, what we do is inform, publish and teach this modification or improvement to all the world for the benefit of everyone.  In the case of the “Lifestyle Lift,” it appears it was done for enrichment and financial gain of the corporate leadership, not medical advancement.

The sad part is that there was nothing new or better about the Lifestyle Lift.  It was just a marketing plot that deceptively hurt consumers.  Misinformed consumerism came at large price for many who were dooped by such an unethical marketing presentation.  The poor results generated from the lack of training, technique, patient safety practices, patient screening, and the lack of thorough pre & post-op care that sometimes occurred in these Lifestyle Lift affiliated centers resulted in a flood of complaints, complications and lawsuits against the “corporate facelift factory that can be found listed all over the internet  such as the list of complains at

http://www.consumeraffairs.com/doctors/dr_lifestyle_lift.html

 

They will not be missed!

 

Sincerely,

Cosmetic Plastic Surgery 9/11/12

 

 

 

 

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

LOOK YOUNGER WITH CO2 MICRO-FRACTIONAL LASER RESURFACING 

Friday, May 22nd, 2015

Finding non-surgical ways to look younger isn’t exactly a novel idea, in fact it’s growing by leaps and bounds. Men, women, scientists and clinicians alike are seemingly on a constant search the latest answer to aging.I’m not sure I would put to much stock in most of the options being presented today but there are indeed a few good options for looking younger in situations when surgery is not necessary.

Although dermal filler may get all the media hype, I would say the biggest non-surgical development came about a few years back and is holding strong as the front-runner for non-surgical facial rejuvenation.

“COMICRO-FRACTIONAL LASER RESURFACING”

I have performed well over 500 COMicro-Fractional Laser Resurfacing procedures at Cosmetic Plastic Surgery Center in Champaign and have yet to have a patient who doesn’t walk away looking younger at their one week appointment and even younger yet at their 3 month appointment. It really is a tiny little bit of magic when it comes to looking younger fast.

CO2 Micro-Fractional Laser Resurfacing https://www.cosmeticplasticsurgery.com/cosmetic-surgery/laser-skin-rejuvenation.cfm is my favorite procedure to perform because I know I will put a smile back on my patient’s face when they look in the mirror and see a reflection looking back at them that they are happy with and can feel confident with. That makes what I do very rewarding on a personal and professional level.

CO2 Micro-Fractional Laser Resurfacing is a non-surgical treatment for:

•lines      •wrinkles               •blotchiness          •brown spots        •builds collagen and elastin

•acne scarring      •rough texture     •Aging skin           •dull, lifeless, sun damaged skin

You will notice more light reflectivity within a week after treatment which creates a softer, more radiant, youthful appearance. It even continues to create more collagen and elastin formation for up to year. That is not to say that you lose results after one year, I’m saying that the treatment actually continues to produce more and more results for up to a year. Now that’s a treatment that keeps on giving!

The beauty of this treatment (sorry, no pun intended) is that BOTH the epidermis (outer layer of skin) and the dermis (middle layer of skin) are treated and affected at the same. The epidermis is where the damaged, color producing cells are located that are responsible for the unwanted appearance of brown spots and tone changes. The dermis is made of elastin and collagen which provides the skin with structure; in other words, they make up the skins pliability, strength, form… When sun exposure and natural aging compromise the dermis; collagen and elastin break down and those dreaded lines and wrinkles start to form.

CO2 Micro-Fractional Laser Resurfacing is performed while you are awake in the privacy and comfort of Dr. Castillo’s state-of-the-art skincare and laser rejuvenation suite. Most patients are ready to re-apply cosmetics with in about four days after treatment. Some more aggressive treatments may take a few days longer.

If you are thinking about non-surgical facial (or body) rejuvenation for any of the above signs of aging, I would definitely recommend considering CO2 Micro-Fractional Laser Resurfacing. I think you will find that you get a great return on your investment!

 

Roxanne Leopard jacketRoxanne Grace Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY  800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

https://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK:

http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT MY BLOG:

https://www.cosmeticplasticsurgery.com/blog/