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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!

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.
  • 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 significant 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 accidently 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.
  • 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 bottoms and shoes 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.  Having a well-rested mind and body can and will make all the difference during your recovery.

 

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

 

What To Expect During Your Liposuction Consultation

Thursday, March 21st, 2019

Liposculpture Basics:

Dr. Castillo has been sculpting bodies into more proportionate forms since the early 80’s.  In the hands of an expertly trained and experienced cosmetic plastic surgeon, body contouring via Liposculpture (Liposuction) can do more in a few hours to equalize the proportions of the body, then you may be able to do on your own in a lifetime.

While making healthy food choices and maintaining a regular exercise regimen is essential for maintaining trim body shape, “spot-reducing”disproportionate areas through those means, where fat tends to over-collect is nearly impossible to correct on your own.

Liposuction will remove excess fat that over-accumulates in certain areas, resulting in body bulges of the hips, waist, stomach, lateral and medial thighs, back, arms, even the neck and face.

Liposculpture is used best in one of two ways:

  1. For those with a relatively normal BMI, who have 2-5 problem areas they wish to have reduced, such as the hips, thighs, stomach and waist…
  2. For those individuals who have a higher than normal weight, volume reduction liposcultpure is the procedure of choice. Here the main goal is to remove as much fat as possible, typically up to 6 quarts (1.5 gallons) of fat. Volume reduction liposuction can reduce and better equalize your over-all body shape. The best candidates for volume reduction liposuction would have a BMI less than 35.

 Your Consultation:

Dr. G.D. Castillo offers consultations for body contouring in both his Champaign (Savoy) and Bloomington, Illinois locations.  You will be greeted by our patient coordinator as soon as you arrive. Then you will be escorted back to one of our consultation rooms where you will meet briefly with a member of our clinical staff.  You will be asked a few brief questions regarding your health history, including a list of your current medications, allergies, past surgeries etc.

You will then meet with Dr. Castillo to share your body contouring goals.  Once he has performed a quick body evaluation, he will discuss his recommendations and give you a detailed over-view of what to expect before, during and after your surgery.  You will also receive an all-inclusive cost quote so there are no surprises.

Don’t be shy about asking questions.  We want you to be well informed so that you can make the decision that is right for you. Most patients take some to think about the information they have received and call to schedule if they decide to move forward with the surgery, though we can certainly make all the arrangements for your pre-op appointment, surgery and post-op check ups before you leave the office if that works best for you. Once you have scheduled surgery, you will receive a surgical packet in the mail that will contain instructions on how to best prepare for upcoming surgery. Once you receive it, if you have any questions at all, just give a call.  We are always here to help.

Questions you might want answers to:

  1. Q: Will the fat Dr. Castillo removes return?

A: That is a big – “FAT” —NO!  Of course, that does not mean it will prevent you from accumulating more fat in the future, typically in other areas, if you are not disciplined in your diet and exercise habits.

  1. Q: How long before I can return to an active lifestyle?

A: You can expect to be up and walking around the day of your surgery and walking a mile the day following surgery. Patients return to most forms of activity after the 1st week.  Running and high-impact aerobics can be resumed after the 3rd week.

  1. Q: What effect, if any, will liposculpture have on the appearance of my skin?

A:  This ranges on a variety of factors such age, degree of sun damage, skin type, weight stability etc.  This is a question Dr. Castillo will be better able to address once he evaluates your skin.

4. Q: What is the scheduling time before surgery? 

A:  Surgical availability can vary greatly so it is best to check with us once you have some dates in mind.   We will be happy to discuss our available dates in your consultation or by phone.  If you have a certain date or time frame in mind, it is best to schedule your consultation at least several weeks before

5. Q: What kind of results can I expect?

6. Q: Do you have before and after photos of your work?

 

A few things to consider when making the decision to have surgery are:

  • Am I a good candidate?

Good candidates for liposculpture are those who:

  • Have been at a stable weight for at least 6 months
  • Have realistic expectations. It should not be thought of as a “weight-loss” solution. Liposculpture is not meant to solve the issues of someone who is chronically over-weight. Making healthy life-style choices when it comes to eating right and exercising regularly will still be up to you.
  • Those with a BMI of less than 35

 

  • Will this procedure give me the results I am looking for?
  • Are there other options I should consider?

 

  • Is Dr. Castillo, his facility and his staff right for you?
  • How much experience does Dr. have performing Liposculpture?
  • Is he board-certified?
  • What is his expertise in liposcultpure? (Did you know he is the Past-President of the American Society of Liposuction Surgery?!!)
  • Did you feel comfortable with his explanation?
  • Did he answer your questions?
  • Did you finish the consult with a clear idea of expectations?
  • Was Dr. Castillo kind, professional and knowledgeable?
  • Was communication between you and Dr. Castillo / staff clear?
  • Was his staff friendly, knowledgeable and helpful?
  • Were you comfortable in the facility?

Important Note:

Traditional Liposuction / Liposcultpure is still the GOLD STANDARD of treatment.  While there are many new non-surgical “fat reduction” treatments being marketed today, Dr. Castillo has elected not to offer those treatments to our patients.  We want what our patients want; the best outcome possible.  Traditional liposculpture delivers 360 degree contouring known as 3-D or tri-dimensional body sculpting. Today, there is simply no substitute for traditional liposculpture in regards to accurate, safe, consistent results, unlike non-surgical options.

 

 

 

 

 

 

Liposculpture That Delivers Real Results!

Friday, January 18th, 2019

As we begin 2019, we have many procedures – modalities available to treat unwanted fat.  Unfortunately most of those non-surgical modalities lead patients down a lumpy path of disappointment.  The reality is that even if you are at a normal weight (BMI below 34)  excessive fat in areas such as the “love handles or hips, back, thighs, stomach, etc.  can make your body look disproportionate. The only way to accomplish real results is to actually remove quantifiable – measurable – fat.

If you find yourself in a consultation where someone suggests a type non-surgical modality rather than traditional liposuction or liposculpture, you may want to ask a simple question:  “How much fat will this procedure physically remove in terms of pounds or volume?”

Traditional liposculpture removes up to 6000 cc of fat at the time of the procedure! That is 13 pounds or 7 quarts or 1.8 gallons of fat!  These are typical numbers for volume reduction liposculpture performed at Cosmetic Plastic Surgery Center routinely. So yes, traditional liposculpture translates into being able to downsize in a significant way – by 2 to 3 sizes!

When considering if the latest way to “reduce” body fat is the best way to get the results you desire, ask the hard questions that are important to your outcome!

 

•How many pounds will you remove?

•How much volume will I loose?

•Will the results be smooth or lumpy?

•How many treatments will I need to achieve my desired results?

•What happens to the “melted fat?”  Are there future health concerns I should know about?

When asked “was worth it?”, more than 95% of our traditional liposculpture patients answered – ABSOLUTELY!

If you are looking for consistent, smooth, proportionate, REAL results consider choosing the “gold-standard” of body contouring – traditional liposculpture surgery.

G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com

BECOME A FACEBOOK FAN OF CPS @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT OUR BLOG:  http://www.cosmeticplasticsurgery.com/blog 

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

 

 

 

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

Join us on Facebook@  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT OUR BLOG:  http://www.cosmeticplasticsurgery.com/blog

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

 

 

 

A Review of Make-up Brushes for Eyes

Monday, September 10th, 2018

Selecting the right eye make-up brushes to achieve the look you want, shouldn’t strain your brain but sometimes it can feel like it! There are so many options for such a tiny space (eyelids), it’s hard to know which ones you really need. Choosing the right brushes to complete your look can really make a different in whether your eyes look tired and aged or bright and uplifted.

 

Dual-Fiber Eye Brush:

This is my FAVORITE eye brush! Super versatile! It makes applying and blending light layers of shadow a cinch. As we get older, the words light layers and blending could not become more important to maintaining a youthful looking eye. So I think this brush is must have. It can also really decrease the frustrations of trying to discreetly conceal any under-eye area flaws. It’s easy to lay down very thin layers of concealer with its wispy, feather like bristles. Very lightly dampen the ends of the bristles and lightly whisk the brush across your problem areas for thin, flawless coverage. The trick to using this brush successfully is to relinquish all control. Instead of holding it near the Ferrule (metal part), move as far back on the handle as you can. This will make a huge difference in your application.

 

Eye Base Brush:

This is a pretty basic, user-friendly brush. In fact, it is my go to brush for all-over applications, but works just as well for specific placement of color before moving on to a blender brush.

 

Eye Blender Brush:

You guessed it! This brush is for blending, the most important part of your eye shadow application. This is a versatile, fluffier, long-bristle, domed brush. It can be used to apply a light color wash or to soften the edges of multiple colors, blending them into a seamless transition. Swirl in a circulation motion to blend shadow into the crease of your eye. Just like the Dual Fiber eye brush, hold this brush near the end of handle. The less control you have the better.

 

Mini Eye Crease Shader:

If you are beginning to feel like its time to stop wearing eye shadow because it makes your eyes look older rather than younger… go get this brush! Crease shaders in general are meant to contour the eye to give dimension. The “mini” crease shader has a smaller end with a bit of a point. Use it like a stylus or pencil to draw on color to create shape and definition. This brush will become your best friend if the outside portion of your upper lid is turning downward which happens to most of us as we age. Rather than following the crease line of your upper lid when applying shadow, try defining your upper lid shape by drawing on a medium dark shade of shadow from the lateral end of your lower lid up to your brow bone, creating a bit of sideways “v” to lift the eye shape back up to a more youthful shape. Then shade and blend, blend, blend as you normally would, adding lighter and dark colors; medium -dark on the edges, lighter inside.

 

Angled Eye Contour Brush:

Create contour of your eyelid by applying and blending shadows into the crease of your eye until they become seamless.

 

Smudge Brush:

Looking for a little drama? This brush can be used to apply eyeliner or eye shadow near the lash line. Then blend to soften the line to create the sultry, smoky eye.

 

Brow Brush: Thinly shaped, angled bristles used to re-shape or fill in sparse eyebrows.

 

Best Regards,

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

Join Dr. Castillo’s team on FACEBOOK  @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

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

Make-up Brush Review

Monday, September 3rd, 2018

Since cosmetic brushes are 25% off this month at Cosmetic Plastic Surgery Center, I thought it was good time to review some of the more common make-up brushes used for the face.

FOUNDATION:

Flat Top Kabuki:

The design of this brush allows for applications of both pressed mineral powder foundation or liquid foundations (though you should have one dedicated to each product rather than one brush for both products so that you do not transfer unwanted ingredients into your powder). It’s expertly designed “flat-top” as apposed to a rounded top, is perfect for buffing (in circular motion) mineral powder into a smooth, radiant finish. It provides light to medium coverage, depending on your layering preferences.

When using this the Flat Top Kabuki to apply liquid foundation, you can expect a soft, flawless, airbrushed finish with medium to full coverage. This brush also comes in a travel-friendly version for quick touch-up and on-the-go applications. Perfect purse size!

Pro Kabuki:

This is a tightly packed, round top, mineral powder foundation brush. Choose this brush when you are looking for the full coverage of a pro! Its brush head is packed with very dense, soft bristles for a full, radiant coverage.

 

CAMOUFLAGE / CONCEALER:

 Dual Foundation / Camouflage Brush:

This is a dual-ended, double duty brush. It is suitable for both liquid and cream concealers and foundations. One end offers the precision needed when applying camouflage and other end provides the ease an expert liquid foundation application.

Full Coverage Camouflage Brush:

This is a flat-domed shape brush with a somewhat pointed tip. This brush is commonly used to cover blemishes, facial redness, brown spot etc. It is intended for cream camouflage formulations. It is easy to blend and perfect. For a more fluid application, try misting the end of the brush with setting mist or water. Blot the fibers between paper towels to remove access. Then you are ready to begin applying your camouflage.

Precision Camouflage Brush:

This is a smaller version of the full coverage camouflage brush. It works well with cream camouflage, concealers or primers for smaller, detailed areas.

 

HIGHLIGHT / CONTOUR / BLUSH / POWDERS:

Contour / Highlighter Brush:

Make no mistake about it, when it comes to make-up brushes, the right contour brush is a girl’s best power tool! It is the key to changing your look from everyday to runway!! It is a dual-head brush. One end contours while the other end highlights. The contour end is tapered with a nice apex for more precise placement. I like to pinch the bristles together to accentuate the apex ,which give me more control when shading. It’s ideal for both highlighting and shading to create dimension, chiseled jawlines, nasal narrowing and prominent cheek bones.

Powder Brush:

Typically an extra full, soft, rounded brush designed for translucent powders, bronzers, finishing powders. Distributes sheer to medium coverage. Tap off any access powder before using a circular motion to buff the product on the skin.

Tapered Powder Brush:

A tapered powder brush is typically a soft brush with a pointed end for delicate placement of setting or finishing powders.

Powder Blush Brush:

These brushes can be rounded or angled and intended to apply blush, bronzers or highlight powders.

Dual-Fiber Blush Brush (a.k.a – Texture Brush):

I must own 4-5 of this brush. They are made from a blend of synthetic, soft, flowing fibers, which makes for a luxurious experience. The feathery, flat-top head delivers a light-weight applications of powders, shimmers, and cream blush. Perfect for layering and building.

 

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

BECOME A FACEBOOK FAN OF CPS @  http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

VISIT OUR BLOG:

http://www.cosmeticplasticsurgery.com/blog

 

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

Wednesday, August 22nd, 2018

 

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:

Physical Defense by Castillo MD Skin Science,  is a chemical-free, pure physical broad-spectrum medical-grade sunscreen making it perfect for even oily and acne skin types! It offers superior protection due to it’s high percentage of Zinc Oxide and Titanium Dioxide.

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.

Body Guard is a medical-grade, body mist sunscreen, making it perfect for those on the go or chasing after little ones.

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 Grace Hammond
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

What To Expect On The Day Of Your Rhinoplasty Surgery:

Wednesday, August 1st, 2018

Emotions:

It’s common to be a little nervous when you arrive for surgery. We WILL take good care of you. Each member of our staff is devoted to providing you with the highest quality of care in a safe environment.

If you are like most of our patients, you are likely to be entirely excited too! You have good reason to be! Dr. Castillo is such a true artist when it comes to giving you the nose you should have been born with. I get so excited each time we have Rhinoplasty on the surgical schedule. It’s a little bit like Christmas, many, many times per year. 🙂   Watching Dr. Castillo perform such intricately detailed work in such a small space to such precision and perfection never gets old. Each Rhinoplasty is new and different and so natural looking. No cookie cutter business here! It’s equally as fun to watch a Rhinoplasty patient’s confidence change and soar over the first several months after surgery. It is amazing to see how such small changes can evoke such big changes!

What to wear:

On the day of surgery, you should arrive free of lotion, skincare products, make up, jewelry and perfume with your hair pulled away from your face.

It is best to wear a zip up or button up shirt. You will want to avoid wearing pull over shirts for a couple of weeks to prevent nasal injuries. Wear comfy, easy to slip on pants and shoes as you may still be a bit foggy when you get dressed to go home.

Arrival:

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

When you arrive at Cosmetic Plastic Surgery Center, you will be asked to read and sign a surgical authorization form. For applicable female patients, you will be asked to leave a urine specimen for a pregnancy test. Then you will be escorted back to pre-anesthesia room where you will be asked to change. Dr. Castillo will speak with you briefly then you will meet with our anesthetist. You will undergo general anesthesia (completely asleep) for this procedure. The anesthetist will take great care to avoid any post-surgical nausea if that is a concern for you.

For Driver / Family members:

Your driver / family members are welcome to wait in our waiting room or return when you are ready for pick up if they prefer.  It is best to have a responsible adult accompany you when we are reviewing your discharge instructions as in can be difficult to remember everything immediately post-surgery. We will notify your driver 30 minutes before they are needed to review post-op care instructions and take you home.

Recovery Room:

  • You will awaken from surgery in the most comfortable recliner ever! We use a Bair Hugger system that releases warm air under your blanket to keep you toasty warm and peaceful! You will be much more comfortable than you thought you would be.
  • Rhinoplasty is not typically a painful surgery. The average patient reports a pain scale of 0-2 out of a 0-10 pain scale after surgery. Most of our patients just use Extra-Strength Tylenol to control any mild discomfort.
  • You will have a cast on your nose and you will hear Dr. Castillo asking you to breath out of your mouth. Once the tissue inside your nose begins to swell,  it will become difficult to breath out of your nose for about 5-7 days.
  • Secretions and bloody discharge are a normal part of recovery for the first 24-48 hours. We will place a mustache bandage just below your nostrils if you have any post-surgical nasal drainage. You will likely change this bandage 10-12 times before it resolves.
  • When it is time for you to go home, you will receive a full set of detailed at home care instructions. Our recovery nurse will review with you and your caregiver at the time of discharge.

The Evening Of Surgery:

When you arrive home you will begin with some ice chips followed by your drink of choice (water, coffee, tea, juice…).  Wait a half hour then move on to some food.  Do push the fluid over the next few days. Expect to feel a bit drowsy for a few hours after you get home. It is best to rest but you can certainly get up and walk around as soon as you feel you can. It is best to sit or sleep in a reclined position to reduce swelling.  Dr. will call you the night of surgery and of course we are only a phone call away if you have questions or concerns. You can reach Dr. Castillo after office hours through our answering service. We will see you back at one week to remove your cast and reveal your new look!