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ASK OUR EXPERT: FAT TRANSPLANTATION

Wednesday, April 30th, 2014

 

Question:  Can Dr. Castillo take fat from my hips or stomach and put it into my breasts? 

Answer: The short answer to that question is yes; though, it is not as simple as it sounds. 

Fat transplantation to the breasts has been done for many years, starting in earnest around the mid 1980’s by many cosmetic surgeons. At that time, we did not have answers to important questions like:

  1. What, if any changes would fat create in breast tissue?
  2. Will these changes be misdiagnosed as disease and/or cancer in the future?

  Due to the lack of information available at that time, the use of fat transplantation to increase breast volume was never truly accepted or recommended.  However, early results indicated that it did work.

 Today we know that we can remove fat from anywhere in the body and transplant it to anywhere in the body with results that will accomplish

  1. an increase in volume
  2. an improvement in the skinFor example, if fat is transplanted underneath scar tissue, the scar tissue tends to remodel and turn into better skin.  In so far as increasing volume, fat transplantation needs to be done with quite a bit of care and by an experienced surgeon because if fat is placed in large lump quantities,  not only will the procedure be ineffective but it  is likely to create issues. Fat needs to be transplanted in very small amounts and in many areas within the breast and surrounding tissue in order to accomplish an increase in the volume of the breast. We can increase the volume of the breasts by approximately 120 cubic centimeters maximum. This is related to a limitation with the rate in which the body will incorporate this fat into the tissue. Fat that is placed in a new area needs to be colonized by small blood vessels and made into living tissue in whatever area it was transplanted.  This can only happen when it is transplanted in small amounts that are small enough to be able to be sustained by the microcirculation of the area.

Fat transplantation is best utilized for patients who are seeking small adjustments to their breast proportions.  If you desire to go from an A to a C cup size breast, fat transplantation will not give you your desired outcome.  To increase breast volume in a more significant way is better accomplished with breast implants. https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm.

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

Director of Cosmetic Plastic Surgery

https://www.cosmeticplasticsurgery.com/cosmetic-surgeon/

 

Ask Our Expert: CO2 Micro-Fractional Laser Resurfacing Of The Upper Lip…

Friday, March 28th, 2014
Question: With the CO2 Micro-Fractional Procedure above the lip, would there be any anesthetizing, of the area for pain? Also, does it peel or just turn red?  And Lastly, what days of the week does Roxanne do this procedure?
Thanks,
Karen
Answer:
Karen, when we perform more aggressive CO2 Micro-Fractional Laser Resurfacing to on lines around the mouth, we utilize three forms of discomfort control:
    1.  We administer a Tylenol with Codeine upon your arrival to the appointment so you will need a driver.
    2.  We apply a topical numbing ointment.
    3.  Once the above two forms have taken effect (about 30-40 minutes) Dr. Castillo will do a regional nerve block. This is of a few injections similar to having your mouth numbed at the dentist. 
REDNESS AND SWELLING: You can expect redness and swelling of the upper lip area.  It will be worse the day after treatment.  Typically by day 3, the swelling will start to resolve.   Since we would only be treating the upper lip instead of the whole face, your swelling is likely to be quite minimal.  You can expect to be red then pink then you’ll return to your normal skin tone.  A light pink color may last a few weeks depending on the level of aggressiveness we use.
PEELING: You will begin to peel within 3-4 days and the peeling typically lasts 48 hours. You will be able to cover with make-up within 4-6 days after treatment. 
I typically perform this procedure Tuesday – Friday.  Please let me know if you have further questions.
 
Yours Truly,
Roxanne Hammond, RMA
Skincare and Laser Specialist
G.D. Castillo, M.D., FACS
COSMETIC PLASTIC SURGERY CENTER
Become a Facebook Fan of CPS @  <span >https://www.facebook.com/DrCastilloCosmeticPlasticSurgery
<span >https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

“Make-Up For Lost Sleep

Tuesday, January 21st, 2014

“MAKE-UP” FOR LOST SLEEP

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

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

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

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

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

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

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

your sleepy eyes:

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

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

 

Yours Truly,

 

 

 

 

Roxanne Hammond, Skincare & Laser Specialist

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

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

 

Drape Yourself With Diamonds This Holiday

Wednesday, November 27th, 2013

“Drape Yourself With Diamonds This Holiday”

Get your wish list out ladies and make room at the top for the new LUXE FOUNDATION!!  If you haven’t tried it yet, stop into Dr. Castillo’s Champaign or Bloomington office and get a sample BEFORE your first holiday event.  Trust me, you will thank me for this later!

 

The creators of this beaming beauty in a bottle couldn’t have picked a better time to unleash their new liquid foundation; right before the holiday season.  You will never guess their secret ingredient (well it’s not really a secret) – “ it’s diamonds.”  That’s right, I said diamonds!    You will feel the power, elegance and glamour of diamonds every time you walk into a gathering wearing this age-defying, flaw hiding foundation.

LUXE Foundation is formulated with light-diffusing diamond powder. It utilizes the unique way light passes through a diamond to achieve a visible softening effect on the skin, because light behaves differently when it enters the face of a diamond than when it passes through air. The diamond powder is ultra-fine so it’s ability to bend light decreases the appearance of lines and wrinkles and softens the appearance of your skin! Diamonds really are a girl’s best friend!

 

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

 

 

 

 

Cosmetic Plastic Surgery’s Traveling Staff

Wednesday, November 6th, 2013

Patients sometimes don’t realize that you can call any of our numbers and reach us wherever we are, and it’s not just our phones that follow Dr. Castillo.  Our staff members do as well!   Our patients can be assured that they will hear that same familiar voices on the phone and experience our traditional warm greeting when calling or entering either of our Illinois facilities – Savoy or Bloomington.

What can you, our patient, expect from us?

    • With the same experienced staff traveling between both of Dr. Castillo’s facilities in Savoy, (Champaign-Urbana area) and Bloomington, Illinois, this maximizes location convenience while maintaining unrivaled continuity of care.
    • In a very short time, our patients develop a warm and comforting relationship with all of our staff members.
    • You’ll recognize who you are talking to and understand both their relationship to Dr. Castillo and your care.
    • At the same time, we’ll come to know you, identify with your concerns and dedicate ourselves to your end goal.
    • You’ll quickly discover that you can trust our sincerity – YOU are our valued patient and our chief concern is your wellbeing.
    • It’s comforting to know that the same compassionate, knowledgeable people will       be assisting you throughout your Cosmetic Plastic Surgery experience –  from our first meeting while taking the initial medical history,  assisting with your first examination by Dr. Castillo, the pre-operative history/physical, and throughout your entire post-operative appointments  for 3-4 months following your procedure.
    • You’ll  never experience an aloof response to your questions or concerns.
    • You can depend that we will identify with, and understand your feelings and concerns – and you will feel our strong desire to help you in anyway that we can.

Our patient’s confidence in Dr. Castillo and Cosmetic Plastic Surgery is the highest compliment we receive.  As you come to know each and everyone of us during your visits, you’ll understand that obtaining the best possible outcome for your procedure or treatment is always our end goal, and will benefit from the cocoon of positive energy encompassing Dr. Castillo’s practice – our patient’s trust and confidence is a privilege we earn each and every day.  It’s our pleasure!

 

 

Ask Our Expert – Outpatient Surgical Facility Vs. Hospital

Wednesday, October 23rd, 2013

 

Question: Why do you prefer to perform surgery in an outpatient facility rather than the hospital?

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

Answer – Dr. Castillo: Actually, about 90 percent of cosmetic plastic surgical procedures are now done in outpatient surgical facilities for the following reasons:

 

Safety

The surgical procedures done in an outpatient surgical facility are done by a staff which is dedicated to doing only outpatient surgical procedures, so they are better focused, the staff is better experienced and dedicated to a single task.  This increases safety and provides the patient with knowledgeable people that are experienced in state-of-the-art outpatient surgical procedures.

*    Infection

The rate of infections in hospitals varies anywhere between 2 to 12 percent.  The rate of infection in outpatient surgical facilities is much smaller.  In fact, in our outpatient surgical facility, infection is a nearly non-existent problem and we say that because it only presents itself every few years.  That is, the rate is so small that it is difficult to quantify.  You may ask yourself, why?  The reasons are multiple but for the most part it has to do with carrying out procedures that are done in patients who are healthy and not suffering from disease and/or infection.  Also remember that in our facility, we do not do what is referred to as a “dirty case,” that is, procedures that involve entering the intestine, colon or areas that typically have bacteria.

*     Cost

The cost of care in a hospital facility is often unknown and extremely high.  The reasons have to do with hospitals having fees that are much higher than the real expenses to be able to cover the uninsured and establish artificially high rates that can then be applied to different insurances.  The reason why this is possible is that generally insurance have no choice but to pay a fee while in our facility, the choice is yours.  That is, you are the patient and you elect whether to pay or not pay the cost you know beforehand to be – that is, you approve of that cost.  What this results in is a great competitiveness and a much reduced cost for the surgical procedure.

*        Scale

When you go to a hospital, you immediately become part of literally hundreds or even thousands of people who may be at the hospital for one reason or another.  That makes you one of many and the services are going to be diluted, meaning you are not likely to have individual care.  In comparison, an outpatient surgical facility like ours has staff that is dedicated to only you and no other business to take care of during the time that you are at the facility.  Consequently, you have a staff member that remains with you throughout your surgical procedure.  There are no delays and this results in expedient care and a much reduced level of anxiety.

*     Comparative Services

Are the outpatient surgical facilities like ours able to take care of you in an emergency?  The answer is yes.  Our facility is equipped to respond to an emergency in the same manner as a hospital would be.  That is, our facility is accredited by The Joint Commission https://www.cosmeticplasticsurgery.com/cosmetic-plastic-surgery/accreditation.cfm, which is the accrediting body for most hospitals in the nation.  This means that the level of response, equipment, drugs and supplies is par with a hospital.  What the outpatient surgery facility has that the hospital does not, is the experience to deal with the type of surgical procedure, that is, cosmetic surgery, which you are going to have.  This is an area, like in most areas, where expertise is not only important but is often the determinant for the degree of satisfaction and success that the procedure has.

So regarding the question, are you better off having your surgical procedure in a dedicated outpatient surgical facility doing cosmetic surgery only?  The answer is a qualified yes for the above reasons.

 

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

 

 

MEDICAL CREDIT – ARE YOUR RESOURCES PROTECTED?

Tuesday, September 10th, 2013

 

          A medical credit card (dedicated solely to health purchases) can be a handy item in our wallets.   Like most existing lines of credit, it allows us to obtain the services we want, when we want them, and separates an inconvenient outlay of cash into smaller payments made over time.  Unlike procedure-specific (one time) medical financing, once this line of credit has been established, as the debt is repaid, the line of credit is available to you for reuse according to your needs and desires.

Maybe you’ve been considering a procedure with Dr. Castillo, such as facelift, tummy tuck, breast augmentation or liposuction; or perhaps you’ve been waiting for the “sun season” to end and want to schedule the laser resurfacing skin rejuvenation that you’ve dreamed of.  Sometimes patients request financing options or want to take advantage of an interest-free credit offer.

At Cosmetic Plastic Surgery Clinic, Illinois Plastic Surgeon, G. D. Castillo, MD, investigated all the revolving medical credit card possibilities before choosing Care Credit as the only dedicated-medical-use card that we process.  Of prime consideration in this decision was the level of financial security for our patients built into their system.  How secure is your Care Credit purchase at Cosmetic Plastic Surgery, you ask?  Extremely secure, we answer!

You’ve probably become accustomed to the cavalier acceptance of credit/debit cards and bank checks that has become commonplace.  Have you wondered why your bank check is given back to you at the time of purchase from some larger merchants?  It’s because using a check at these establishments is similar to utilizing a debit card.  The tendered amount is electronically confirmed as available at the register, and deducted from your account at the time of purchase.  The advent of immediate electronic fund transfers has all but made ID checking obsolete.  This may protect the merchant during the exchange, but how does it protect you?  When was the last time a cashier asked you for identification when you handed over your bank check or credit card for payment?  In my personal experience, it’s been rare for a very long time and that’s not a good thing.   I make it a point to say “thank you” when a cashier takes the time to look at my credit card signature or ask for additional ID.

When it comes to personal finances, purchasing convenience (although important) is not my first concern.  What is most important to me is:

 

  1. Security
  2. More Security
  3. ADDITIONAL SECURITY

Did you know that every Care Credit transaction must be done in person by an authorized cardholder and requires two additional forms of identification to be presented at the time of purchase?  Did you know that the person processing the transaction has to record the IDs utilized during this step and that the cardholder has to acknowledge via signature that this additional security step has been taken.  This process is required for each and every transaction, regardless of how familiar the cardholder is to the processor.

For these reasons, if done correctly, you should never experience over-the-phone Care Credit transactions and you should never hear “that’s okay, your information is on file.”

I know that this may sound inconvenient to some in our fast-paced, “I want it yesterday” society, but when it comes to personal finances, security trumps convenience every time – our patient’s investment in themselves both deserves and demands our protection of their financial resources.

So, when you call in a mail order and are told that we no longer have access to the credit card number you utilized yesterday, or you see me glance at the front and back of your card before processing payment, please understand that your security is our prime concern.

 

 

 

VITALIZE PEEL POST-TREATMENT INSTRUCTIONS

Wednesday, September 4th, 2013

Proper maintenance of your skin after a peel will facilitate and enhance our rejuvenation process. It is important that you follow a few easy steps to achieve the maximum benefit from your peel.  For the first few days, your skin will look normal with some possible redness similar to a sunburn. In approximately 48 hours, your skin may feel tight and will begin to flake or peel.  Some patients will peel mildly while others will peel more dramatically.

POST-TREATMENT INSTRUCTIONS: 

At the time of your peel, you will receive a skincare kit with all of the products you will need for the first week after your peel. It is important to let the peeling process occur naturally.  DO NOT PICK OR PEEL at your skin.

A.M.  Regimen for the first 48 hours (or until you begin to peel):

  1. Apply the Gentle Cleanser using a sponge to cleanse in a circular motion. Rinse and pat dry.
  2. Apply the selected light moisturizer provided and re-apply liberally as needed to maintain well hydrated skin.
  3. Apply medical grade sunscreen liberally and avoid sun exposure.

P.M.  Regimen for the first 48 hours (or until you begin to peel):

  1. Apply the Gentle Cleanser using a sponge to cleanse in a circular motion. Rinse and Pat dry.
  2. Apply Eucerin Cream or TNS Ceramide Cream as provided. Re-apply as needed to maintain well hydrated skin.

A.M Regimen days 3-7 (or until peeling has deceased)

  1. Apply the Gentle Cleanser using a sponge to cleanse in a circular motion. Rinse and pat dry.
  2. Apply Eucerin Cream or TNS Ceramide Cream as provided.
  3. Apply medical grade sunscreen liberally and avoid sun exposure.

P.M Regimen days 3-7 (or until peeling has deceased)

1.  Apply the Gentle Cleanser using a sponge to cleanse in a circular motion. Rinse and pat dry.

  1. Apply Eucerin Cream or TNS Ceramide Cream as provided. Re-apply as needed to maintain well hydrated skin.

To maintain your beautiful results, I recommend beginning a medical grade skincare program that will be designed specifically for your skin needs.

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