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What To Expect After Level III Traditional CO2 Laser Resurfacing

Friday, August 26th, 2016

Recovering from Level III CO2 Laser Resurfacing can be an exercise in patience and faith; but if you’re concerned by wrinkles, rough texture or acne scars, it can also be one of the most rewarding decisions you will make for yourself. Knowing what to expect in advance is key to having a more peaceful recovery.

Day 1-7

It’s start with most prominent question first –

WILL I BE IN PAIN AFTER MY SURGERY???

This surgery is not particularly “painful.” You will experience a sunburn sensation that comes and goes over the first few days and your skin will be tender to touch. You can expect some swelling as well. With in 7 days, these sensitivities should be resolved.

WHAT SHOULD I EXPECT DURING THE FIRST 7 DAYS OF MY RECOVERY?

Once your surgery is complete, you will spend about 1/1/2 hours in the recovery room with your personal recovery staff member (that’s me). You will find yourself in a very comfortable recliner with warm air system to keep you cozy. We will go over your at-home instructions in detail with you and your caregiver and answer any questions you may have.

You will leave Cosmetic Plastic Surgery Center in a facial bandage with opening for your eyes, nose and mouth. You will be sent home with a special post-laser ointment. You will apply this ointment to any areas where your skin is not covered by your bandage such as around the lips, nose and eyelids.

24 hours after your surgery you will return to our office to have your bandages removed. We will apply an ointment to your skin and apply a new bandage for another 24 hours.

48 hours after your surgery, you will return to our office for the second post op visit. At this visit Dr. Castillo will remove your bandage permanently. Now that your bandage is off, your main job at home is to keep your skin covered with a special post-laser ointment for the next 5-6 days and of course to avoid ALL sun exposure. We will review your post op instructions again and answer any questions you or your family may have. And remember we are always here if you have a question.

On day 6 or 7, you will return to our office for your third post-op visit. You will be healed at this point but your skin will still be red or pink. But that’s okay… Get ready to feel like a new person!! It’s camouflage day!!!DSC_0465
After visiting with Dr. Castillo, you will be escorted back to our skincare suite – the fun room!!   Here you will meet with me, the skincare and laser specialist at Cosmetic Plastic Surgery Center. This is an important step in feeling more like yourself! It’s tough hiding out for a week but by the time you leave the office today you will be ready for a lunch date! You will be amazed at how easy it can be to cover any signs of redness with the proper cosmetics and technique. Don’t worry; we will get you set up with everything you need to look fabulous at your next social event!

DSC_0568During this camouflage appointment, you also learn how to prevent future sun damage and how to properly maintain your new radiant, smooth skin in the short term and in the long term. It will be imperative that you avoid sun exposure for the next 6 months, as your skin will be very sun sensitive. This means we recommend you always use a wide-brim hat, UV protective sunglasses and apply Castillo MD Skin Science Physical Defense, Prime Defense or Sun Defense sunscreen when going outside or traveling in your vehicle. When applying sunscreen, apply one layer, let it dry, then apply an additional layer before going out.

HOW WILL I CARE FOR MY SKIN AT HOME?

Day 7-15:

  1. MORNING –
  • Moisturize: Remove any Elta, Aquaphor or Bacitracin remaining on your skin from the night before.
  • Apply the moisturizer Dr. Castillo has selected for you (Restore or Calmative Cream by CastilloCalmative Cream MD Skin Science). This product is a moisturizer. You will need to re-apply it to the lasered areas a few times during the day to avoid getting dry.
  • Protect: Before going outside or traveling in your vehicle, apply Physical Defense, Prime Defense or Sun Defense Sunscreen, let it dry for 3 minutes, then apply an additional layer.

You will need to re-apply sunscreen every 2 hours if outside or traveling. You will need to apply every 80 minutes if sweating or if your skin becomes wet.

2. NIGHT-

  • Cleanse: Apply Gentle Cleanser by Castillo MD Skin Science to damp skin with your fingers. Then wet your sponge and cleanse in a circular motion, removing any dead skin or yellow/green exudate. Rinse, and pat dry.
  • Moisturize: Apply the ointment Dr. Castillo has selected for you, (Elta, Bacitracin, or Aquaphor) to the lasered areas.

When you are ready, generally within 3-5 weeks, I recommend scheduling a skincare check up with me. This allows us to customize your daily skincare routine to your specific skin needs. From here on out, simple maintenance is key!

DSC_0475Roxanne Grace Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY                                                                     https://www.cosmeticplasticsurgery.com

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Elf Ears After A Facelift

Friday, December 11th, 2015

On occasion, a patient will come into my Champaign-Urbana Cosmetic Plastic Surgery Center searching for advice on how to fix their “elf ears” after having a facelift elsewhere.

The normal expectation after a facelift is to obtain a more youthful appearance by improving of issues like jowls, neck folds, sagging skin etc but what about surprises like distorted ear lobes often called “elf” ears, “pixie” ears or “witches”ears?  This can occur during a facelift procedure when the ear lobe is pulled down and lacks the right angle between the lower portion of the lobe and the facial / neck area below it.

While some surgeons can produce this type of  unfortunate result / complication which is a tell tail sign that you just had a facelift with an undesirable outcome, I find it easy to correct with a natural looking end result.

The reason “elf ears” can occur after a facelift is because there is too much tension at the junction between the lowest part of the ear and the face – something that an experienced facial plastic surgeon would NOT do.  To correct this issue, I generally remake the lower incision without removing any skin and elevate the lower facial skin to a fixed point in the firm deep tissue (Parotid Facia).  This elevates the earlobe and returns the natural, round shape to the previously stretched earlobe releasing the downward pull of the earlobe.

This simple correction can be performed under local anesthesia and the patient is quickly back to normal daily activity.

Dr. G. D. Castillo

Dr. G. D. Castillo

 

 

 

 

 

G. D. Castillo, M.D. FACS
COSMETIC PLASTIC SURGERY CENTER                                                                    https://www.cosmeticplasticsurgery.com

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

VISIT MY BLOG:  https://www.cosmeticplasticsurgery.com/blog/
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

 

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 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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Q & A: Personal Interview With Dr. G.D. Castillo – Part One

Monday, February 2nd, 2015

Q: When you are not in the office, how do you like to spend your free time?

Dr. Castillo: Life offers so many options one should never be bored. It’s not difficult to be eIMG_0188ntertained when you like motor sports, music, the arts, nature, a nice glass of cabernet sauvignon with good friends.”

 Q: What is your biggest accomplishment?

Dr. Castillo: “Learning the art of discipline. My commitment to becoming a skilled surgeon meant staying focused and denying myself during my medical school days while my buddies were out partying. Going through medical school is a tremendous commitment.  You have to give up control of your life and your time during that period.  The disciple that I learned in medical school has carried through in every part of my life and I have reaped many rewards because of it including balancing a busy surgical practice with multiple locations, teaching, serving as the President of the American Academy of Cosmetic Surgery, raising my family, and attaining the highest level of licensing as a pilot.”

 Q: What could you not live without?

Dr. Castillo:  The warmth of a human heart.”

Q: How long have you been a pilot? 

Dr. Castillo: “I’ve been flying since my early twenties. It is a wonderful freedom and luxury. I strongly considered it as a primary career at one point in my life.”

 Q: If you had to choose a second career, what would you like to do?

Dr. Castillo:  “I would like to try my hand at Bronze Sculpture.”

 Q: If you could give one piece of advice what would it be?

Dr. Castillo:  “Enjoy every moment of your life.  And…don’t skip the gym, as it allows you to keep enjoying every moment of your life.”

 

 

 

 

Q & A with Dr. G.D. Castillo – Part One

Tuesday, January 20th, 2015

 

Professional Series:

 Q: It’s obvious that you love the field of Cosmetic Surgery? What makes it so meaningful to you?

 Dr. Castillo: “I enjoy  Cosmetic Plastic Surgery for many reasons:

 

Performing surgery is energizing. It appeals to some of my most basic characteristics. I’m a problem solver. I have a strong need to work with both my hands and my head on a daily basis. I love challenges. I’ve been accused of being a frustrated architect, always looking for ways to change and improve any structure. I have a strong connection to visual arts and the beauty of form: human or otherwise.

 Performing Cosmetic Plastic Surgery gives me the chance to perform surgery on every area of the body not just one. If offers an incredible variety in the types of surgeries I perform.

 Patients often present with anatomy than is a little different or other challenges that will not be found in a textbook. I have to rely on my experience and knowledge to solve the problem and help them reach their goal. I find it very gratifying to help a patient with a problem that has prevented them from the freedom of fully enjoying and embracing life.”

Q: Your world renowned credentials are very impressive, including teaching appointments all over the world so why did you choose to practice in the Champaign– Urbana area?

Dr. Castillo: “I was appointed to teach at the University Of Illinois Medical Circle Campus in Chicago. I felt that Champaign-Urbana was a solid community to raise my children in. I like the atmosphere, the people, and have built many meaningful relationships in Central Illinois.”

 Q: How would you describe your staff?

Dr. Castillo: “They are accomplished people pleasers who understand their jobs well.”

 Q: Have you practiced any other forms of medicine besides cosmetic surgery?

Dr. Castillo: Initially my practice was focused on cancer surgery along with cosmetic surgery. There was obviously no competition as to which one would win my heart. I have focused exclusively on cosmetic surgery since 1983 and I wake up loving what I do every day.”

 Q: What type of music do you listen to in O.R.?

Dr. Castillo: “I typically listen to soothing music like piano, soft jazz, classical or or spa.”

 Q: In which areas do you feel your practice excels in, above other cosmetic surgery practices?

Dr. Castillo:

  • “Our focus on safety, our desire to understand patient goals and our commitment to deliver the results our patients desire.
  • We are dedicated to making sure that each patient is educated about the procedure and what the can expect every step of the way.
  • My staff. They are knowledgeable and dedicated to making sure that every patient has the best experience possible.”

Q: What are the most challenging parts of your everyday practice?

Dr. Castillo: Each patient’s idea of improvement and goals are personal. I need to understand each individual’s story, desires and goals to deliver the best results I can. It’s my job to listen and understand what they really want out of this experience with Cosmetic Plastic Surgery Center and translate that into the best outcome for them.”

Q: What are the best moments that make it all worthwhile?

Dr. Castillo: Smiling patients. Knowing that I have in some small way, helped them with a problem that they would not be able to correct themselves.”

 

 

 

 

 

 

 

ASK OUR EXPERT – Can the general mass of my nose be made smaller?

Wednesday, May 28th, 2014

Q:  Can you tell me if the general mass of my nose be made smaller by the photos I have enclosed?

 

A: There seem to be two things that are quite obvious, the first one is that there is a greater width at the base of the nose (the radix) and the second one is that there is an obvious disconnect between the bony nose and the cartilaginous nose, that is between the top and the bottom half of the nose.  When the transition between the cartilaginous and bony nose is quite sharp, there is an unsettling disconnect of the nose that nasal surgery can correct by narrowing the bony pyramid of the nose.  The cartilaginous portion of the nose can be tailored at the same time to fit onto the bony nasal dorsum.

Rhinoplasty is one of the most popular procedures performed in my champaign, cosmetic plastic surgery facility today and is one of the most rewarding for our patients. Should you choose to have a consultation for further assessment, we can review before and after photos of real patients with issues similar to yours to give you some idea of the type of results that are generally achieved with a rhinoplasty.

Sincerely,

 

 

 

 

 

G.D. Castillo, M.D. FACS

Director of Cosmetic Plastic Surgery Center

www.cosmeticplasticsurgery.com

 

 

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/

 

 

ASK OUR EXPERT: FAT TRANSPLANTATION

Wednesday, April 30th, 2014

 

Question:  Can Dr. Castillo take fat from my hips or stomach and put it into my breasts? 

Answer: The short answer to that question is yes; though, it is not as simple as it sounds. 

Fat transplantation to the breasts has been done for many years, starting in earnest around the mid 1980’s by many cosmetic surgeons. At that time, we did not have answers to important questions like:

  1. What, if any changes would fat create in breast tissue?
  2. Will these changes be misdiagnosed as disease and/or cancer in the future?

  Due to the lack of information available at that time, the use of fat transplantation to increase breast volume was never truly accepted or recommended.  However, early results indicated that it did work.

 Today we know that we can remove fat from anywhere in the body and transplant it to anywhere in the body with results that will accomplish

  1. an increase in volume
  2. an improvement in the skinFor example, if fat is transplanted underneath scar tissue, the scar tissue tends to remodel and turn into better skin.  In so far as increasing volume, fat transplantation needs to be done with quite a bit of care and by an experienced surgeon because if fat is placed in large lump quantities,  not only will the procedure be ineffective but it  is likely to create issues. Fat needs to be transplanted in very small amounts and in many areas within the breast and surrounding tissue in order to accomplish an increase in the volume of the breast. We can increase the volume of the breasts by approximately 120 cubic centimeters maximum. This is related to a limitation with the rate in which the body will incorporate this fat into the tissue. Fat that is placed in a new area needs to be colonized by small blood vessels and made into living tissue in whatever area it was transplanted.  This can only happen when it is transplanted in small amounts that are small enough to be able to be sustained by the microcirculation of the area.

Fat transplantation is best utilized for patients who are seeking small adjustments to their breast proportions.  If you desire to go from an A to a C cup size breast, fat transplantation will not give you your desired outcome.  To increase breast volume in a more significant way is better accomplished with breast implants. https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm.

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

Director of Cosmetic Plastic Surgery

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