MAIN SITE BLOG HOME

Archive for the ‘Uncategorized’ Category

What To Expect During Your Liposuction Consultation

Thursday, March 21st, 2019

Liposculpture Basics:

Dr. Castillo has been sculpting bodies into more proportionate forms since the early 80’s.  In the hands of an expertly trained and experienced cosmetic plastic surgeon, body contouring via Liposculpture (Liposuction) can do more in a few hours to equalize the proportions of the body, then you may be able to do on your own in a lifetime.

While making healthy food choices and maintaining a regular exercise regimen is essential for maintaining trim body shape, “spot-reducing”disproportionate areas through those means, where fat tends to over-collect is nearly impossible to correct on your own.

Liposuction will remove excess fat that over-accumulates in certain areas, resulting in body bulges of the hips, waist, stomach, lateral and medial thighs, back, arms, even the neck and face.

Liposculpture is used best in one of two ways:

  1. For those with a relatively normal BMI, who have 2-5 problem areas they wish to have reduced, such as the hips, thighs, stomach and waist…
  2. For those individuals who have a higher than normal weight, volume reduction liposcultpure is the procedure of choice. Here the main goal is to remove as much fat as possible, typically up to 6 quarts (1.5 gallons) of fat. Volume reduction liposuction can reduce and better equalize your over-all body shape. The best candidates for volume reduction liposuction would have a BMI less than 35.

 Your Consultation:

Dr. G.D. Castillo offers consultations for body contouring in both his Champaign (Savoy), Illinois locations.  You will be greeted by our patient coordinator as soon as you arrive. Then you will be escorted back to one of our consultation rooms where you will meet briefly with a member of our clinical staff.  You will be asked a few brief questions regarding your health history, including a list of your current medications, allergies, past surgeries etc.

You will then meet with Dr. Castillo to share your body contouring goals.  Once he has performed a quick body evaluation, he will discuss his recommendations and give you a detailed over-view of what to expect before, during and after your surgery.  You will also receive an all-inclusive cost quote so there are no surprises.

Don’t be shy about asking questions.  We want you to be well informed so that you can make the decision that is right for you. Most patients take some to think about the information they have received and call to schedule if they decide to move forward with the surgery, though we can certainly make all the arrangements for your pre-op appointment, surgery and post-op check ups before you leave the office if that works best for you. Once you have scheduled surgery, you will receive a surgical packet in the mail that will contain instructions on how to best prepare for upcoming surgery. Once you receive it, if you have any questions at all, just give a call.  We are always here to help.

Questions you might want answers to:

  1. Q: Will the fat Dr. Castillo removes return?

A: That is a big – “FAT” —NO!  Of course, that does not mean it will prevent you from accumulating more fat in the future, typically in other areas, if you are not disciplined in your diet and exercise habits.

  1. Q: How long before I can return to an active lifestyle?

A: You can expect to be up and walking around the day of your surgery and walking a mile the day following surgery. Patients return to most forms of activity after the 1st week.  Running and high-impact aerobics can be resumed after the 3rd week.

  1. Q: What effect, if any, will liposculpture have on the appearance of my skin?

A:  This ranges on a variety of factors such age, degree of sun damage, skin type, weight stability etc.  This is a question Dr. Castillo will be better able to address once he evaluates your skin.

4. Q: What is the scheduling time before surgery? 

A:  Surgical availability can vary greatly so it is best to check with us once you have some dates in mind.   We will be happy to discuss our available dates in your consultation or by phone.  If you have a certain date or time frame in mind, it is best to schedule your consultation at least several weeks before

5. Q: What kind of results can I expect?

6. Q: Do you have before and after photos of your work?

 

A few things to consider when making the decision to have surgery are:

  • Am I a good candidate?

Good candidates for liposculpture are those who:

  • Have been at a stable weight for at least 6 months
  • Have realistic expectations. It should not be thought of as a “weight-loss” solution. Liposculpture is not meant to solve the issues of someone who is chronically over-weight. Making healthy life-style choices when it comes to eating right and exercising regularly will still be up to you.
  • Those with a BMI of less than 35

 

  • Will this procedure give me the results I am looking for?
  • Are there other options I should consider?

 

  • Is Dr. Castillo, his facility and his staff right for you?
  • How much experience does Dr. have performing Liposculpture?
  • Is he board-certified?
  • What is his expertise in liposcultpure? (Did you know he is the Past-President of the American Society of Liposuction Surgery?!!)
  • Did you feel comfortable with his explanation?
  • Did he answer your questions?
  • Did you finish the consult with a clear idea of expectations?
  • Was Dr. Castillo kind, professional and knowledgeable?
  • Was communication between you and Dr. Castillo / staff clear?
  • Was his staff friendly, knowledgeable and helpful?
  • Were you comfortable in the facility?

Important Note:

Traditional Liposuction / Liposcultpure is still the GOLD STANDARD of treatment.  While there are many new non-surgical “fat reduction” treatments being marketed today, Dr. Castillo has elected not to offer those treatments to our patients.  We want what our patients want; the best outcome possible.  Traditional liposculpture delivers 360 degree contouring known as 3-D or tri-dimensional body sculpting. Today, there is simply no substitute for traditional liposculpture in regards to accurate, safe, consistent results, unlike non-surgical options.

THE IMPORTANCE OF CLEANSING AT NIGHT

Tuesday, February 12th, 2019

I can’t tell you the number of men and women who have confessed to me that they often skip washing their face at night.  Noooo!  Pleeeease!  Must wash.

Aside from wearing sunscreen on a daily basis, washing your face at night is probably the most important step on the road to healthier skin.

Why:

Not to freak you out but seriously – it’s a dirty, dirty world out there.  Think of all of the bacteria, dirt, grime, environmental pollutants floating around in the air. Guess what – they land on your skin. They get stuck to your skin… embedded in your make-up. This happens to you daily, whether you realize it or not.

How many items do you touch every day: a grocery cart, money, door knobs…?  Again, you just made skin contact with bacteria, dirt, grime, pollutants and probably touched your face as some point. Am I right?  I know, that is not a pretty picture! At the end of the day how can unwashed skin appear pretty covered in all that environmental garb? Not to mention that if you didn’t wash your face before bed, you’ve just transferred all the bacteria, dirt, grime and pollutants to your pillow.  Yes, the very pillow you lay your sweet little head on every night.  Move over microbes! Make room for me!

Now – if the dirty world reality check wasn’t enough to convince you to wash your face every single night, well then… I guess… I’ll try harder…

Let’s talk about large pores:

Larger pores are one of the top concerns patients in our skincare suite want to address. Washing your face every single night is the best way to avoid large pore issues.  If you are not consistent with nighttime cleansing, your pores will get impacted with all the above mentioned grossness and form blackheads, whiteheads, full blown break outs, develop irritations and inflammation and lead to… you guessed it… larger pores.

A Better Canvas:

Like any good and prideful artist, you must start your painting with a pristine canvas! Having clean, smooth, well hydrated, and UV protected skin will make applying flawless make up so much easier!

So Why All The Emphasis On Cleansing At Night?

It’s simple really.

Even the most basic at-home skincare regimens require an application of moisturizer and maybe a retinoid or anti-aging product of some kind.  Even if you don’t wear make-up, your skin needs to be cleansed to remove the dead cells of the day so that your skincare products can penetrate effectively and do their intended job.  Your skin is working hard while you sleep.  It is a time of increased rejuvenation and cell renewal.

 

You must be on-board by now with consistent nightly cleansing, so let’s take a look at the proper way to cleanse at night.

I like facial cleansers (notice I did not say a bar of soap or facial wipes) that contain exfoliating enzymes, AHA’s, BHA’s, or certain botanicals to help break down the days build up.  I recommend massaging the cleanser into wet skin with your clean hands and then using a damp facial sponge, thin buff puff or textured facial cloth to clean away all the debris.  Rinse, then pat your skin dry.

Cleansing not only helps remove dead cells, bacteria and grime but it stimulates circulation and improves cells turnover. Yay! This means new fresh, sexy skin cells! Now you are ready for the rest of your skincare routine.

 

 

 

Warmly,

Y0ur Skincare Specialist,

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

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

Liposculpture That Delivers Real Results!

Friday, January 18th, 2019

As we begin 2019, we have many procedures – modalities available to treat unwanted fat.  Unfortunately most of those non-surgical modalities lead patients down a lumpy path of disappointment.  The reality is that even if you are at a normal weight (BMI below 34)  excessive fat in areas such as the “love handles or hips, back, thighs, stomach, etc.  can make your body look disproportionate. The only way to accomplish real results is to actually remove quantifiable – measurable – fat.

If you find yourself in a consultation where someone suggests a type non-surgical modality rather than traditional liposuction or liposculpture, you may want to ask a simple question:  “How much fat will this procedure physically remove in terms of pounds or volume?”

Traditional liposculpture removes up to 6000 cc of fat at the time of the procedure! That is 13 pounds or 7 quarts or 1.8 gallons of fat!  These are typical numbers for volume reduction liposculpture performed at Cosmetic Plastic Surgery Center routinely. So yes, traditional liposculpture translates into being able to downsize in a significant way – by 2 to 3 sizes!

When considering if the latest way to “reduce” body fat is the best way to get the results you desire, ask the hard questions that are important to your outcome!

 

•How many pounds will you remove?

•How much volume will I loose?

•Will the results be smooth or lumpy?

•How many treatments will I need to achieve my desired results?

•What happens to the “melted fat?”  Are there future health concerns I should know about?

When asked “was worth it?”, more than 95% of our traditional liposculpture patients answered – ABSOLUTELY!

If you are looking for consistent, smooth, proportionate, REAL results consider choosing the “gold-standard” of body contouring – traditional liposculpture surgery.

G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com

BECOME A FACEBOOK FAN OF CPS @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

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

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

 

 

 

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)    /     

 

 

 

A Review of Make-up Brushes for Eyes

Monday, September 10th, 2018

Selecting the right eye make-up brushes to achieve the look you want, shouldn’t strain your brain but sometimes it can feel like it! There are so many options for such a tiny space (eyelids), it’s hard to know which ones you really need. Choosing the right brushes to complete your look can really make a different in whether your eyes look tired and aged or bright and uplifted.

 

Dual-Fiber Eye Brush:

This is my FAVORITE eye brush! Super versatile! It makes applying and blending light layers of shadow a cinch. As we get older, the words light layers and blending could not become more important to maintaining a youthful looking eye. So I think this brush is must have. It can also really decrease the frustrations of trying to discreetly conceal any under-eye area flaws. It’s easy to lay down very thin layers of concealer with its wispy, feather like bristles. Very lightly dampen the ends of the bristles and lightly whisk the brush across your problem areas for thin, flawless coverage. The trick to using this brush successfully is to relinquish all control. Instead of holding it near the Ferrule (metal part), move as far back on the handle as you can. This will make a huge difference in your application.

 

Eye Base Brush:

This is a pretty basic, user-friendly brush. In fact, it is my go to brush for all-over applications, but works just as well for specific placement of color before moving on to a blender brush.

 

Eye Blender Brush:

You guessed it! This brush is for blending, the most important part of your eye shadow application. This is a versatile, fluffier, long-bristle, domed brush. It can be used to apply a light color wash or to soften the edges of multiple colors, blending them into a seamless transition. Swirl in a circulation motion to blend shadow into the crease of your eye. Just like the Dual Fiber eye brush, hold this brush near the end of handle. The less control you have the better.

 

Mini Eye Crease Shader:

If you are beginning to feel like its time to stop wearing eye shadow because it makes your eyes look older rather than younger… go get this brush! Crease shaders in general are meant to contour the eye to give dimension. The “mini” crease shader has a smaller end with a bit of a point. Use it like a stylus or pencil to draw on color to create shape and definition. This brush will become your best friend if the outside portion of your upper lid is turning downward which happens to most of us as we age. Rather than following the crease line of your upper lid when applying shadow, try defining your upper lid shape by drawing on a medium dark shade of shadow from the lateral end of your lower lid up to your brow bone, then medially, mid-way across the brow bone, creating a bit of right angle or sideways “v” depending on your lid shape to lift the eye shape back up to a more youthful shape. Then shade and blend, blend, blend as you normally would, adding lighter and dark colors; medium -dark on the edges, lighter inside.

 

Angled Eye Contour Brush:

Create contour of your eyelid by applying and blending shadows into the crease of your eye until they become seamless. Now if your eyelids “maturing”, I recommend that you avoid placing dark or heavy shadow in the crease of your eyelids.  This will only create a more tired appearance. Instead, as discussed above, use the mini-shader to draw a line from the outside corner of your upper lid to the brow bone to help draw the eye upward, then blend.

 

Smudge Brush:

Looking for a little drama? This brush can be used to apply eyeliner or eye shadow near the lash line. Then blend to soften the line to create the sultry, smoky eye.

 

Brow Brush: Thinly shaped, angled bristles used to re-shape or fill in sparse eyebrows.

 

Warmly,

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

Join Dr. Castillo’s team on FACEBOOK  @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

Ask Our Expert: What is the best type of sunscreen?

Wednesday, August 22nd, 2018

 

Q: What is the best type of sunscreen?

A: Historically, it has been shown that physical sunscreens provide the best protection against both UVA & UVB radiation and are less likely to cause skin irritation.  Dr. Castillo, cosmetic surgery and anti-aging expert  https://www.cosmeticplasticsurgery.com/ recommends medical-grade, physical sunscreens to all his patients.

There are two divisions of sunscreen ingredients; physical and chemical. Physical sunscreens reflect the UV radiation while chemical sunscreens absorb the UV radiation and break it down within the skin. Some sunscreens contain both a physical and a chemical component.

There are two types of physical sunscreens available; zinc oxide and titanium dioxide. Both provide broad spectrum UVA and UVB protection. Today, these ingredients can be found in finely micronized, nano-sphere  form which allows for ease of daily use. Not only does zinc oxide and titanium dioxide provide needed broad-spectrum coverage but they are also beneficial to those who have sensitive skin or are irritated by chemical ingredients.

You will typically find multiple active ingredients listed in chemical sunscreen.  Each chemical ingredient protects only against a specific portion of the UV spectrum. Be aware that at this time many over-the-counter sunscreens protect against UVB rays only, although there are a few chemical ingredients like Oxybenzone that do offer UVA/UVB protection. Therefore, when purchasing over the counter sunscreen, it is important to examine the label for the claim “broad-spectrum.”  Also look for a sunscreen that says “very water resistant.”  However, keep in mind that even the best water resistant sunscreens can only protect you for 80 minutes.  Then you will need to re-apply.

With inconsistent OTC product labels and the idea that active ingredients in sunscreens differ from manufacturer to manufacturer it can be difficult to decipher all of them so I have provided at chart of the more common ingredients found in sunscreens.  When in doubt whether a sunscreen will effectively protect you and your family, I recommend selecting a medical grade sunscreen from your local cosmetic surgeon, plastic surgeon or dermatologist. Our patient’s favorite sunscreens are:

Physical Defense by Castillo MD Skin Science,  is a chemical-free, pure physical broad-spectrum medical-grade sunscreen making it perfect for even oily and acne skin types! It offers superior protection due to it’s high percentage of Zinc Oxide and Titanium Dioxide.

Sun Defense by Castillo MD Skin Science, which offers medical grade 12% Zinc Oxide, 7.5% Octinoxate broad-spectrum UVA/UVB protection

Prime Defense by Castillo MD Skin Science, which offers 10% Titanium Dioxide, 4% Zinc Oxide broad-spectrum UVA/UVB protection with an added skin primer.

Body Guard is a medical-grade, body mist sunscreen, making it perfect for those on the go or chasing after little ones.

Chemical & physical ingredients found in sunscreens.

Ingredient:                                            Ray Type:

Avobenzone UVA
Dioxybenzone UVA/ UVB
Homosalate UVB
Octocrylene UVB
Octyl methoxycinnamate UVB
Octisalate UVB
Oxybenzone UVA/ UVB
Padimate O UVB
Mexoryl UVA/UVB
Titanium dioxide UVA/UVB     broad spectrum
Trolamine salicylate UVB
Zinc oxide UVA/UVB     broad spectrum

WARNING: You must actually apply the sunscreen to your skin.  Just purchasing it will not provide sufficient protection! lol

 

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
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

WHAT TO EXPECT WHEN RECOVERING FROM A RHINOPLASTY:

Wednesday, August 15th, 2018

How will I look and feel after surgery?

Let’s get right too it shall we!

Pain: I’m being absolutely genuine when I say our patient’s don’t really experience pain with this procedure, just some mild discomfort (it is surgery after all so you must expect that). I find this quite remarkable really since the nasal bones are re-set and the nose gets a bit of a work over. The majority of our patient’s just use Extra-Strength Tylenol for the first couple day to control their discomfort.

Appearance: Well…for the first 4-5 days you might look like you just stepped out of a boxing ring. You are likely to have two black eyes and some swelling. If you are following directions and sleep elevated, the swelling will dissipate pretty quickly. You will have a cast on your nose for 6-7 days so I recommend taking a week off from social activities – just until we remove your cast. I think most people feel a bit conspicuous in public with a nasal cast and it’s best to protect your nose from crowds during this time of healing. I think in the end you will agree that is a small price to pay for the euphoric confidence boost that is coming your way!

Recovery – Days 1-7:

I hope you are a patient person because you will have to wait 6-7 days to find out what magic has occurred underneath that cast!! I have seen hundreds of Dr. Castillo’s Rhinoplasties. I can tell you, it will be worth the wait!

  • Expect to feel stuffy. Swollen tissue will make it difficult to breath out of your nose for 5-7 days. Focus on breathing out of your mouth. The majority of our patients worry about this pre-operatively, but adjust more quickly than they imagined.
  • You will need to reduce your activity level. No running, jogging, strenuous exercise, heavy lifting, bending over…until Dr. Castillo releases you to do so.
  • Please avoid pets and small children. They are notorious for bumping into newly operated noses! You should also stay away from sporting events, bars, crowds of people in general during your initial healing period to avoid any nasal injury incidences.
  • Do not get your cast wet. It will fall off (your cast, not your noseJ).
  • Gently apply Bacitracin ointment inside your nose, using a Q-tip applicator as demonstrated during your discharge by our recovery nurse. This is important for 2 reasons:
    • It allows you to gently clean and hydrate in the inside of your nose to avoid dry, crusty build up.
    • It allows secretions to drain.
  • DO NOT blow your nose for the first week after surgery. If you have to sneeze, open your mouth and sneeze out of your mouth, not your nose.

Recovery Days 7-20

Welcome to the Reveal!

Seven days after surgery, we will remove your cast. The cast removal can sometimes be a little uncomfortable so I recommend taking a shower to get your cast wet just before you come to our office. Let the water run over your cast for 5-7 minutes to loosen up the adhesive so it will come off with ease.

  • Expect your nose to look a little pinched when we take off your cast. This is because the cast has been “pinching” it for the last week. This appearance will resolve in about 24 hours.
  • You will be given Saline nasal gel spray. This is used to keep the inside of your nose hydrated and free of crusting. You will squirt and sniff simultaneously three times daily.
  • Remove any secretions or crusty build up with a Bacitracin covered Q-tip.

Recovery 3 Weeks Post Surgery:

You will return for a post-operative visit 3 weeks after surgery.

  • Swelling inside nose should be much reduced at this point, though some minimal swelling can last for several weeks.
  • It is likely that Dr. Castillo will ask you to begin massaging your nose at this point. This is an important step. Its purpose is to help the nasal skin re-drape itself in a natural looking way. It will stop the skin from abnormally adhering to the underlying tissue, which will allow it to move freely and naturally.
  • You may notice some temporary numbness or tingling. This will continue to improve over the next several weeks.
  • All exercise restrictions are typically lifted at 3 weeks.

Recovery Weeks 4 And Beyond:

Rhinoplasty is a surgery that keeps on giving! Your nose is going to change for the next 12-18 months! You will see more tip definition, more detailed structural changes and even smaller pore size!

  • You can still have some very minimal swelling that can last for a few months; others will not notice it, but it will be there and your nose will continue to change as the swelling subsides.
  • We will see you back 3 months after your surgery to access your improvements and take your after photos.

 

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

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

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

 

 

 

 

 

 

 

What To Expect On The Day Of Your Rhinoplasty Surgery:

Wednesday, August 1st, 2018

Emotions:

It’s common to be a little nervous when you arrive for surgery. We WILL take good care of you. Each member of our staff is devoted to providing you with the highest quality of care in a safe environment.

If you are like most of our patients, you are likely to be entirely excited too! You have good reason to be! Dr. Castillo is such a true artist when it comes to giving you the nose you should have been born with. I get so excited each time we have Rhinoplasty on the surgical schedule. It’s a little bit like Christmas, many, many times per year. 🙂   Watching Dr. Castillo perform such intricately detailed work in such a small space to such precision and perfection never gets old. Each Rhinoplasty is new and different and so natural looking. No cookie cutter business here! It’s equally as fun to watch a Rhinoplasty patient’s confidence change and soar over the first several months after surgery. It is amazing to see how such small changes can evoke such big changes!

What to wear:

On the day of surgery, you should arrive free of lotion, skincare products, make up, jewelry and perfume with your hair pulled away from your face.

It is best to wear a zip up or button up shirt. You will want to avoid wearing pull over shirts for a couple of weeks to prevent nasal injuries. Wear comfy, easy to slip on pants and shoes as you may still be a bit foggy when you get dressed to go home.

Arrival:

Dr. Castillo’s state-of-the-art outpatient surgical facility.

When you arrive at Cosmetic Plastic Surgery Center, you will be asked to read and sign a surgical authorization form. For applicable female patients, you will be asked to leave a urine specimen for a pregnancy test. Then you will be escorted back to pre-anesthesia room where you will be asked to change. Dr. Castillo will speak with you briefly then you will meet with our anesthetist. You will undergo general anesthesia (completely asleep) for this procedure. The anesthetist will take great care to avoid any post-surgical nausea if that is a concern for you.

For Driver / Family members:

Your driver / family members are welcome to wait in our waiting room or return when you are ready for pick up if they prefer.  It is best to have a responsible adult accompany you when we are reviewing your discharge instructions as in can be difficult to remember everything immediately post-surgery. We will notify your driver 30 minutes before they are needed to review post-op care instructions and take you home.

Recovery Room:

  • You will awaken from surgery in the most comfortable recliner ever! We use a Bair Hugger system that releases warm air under your blanket to keep you toasty warm and peaceful! You will be much more comfortable than you thought you would be.
  • Rhinoplasty is not typically a painful surgery. The average patient reports a pain scale of 0-2 out of a 0-10 pain scale after surgery. Most of our patients just use Extra-Strength Tylenol to control any mild discomfort.
  • You will have a cast on your nose and you will hear Dr. Castillo asking you to breath out of your mouth. Once the tissue inside your nose begins to swell,  it will become difficult to breath out of your nose for about 5-7 days.
  • Secretions and bloody discharge are a normal part of recovery for the first 24-48 hours. We will place a mustache bandage just below your nostrils if you have any post-surgical nasal drainage. You will likely change this bandage 10-12 times before it resolves.
  • When it is time for you to go home, you will receive a full set of detailed at home care instructions. Our recovery nurse will review with you and your caregiver at the time of discharge.

The Evening Of Surgery:

When you arrive home you will begin with some ice chips followed by your drink of choice (water, coffee, tea, juice…).  Wait a half hour then move on to some food.  Do push the fluid over the next few days. Expect to feel a bit drowsy for a few hours after you get home. It is best to rest but you can certainly get up and walk around as soon as you feel you can. It is best to sit or sleep in a reclined position to reduce swelling.  Dr. will call you the night of surgery and of course we are only a phone call away if you have questions or concerns. You can reach Dr. Castillo after office hours through our answering service. We will see you back at one week to remove your cast and reveal your new look!