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Ask Our Expert: CO2 Micro-Fractional Laser Resurfacing Of The Upper Lip…

Friday, March 28th, 2014
Question: With the CO2 Micro-Fractional Procedure above the lip, would there be any anesthetizing, of the area for pain? Also, does it peel or just turn red?  And Lastly, what days of the week does Roxanne do this procedure?
Thanks,
Karen
Answer:
Karen, when we perform more aggressive CO2 Micro-Fractional Laser Resurfacing to on lines around the mouth, we utilize three forms of discomfort control:
    1.  We administer a Tylenol with Codeine upon your arrival to the appointment so you will need a driver.
    2.  We apply a topical numbing ointment.
    3.  Once the above two forms have taken effect (about 30-40 minutes) Dr. Castillo will do a regional nerve block. This is of a few injections similar to having your mouth numbed at the dentist. 
REDNESS AND SWELLING: You can expect redness and swelling of the upper lip area.  It will be worse the day after treatment.  Typically by day 3, the swelling will start to resolve.   Since we would only be treating the upper lip instead of the whole face, your swelling is likely to be quite minimal.  You can expect to be red then pink then you’ll return to your normal skin tone.  A light pink color may last a few weeks depending on the level of aggressiveness we use.
PEELING: You will begin to peel within 3-4 days and the peeling typically lasts 48 hours. You will be able to cover with make-up within 4-6 days after treatment. 
I typically perform this procedure Tuesday – Friday.  Please let me know if you have further questions.
 
Yours Truly,
Roxanne Hammond, RMA
Skincare and Laser Specialist
G.D. Castillo, M.D., FACS
COSMETIC PLASTIC SURGERY CENTER
Become a Facebook Fan of CPS @  <span >https://www.facebook.com/DrCastilloCosmeticPlasticSurgery
<span >https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Options For The Aging Face

Thursday, March 6th, 2014

During the American Academy of Facial Plastic and Reconstructive Surgery Meeting in San Diego, it was stated that the AAFPRS had recently released a new study that found 39% of women were most worried about sagging cheeks or under eye bags, while 33% of women were most worried about lines and wrinkles.  28% of women were most worried about the “turkey neck” effect.

Being a women (and working with an incredible mentor and internationally-renown facial plastic surgeon for years; G.D. Castillo, M.D.) these stats come as no surprise to me.  Of course we women worry sagging cheeks, under eye bags, wrinkles, and the dreaded t-t-t-turkey neck.  It’s normal to want to be the best version of ourselves!  Stop for a minute and think about the women in your life who make a real effort to look their best, exercise, eat healthy.  Those people get things done!  They enjoy life! They are advancing in their careers, moving forward in their personal lives, involved in the community. They are movers and shakers. Looking good and feeling good about how you look is a true life motivator.

I cannot think of single women I know who is excited about the arrival of the next sign of aging. We are always scanning the mirror at home or in the car to make sure we look good – checking for lettuce in our teeth, smeared lip stick, dark circles that might need camouflaging… you know the drill.  For those  who say that’s simply being vain, well, maybe, but in my opinion a little vanity is a great thing. I think it means you care about how you represent yourself.  To me that is self respect.  Something we should all have because we all deserve it.  After all, if we don’t respect ourselves, who will?

I remember when my youngest daughter was about four years old.  She always had a way put a positive spin on things, always encouraging and complimenting others. We were on the floor playing a matching game when she looked at me and said “Wow mommie, the hair right here on the top of your head is shiny white.  Mommie, you are doing a great job at that!”  Cute as that was, you better believe my head was covered in chocolate expresso hair color with in the hour!

We all know aging is inevitable but that doesn’t mean we have to accept it gracefully with no attempt to slow the process.  This blog is called “Anti-Aging” with Grace after all.

Well not to worry (besides worrying just causes frown lines and then everyone thinks your angry all the time).  With the advances in technologies and the growing experience in plastic surgery and skin rejuvenation at your disposal, you have both surgical and non-surgical options available to wash your worries and your wrinkles away!  

SAGGING CHEEKS:

  • Non-surgical options

1. Dermal fillers can be used to restore volume loss in sagging cheeks.

  • Surgical options
  • 1.  A facelift – Fortunately, today facelifts are really customized for the individual’s needs.  There are Mini-facelifts, which is a limited facelift generally indicated in someone with early signs of aging (late 30’s to late 50’s) and are most effective in people with facial aging rather than neck aging.  Mid-facelifts, which elevate of the mid portion of the face. This type of facelift is needed in patients that have either facial sagging or lacking facial volume in the second 1/3rd of the face. Traditional facelifts are the treatment of choice for those who have of both the sagging of the cheek and the neck area.***Keep in mind that when sagging tissue is present, non-surgical results will not compare to the results of surgical removal of tissue, which is the hallmark of any kind of surgical facelift.

UNDER EYE BAGS:

  • Non-surgical options –
  1.  Try cutting out salt and preservatives from your diet for one month.  Observe over the month whether or not the bags disappear or reduce to a tolerable state. Salt / preservatives are found in prepared foods such as those you purchase from a deli or restaurant and in canned or boxed foods and can be responsible for puffy under-eye bags. If you see considerable improvement, you may be able to avoid partaking in the options below just by avoiding salt and preservatives.
  2.  Dermal fillers Hyaluronic acids (Restylane, Perlane, and Juvaderm) can be used fill in depressed curves that form between the cheek and the bag to provide a more natural, youthful contour.
  3.  CO2 Micro-fractional laser resurfacing can help to tighten the lower eyelid skin but it will not improve excess fat deposits.
  • Surgical options

       1.   Lower Eye Lid Surgery (Blepharoplasty) – This may include the removal of fat from the lower lid area or the transplant of fat to the area depending on the needs of the patient.

FINE LINES AND WRINKLES:

  • Non-surgical options
  1. CO2 Micro-fractional laser resurfacing is a minimally invasive treatment that typically produces the best non-surgical results for fine lines and wrinkles.  It will also remove brown spots and other pigment and texture changes that often present along with lines and wrinkles.
  2. Botox® can be used to smooth out lines and wrinkles of the forehead, between the brows, and around the eyes.
  3. Dermal fillers such as Juvederm®, Perlane®, Restylane®, orRadiesse® can be used to replace volume and fill in lines and wrinkles.
  • Surgical options
  1. CO2 full face laser resurfacing, (not to be confused with CO2 Micro-Fractional Laser resurfacing) can smooth out lines, wrinkles, tighten the skin, increase collagen, improve poor texture and pigment issues, and unwanted spider veins. If you are experiencing structural sagging a facelift or cheek lift may be done simultaneously.
  2. Facelift– As individuals age, they tend develop lines an wrinkles caused by loose skin and lax underlying muscle structure. A Rhytidectomy or facelift is designed to remove loose skin and tighten lax underlying structures which result in a lasting, more youthful appearance.
  3. Fat Transplantation can sometimes be used to replace volume loss of the face, relieving the lines that have developed due to loss of facial fat that can happen during the aging process.

TURKEY NECK:

  • Non-surgical options –
  1. Beyond managing your weight and avoiding the yo-yo weight effect along with protecting your skin from UV radiation to preserve collagen and elastin, your best bet is a trip to the O.R.  Once you develop a turkey waddle, there is not much in line of non-surgical options that provide true improvement.
  • Surgical options –
  1. Neck lift – This procedure is often combined with a cheek lift. The typical neck lift or neck/cheek lift consists of a modified type of facelift in which the main emphasis is to tighten the muscle structure and remove as much excess neck skin and fatty tissue as possible, resulting in a smooth, youthful contour of the neck, jawline, and lower face.
  2.  Chin implant surgery – also known as a mentoplasty is needed when a patient has a short mandible or recessed chin. The lack of adequate bone structure tends to accentuate jowls and loose, sagging skin around the neck.
  3. Neck liposculpture – This may be all that is needed to correct a double chin or turkey neck.  During this procedure, fatty tissue is removed via liposuction and the musculature of the neck is tightened to create a defined jawline. In some instances, neck liposculpture may be combined with a chin implant to correct a recessed chin. Patients can return to work within 3 to 4 days.

Yours Truly,

Roxanne Grace Hammond

Skincare and Laser Specialist

Cosmetic Plastic Surgery

 

 

 

 

 

Roxanne 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rewards Program and Uncompromised Confidentiality

Tuesday, November 24th, 2009

Did you know that a major portion of our new business is generated from returning patients and existing patient referrals?  This is, by far, the best compliment we can receive – that someone has enough faith in Dr. Castillo and the Cosmetic Plastic Surgery team to not only return to us, but also to entrust their own family and friends to our care.   This level of patient dedication obviously deserves a reward program but the very nature of our practice requires the utmost confidentiality — so how do we reward patient loyalty with an deserved thank you, without compromising what is, for many, the most private of all medical decisions?  It’s our V.I.P.  Platinum Card!  We do offer special promotions that are available to everyone, but our V.I.P. members have their very own exclusive promotions in addition to their regular card benefits.

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For the month of December, our V.I.P. members may call in to be entered into a special drawing for a Glo Mineral make-up kit featuring gloBronze sunkiss face and body powder, gloShimmer kiss face and body powder, gloCream blush-guava, gloBlush-sweet and rosebud, gloReflection cream eye shadow trio-opulence, gloEye shadow trio-envy, gloEye shawdow trio-ballerina, gloConcealer undereye in natural light and golden dark, gloCream eyeliner – slate and espresso, gloGloss in nude and rosegold, and gloLip plumper in both copper shimmer and sheer berry!  This prize collection is valued at well over $300.00 and will be given to one lucky winner whose name is drawn from our V.I.P. registered callers on December 21st – just in time for gifting or getting this year!

000_0001 Our V.I.P. Platinum Card is our solution to rewarding the loyalty of our patients while respecting both their privacy and the confidentiality of those they refer to us.  Other exciting benefits include:  One-time $25.00 credit in our skincare suite, a FREE hydration mask during your birthday month, 10% off Botox and dermal fillers, 5% off all surgical procedures with Dr. Castillo and a FREE custom facial after any facial surgery with Dr. Castillo.   Please note that V.I.P. offers cannot be combined with other promotions or discounts, and card deactivates after one year of inactivity.

We’re very pleased with the reception our V.I.P. Platinum Card has received from our patients and look forward to extending card benefits to many more in the future.  It’s wonderful to be able to say thank you to our patients for their patronage and generous referrals without risking the one aspect of their care that is as mandatory as our surgeon’s skill – confidentiality!  Know when opportunity knocks – don’t forget to FAN US on facebook for more information on specials and upcoming promotions!

Cheek Implants, Part 2

Tuesday, September 29th, 2009

Part #2 -A patient’s story –  Mentoplasty (chin Implant),  Malar Augmetation (Cheek Implants) and Rhinoplasty (nose surgery)

I would like to share a “typical” story of one of our patients.  In the spring of 1984, a 35 year old legal secretary arrived at Cosmetic Plastic Surgery Clinic for a consultation.  She said “Dr. Castillo, I don’t know what is wrong with my face, but I am not happy with it.”

In looking at her I could view the details of someone who would benefit immensely from cheek implants.  During the consultation, she went on to explain that she felt as though life was passing her by.  She came to the realization that she should be having more fun and should be more involved in life than she had been up to that point. She decided that she needed to present herself to the world in a different light.  She didn’t feel comfortable with her face and it was prohibiting her from showing the world who she really was inside.  She explained that she had been so busy with life that she had not been giving the proper value to things that had been bothering her for years, the things that were affecting the way she felt about herself day after day. She didn’t like the way life was going for her and so she decided to take charge.

The truth is that this patient was right on.  Often times when an individual feels self-conscious, they find it impossible to be who they really are around other people.  Instead of coming across as an enthusiastic, outgoing individual, they are often perceived as being closed off, shy, aloof or distant.

This young woman simply had a lack of cheekbone prominence.  The widest dimension of her face was that of her cheeks themselves, but not the cheekbones.  She desired the angular features that we are used to seeing in chisel-faces that have their widest dimension at the cheekbones. As with most individuals who have deficient cheekbone prominence, she also had a deficient or weak chin.

She underwent a relatively simple procedure where incisions are made inside of the mouth in the cul-de-sac of the upper gum area, and cheek implants were inserted in both cheeks (Malar Augmentation).  A chin implant was added to her jaw by a very small ½ inch incision right underneath her chin (Augmentation Mentoplasty)  https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=16.  In addition, this patient had a rhinoplasty to create a true balance of her facial features. https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=18 After the swelling disappeared, her flat face became a striking, welcoming face with angularity and spirit.

Gradually her personality and social involvement literally exploded.  This needed change gave her courage to go after the life she always wanted. I see this patient in the office from time to time.  She is now married with a wonderful family and remains a bubbly, exuberant, warm personality.  This hour and 15 minute surgery changed her life.

Dr. G.D. Castillo, Triple-Board Certified Cosmetic Surgeon

https://www.cosmeticplasticsurgery.com/cosmetic-surgery/cheek-bone-surgery.cfm

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