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WORRIED ABOUT PAIN? HERE IS EVERYTHING YOU NEED TO KNOW ABOUT 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
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

 

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



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

 

 

 

Feel Prepared: What to Expect During Your Consultation for Breast Augmentation

Wednesday, January 17th, 2018

When you arrive for your breast augmentation consultation at our Champaign, Illinois, office, you will be greeted by our patient coordinator. She will ask you to fill out very short registration form. A member of our clinical team will escort you back our breast consultation room and will ask some questions regarding your health history. We will ask you for a list of current prescribed medications, allergies, past surgeries and dates.

You will then meet with Dr. Castillo to discuss your goals and desires for breast augmentation. Dr. Castillo and a member of clinical/surgical team will complete a quick physical exam, including some chest measurements. Once he knows your measurements and desires, he will be able to suggest an appropriate breast implant size for your body proportions. Then the fun part begins! We will give you a few sets of implants to try on to help you visualize your new body proportions. This will allow you to determine your choice of implant size with ease!

Once you find a size that you like, Dr. Castillo will talk in detail about what you can expect before, during, and after your breast augmentation surgery. Personally, I think thoroughness is one of Dr. Castillo’s best attributes. New patients (and long-standing ones too) continually comment on how much they appreciate both his willingness to be thorough during his explanation and that he is clear about realistic expectations and body proportions. Our goal is for you to gain the knowledge you need to make an educated decision that is BEST FOR YOU.

Speaking of decisions… I just want to be clear—you do not need to make a decision at your consultation appointment! No pressure! Think of this as a fact-finding mission. You can go home and think about the information your gathered during your consultation. Is breast augmentation right for you? Think about your experience with Dr. Castillo, our facility, and our staff. Are we the right team for you? Of course that being said, many of our patients do choose to schedule their surgeries while they’re here for their consultations. So, if that is what you prefer, we are able to get everything set up for you before your leave our office.

One of the more important things about having surgery in a private surgical facility rather than a hospital is that you will already know the staff prior to your surgery. The staff members that you meet during your consultation and pre-op visits will be with you on the day of your surgery, in your recovery room with you, checking in with you by phone after surgery, and at each of your post-operative visits.

I recommend checking out a few of my other blog posts on breast augmentation:

To meet with Dr. Castillo and learn more about breast augmentation, request a consultation or call our office in Champaign.

Best Regards!

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

LIKE US ON FACEBOOK and INSTAGRAM

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

The New Coca-Cola Tanning Trend – And Why We Don’t Recommend It

Thursday, July 27th, 2017

There is newer trend in tanning appearing on social media that involves putting “Coca-Cola” on the skin as a way to enhance a tan. Quite frankly, I cannot wrap my head around the thinking process or lack there of when it comes to this Cola-Cola” tanning trend. It is beyond comprehension. This is absurd on so many levels, unless of course the objective here is to find the fastest direct route to damaged, sun-burned, wrinkled skin with an increased risk of skin cancer.

First, take a look at this list of Coca-Cola ingredients directly from the Coca-Cola website:

Carbonated WaterHigh Fructose Corn SyrupCaramel Color,

 Phosphoric Acid, Natural FlavorsCaffeine

I guess the thought process here is to use the Carmel Color to stain the skin, giving the appearance of a tan. Believe me, there are definitely better, healthier options out there for achieving a fake bake look from body bronzers to spray tans. Check out my last two blog entries for my latest experience and lessons learned with airbrush spray tanning.

The Phosphoric Acid alone is enough to stamp “recipe for disaster” all over this one! Phosphoric Acid is a corrosive. This means it can remove the enamel off your tooth or polish old metals and coins. And… people want to put this on their skin? Nooo thank you!   Remember even simple exfoliation increases your risk of burning and sun damage when exposed to UV radiation.

Second, Thirty years ago we didn’t have the scientific support to enlighten us about the dangers of UV radiation. People used to apply baby oil and tanning oil and lay out on silver reflectors to get the deepest, darkest tan they could. But, the days of ignorant bliss are over! We now know that ultraviolet radiation from the sun and tanning beds is a HUMAN carcinogen! Say it with me…, “HUMAN carcinogen!” – That’s bad! Not even a tan can make that look good.

Third, if corrosive material and skin cancer isn’t deterrent enough, then for beauty’s sake, please! There are safe ways to get glowing skin! According the Skin Cancer Foundation, “an estimated 90% of skin aging is caused by sun exposure. “ Going outside unprotected is a sure fire way to develop an earlier onset of wrinkles, lines, rough texture and blotchy skin.

And Fourth, it’s gross! You will be a walking feeding frenzy for flies and other sugar seeking creatures like one of those sticky fly strips… a corroded, wrinkled, walking, sticky fly strip.

I rest my case.

 

Sincerely,

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

LIKE US ON FACEBOOK and INSTAGRAM

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

 

 

Do You Know The Best Season for Your Cosmetic Surgery Procedure?

Wednesday, December 7th, 2016

Are you considering a facelift, tummy tuck, or another plastic surgery procedure? Many of Dr. G.D. Castillo’s patients in both his Champaign cosmetic surgery practices will often ask if there is a better time of the year is to have the particular surgery they are considering. Truthfully, most surgeries can be performed anytime of the year but each season does lend itself to certain advantages. Hopefully this blog post will give you some points to consider when choosing the best time for you and your lifestyle.

FALL:

Fall is known to be a time for change. The leaves change, colors change, temperatures change, daylight hours change, so why not make some changes of your own?

There are many advantages to having surgery during this time of year. The kids are back in school. Busy summer schedules and beach days have come to an end (at least here in the Midwest) and life is starting to get back into a more consistent routine after summer. The holidays are coming up and with a little planning you can have surgery and be healed with no remaining telltale signs all before your first holiday get-together.

lipo jeans to bigThere are also a few long holiday weekends like Columbus Day and Thanksgiving. This is a good time to have body contouring with liposculpture or even neck liposcultpure. Breast augmentation, breast lift, breast reduction, and even mini-facelift procedures are possibilities over long weekends. It is usually cool enough to camouflage yourself with an over-sized shirts, turtlenecks or scarves.

The only real disadvantage to having plastic surgery this time of year is that you are heading into the holiday season. It you have a lot of pre-holiday prep work or demands, it might be more challenging.

 

WINTER:

Winter is typically a very popular time to have surgery and for good reason; it is generally a slower, more laid back time. You can extend time off from work by adding vacation days to the beginning or end of holiday time. For this reason, it’s an ideal time to have surgeries that take more than a long weekend to be presentable, like a facelift, forehead lift, eyelid surgery, fat transplant or rhinoplasty.

It is easier to hide out for a few days without friends and family getting suspicious of your absence. It’s a common time to be stuck at home with “the flu or a cold” for a few days. Since no one wants your flu or a cold, they are likely to stay away. 😉

Winter wardrobes make it easy to conceal post-surgical swelling and bruising of the face or body. Scarves, turtlenecks and cute winter hats make it easy to hide lady covered with scarfthe signs of a recent facelift or forehead lift. Big, comfy sweaters can hide slower movements that are necessary just after breast surgeries, tummy tucks, and body contouring. Since you will need to avoid sun exposure after surgeries like laser resurfacing, winter is also the easiest time to stay out of the sun.

I cannot really think of any disadvantages of having surgery in the winter, though winter sometimes creates procrastination and before you know it, it’s spring and you’re suddenly in a time crunch to meet your cosmetic goals.

 

SPRING:

Spring is probably the most motivating season. It’s a very popular season for 4562 smallscheduling liposuction, tummy tucks, breast surgery and mommy makeovers. Patients are looking ahead to late spring and summer and want to get their body in check before heading to the beach, going to class reunions, weddings, vacations, or just having less clothing to conceal their areas of concern. It is also a great time for those who couldn’t fit a facelift, brow lift, rhinoplasty into their winter schedule because you can still conceal with a big spring hat, scarf and sunglasses for the first few days if you have bruising or swelling to cover.

 

SUMMER:

Summer can be a more challenging time to have certain cosmetic surgery procedures, as it is more difficult to avoid sun exposure to lasered skin or new, exposed incisions. If you are a gardener, a golfer or work outside, summer may not be the best season to have laser surgery. Most surgeries will impinge on your summer activities, at least to some extent.

However, if your daily summer lifestyle doesn’t include spending lots of time summer-cute-hipster-beautyoutside and you are accustomed to protecting your skin from the sun depending on your lifestyle, if you’re someone who already restricts the amount of sun exposure you get, or if you are willing restrict the time you spend outside for awhile, it can be a good option.

If you have kids at home, summer is a good time to send them off to Grandma’s house or summer camp for a fun-filled week while you concentrate on your recovery. By the time they return, they will be none-the-wiser. Since most people are pretty busy during the summer months, it won’t be too suspicious if you disappear from your social scene for a week.

Procedures like breast augmentation, breast lift, breast reduction, eyelid surgery and tummy tuck procedures are good summer surgery choices. If summer is not a good time for surgery but you want a more youthful look for all your summer events, consider BOTOX Cosmetic or dermal filler treatments, or facials and skincare to keep yourself looking fresh until fall.

I think James Taylor said it best when he sang “Winter, spring, summer, or fall…all you’ve got to do is call…”

 

DSC_0475
Roxanne Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

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

 

Ask Our Expert: How Soon After Breast Augmentation Can I Celebrate And Go Bra Shopping?

Thursday, April 21st, 2016

Ask Our Expert:

When can I go bra shopping after having a breast augmentation?

This is a great question. Bra shopping is one of the first things our breast augmentation patients in the Champaign area want to do after breast surgery! Honestly, I’ve even had patients who want to head to the mall straight from the recovery room! (Just to be clear, this is definitely not recommended!)

As I am often referred to as a “professional shopper,” I can absolutely relate to how anxious you are to rush out and load up on the cutest, sexiest, prettiest bras you can find. Who could blame you for wanting to showcase your beautiful new breasts? But here is the thing: you really need to wait for 6-8 weeks to break the bra bank.CPS Blog Photo 4578

Your final breast augmentation recovery will take time, and that’s especially true if you’ve also had a breast lift. Your breasts are going to go through a few stages and changes before they settle into their final shape and position. These changes affect how your bras fit and, ultimately, how you feel in them.

While most of your swelling will be gone within the first 10-14 days after your breast surgery, you will have a bit of residual swelling that needs to resolve over time. At first, your breast implants may also sit a little higher than you expected. This is because the chest muscles need to make room for the implant. Once there is more room in the pocket, your implants will assume their intended position, and then look out Victoria’s SecretCPS Blog Photo 5075, there’s a girl on a mission!

So, What’s a Girl to Do in the Meantime?

You will wake up from surgery already wearing a comfortable sports bra, compliments of Dr. Castillo and Cosmetic Plastic Surgery Center. Within 3-7 days, you will be able to go braless or wear a sports bra or wireless bra. My best advice is to harness your willpower and buy just one or two sports or wireless bras until Dr. Castillo lets you know the time to go shopping has finally come!  Then grab a girlfriend and make a day of it. You deserve it after exercising all that restraint!

If you haven’t yet had a breast augmentation, you can view some of our patients’ before-and-after photos to see the type of results you can expect.

To learn more about the breast augmentation process or to schedule a consultation, contact us online or call our office at (217) 359-7508 (Savoy).

Happy shopping!

Yours Truly,

Roxanne Grace Hammond
Skincare and Laser Specialist
G. D. Castillo, M.D

FACEBOOK.     INSTAGRAM

217-359-7508 Savoy (Champaign-Urbana)

 

Helpful Tips on How to Prepare for Your Breast Augmentation Surgery

Thursday, January 28th, 2016

Prepa4309ring for your Breast Augmentation:

Whether you have already scheduled your breast augmentation at Cosmetic Plastic Surgery Center or are just thinking about enhancing the size and shape of your breasts, here are a few things you should know about preparing for your surgery.

You will receive paperwork in the mail a fews after scheduling your breast augmentation.  Please take the time to read through these instructions thoroughly.  They contain important information and instructions that you will need to carryout prior to surgery.

Personal Arrangements to consider:

  • You will need to arrange for a friend or family member to drive you to and from surgery.
  • Arrange for a responsible adult to stay with you for the first 24 hours.
  • Arrange child care for the first day if needed.
  • Fill any prescriptions prior to your surgery day.
  • If you are coming from a distance and want to stay over night in a hotel, Dr. Castillo has an arrangement with a local Hotel (I-Hotel) thatoffers a special package including transportation to and from the office from the hotel, dinner and breakfast for you an your care giver and accommodations. Our staff will be happy to assist in those arrangements.

10 days before surgery:

Now is the time to discontinue taking all NSAID medications including aspirin, ibuprophen, Advil, Aleve, Motrin, along with fish oil and Vitamin E. This needs to be done 10 days prior to your surgery. These are all blood thinners and can create unwanted bleeding. If you are unsure if a medication or vitamin supplement contains any of these ingredients just make a simple phone call our office or your pharmacist for clarification.

Pre-Op Visit 7-10 days before breast augmentation surgery:

You will come for a pre-operative visit about 7-10 days prior to your surgery. Dr. Castillo will draw some lab work, perform a brief history and physical and take your before and after photos. You will be given any needed prescriptions duSS Pre-OP exam copy2ring this visit so that you will have time to fill them prior to your surgery and you will be given plenty of time to ask any final questions.

 

 

 

 

 

3 days prior to breast surgery:

It is time to begin using the Betadine skin cleanser you received at your pre-op visit. You will use this cleanser once each day and again the morning of surgery to cleanse from your neck down to your belly button just as you would use your regular body cleanser. Then rinse it off. Don’t worry, though this is a Betadine product, it will not stain your skin.

One day before your breast surgery:

It is time to begin taking the antibiotic you received at your pre-op visit. You will take a total of four capsules today, one at breakfast, lunch, dinner and bedtime. You will not be able to eat or drink after midnight so have a nice, relaxing dinner and plan for a peaceful, stress-free evening.

Please remove any fingernail polish (from at least one finger and toe) as it can interfere with our monitor.

Surgery Day:

Today is a big day for you so it’s normal to be a little nervous and excited all at the same time. Just remember that you are in very experienced hands and within in a few short hours you will be recovering in the comforts of your own home.

Remember not to eat or drink anything, including water, the day of your surgery. The only exception to this of course is your antibiotic. You will need to take one more antibiotic before leaving you home with a small sip of water. If you take other daily medications, Dr. Castillo will let you know at your pre-op visit if you are to take those medications before arriving for surgery as well.

You will need one last shower using the Betadine skin cleanser before arriving for surgery. Do not apply body lotion or oils, as it will interfere with our monitor leads. We also ask that you arrive to surgery free of all make-up and jewelry.

Your driver is welcome to wait in the lobby or they may leave a phone number with our staff and we can call them when you are in the recovery room.

What to wear the morning of surgery:

Planning this ahead of time is more important than you might think. Wear loose comfortable clothing that is easy to slip on and off. Buttons and zippers are definitely your friend and will be over the next week! Avoid pull-over tops as it may be quite uncomfortable for you to raise your arms high enough to get your shirt on and Dr. Castillo will ask that you do not raise you hands above your head for the first week after surgery. Select a pair of shoes that do not have a heel. The affects of anesthesia can make it tricky to walk in heels without injuring yourself.

Don’t worry about bringing a bra to fit your enhanced breasts. We have taken care of that for you!

When you arrive at the office, we will collect a urine specimen for our standard pre-surgical pregnancy test. Once your surgery is completed you will rest comfortably in our recovery room for about 1 ½ hours with your own personal staff member to care for all of your needs. You will then be released to go home with a full set of post-care instructions. Once you are home, you will be able to eat and drink and will finish out the rest of your antibiotics.

Rest at home on the day of surgery but you can get up as move around as tolerated. You can even take a peek at new and improved breasts!

 

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

LIKE US ON FACEBOOK and INSTAGRAM

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

Helpful Explanation on Why You Want to Massage After Breast Augmentation

Thursday, October 15th, 2015

My thoughts on the value of massaging breast implants.

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

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

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

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

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

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

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

LIKE US ON FACEBOOK and INSTAGRAM

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

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ASK OUR EXPERT: Why is breast fat transplantation more expensive than implants?

Friday, May 16th, 2014

QUESTION:  Why is it that breast augmentation through fat transplantation is more expensive than breast augmentation done with implants? 

ASWER:  In order to augment the breast with implants, one needs only to select a desired volume for the implant, place the implant in a pocket, typically created behind the pectoral muscle and…voila…there is a new breast in the size the person always dreamed of. 

In contrast, augmentation of breasts with fat transplantation is quite laborious.  The surgeon needs to first harvest the fat via liposuction.  Then the harvested fat must be prepared for transplantation.  Once prepared, the fatty tissue is carefully and strategically placed in many areas throughout the whole breast in order to accomplish a relatively small increase in breast size of approximately 3-4 ounces.  This procedure is time consuming for the surgeon because he/she needs to place this fat through many repetitious passes with a special instrument that deposits the fat within the tissue in small amounts and allows it to be able to be incorporated by the breast into living tissue. 

Therefore, the operative time for a regular augmentation through implants is approximately 1-1/2 hours, while to do a breast augmentation through fat transplantation, the operative time required is approximately 3-1/2 hours.  So the procedure becomes longer and more expensive for both the surgeon and the patient.  In addition, for a patient looking for larger volume improvement like that produced by breast implants, https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm  the procedure would need to be repeated several times in order to accomplish a larger volume.

 G. D. Castillo, MD, FACS

Director of Cosmetic Plastic Surgery