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Peeling Your Way to Perfection

Friday, August 9th, 2013

Chances are if you are exposed to any type of media and who isn’t, then you’ve noticed that chemical peels are getting a little more media attention these days.  In today’s world of cosmetic medicine there are many options when it comes to improving the skin’s surface and complexion.

  • CO2 Micro-Fractional Laser Resurfacing
  • Intense Pulse Light
  • Medical Microdermabrasion
  • Chemical Peels

While CO2 Micro-Fractional Laser Resurfacing typically makes more sense when treating acne scarring, heavier forms unwanted pigmentation, fine lines and wrinkles in lighter skinned patients, effective chemical peels are an excellent option for those with active acne and darker skinned patients who are not good laser candidates.  Chemical peels can offer a nice value for the savings conscious consumer.  They are multi-function tools that provide solutions for acne, sun damage, fine lines, poor texture and dyschromia.

At Cosmetic Plastic Surgery Dr. G. D. Castillo offers several  Chemical Peel options. For most skin issues the Vitalize Peel is my preferred peel of choice followed by its more aggressive counter-part, the Rejuvenize Peel.  I favor the Vitalize Peel because our patient’s do not have to suffer through a harsh recovery of irritated, weeping or scabbing skin as with many of the peel formulas that are being utilized. This peel is self-regulating which means it does not require a neutralizing agent to stop the peeling action, creating a safe, consistent result.

You will notice smoother, clearer skin and a softening of lines and wrinkles and will have little downtime.   The Vitalize Peel is a quick 20 minute treatment and is often referred to as a “lunchtime” peel. You can cover with mineral make-up immediately and return to work.  Because Retinoic Acid is used in conjunction with this peel, you will begin to peel within about 48 hours and will need to discontinue cosmetics until the peeling has deceased.  You will see improvements after your first peel and those improvements will continue to increase throughout the treatment series until a new radiant, clear skin is revealed.

While the Vitalize Peel is an excellent choice for those with acne, those who do not wish to undergo laser procedures, and those with darker skin types, not all patients are candidates for chemical peels. Those with active warts, Herpes Simplex or cold sores in the treatment area should not have this chemical peel as it could cause spreading of those conditions.  Patients with allergies to any of the ingredients such as salicylates (aspirin), those who have used Accutane, had chemotherapy or radiation within the last year as not candidates for the Vitalize Peel.

Schedule a consultation if you would like more information about the chemical peel options available at Cosmetic Plastic Surgery Center.

Yours Truly,

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

VITALIZE PEEL POST-TREATMENT INSTRUCTIONS

Wednesday, August 7th, 2013

VITALIZE PEEL POST-TREATMENT INSTRUCTIONS

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.

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

 

 

 

 

Prevention Through Education

Tuesday, July 16th, 2013

Now that summer sun is in full swing and the kids are out of school it’s time to make sure we as parents and caregivers are doing everything we can to protect them from the sun’s damaging rays while allowing them to still enjoy the great outdoors. 

I know that my kid’s summers were always jam-packed with activities from swim club to day camps and softball games.  We could hardly catch a breath.  Daycare providers, coaches and camp counselors do their best to ensure the safety of our children and that includes applying sunscreen. But with all the commotion that goes on with a group of rambunctious kids, it’s easy to see how remembering to re-apply at the proper time could get over-looked.

 

That is why I like the recommendation from the Skin Cancer Foundation http://www.skincancer.org/Search?q=sun+protective+clothing which says you should use sun protective clothing as the first line of defense. This is a good suggestion as sunscreens break down every two hours and must to be re-applied. Even the best sunscreens like the ones we carry here at Cosmetic Plastic Surgery will eventually break down, even more quickly if your child is sweating, spending time in a pool or other water source this summer. Now this doesn’t mean it is safe to skip the use of sunscreens. You definitely need both forms of protection. Purchase UPF (Ultraviolet Protection Factor) clothing with a UPF + 50 rating. Garments with a UPF + 50 rating will block about 98% of both UVA & UVB rays. http://www.coolibar.com

Sunglasses and hats will give additional protection as well.  When shopping for sunglasses, there are two important factors.  First, choose a pair that not only wraps tightly around the face so that harmful UV rays do not burn your child’s eyes and peri-ocular skin. Second, sunglasses with a protective UV rating of 400 will block approximately 99% of the sun’s ever harmful rays.  Remember baseball caps only provide coverage for one side of the head / neck. This leaves your child’s ears, neck, chest, shoulders and the sides of his or her face exposed.  To provide good protection look for a wide-brim hat with a brim that is 3inches or more.

Trying to choose the sunscreen that will best protect your child is where it gets a little tricky. It can feel like you need a Ph.D. in “sunscreenology.” There are so many choices that most parents just simply look for the one with the highest SPF on the label.  Unfortunately that can be misleading.  We like to share with our patients that the most important qualifier is choosing a good sunscreen is to look for two ”physical sunscreen” ingredients; titanium dioxide and zinc oxide. Once you have the right sunscreen, apply it liberally! And then re-apply it – liberally!

Don’t be afraid to talk with your coaches, camp staff and daycare providers about your sun exposure concerns, and ways they can help protect your child. It is important to recognize that sun damage is cumulative.  What does that mean for an unprotected child?  Well the amount of UV radiation they a child is exposed to from the day they are born until present impacts his or her risk of developing a skin cancer and pre-mature aging.  Both of which are preventable with education and the proper development of sun protection habits.

 

 

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

 

THE PAPER TRAIL – INSURANCE AND MEDICAL NECESSITY

Friday, June 28th, 2013

In Illinois Plastic Surgeon, G. D. Castillo, MD’s  practice, we do help patients whose cases qualify as medically necessary procedures; i.e., upper blepharoplasty https://www.cosmeticplasticsurgery.com/cosmetic-surgery/eyelid-surgery.cfm for vision constriction (excess skin obscuring vision),  or septoplasty https://www.cosmeticplasticsurgery.com/cosmetic-surgery/rhinoplasty.cfm  to correct a nasal obstruction that interferes with proper breathing and causes recurring sinus-type ailments  or breast reduction https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-reduction.cfm to correct gigantomastia (overly-large breasts) resulting in postural changes causing neck and back pain, mastodynia (breast pain), dermatitis (skin irritation) and difficulty with movement.

When submitting a predetermination of medical benefits for these patients, insurance companies do ask for proof of medical necessity.  What does this mean for our patients?

What insurance companies are looking for is proof (a written medical record and/or diagnostic tests) that the patient will not obtain relief from their symptoms via conventional (non surgical) treatment such as medications, physical therapy and/or life-style changes.  Let’s take two hypothetical cases and examine the process and possible outcomes.

Patients Jane and Jenny Doe present for consultation with complaints of large breasts that are causing increasing discomfort .

Examination by Dr. Castillo discloses gigantomastia resulting in postural changes causing shoulder strapping (deep bra strap grooves from the weight of the breasts), neck pain, and back pain https://www.cosmeticplasticsurgery.com/patient-stories/.  They have difficulty with everyday movement and exercise.  They have painful, aching breasts (mastodynia) and suffer chronic dermatitis from breasts chafing against the chest wall.  Their body mass index (BMI) is within the normal range and both will require the insurance standard of 400+ grams of tissue to be removed from each breast.

Jane has suffered in silence for years.  She has not sought professional medical attention for her symptoms in the past and has treated her conditions (dermatitis, neck/back pain, etc.) with over-the-counter remedies – none of which have offered her the long-term relief she desires because they do not address the underlying source of her discomfort – gigantomastia.

Jenny, on the other hand, has been proactive in seeking professional assistance with the goal of long-term relief.  She has sought advice from her primary physician and has undergone treatment with both physical therapy (exercise to strengthen her musculature) and medications, all of which are documented in her medical history.  Upon determination that conventional treatment will not alleviate her problems, her physician has made a recommendation for breast reduction surgery and referred her for consultation with Dr. Castillo.

Our office submits a predetermination of medical benefits request to each of their respective insurance companies.  Jenny’s insurance company replies that the procedure of breast reduction surgery qualifies for benefits according to the limits/levels of her individual policy.  Jane’s insurance company replies that they require additional proof of medical necessity (unsatisfactory response to conventional therapy) and attaches a list of their requirements prior to breast reduction approval.

Both women have the exact same medical situation but Jenny’s efforts have resulted in a positive reply from her insurance company and she is able to schedule her surgery right away.  Jane is faced with the prospect of enduring her symptoms while she begins the medical documentation process or absorbing the financial responsibility alone.

I wish I could say that we’ve never experienced these scenarios, but we have.  It’s important to not ignore your medical symptoms and to seek professional advice from your physician.  The “paper trail” of medical necessity can be the difference between obtaining relief versus continuing on the spinning wheel of discomfort.  Arming yourself with the documentation you need for medical insurance coverage just makes good sense while suffering in silence is counter productive.

Do you have questions regarding insurance coverage or medical necessity?  If so, please don’t hesitate to give us a call at 800-252-7123.  We are strong advocates for our patients and are happy to help.

 

THE WEEKEND FACELIFT

Friday, November 30th, 2012

 

So you probably have heard the term “weekend facelift” and you’re having a difficult time imagining what it is.  Could it be a facelift that’s done on a weekend or is it a facelift that is easy to recover from in a weekend?  The procedure is remarkably effective at improving the jaw/neck line and removing the double-chin deformity.  There are some caveats that one needs to know and understand that it is not a procedure that can be carried out in all patients.  In order to have a so-called weekend facelift, typically our patients need to be under the age of 55, and have a weak (recessed) chin.  Many of these people have a family history of double chins, they are quite familiar with fatty tissue in the neck at a young age in their family and they begin to have issues in the mid thirties.

 

The procedure is carried out through a very small incision, typically smaller than 1 inch, right underneath the chin which is not visible. Through this incision, the fatty tissue in the neck area up to the jaw line is removed and sometimes a small amount of fatty tissue can be removed from the jowl area.  Through the same incision, a tight pocket is created just in front of the jaw to place chin implant. This portion of the procedure is referred to as a mentoplasty.  Through this same incision the muscle structure in the neck area is tightened.  The result is a neck, which is svelte with good definition in the jaw/neck line area, and an improvement in the facial symmetry because the lower third of the face is better represented, more proportionate after the procedure.

 

Those people who are not good candidates for a weekend facelift are typically people above the age of 60 and people who have a very significant amount of loose skin in the neck area with significant wrinkling in the neck and/or folds. These individuals are usually better candidates for a traditional facelift.

 

The term minimally invasive surgery has been used to describe this procedure because there is little interference with the tissues during the procedure and it is easy to recover.  Usual side effects are mild pain in the chin area for 2-3 days, bruising in the lower portion of the neck, some swelling in the anterior jaw area, and the neck area as well.

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

 

 

 

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

Wednesday, August 22nd, 2012

 

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:

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.

 

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, Skincare & Laser Specialist

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

Say Goodbye to Chest Lines, Wrinkles and Brown Spots!

Wednesday, August 8th, 2012

 

Roxanne performs CO2 Micro-Fractional Laser Resurfacing to remove lines and brown spots of the chest.

I was speaking with one of Dr. Castillo’s breast augmentation patients during a skin rejuvenation consultation.  She explained to me that a few years back she had breast enhancement https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm in Dr. Castillo’s Cosmetic Surgery facility in Savoy, Illinois and that she couldn’t be happier with her results and the entire Cosmetic Plastic Surgery experience.

However, she has some fine lines and wrinkles on her chest between her breasts along with a moderate amount of brown spots. She expressed that she would like to show off her new cleavage https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=10 without being embarrassed about having wrinkles between her new, perky breasts.  She asked if G.D. Castillo M.D. and Cosmetic Plastic Surgery Skin Restoration and Laser Institute offered skin treatments to remove the wrinkles and brown spots of the chest.

I explained to her that the vertical lines and brown spots she was describing are common among those who have been over-exposed to the sun. The sun breaks down elastin and collagen of the chest, creating lines, wrinkles, and sagging skin.  It also causes melanocytes (pigmented cells that create brown spots she is seeing on her chest) to over-populate the surface of the skin in attempt to protect itself from damaging UV radiation.

I explained to her that yes, we can help with her chest lines and brown spots.  To improve the look of her damaged skin, first, she would need to begin to protect her décolletage using medical grade broad-spectrum sunscreen 365 days per year.  UV radiation will create more severe damage to areas such as the chest, neck and hands. The characteristics of the skin of the chest, neck and hands simply cannot tolerate the same amount of UV radiation as the face. The skin of the chest is not as forgiving as skin surfaces such as the face when it is repeatedly over-exposed to the sun. The skin of the chest is thinner, containing less elastin / collagen.  As the elastin is broken down, lines, wrinkles and sagging of the skin WILL occur.

Unlike the face, skin of décolletage does not contain an abundance of oil glands.  Why is this a problem?  Having an abundance of oil glands is important because as oil glands cells divide, they can become almost any other type of epidermal cell.  Therefore, when cells get damaged, they provide new cells to help to restore your damaged skin.

The good news is there are a few ways to correct or at least improve the skin of your chest.

  1.  First, and most importantly, PROTECT your chest for the sun.  Use a medical-grade, broad-spectrum, physical sunscreen  every day of the year. I recommend one of two  physical sunscreens:  Sun Defense or Prime Defense By Castillo MD Skin Science.  Both have high percentages of physical block ingredients (Titanium Dioxide and / or Zinc Oxide) making them superior  choices for sun protection.
  2. Avoid tanning beds as UVA rays will only create more damage to your skin.
  3. Use UV protective clothing and a wide brimmed hat to provide additional protection.
  4. Consult G.D. Castillo M.D. or another Cosmetic Plastic Surgeon regarding the following treatment options:
    1. CO2 Micro-Fractional Laser Resurfacing – This will decrease the lines of your chest (décolletage) while building collagen within the treated skin.  It will also make a significant improvement to the texture of your skin and decrease or remove your brown spots or discoloration. More than one treatment may be necessary due to the delicate state of the chest skin.  Did you notice that I highlighted, underlined and italicized the “CO2” in CO2 Micro-Fractional Laser Resurfacing?  That is because CO2 is the key there!! CO2 Micro-Fractional Laser Resurfacing far surpasses other non-CO2 laser technology using a “similar” name such as “fractional” or “Fraxel”… https://www.cosmeticplasticsurgery.com/cosmetic-surgery/laser-skin-rejuvenation.cfm
    2. Medical Microdermabrasion – Multiple microdermabrasion treatments https://www.cosmeticplasticsurgery.com/cosmetic-surgery/skin-resurfacing.cfm will soften the appearance of your chest lines and lighten the brown spots over time.  Be aware that this treatment will not build collagen, provide tightening or remove the lines and wrinkles on your chest.  It is meant only to brighten the skin by removing the build-up of dead skin cells.
    3. Medical Grade skincare products – There are effective medical grades skincare products created to specifically treat the chest area.  These products will not solve your problem alone but work well to support and prolong the effects of the above mentioned treatments. Medical grade means that they are of a higher strength and must be over seen by a physician therefor these are not your average over-the-counter disappointments.

Zap ya later,

DSC_0475G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY  https://www.cosmeticplasticsurgery.comLIKE US OR RECOMMEND US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington