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Ask Our Expert: Liposuction Vs. Liposculpture

Thursday, August 25th, 2011

 

Q: What is the difference between liposuction and liposculpture?

A: Though both of these cosmetic surgeries are used for body contouring. Liposuction is a two dimensional cosmetic surgery, while liposculpture is a three dimensional cosmetic surgery. Liposuction and liposculpture can be used to contour any body shape, though we use it primarily for body contouring in individuals who are reasonably fit but have some problem areas.  Removal of fat in specific areas such as the love-handles, waist, thighs, back or arms allows the patient to feel more proportionate and confident in and out of their clothing. 

Liposuction can also be used as a volume reduction tool.  We are able to remove up to two gallons of fat during this procedure.  The results of this procedure create an over-all slimmer, more proportionate body shape in an otherwise full-figured individual. 

At Cosmetic Plastic Surgery Clinic in Savoy, G.D. Castillo, M.D. FACS performs liposuction or liposculpture https://www.cosmeticplasticsurgery.com/cosmetic-surgery/liposuction.cfm on both men and women from late teens to seniors. In most instances, patients are back to work in four to five days. https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=5

Did you know that Dr. Castillo is the Past-President of the American Society of Liposuction Surgery?  He is very proud of honor as he was nominated by his peers (other surgeons) across the nation to represent, lead and teach within the prestigious American Society of Liposuction Surgery. 

Roxanne, Cosmetic Plastic Surgery Skin Rejuvenation and Laser Institute

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

Ask Our Expert – Breast Augmentation

Tuesday, February 22nd, 2011

Ask The Expert:
Bloomington IL, Breast Augmentation:

Q: I wear a size 34 A bra. My breast size or lack of is something that affects me daily. I have difficulty wearing a variety of clothing styles and am self-conscious in a swim suit. At 29 years old, I do not want to continue fighting these issues. However, my friends are not supportive of my decision. How can I make them more comfortable with my decision?

A: Breasts are an important factor in how women feel about themselves. For many women, breasts are directly related to their sense of femininity. Having breasts that in some way make you feel less than adequate can change the way you relate both emotionally and intimately. This characteristic is quite normal to human nature and is not a sign of over-indulged vanity (though, I believe a little vanity is a positive thing).
Though having the support of your friends is extremely valuable, choosing to have breast augmentation is a very personal decision and one only you and your cosmetic surgeon can make together. After all, it is your body. You are the one who deals with the daily frustrations that your breast size is creating.
There are implant shape and size options to fit the desire of almost any women. You can choose breast implants that resemble the look you achieve when you wear a push up bra (high set, perky, round) or you can choose implants that look and feel so natural that it will be difficult for others to even notice that you have them. For women considering breast augmentation in our Champaign, Illinois surgical facility, Dr. Castillo uses a specialized minimal scar incision technique that makes it difficult to detect the scarring after a few months.
I would suggest making a consultation with a few cosmetic plastic surgeons. Once you have found one that you feel comfortable with, I believe you will be able to make the decision that is right for YOU.

Roxanne, Cosmetic Plastic Surgery Clinic

 

Roxanne 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

Fat Transplantation – A Popular Topic

Friday, December 18th, 2009

Fat Transplantation has become a very popular and intriguing topic over the past few months. More and more patients enter our office with questions about whether or not fat transplantation may be a solution for their volume loss and signs of aging.  Media coverage has also exploded onto this topic, touting it as a “new” and successful procedure.

The media is correct. In the hands of an experienced cosmetic plastic surgeon, we are indeed seeing a nice, long lasting result for those who have lost volume in areas such as the face, breast and buttocks.   However, this procedure is hardly new to those physicians on the leading edge in a cosmetic surgery practice.  In fact, fat transplantation has been in high use for decades as it parallels the beginning of liposuction.  I have been utilizing fat transplantation in my practice since the 1980’s.

So, why has the media suddenly taken interest in this procedure? The interest and notoriety of procedures is a little bit like that of celebrities-it comes and goes, has peaks and valleys and is likely related to news media events that are highly popular.  Such is the current interest in fat transplantation. The primary reason for the resurgence of interest in fat transplantation has to do with changes in technique.  With a slightly better understanding of stem cell research and years of technique evolution, this procedure continues to be refined.

In the beginning, fat transplantation was done by placing moderate to large amounts of fat into different areas of the body.  The results were okay, that is, there was some fat that survived this rudimentary method of transplantation; however, the results were not consistent enough to be able to accomplish wide acceptance by both physicians and patients.

In the late 90’s, popularization of fat transplantation in the medical literature in general and cosmetic surgery in particular revolved around the idea that for fat transplantation to be successful the fat needed to be placed in very small amounts in multiple areas.  That meant that fat needed to be injected with instruments that created very little bleeding. Therefore, we used blunt cannulas for the injections.  The fat needed to be placed in very minute amounts into many areas, and so there was the development of a technique whereby multiple passes were created in one area, depositing very small amounts of fat in each one of those passes.  This resulted in a more successful and consistent outcomes for all experienced practitioners.

Today, some questions still remain, like “Does the fat need to be prepared prior to the injection or not?”  This question is still to be resolved in the future.  Most practitioners today will harvest fat from a common area, mainly stomach and/or thighs, will  prepare it by centrifuge at low speed, that is, it will be placed in rotation separating the serum from the fat.  Once this is accomplished, the serum is discarded.  The fat is placed into very small syringes and then injected as soon as possible.  While the fat can be under deep freeze and injected in the future, it is much more effective; that is the rate of “take” is much higher, when the fat is injected immediately.

One needs to place a lot of fat in the area to be remodeled because approximately 70% of the fat will be reabsorbed by the body and only 30% of the fat will take and be part of the graft.  Fat is primarily used to fill out areas of the body and face by taking fat from an area that has excess, preparing it and utilizing it to fill out areas that need volume or rejuvenation. Fat transplantation is most commonly used to create a more shapely body region such as the buttocks or breasts.  Fat is extremely useful in filling the contours of the face that deflate with age.  Such facial areas may be deflated, sagging cheeks, corners of the mouth, lips, or smile lines. It’s most successful in removing divots, depressions and over a period of time, successful in remodeling wrinkling.

More recently, studies are showing that there seems to be an effect from fat transplantation, which is beyond filling depressed areas. Fat contains stem cells, which are primary cells that are able to regenerate tissue.  These studies indicate that when fat is placed underneath the skin, it can remodel the skin, reversing signs of aging and creating a more uniform result.

Because the fat is grafted using the patient’s own fat, the risk of allergic reaction is eliminated. Fat transplantation is done both under local anesthesia and under sedation or general anesthesia.  Patients can expect bruising and swelling for 7-10 days, and patients can expect to return back to work in  7-10 days.  While to some people this may be a new procedure, it has been part of the arsenal of procedures that the plastic and cosmetic surgeon has had at his or her disposal for over 25 years.  We are very encouraged by advances made with this procedure over the years, as it is a reliable and cost effective option for our patients.

G.D. Castillo M.D., Fat Transplantation Expert

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

Financing Options at Cosmetic Plastic Surgery Clinic, Savoy & Bloomington IL

Wednesday, November 18th, 2009

If you’ve been contemplating a procedure or treatment, and plan on utilizing the Care Credit 12-month interest-free program, we just want to make sure that everyone knows that our participation in that particular program will be ending on November 30, 2009.  We will continue to participate in the Care Credit 3-month and 6-month interest-free programs, and all of their extended payment programs (24,36,48 and 60 months) after November 30th, but the 12-month program window will close after that date.

So, please contact us at 800-252-7123 before November 30th if you desire to take advantage of their 12-month plan.  We want to make sure everyone has the opportunity to take advantage of the most-convenient financing programs available for patients!  Remember, we do offer other financing programs as well that do include several other interest-free plans.  Again, feel free to contact us with any questions or visit our financing website page for other options.
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

Insurance Coverage – Is It A Possibility?

Wednesday, October 14th, 2009

Q:  Will my insurance cover this procedure?

A: While many procedures performed by G.D. Castillo, M.D. at Cosmetic Plastic Surgery Clinnic are solely cosmetic in nature, there are a number of procedures that may qualify for insurance coverage. For example, rhinoplasty or a “crooked nose deformity” may qualify for insurance coverage if it is performed to repair a deviated septum that is causing a blockage in the nasal passage for the patient.  Another procedure that may qualify is breast reduction if the patient is experiencing symptoms caused by the weight of the breasts, like back, neck or breast pain, difficulty with exercise, or interference with work duties. Upper blepharoplasty (eyelid surgery) may qualify for benefits if drooping skin is obscuring a patient’s vision.

The most important question for insurance companies is medical necessity – is there a medical reason for having this procedure, or is it solely being performed for aesthetic reasons?

Regardless of policy terminology, the insurance company Utilization Review Department’s determination of benefits will both begin and end on this basic question as defined by their own criteria.

Medical necessity often begins with proof that conservative medical treatment has been tried prior to a surgical recommendation and has not alleviated the problem.  With so many over-the-counter options available to the consumer today, many people are not reporting their symptoms and the frequency of their symptoms to their physician.  This lack of documentation can delay insurance eligibility since the background information as to conservative treatment is not documented within the patient record.  This is just one reason why it is important that patients communicate with their physician as to frequency of symptoms and response to the recommended treatment, including any over-the-counter remedies that the patient may be using.

As one example, a woman with large pendulous breasts may ask for a prescription or referral from her physician to have a bra constructed to help support the weight of her breasts to help alleviate her discomfort.  She should report any rashes or break down of her skin that may be caused by the size of her breasts as well as reporting the results of remedies she is utilizing, regardless if she is using a prescription medication or an over-the-counter product.  She should report any back or neck discomfort and be checked for postural difficulties and shoulder strapping (grooves or indentations in the shoulders caused by the weight of the breasts supported by bra straps).

If you believe that you have a condition that would be helped by a procedure that may qualify as medically necessary, you can call your insurance company’s benefit department and ask them to inform you of the coverage available in your specific policy, and further, to send you, in writing, their exact criteria for determining medical necessity for that procedure.  I’ve seen cases over the last 14 years where a few months of well-documented, failed conservative treatment has made the difference in obtaining insurance benefits for permanent surgical relief.

A consultation with Dr. Castillo at Cosmetic Plastic Surgery may be all that’s necessary to determine if insurance reimbursement is a possibility.  These consultations are available in both our Savoy and Bloomington, Illinois offices.

It’s well worth the effort!

Possible Rosacea Triggers

Friday, September 11th, 2009

Though there is no cure for Rosacea, I hope the following lists, compiled from patient histories by Dr. Jonathan Wilkin and produced by the National Rosacea Society will make it easier for you to determine your own triggers and avoid them.

Foods:
Liver, Yogurt, Sour cream, Cheese (except cottage cheese), Chocolate, Vanilla, Soy sauce, food-eating-candy-chocolate
Yeast extract (bread is okay), Vinegar, Eggplant, Avocados, Spinach, Broad-leaf beans and pods (including: lima, navy or pea). Citrus fruits (including: tomatoes, bananas, red plums, raisins or figs), Spicy and thermally hot foods, and Foods high in histamine.

 

Beverages:
Alcohol (especially: red wine, beer, bourbon, gin, vodka, or champagne), Hot drinks (including: hot cider, hot chocolate, coffee, or tea)

Emotional Influences:
Stress and Anxiety

Temperature-related:
Saunas, Hot baths, Simple overheating, and Excessively warm environments

Weather:
Sun, Strong winds, Cold, and Humidity

Drugs:
Vasodilators and Topical steroids

Medical Conditions:
Frequent flushing, Menopause, Chronic cough, and Caffeine withdrawal syndrome

Physical Exertion:
Exercise and “Lift and load” jobs

Roxanne, Skincare and Laser Specialist

Roxanne 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

Introducing Liquid Smile … Professional Teeth Whitening

Monday, August 17th, 2009
Dr. Castillo is expanding his services with a smile; Liquid Smile that is…  Liquid smile is now available at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Liquid Smile professional whitening pen offers a simple, convenient and affordable solution to whiter teeth.
A whiter, brighter smile can bring out all your best features.  It can enhance your confidence and desire to smile and be social. We believe this to be a great alternative to expensive teeth whitening procedures.  One of the nicest things about this system is it does not require having a tray or other device inside your mouth.  If you have had an unpleasant experience with teeth whitening in the past such as gagging, pain, sensitivity or high cost, Liquid Smile may be the answer you’ve been waiting for.  After painting the gel on their teeth at bedtime for 2 weeks and you’ll be ready to flash your new, bright smile.  It is as simple as that.

smileG.D. Castillo, M.D. FACS is expanding his services with a smile; Liquid Smile that is…  Liquid smile is now available at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Liquid Smile professional whitening pen offers a simple, convenient and affordable solution to whiter teeth.

A whiter, brighter smile can bring out all your best features.  It can enhance your confidence and desire to smile and be social. We believe this to be a great alternative to expensive teeth whitening procedures.  One of the nicest things about this system is it does not require having a tray or other device inside your mouth.  If you have had an unpleasant experience with teeth whitening in the past such as gagging, pain, sensitivity or high cost, Liquid Smile may be the answer you’ve been waiting for.  After painting the gel on their teeth at bedtime for 2 weeks and you’ll be ready to flash your new, bright smile.  It is as simple as that.

THE GEL –
This prescription strength teeth whitening formula contains 12% Hydrogen peroxide (H2O2) that is 3 times stronger than other paint-on teeth whiteners.  The neutral pH gel is manufactured using the purest ingredients. The O2 bubbles begin to remove stain molecules from your teeth within a few applications.  It is available in 4 flavors; cola, mint, lemon lime and root beer.  The flavors are very mild to minimize salivation.

WILL IT MAKE MY TEETH SENSITIVE?
This is a great alternative for patients who could not complete other professional teeth whitening systems due to heightened sensitivity.  If you are applying the whitening gel as directed, you should not experience sensitivity.

HOW MANY SHADES OF IMPROVEMENT CAN I EXPECT?
Various patients can respond differently to the same whitening treatment, so results may vary. Some patients will experience several shades of teeth whitening while others may see even more results.

WHEN WILL I BEGIN TO NOTICE RESULTS?
Most patients will begin to notice results within the first 5 -7 applications.  Original tooth color and the amount of exterior staining a patient’s teeth has may affect the time frame in which one can expect to see results.

HOW DOES THE GEL STAY ON MY TEETH WITHOUT A TRAY?
The Liquid Smile gel is brushed on in a very thin layer.  It will dry within 30-45 seconds so it does not cause irritation. The gel forms a protective film to prevent it from rubbing off while releasing O2 bubbles that whiten the teeth.

WHAT IS THE COST ?
While other professional teeth whitening products can cost more than $400.00, Liquid Smile can be purchased in both our Savoy (Champaign-Urbana area) and Bloomington, Illinois offices for only $125.00!

HOW CAN I PURCHASE LIQUID SMILE?
Liquid Smile is a professional product available only through medical and dental offices.  You may schedule a free consultation with our Medical Skincare and Laser Specialist to get started.

Roxanne, Skincare and Laser Specialist

Roxanne 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

Call Cosmetic Plastic Surgery today to schedule an appointment today.
1804 Woodfield Drive, Savoy IL 217-359-7508
2409 E. Washington, Bloomington IL 309-662-0436

Myths and Truths about Surgery in the Older Individual

Friday, June 26th, 2009
The portion of the population in the United States that is 65 or older will continue to steadily increase.  The US Census Bureau expects that by the year 2030, one out of every five Americans will be age 65 or older.  This fact alone suggests that the popularity of cosmetic surgery in the older individual will steadily increase.
Age alone is not a determinant of who can or who should have cosmetic surgery. The age of the patient is irrelevant to the safety and the appropriateness of surgery. The relevant issue is the health of the individual. In a healthy individual, such as one who does mild to moderate exercise and takes few medication, cosmetic surgery is an extremely safe and rewarding surgical procedure.  By the same taken, an individual who may only be in their 40’s but is on high blood pressure medication and smokes, is a significant surgical risk.
As an individual ages, there seems to be a natural tendency and trend toward participating in less activities and being less socially involved. It surprises no one that when an individual looks younger, they will act younger. They will participate in a greater number of social activities. Those patients who are seeking to look younger are generally patients who have what is referred to as “cognitive and emotional vibrancy.” This refers to the degree of awareness, connectedness, and involvement that the individual may have in the current issues of the day.  One could say that a window of cognitive vibrancy would be demonstrated with high physical energy and animated facial expression.
Of extreme importance is the fact that older individuals have less hang ups and less need to prove themselves.  Under these circumstances, the effects of cosmetic surgery tend to be much more satisfying. The need for perfection is not generally there. They are looking for improvement, not necessarily a homerun.

oldercoupleThe portion of the population in the United States that is 65 or older will continue to steadily increase.  The US Census Bureau expects that by the year 2030, one out of every five Americans will be age 65 or older.  This fact alone suggests that the popularity of cosmetic surgery in the older individual will steadily increase.

Age alone is not a determinant of who can or who should have cosmetic surgery. The age of the patient is irrelevant to the safety and the appropriateness of surgery. The relevant issue is the health of the individual. In a healthy individual, such as one who does mild to moderate exercise and takes few medication, cosmetic surgery is an extremely safe and rewarding surgical procedure.  By the same taken, an individual who may only be in their 40’s but is on high blood pressure medication and smokes, is a significant surgical risk.

As an individual ages, there seems to be a natural tendency and trend toward participating in less activities and being less socially involved. It surprises no one that when an individual looks younger, they will act younger. They will participate in a greater number of social activities. Those patients who are seeking to look younger are generally patients who have what is referred to as “cognitive and emotional vibrancy.” This refers to the degree of awareness, connectedness, and involvement that the individual may have in the current issues of the day.  One could say that a window of cognitive vibrancy would be demonstrated with high physical energy and animated facial expression.

Of extreme importance is the fact that older individuals have less hang ups and less need to prove themselves. Under these circumstances, the effects of cosmetic surgery tend to be much more satisfying. The need for perfection is not generally there. They are looking for improvement, not necessarily a home run.


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

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

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

Director of Cosmetic Plastic Surgery Clinic
COSMETIC PLASTIC SURGERY