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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 – Rhinoplasty (Nasal Surgery)

Wednesday, January 13th, 2010

 

G.D. Castillo, M.D., Expert in Rhinoplasty Surgery

Q: Which surgical procedure does Dr. Castillo most like to perform?

 

A: Before beginning to write this piece, I consulted with Dr. Castillo.  Of course, working closely with him, I already knew the answer.  Rhinoplasty (cosmetic nose surgery; nose job) definitely gives Dr. Castillo the most personal satisfaction.  Judging from the beaming smiles on the faces of our patients following rhinoplasty, I would have to say it is one of our patient’s most rewarding surgeries as well.

It has been said that there are only two kinds of rhinoplasties; the difficult ones and the very difficult ones. Imagine the challenge of working with instruments in a tiny surgical space with little room for maneuvering, adjusting the nasal structure by just millimeters as your view is obstructed by blood, all the while knowing that you only have one chance to “get it right.” And get it right, he does!

I have had the pleasure of working for Dr. Castillo for several years now.  Watching the changes in both the patient’s appearance and their emotional outlook after rhinoplasty is a remarkable process to witness.  I still find myself anticipating each post-op visit of our rhinoplasty patients. It is truly amazing to see how even a minor adjustment of a hump or the refining of a tip can change a face from appearing unfriendly or closed off to the world to appearing warm and welcoming. Suddenly, that is face of someone you want to get to know.

Because Dr. Castillo is so gifted in knowing exactly what shape the nose needs to be to highlight the rest of the facial contours, the end result is that the patient’s nose looks so natural, it’s as if they were born with it. In fact, it becomes difficult to imagine the patient with his or her pre-surgical nasal shape.

This procedure allows him to use his true artistic skill.  A good surgeon always creates a nose that compliments the beauty and contour of the face, avoiding crafting the same ole’ cookie cutter nose on every face that comes through the office as many surgeons do.  This means that each nasal surgery is different than the last.  Rhinoplasty is most challenging of cosmetic procedures and is  by far the true measure of a surgeon’s skill.  https://www.cosmeticplasticsurgery.com/photo-gallery/results.cfm?Category=18

Click image to go to DR. Castillo’s Rhinoplasty page

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

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!