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Ask Our Expert: Brown Spots: Are they sun damage or just age spots?

Wednesday, June 5th, 2019

Ask Our Expert: Brown Spots:

 Q: Roxanne, I have brown spots on my face, arms and chest.  How do I know if they are caused from sun damage or if they are just age spots?

A: Lentigos, or lentigines are commonly referred to as brown spots, sun spots, liver spots or age spots.  They appear as flat spots in various shades of brown that appear on skin that has been over exposed to the sun. These spots can appear on the face, arms, shoulders, neck, chest, hands; anywhere the skin has been over-exposed to the sun. Typically, the lighter the skin and the more sun exposure one has, the greater accumulation or chance of accumulation of sun spots.

Melanocytes, which are cells that produce pigment in the skin are activated to produce more pigment (melanin) when you are exposed to ultraviolet rays. Because the symptoms of excessive sun damage are cumulative, these spots increase with age, hence the term “age spots.” They are more common in lighter skin types (Fitzpatrick 1-3), such as those who freckle and who burn easily but can appear in any skin type.

I recommend applying a medical-grade, physical sunblock such as Physical Defense by Castillo MD Skin Science, 365 days per year, to all skin that will be exposed.  Not only is this your best defense for future sun damage but  you may find that the brown spots that you have become lighter over time.

There are  treatments that can help to rid your skin of brown spots as well. CO2 Micro-Fractional Laser Resurfacing is typically an excellent option.  A series of Intense Pulse Light (IPL) treatments can also deliver very good  results.  Some chemical peels  can improve spots to some degree as well as skin bleaching or lightening agents like Advanced Lightening Complex or Spot Light. 

While sun spots themselves are not cancerous, if you have had enough lifetime sun exposure to develop brown spots, this may place you at a higher risk of developing skin cancer.  Therefore, it’s a good idea have your physician examine them for changes from time to time.

Warmly,

Roxanne Grace Hammond
Skincare & Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://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

 

Preparing For Your Liposculpture Surgery

Friday, April 19th, 2019

You will receive paperwork in the mail a few days after you schedule your surgery.  While it is tempting to rely on internet sources for information, there is a great deal of mis-information out there.  It is best to rely on Dr. Castillo’s PROFESSIONAL advice and instructions as he has over three decades of knowledge and expertise in this area.  Please take the time to thoroughly read through the material provided as it reviews the important information you will need for the days leading up to surgery.  Inside the packet you will also find a reminder for your pre-operative appointment.  This appointment typically occurs about 7-10 days prior to your surgery.

What To Expect At Your Pre-Op Appointment:

  • Pre-surgical weight & measurements will be recorded so that we can track your progress post-surgery.
  • Physical exam – During this visit, Dr. Castillo will perform a brief medical exam by listening to your heart and lungs, and asking some health-related questions.
  • Lab work 
  • Prescriptions – You will be given a prescription for pain medication. You will not be given an antibiotic as it is not needed for this type of procedure.
  • Before photos – A set of before photos will be taken for your medical records. You will receive a copy of them at your 1- or 3-week visit. Be sure to file these in a safe place in case you need to refer to them in the future.
  • Betadine Body Cleanser – You will be asked to wash the surgical regions with this cleanser (provided by us) beginning 3 days prior to surgery and again the morning of surgery. Don’t worry, the Betadine cleanser will not stain your skin but you must rinse it off just like regular body soap. It is not meant to remain on your skin.
  • Review of your surgical plan & recovery – One of Dr. Castillo’s best qualities is that he is thorough. He will walk you through your upcoming surgery and the recovery process. You will leave your pre-operative appointment withe a good understanding of what to expect.
  • Questions – If by chance Dr. Castillo did not touch on a question you have, now is the time to ask. Remember our goal is to make sure you are well informed so don’t be shy about asking. It’s your body after all!
  • The remainder of your surgical balance will be collected at your pre-op visit. We do not conduct business on surgical mornings as we are concentrating only on your surgery at that time.

10 Days Prior To Surgery:

  • Begin taking an iron supplement (Ferrous Gluconate).
  • Discontinue taking all Aspirin, Ibuprophen, Motrin, Advil, Aleve… (all NSAIDS). Also discontinue all Vitamin E (which may be in your multi-vitamin) and fish oil. If yo are unsure if a medication or supplement contains any of these ingredients, please call our office or ask your pharmacist for clarification.
  • Because the above listed medications / supplements are all blood thinners and I strongly suggest removing all of the above blood thinner from your reach during this time. Taking them during with-in the 10-day period prior to your surgery could cause a medical complication. It’s too easy to take these for a headache or pain without thinking about it. Then it is too late.  We may need to postpone your surgery for your own safety.  If you accidentally take one of the these prior to your surgery date, you MUST inform Dr. Castillo.  If you need a pain reliever during this 10-day prior, you can use Tylenol.

Personal Arrangements To Consider:

  • Liposcultpure is performed in under general anesthesia. This mean you will need to make arrangements for a friend or family member to drive you home after surgery.
  • We ask that you make arrangements for a responsible adult to stay with you for the first 24 hours after surgery.
  • If you have small children or pets, you may need assistance for the first 24-48 hours.
  • Since many of our patients travel some distance to see us, Dr. Castillo has made special arrangements with the I-Hotel in Champaign to offer our patients a discounted “CASTILLO STAYCATION” package. This package includes transportation from our office back to the hotel on the day of surgery, dinner and breakfast for two and your hotel accommodations. Our office staff will be happy to assist you with those arrangements if you have questions.

 

The Night Prior To Surgery:

  • Wardrobe – select easy to slip on flat shoes and bottoms and a zip or button top to wear on the day surgery. Keep in mind that when we perform liposculpture, we inject tumescent fluid into the body. This fluid is going to leak back out of a few tiny little puncture areas for up to about 36 hours after surgery. Therefore, I would recommend NOT wearing your favorite outfit to surgery as it will be a little messy.  We will send you home with absorbent covers to sit or lay on to protect your furniture.
  • You will be asked to refrain from eating or drinking anything after midnight the night before your surgery.
  • Plan on having a quiet, relaxing evening and make getting a goods sleep a priority. Often patients arrive for surgery and tell me that they stayed up most of the night so they would sleep most the day after surgery. Lack of sleep is never helpful.  It often creates anxiety and restlessness. Having a well-rested mind and body can and will make all the difference during your initial recovery.  Go to bed rest-assured, knowing that you have chosen a surgeon who has not only dedicated more than 3 decades of his life performing more than 1,000 liposculpture procedures but who is also the Past-President of The Society For Liposuction Surgery!

See you soon!

Warmly,

Roxanne Grace Hammond
Skincare & Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://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 – Will My Nose Get Smaller?

Tuesday, June 17th, 2014

Question:  I had Rhinoplasty two weeks ago.  Will my nose get smaller over time?

Answer: Dear reader, I would first encourage you to speak with your plastic surgeon regarding your concerns as he will be able to best answer your questions as your surgeon.  However, in general, two weeks is definitely too short of a time period to make any kind of decisions as to what the final outcome will be from your nose surgery.  Six to Eight weeks after surgery, you will be better able to evaluate the nasal dorsum. Ittakes time for swelling to settle down and for the nose to take its shape.

Rest assured that your nose will continue to change for up to one year post-surgery.

 

 

 

 

 

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

COSMETIC PLASTIC SURGERY CENTER

Become a Facebook Fan of CPS @  http://www.facebook.com/pages/CosmeticPlasticSurgery
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Mommy Make-Overs For Empty Nesters

Sunday, May 12th, 2013

 

I had dinner with one of my dearest girlfriends recently.  By the start of our second glass of wine we got right down to the nitty gritty – “L.A.C. of purpose” (Life After Children).  She is now an empty nester and life without her children in her home has been a serious adjustment  as life as she has known it, is now changed forever. She is a bright, beautiful, enthusiastic woman who runs a multimillion dollar company yet she found she is lacking something…a passion or purpose in this new empty nesting stage of her life. She isn’t sure how to fill all of the evening time that used to be absorbed by the kid’s activities and shared that home just doesn’t feel the same.  The idea of focusing on herself is new territory and the process is a slow one. She has been the ultimate caregiving for years. It is what she does, part of her identity.  I have spoken to many of my mom friends who have also been deflated by this life changing event. It is indeed a lot to take in.

As I have one child down and one to go, I am listening to them carefully and taking notes. I’m preparing myself for that same empty nester syndrome as we speak. I have been told that I was a little crazy for about a year before my oldest daughter left me behind to further her education.  As the days rush closer and closer to senior year for my youngest, I can feel a pinch of sadness each morning as I flash her a smile and wish her a good day at school, knowing there are only 191 more opportunities to say that ever. I’m already starting to morn her absence and she hasn’t even left yet!

It seems to me that no matter how we try, moms just can’t emotionally prepare for this event, we just can’t. It just leaves a hole in the middle of our chest. And there is no one who can fill it but us. As little girls we prepare for adult life by pretending to get married on the school playground and spending countless hours mothering our dollies.  But in all those years, I don’t ever remember pretending that the kids actually grew up and left home!  My dolls never got too old to sit on my lap and listen to their favorite bedtime story or too old to be seen being dropped off at the movies by their mommy.  I don’t ever remember walking into the red, white and blue playhouse my dad built for me, pretending to return home from work to be over- come by the sadness my homes new silence brings when the kids aren’t there to greet me… no more banquets or ballgames to rush off to…just a perfectly clean, perfectly silent, perfectly empty, nest.

Being a mom is like a continual series of small demotions until one day when we finally get fired or retired – I’m not really sure which it is…

As a mom you have dedicated your life to attending ballet recitals, baseball games, band concerts, weekend volleyball tournaments, school plays and talent shows (where of course your child was the best, oh wait, no, that was mine  lol).  You have played Pokémon, Barbie’s, and settled fights over who gets to be the RED Power Ranger. You taught your child to ride a bike and master the multiplication tables.  You have watched endless hours of Bugs Bunny, Banana’s In Pajamas, and Boy Meets World.  You know you’ve caught yourself singing Barney songs in the car even when you kids weren’t with you!  You’ve kissed boo boos, dried the tears of a bad haircut and had uncomfortable but necessary sex talks. You’ve cured everything from colds to crushed hearts.  You’ve dragged your entire family’s luggage from one side of the airport to another all because your little princess wanted a Cinnibon. You have thrown school holiday parties, picked out prom dresses and first cars, spent hundreds of hours worrying about facebook, dating, drugs, alcohol, and college degrees.

You have planned carefully to teach them all of the lessons they would need to successfully go out into the world as a responsible, respectful citizen and then at some point they actually have the audacity put those tools work.  They have left your nest.  Now what?

Now what?  That is the question many empty nesters are asking. Well you can spend day after day curled up under the covers of their empty bed looking at photographs from years past or you can decide that it’s finally time to focus on you and find your next adventure in life.

I see this same empty nester syndrome in many of our patients at Cosmetic Plastic Surgery Clinic.  The ones I see are the take charge empty nesters who aren’t sitting back in their rocking chairs though.  They have been through the dark side of empty nesting and came out swinging.  That is the path I hope to take.  They are finding new careers, new passions, new hobbies. They are taking time to eat better, exercise more, and try new things.  They are acknowledging and take care of the issues that bother them and embracing the things they enjoy.

Before

Mommy Make-Overs are gaining significant popularity not only in Dr. Castillo’s practice but world-wide.  According to the American Academy of Cosmetic Surgery, “in 2011, female patients sought to get their pre-baby” form back by requesting 320,000 breast augmentations, 290,000 liposuctions and 144,000 tummy tucks.”  Today, most women would like to remain as youthful as possible.  The body changes that occur during and after pregnancy or during and after menopause can make that near impossible.

“Mommy Make-Overs” aren’t just for new moms. More often, “Mommy Make-Over” procedures are very appealing to women who have recently found themselves to be an empty nester.  In talking with one of our Mommy Make-over patients she shared “For years I’ve dreamed of having my body back.  Now that my kids

After

are gone, I finally have time to focus of me.“

Being a mom, though irreplaceably rewarding, is also the most demanding job you will have. It takes a toll on both your body and your spirit.  Too many nights sitting up polishing off the last of the Ben & Jerry’s while waiting for your new driver to arrive home safely has earned you a thick mid-section to match the already present muffin top, sagging skin and weak abdominal muscles you earned with the birthing of your children. You have lived far too long with elongated, deflated sacks that you used to recognize as breasts before breast feeding your little darlings.

It seems like society has placed mothers in a role that is much like a super-hero of sorts.  More than in years past, today’s moms are BUSY! We do it all! We are educated, over-scheduled, over-worked, under-rested creatures who find time to affectionately care for everyone but ourselves. I often here from mommy make-over candidates that they have been bothered by the appearance of their post-pregnancy breasts and body for years but just never had the time or left over energy to do something about it while they were still raising children.

Samuel Ullman once said “Years may wrinkle the skin, but to give up on enthusiasm wrinkles the soul.   So this Mother’s Day wish for all the empty-nest mommy’s out there is to take this opportunity to give yourself a mommy makeover, whatever that may be to you.  You have done your job.  You have introduced kind, successful, respectful citizens into society.  Take a breath, pat yourself on the back.  Now focus on you! Make a list of things you’ve always wanted to do and get started!  Discover new books, old passions, take better care of your health and your skin, take an adventure with a good friend, or maybe even get your body back with a Mommy Make-Over by Dr. Castillo.  You have certainly earned it!  With any luck you will re-discover yourself and your adult children will discover that their confident, interesting, evolving mom is someone they really enjoy spending time with.

Congratulations on a job well-done ladies!

Happy Mother’s Day!

Roxanne

Skincare & Laser Specialist

Cosmetic Plastic Surgery

 

 

 

No Cash For Clunkers!

Thursday, December 13th, 2012

No Cash For Clunkers!

Stop the guilt trip! It’s time to step off the bus. So you want a facelift… so what. Save yourself a great deal of agony and accept that you are unhappy with the lines, wrinkles, sagging skin and age spots that you see. Why do you feel the need to rationalize your feelings to anyone, including yourself?  Too often, in my opinion, people get caught up in trying to internally rationalize their desire to have facelift (or other self-improvements for that matter). Your face is the first thing people see. Of course you want to look your best.  Who wouldn’t?  You find yourself asking questions like “Why am I being so vain? What will my friends, family and co-workers think of me?  Am I too young for a facelift?  Am I too old for a facelift?”  Any of this sounds familiar?  If you’ve ever contemplated having a facelift then it probably does.

older couple in car

Dare to repair

The time to have a facelift isn’t really about a magic age you must reach.  The time to have a facelift occurs only if you are no longer happy with the way you look or if you feel like your face looks less energetic, less cheerful, less welcoming, or less youthful than you feel.  Working in the cosmetic surgery field, one thing I have realized is that we all have a different level of tolerance for aging.  Few of us are truly satisfied with aging gracefully and accepting whatever lumps, lines and skin laxity come our way. So why do we question whether or not it’s “okay” to take care of our bodies?

The truth is I can’t recall a single time that I have judged a friend for throwing on a box of Clairol to cover her grey or for bleaching her coffee stained smile at the dentist’s office. In fact, I have been known to encourage it on numerous occasions. Would you judge someone for maintaining a healthy diet and going to the gym every day to keep their body in top shape? Would you frown upon someone for sending their child to the orthodontist to insure straight teeth? Of course you wouldn’t. Would you judge a woman who walks in the room, dressed like she just stepped off the runway? No. You would commend her. You would want to know where she shops, what her skincare regimen is and how she stays so thin. She takes pride in the way she represents herself and that exudes self-respect.

Yet, we often agonize over the idea of admitting to ourselves or to others that we are no longer happy with how we are aging. You are entitled to be the best version of you that you can be!  Daily life can be challenging enough without looking into the mirror and seeing someone who looks tired, sad or over-worked staring back at you.  You might even begin to assume that role.  Feeling good about yourself can go a long way in improving your quality of life, joy and interpersonal relations. 

It seems odd to me that we as a society take great care in maintaining and updating our possessions, our homes, our automobiles, our wardrobes, even our cellphones, but the one thing that requires maintenance and cannot be replaced, “our body,” we are comfortable being quite lax in its care. Why is it acceptable to change the oil in your car or repair it’s dents, restore a fractured cell phone screen, renovate our home yet you feel guilt over electing to keep up on minor repairs to your own body? You only get one body in this life.  It’s not like you can trade it in because you didn’t keep up on its maintenance.  There will be no “Cash for Clunkers” trade-in offers coming your way.  So I believe the best thing you can do is take care of your body inside and out; keep up on little repairs as they come along.   No guilt, just maintenance for the body and spirit.

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
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

 

 

 

The Weekend Facelift

Friday, November 30th, 2012

So you probably have heard the term “weekend facelift” and are 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?  This procedure is remarkably effective at improving the jaw/neck line and correcting a double chin.  There are some caveats that one needs to know and understand because it is not a procedure that can be carried out in all patients.  In order to have a so-called weekend facelift, most of our Champaign and Bloomington, Illinois, 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 begin to have issues in their mid-30s.

How is a weekend facelift performed?

This minimally invasive version of a facelift is carried out through a very small incision, typically smaller than 1 inch, right underneath the chin which is not noticeable. Through this incision, the fatty tissue in the neck area up to the jawline is removed. Sometimes a small amount of fatty tissue can be removed from the jowl area.  Through the same incision, a tight pocket for a chin implant is created just in front of the jaw. 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 that is svelte with good definition in the jaw/neckline area. Facial symmetry is improved because the lower third of the face is more proportionate after the procedure. Visit my online photo gallery to see the results of a weekend facelift patient.

Who is not a good candidate?

People who are not good candidates for a weekend facelift are typically those above the age of 60 and those 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.

What is recovery like after a weekend 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 recovery is typically easy.  Usual side effects are mild pain in the chin area for 2 to 3 days, bruising in the lower portion of the neck, some swelling in the anterior jaw area, and the neck area as well.

To find out more about the weekend facelift and other facial rejuvenation procedures, request a consultation online with Dr. G. D. Castillo or call one of our offices.

Doctor, Am I Ready For A Facelift?

Thursday, November 15th, 2012

A number of our patients present with the above question and related similarities, like am I too young for a facelift?  Is it better to do it when I have significant sagging?  Is it better to do it when I’m younger because my tissue will respond better?  Etc.

The first thing to remember is that when one has an issue with their appearance and considers a facelift, it’s typically because there are some jowls, some loose tissue in the neck, a double chin, facial wrinkling, etc.  The idea that we are aware of one or more of the above issues does not necessarily mean that other people realize or notice those things in our faces.  It is often only us that notice the problem and are quite self conscious about it.  It is because of that particular issue, and that is, that there is something that is bothering us and it affects the way we relate to other people because we are quite self conscious about it, that the answer lies 100% within ourselves.  No other person, that is, a physician, a loved one, a friend, or anyone else can truly advise someone when to have a facelift.  We need to take care and correct any and all of those issues when and if they bother us, because the truth is that once we have them fixed it may be that some people notice it, it may be that everyone notices it, or it may be that no one notices it.  Where it will have a significant and dramatic effect is in how we react to the surgery itself and the positive effect that it has in our attitude and in our self-esteem.

 

It is also helpful to remember that you can have one of two ways of thinking.  The first one is you may want to take care of issues before they become quite noticeable.  The reasoning behind this is that you will never really truly show the signs of aging because you have taken preventive measures and corrected those issues before they became noticeable.  On the other hand, you may have the train of thought of I am going to wait until I truly have issues because I may be able to take care of all issues at the same time.

 

There is no right or wrong answer.  The idea here is that in a competitive society where youth is valued over many other qualities.  The idea of remaining youthful and presenting an active, energetic figure makes sense to a lot of people.  In the final analysis, we always must remember that the effect of a facelift impacts one person alone – and that person is ourselves.  The positive effect that it has in interpersonal relations due to the increase in self-esteem makes us the direct beneficiaries of the procedure.

 

G.D. Castillo, M.D. FACS
Facelift Expert

Director of COSMETIC PLASTIC SURGERY CLINIC                                                                     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 Beauty of Revolving Medical Credit

Wednesday, October 3rd, 2012

We have all done it at some point in our lives – purchased that 5 in 1 miracle cream advertised utilizing  20-something television models and glossy, airbrushed magazine beauties, only to find that we don’t look 20-something again and apparently the airbrush is the missing component to our make-up kit.

We’ve spent hundreds of dollars on over the counter products that aren’t doing what we want in an effort to invest in ourselves, whether affordable or not.  So our collection of partially used creams continues to grow while we remain frustrated by what greets us in the mirror every morning.  Yet, we continue to throw away our money because we’re hesitant to invest in a larger outlay of cash.

What if there was an interest-free option to spread the expense of of quality, scientifically proven, medical-grade products that both treat to correct existing problems and protect from future problems? What if our investment in ourselves didn’t have to collect dust on the shelf or adorn our trash cans?

The good news is that there is just such an option offered to you by G.D. Castillo, M.D. at Cosmetic Plastic Surgery, Skin and Laser Institute!  It is a six month  INTEREST-FREE  payment program available through Care Credit.  This program allows you to spread the expense of Botox or Dysport, dermal fillers like Perlance or Radiesse, or medical-grade skincare into monthly payments that are very affordable and interest-free!

Example #1:  A VIP medium Dysport treatment is $270.00, and with the $50.00 manufacturer’s rebate like the ones frequently available in our office, this fee is reduced to $220.00.  That’s $36.66 per month – about the cost of a family pizza dinner out!  Even better yet – Dysport actually does what it’s suppose to do, so you will receive the return on your investment that you have been missing.

Example #2: A typical anti-aging medical-grade skincare program may entail an initial outlay of $300.00.  That’s $50.00 per month for a scientifically proven skincare regimen that is designed specifically for your needs and skin concerns. Additionally, you have access to our Skincare and Laser Specialist, Roxanne – who will help you assess your skincare goals and tweak your program according to your personal lifestyle.  Imagine the luxury of your own skincare specialist to pamper and restore your skin to the glowing softness you deserve!

The Care Credit medical credit line is revolving, so as you pay over time the credit limit is available to you to be used again.  Medical credit is a resource, why not put your great credit history to work for you?

So next time you’re tempted by advertising gimmicks, why not give us a call at 800-252-7123 and let us help you help yourself!

 

G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

 

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