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What to Expect During Your Consultation for Breast Augmentation

Wednesday, January 17th, 2018

When you arrive for your breast augmentation consultation at our Champaign or Bloomington, 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, fully accredited 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 or Bloomington.

Best Regards!

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

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

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

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 and Bloomington 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_0475Roxanne Grace Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY https://www.cosmeticplasticsurgery.com

Like us on Facebook and learn more about CPS @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

 

For more information call:

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

Recovering from Breast Augmentation:

Monday, September 5th, 2016

One of the reasons Breast Augmentation is so popular, well, aside from the obvious “perks,” is that it is a pretty quick recovery. Our goal is to help you recover quickly and get you back to your busy life as soon as possible with a few simple tips:

Bras…To Wear or Not To Wear; This Is The Question!

On the day of your surgery you will return home in a comfy sports bra or wireless bra, pexels-photo-136409compliments of Dr. G.D. Castillo. Unless otherwise instructed, you will wear this bra continuously for the first three days then you can go without or use a wireless or sports bra of your choice until Dr. Castillo gives you the green light to begin wearing underwire bras (which by the way… you – will – no – longer – need!! Whoo hoo!)

NOTE: Because your body has to “make room” for the implants, the implants often sit higher than you expect for a few weeks until they are able sit properly in the pockets. You can help this along by going without a bra. That’s right! You just got a free pass to go without a bra! You can even claim “Doctor’s orders!” Oh the perks!

“I Like To Move It, Move It!”
pexels-photoIf you are a movie buff, you may remember the scene from the movie Madagascar; you know the one where the animals are all dancing and moving their arms to the song “I Like To Move It?” Well that might be a little too vigorous for your first few days after surgery, but you get the idea. No babying those muscles, move it, move it! While we do not want you to raise your hands above the leave of your head for the first week, you can really speed up your recovery and get rid of the soreness much more quickly by gently moving your arms around to keep those chest muscles from getting tighter.

What To Wear, What To Wear…

Buttons and zippers are your new BFF, at least for the first week anyway. I recommend arriving to surgery in a loose button up or zip up top. It doesn’t feel good to try to pull a tight pull over top over your head after surgery. You will want to avoid using pull over tops for about the first week. By the time you are released to raise your arms above the level of your head (6 days), you shouldn’t have any more wardrobe issues, except that your old tops may be fitting a bit tighter these days.

Massage:

Six days after your surgery, you will return to our office for your first post-op visit. You will receive instructions on how to begin massaging your breasts. They are going to be a little tender at first but don’t give up. This is the key to maintaining the free moving, perky, natural looking breasts.

Exercise:

If you are an exercise conscious individual, I realize this topic is an important one. Who wants to loose ground at the gym when you have this great new shape your ready show off! Exercise can really boost your physical and mental state and we want to get you back to the gym as soon as your body is ready. But… your pectoral muscles do need a little healing time first.

You can expect to ease back into our workouts with a schedule that looks something like this:

  • 1ST week – You will be asked to restrict exercise to light activity like walking and moving your arms as described above.
  • 2nd week – You are typically released to go to back to the gym and do most activities such as weight lifting and walking on an incline at 50% of your normal level. Still refrain from running, jogging, weight lifting that involves the pectoral muscles or other pectoral exercises.
  • 3rd week – Typically all restrictions will be lifted at this time. That being said, it may not feel too good when you first get back to running or jogging. I suggest doubling up and wearing two sports bras for the several weeks to give you the extra support you need and prevent too much breast movement.

Now that the hard part is over – making the decision to have breast augmentation, choosing the right surgeon, choosing your implant size, making surgical arrangements… it’s time for a little fun! I hope you enjoy all the perks!

DSC_0475Roxanne 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

 

 

 

 

 

Bra Shopping After Breast Augmentation:

Thursday, April 21st, 2016

Ask Our Expert:

Question:  When can I go bra shopping?

Roxanne: This is a great question and actually one of first things Dr. Castillo’s breast augmentation patients want to do after breast surgery! Honestly, I’ve even had patients who want 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 https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm results will take time because there are a few things that need to happen first. Your breasts are going to go through a few stages and changes before they settle on their final shape / position. These changes will effect 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 will need 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 Vicki SecretsCPS Blog Photo 5075, there’s a girl on a mission!

So what’s a girl to do in the mean time?

You will wake up from surgery already wearing a comfortable sports bra, compliments of Dr. Castillo https://www.cosmeticplasticsurgery.com/cosmetic-plastic-surgery/ and Cosmetic Plastic Surgery Center. With in 3-7 days, you will be able to go braless, wear a wireless bra or preferably a sports bra. My best advice is to harness our inner-restraints and buy just one or two sports or wireless bras to get you by 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 re-straint!

Happy shopping!

 

Yours Truly,

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

 

 

 

Preparing For Your Breast Augmentation

Thursday, January 28th, 2016

Preparing for your Breast Augmentation:

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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.

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) that offers 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, 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!

 

Post Breast Augmentation Massage

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 and Bloomington-Normal 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.

 

 

 

GD. Castillo, MD, FACS

COSMETIC PLASTIC SURGERY https://www.cosmeticplasticsurgery.com

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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

Ask Our Expert: Why are more breast augmentations done with implants rather than fat transplantation?

Friday, May 16th, 2014

 

QUESTION:  If fat transplantation can be used for breast augmentation, why is it that its done only in a few cases and most cases of breast augmentation are done with implants?

 

ANSWER:  Breast augmentation with fat transplantation has some limitations and those limitations have to do with:

 

  1. Availability of fat – one needs to have a fair amount of fatty tissue in order to harvest it from the area, while at the same time, contouring that area and creating  a pleasing shape.  Then the harvested fat needs to be transplanted into the breast tissue and incorporated into the breast tissue.  Fat is incorporated into the breast tissue at a slow rate (see #2).
  2. Large volume increase – the idea that during a single procedure of fat transplantation one can change the breast shape to be much larger is not quite possible.  It is not possible because fat needs to be incorporated as living tissue in the breast.  In order for this to happen, it needs to be placed in small amounts in multiple places so that the existing tissue develops new blood vessel circulation and incorporates this fatty tissue as normal living tissue.  For practical purposes, the breast can only be augmented by approximately 4 ounces per breast.  This is a smaller change than most people would like to have. 
  3. Cost – while one can increase the size of the breast in a very significant way with a single trip to surgery and the placement of saline or silicone implants, in order to accomplish the same thing with fat one would need to have several sessions of fat transplantation over a period of time in order to accomplish the same volume.

 

G.D. Castillo, M.D. FACS
Breast Augmentation Expert

 

 

 

 

 

G. D. Castillo, MD, FACS

Director of Cosmetic Plastic Surgery

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