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Spot Reduction by Liposuction

Wednesday, September 7th, 2011

G.D. Castillo, M.D.  has been sculpting bodies into a more proportionate form in his Cosmetic Plastic Surgery practice since 1983, through liposuction or liposculpture.  While maintaining a good diet and a realistic exercise routine is vital to looking good and maintaining a healthy body, there is no such thing as “spot reduction” thru diet or exercise.  This fact often causes an otherwise reasonable active individual to struggle with their body image and their inability to self-correct those problem areas.  Often patient’s maintain abnormally low weight in attempt to reduce their body bulges.  When that doesn’t work, it is often interpreted as a failure and many find it difficult to remain dedicated to their exercise routine and healthy eating habits.

Liposculpture or Liposuction is used to reduce volume and re-contour specific areas of the body by suctioning out the fat that over-collects in certain areas, disrupting the inherent, sensuous flow of the human body.   Through the use of Liposculpture, Dr. Castillo is able create a feminine contour from the hips to the buttock that would boost any women’s confidence. He is able to create a smooth, naturally flowing contour of the body that restores self-pride for both our male and female our patients.

After liposuction, patient’s often become re-invested in making healthy food choices and staying consistent in their exercise program because liposuction has given them the encouragement they needed to continue on a path of healthy living.  After reducing the problem areas, patients can finally see that their hard work truly is paying off every time they look in the mirror.

While liposuction is often used for volume reduction, the best candidates for liposuction are those who are reasonable fit but have some problem areas though it can also be used for volume reduction.  Liposuction can be used to “spot reduce” nearly any area of the body.  It can also be used in conjunction with other cosmetic plastic surgery procedures to enhance the results.  For instance, it can be used during a facelift for a patient who carries extra weight in his or her face, or to reduce a double chin or jowls during a mini-facelift.  In some cases liposuction is used in combination with an abdominoplasty or tummy tuck. It can be used to reduce arm fat during a Brachioplasty or arm lift.

Imagine being a woman who feels compelled to wear long skirts or pants in the heat of summer because she is too embarrassed to expose her thighs. Imagine the frustration that comes with realizing that no matter how thin and fit you are your thighs or hips will always be larger or disproportionate to the rest of your body.  Consider how frustrating it must be for a male who eats consciously and exercises but cannot decrease the bulk of his breasts or his love handles through those means. For patients like these, Liposuction or Liposculpture can make a tremendous improvement in their quality of life.

Dr. Castillo is compassionate toward the struggles that individuals go through, and he is passionate about helping them reach their goals. As the Past-President of The American Society of Liposuction Surgery and the Past-President of the American Academy of Cosmetic Surgery, Dr. Castillo continues to be an influential leader in liposuction surgery.   If you would like more information on Liposuction or Liposculpture, call Cosmetic Plastic Surgery Clinic in Savoy (Champaign – Urbana area) at 217-359-7508 or Cosmetic Plastic Surgery Clinic in Bloomington at 309-662-0436 to schedule your consultation with G.D. Castillo, M.D., FACS.

DSC_0574Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
Become a Facebook Fan of CPS @  http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Why Do We Favor Traditional Tumescent Liposuction Surgery?

Friday, March 11th, 2011

I see a large number of patients for liposuction in Champaign-Urbana and Bloomington areas. Many times they ask about newer techniques that they have seen advertised. Over the years, we have employed most of the newer techniques of liposuction surgery, including tumescent, ultrasonic assisted, power assisted, and laser assisted liposuction surgery. We also investigated forms of removing fatty tissue without surgery (mesotherapy) as early as 1992. We have found that none of the older or newer techniques come close to the results and safety of traditional tumescent liposuction and ultrasonic assisted tumescent liposuction surgeries. For that reason, we have continued to employ this type of liposculpture.

A recent study (survey) conducted by the American Society of Aesthetic Plastics Surgery (ASAPS) confirmed the findings that we have reported for many years. In this study, the ASAPS found that more than half of its members prefer and employ tumescent suction-assisted lipectomy (SAL) or traditional liposuction, and consider it one of the safest procedures for fat removal. The same study found also a high satisfaction rate with ultrasound assisted liposuction surgery, but much less enthusiasm for laser assisted liposuction due to complications and inferior results.

This is quite an important study because it polled 1,713 members and they responded to 17 questions on fat removal techniques, management and complications. This explored traditional and newer fat removal technologies. Of these 1,713 members, 492 responded and generated the survey result which we quoted.

The reason why we agree with the data generated by this survey is that all of the newer techniques have higher complication rates and the results are less favorable compared with the excellent results obtained with traditional ultrasonic and/or tumescent liposuction.

Generally, manufacturers of newer technologies, through heavily funded marketing campaigns, try to sway the opinion of the public toward their newer technologies, mainly for self-serving purposes. To date, all peer review studies have given a big nod to the tumescent and ultrasonic liposuction, which has been in use for over 20 years with a stellar safety track record and very impressive results.

This blog was written and
Submitted by G. D. Castillo, MD, FACS
Cosmetic Plastic Surgery

FDA ISSUES A WARNING…”LIPODISSOLVE.”

Monday, August 23rd, 2010

FDA ISSUES A WARNING TO MEDICAL SPAS, RAISING THE ISSUES OF SAFETY AND EFFECTIVENESS OF “LIPODISSOLVE.”

Medical Spas around the country were recently issued a warning from the FDA for making misleading and/or false statements about the safety and effectiveness of LIPODISSOVE.  At Cosmetic Plastic Surgery Clinic in Savoy (Champaign-Urbana) and Bloomington, we encourage consumers to think twice about signing up for an elective procedure like Lipodissolve that could be putting them at risk.   While many people believe that lipodissolve is a brand new procedure brought about by “leading edge medical spas,” in reality it is simply the use of multiple injection s of a combination of drugs that is said to create possible partial destruction of fat cells.  Consumers need to be aware that these substances have not been evaluated by peer review and have not been approved by the FDA. The safety of the drugs being used in Lipodissolve is unknown.

The use of these drugs began many years ago in the 1970’s in Europe and South America when drugs were used to try to modify the structure of fat in a technique called mesotherapy.  Mesotherapy was not able to provide safe, consistently effective results. More recently, Mesotherapy was “re-invented” in the United States through the term of Lipodissolve.  Spas inject deoxycholate or phosphatidylcholine into the fat to destroy and/or modify the structure of fat.  The effects of the medication cannot be properly controlled, since the diffusion rate; that is, the rate in which the substance moves through the tissue cannot be predicted. Therefore, the reach of these substances vary from individual to individual and from injection to injection.  If one looks at the results of mesotherapy throughout the years in Europe and South America, they have been haphazard.  The procedure has never been able to gain a foothold as a venue for treatment of fat deposits anywhere in the world.  The resurrection of this technique in the United States is at the present time, an unproven technique without validation by peer review and is outside the limits of approval by the FDA.  Frankly, practitioners that use these drugs, whether in a medical spa or outside a medical spa, do it at their own risk.  In my opinion, they also put the safety and well being of their patients and/or subjects at risk.  Specifically, the FDA sent letters in April to the following spas:

  • Monarch Medspa, King of Prussia, PA
  • Spa 35, Boise Idaho
  • Medical Cosmetic Enhancements, Chevy Chase, MD
  • Innovative Directions in Health, Edina, MN
  • PURE Med Spa, Boca Raton, FL
  • All About You Med Spa, Madison, IN

Stating that the drugs utilized have not proven to be safe and/or effective, also noting that these substances have not been approved and that the involved companies have made claims that lipodissolve has an outstanding safety record and is superior to other fat removal techniques including liposuction.  FDA regulators have called on the spas to stop making such misleading claims of safety and effectiveness, and to notify the agency within 15 days of what steps they are taking to correct the violation.

The FDA, as a regulatory agency, has received reports of adverse effects such as scarring, skin irregularity, painful nodules in the subcutaneous tissue where the material was injected, etc.  As consumers, we need to remember that tumescent liposuction as a procedure has proven to be safe and effective by peer review. It is practiced worldwide.  Tumescent Liposuction has an unmatched safety record and when done by experienced cosmetic or plastic surgeons, has revolutionized the treatment of bulges, fat pockets and localized unsightly fat deposits.  Buyers beware – gimmicks cannot replace proven procedures.    The FDA seems to corroborate what surgeons have known for many years.  While tumescent liposuction has been proven safe and effective, no such approval exists for lipodissolve.

Dr. Castillo, Past-President of American Society for Liposuction Surgery

G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY
Become a Facebook Fan of CPS @  http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington