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What To Expect On The Day Of Your Rhinoplasty Surgery:

Wednesday, August 1st, 2018

Emotions:

It’s common to be a little nervous when you arrive for surgery. We WILL take good care of you. Each member of our staff is devoted to providing you with the highest quality of care in a safe environment.

If you are like most of our patients, you are likely to be entirely excited too! You have good reason to be! Dr. Castillo is such a true artist when it comes to giving you the nose you should have been born with. I get so excited each time we have Rhinoplasty on the surgical schedule. It’s a little bit like Christmas, many, many times per year. 🙂   Watching Dr. Castillo perform such intricately detailed work in such a small space to such precision and perfection never gets old. Each Rhinoplasty is new and different and so natural looking. No cookie cutter business here! It’s equally as fun to watch a Rhinoplasty patient’s confidence change and soar over the first several months after surgery. It is amazing to see how such small changes can evoke such big changes!

What to wear:

On the day of surgery, you should arrive free of lotion, skincare products, make up, jewelry and perfume with your hair pulled away from your face.

It is best to wear a zip up or button up shirt. You will want to avoid wearing pull over shirts for a couple of weeks to prevent nasal injuries. Wear comfy, easy to slip on pants and shoes as you may still be a bit foggy when you get dressed to go home.

Arrival:

Dr. Castillo’s state-of-the-art outpatient surgical facility.

When you arrive at Cosmetic Plastic Surgery Center, you will be asked to read and sign a surgical authorization form. For applicable female patients, you will be asked to leave a urine specimen for a pregnancy test. Then you will be escorted back to pre-anesthesia room where you will be asked to change. Dr. Castillo will speak with you briefly then you will meet with our anesthetist. You will undergo general anesthesia (completely asleep) for this procedure. The anesthetist will take great care to avoid any post-surgical nausea if that is a concern for you.

For Driver / Family members:

Your driver / family members are welcome to wait in our waiting room or return when you are ready for pick up if they prefer.  It is best to have a responsible adult accompany you when we are reviewing your discharge instructions as in can be difficult to remember everything immediately post-surgery. We will notify your driver 30 minutes before they are needed to review post-op care instructions and take you home.

Recovery Room:

  • You will awaken from surgery in the most comfortable recliner ever! We use a Bair Hugger system that releases warm air under your blanket to keep you toasty warm and peaceful! You will be much more comfortable than you thought you would be.
  • Rhinoplasty is not typically a painful surgery. The average patient reports a pain scale of 0-2 out of a 0-10 pain scale after surgery. Most of our patients just use Extra-Strength Tylenol to control any mild discomfort.
  • You will have a cast on your nose and you will hear Dr. Castillo asking you to breath out of your mouth. Once the tissue inside your nose begins to swell,  it will become difficult to breath out of your nose for about 5-7 days.
  • Secretions and bloody discharge are a normal part of recovery for the first 24-48 hours. We will place a mustache bandage just below your nostrils if you have any post-surgical nasal drainage. You will likely change this bandage 10-12 times before it resolves.
  • When it is time for you to go home, you will receive a full set of detailed at home care instructions. Our recovery nurse will review with you and your caregiver at the time of discharge.

The Evening Of Surgery:

When you arrive home you will begin with some ice chips followed by your drink of choice (water, coffee, tea, juice…).  Wait a half hour then move on to some food.  Do push the fluid over the next few days. Expect to feel a bit drowsy for a few hours after you get home. It is best to rest but you can certainly get up and walk around as soon as you feel you can. It is best to sit or sleep in a reclined position to reduce swelling.  Dr. will call you the night of surgery and of course we are only a phone call away if you have questions or concerns. You can reach Dr. Castillo after office hours through our answering service. We will see you back at one week to remove your cast and reveal your new look!

 

PREPARING FOR YOUR RHINOPLASTY

Wednesday, July 18th, 2018

Congratulations! You have just made a decision that is going to change the way you see yourself! Now that you have decided to move forward with nasal surgery, there are a few things to consider.

To Tell or Not To Tell…

  • One of the biggest concerns patients typically have is what to tell their family and friends. You are not obligated to tell anyone anything, unless you want to. It is a very personal choice and one only you can make. I will stress however, the idea that it is a VERY rare occasion when a patient tells us that someone was even suspicious that they had a Rhinoplasty. I know it’s hard to imagine that you could have a surgery that creates such a wonderful facial balance and your closest friends won’t notice, but it’s true! I have heard it over and over again from patients that while they receive so many “wow, you look great!” comments, no one suspects a rhinoplasty, just a new hair cut or color, weight loss, a refreshing vacation or better sleep. Since Dr. Castillo performs a closed Rhinoplasty for nearly all his patients, there are no outside incisions which makes it very difficult for anyone to determine that you have had a Rhinoplasty.

Personal Arrangements To Consider:

  • You will need to make arrangements for a family member or friend to drive you home after your surgery.
  • Make arrangements for a responsible adult to stay with you for the first 24 hours after surgery.
  • If you have children or pets, you will need someone to help care for them for the first few days. It is best to avoid any situation where pets or small children could bump into your nose unexpectedly and cause displacement.
  • Because many of our patients travel a distance to see us, Dr. Castillo has made special arrangements with a local hotel favorite; The I-Hotel in Champaign, IL to offer our patients a discounted “CASTILLO STAYCATION” package. This special package includes transportation from our office to the hotel the day of surgery, dinner and breakfast for two, and your hotel accommodations. Our staff will be happy to assist in those arrangements.

 10 Days Before Surgery:

Discontinue all NSAIDS (Non-Steroidal Anti-Inflammatory Drugs) along with the supplements listed below as they are all blood thinners:

  • Aspirin      •Ibuprophen      •Motrin       •Advil       •Aleve     •Fish Oil       •Vitamin E

If you are unsure if a medication or vitamin supplements contains any of these ingredients, please call our office or your pharmacist for clarification.

  • SMOKERS: We suggest that you stop smoking 10-14 days prior to surgery as it can reduce your chances of complications.

Your Pre-Op Visit:

You will be scheduled for a pre-operative visit about 7-10 days prior to your surgery. During this appointment, Dr. Castillo will review your surgical plan and expectations for recovery. You will have an opportunity to ask any final questions of Dr. Castillo. He will listen you’re your heart and lungs, draw lab work, and take your before photos. You may also be given a prescription for pain at this time though most of your patients just use OTC Tylenol as there is typically very little discomfort associated with a Rhinoplasty.

 

 

 

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

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

VISIT MY BLOG: http://www.cosmeticplasticsurgery.com/blog/

XEOMIN NOW AVAILABLE AT COSMETIC PLASTIC SURGERY CENTER

Monday, February 3rd, 2014
Move over Botox Cosmetic®, there’s yet another new kid in town or at least in Dr. Castillo’s plastic surgery practice. If you are a frequent reader of Cosmetic Plastic Surgery Center’s “Anti-Aging With Grace”blog, https://www.cosmeticplasticsurgery.com/blog/then you likely remember a blog discussion about Dysport®, as the first alternative to Botox Cosmetic®. Now Xeomin® has hit the wrinkle reducing scene. I’m sure this will have many of millions of neurotoxin users wondering which one gives the best results.In a nutshell, what you as the consumer need to know is basically they all work very well and have a long history of safety and effectiveness. These three neuro-muscular modulators; Botox Cosmetic®, Dysport® and now Xeomin® are very similar with a few slight differences in how they are made but the end result is the same. They all smooth wrinkles to create a more youthful, alert look. They were all developed by large, well-established, reputable drug companies (Allergan, Medics, Mertz). They are all FDA-approved. They are all a form of botulinum toxin, which is a purified neurotoxin with many on and off label uses from treating migraines and muscle spasms to my personal favorite…erasing wrinkles and angry eye brows.In my opinion, the most important decision you will make when deciding to smooth out your wrinkles with Botox®, Dysport® or Xeomin®, isn’t which product to choose but rather WHO will be administering your injection. This were you really need to concentrate your efforts. Seek out a board-certified facial plastic or cosmetic surgeon or a cosmetic dermatologist who has the long-standing experience and skill necessary to give you the look you desire.And please…stay clear of Botox® parties!!

 

Yours Truly,

Roxanne Hammond, Skincare & Laser Specialist

Cosmetic Plastic Surgery Center https://www.cosmeticplasticsurgery.com/

 

Visit us on facebook  @ https://www.facebook.com/DrCastilloCosmeticPlasticSurgery

 

 

 

 

 

 

 

 

 

 

Ask Our Expert – Outpatient Surgical Facility Vs. Hospital

Wednesday, October 23rd, 2013

 

Question: Why do you prefer to perform surgery in an outpatient facility rather than the hospital?

Dr. Castillo’s state-of-the-art outpatient surgical facility.

Answer – Dr. Castillo: Actually, about 90 percent of cosmetic plastic surgical procedures are now done in outpatient surgical facilities for the following reasons:

 

Safety

The surgical procedures done in an outpatient surgical facility are done by a staff which is dedicated to doing only outpatient surgical procedures, so they are better focused, the staff is better experienced and dedicated to a single task.  This increases safety and provides the patient with knowledgeable people that are experienced in state-of-the-art outpatient surgical procedures.

*    Infection

The rate of infections in hospitals varies anywhere between 2 to 12 percent.  The rate of infection in outpatient surgical facilities is much smaller.  In fact, in our outpatient surgical facility, infection is a nearly non-existent problem and we say that because it only presents itself every few years.  That is, the rate is so small that it is difficult to quantify.  You may ask yourself, why?  The reasons are multiple but for the most part it has to do with carrying out procedures that are done in patients who are healthy and not suffering from disease and/or infection.  Also remember that in our facility, we do not do what is referred to as a “dirty case,” that is, procedures that involve entering the intestine, colon or areas that typically have bacteria.

*     Cost

The cost of care in a hospital facility is often unknown and extremely high.  The reasons have to do with hospitals having fees that are much higher than the real expenses to be able to cover the uninsured and establish artificially high rates that can then be applied to different insurances.  The reason why this is possible is that generally insurance have no choice but to pay a fee while in our facility, the choice is yours.  That is, you are the patient and you elect whether to pay or not pay the cost you know beforehand to be – that is, you approve of that cost.  What this results in is a great competitiveness and a much reduced cost for the surgical procedure.

*        Scale

When you go to a hospital, you immediately become part of literally hundreds or even thousands of people who may be at the hospital for one reason or another.  That makes you one of many and the services are going to be diluted, meaning you are not likely to have individual care.  In comparison, an outpatient surgical facility like ours has staff that is dedicated to only you and no other business to take care of during the time that you are at the facility.  Consequently, you have a staff member that remains with you throughout your surgical procedure.  There are no delays and this results in expedient care and a much reduced level of anxiety.

*     Comparative Services

Are the outpatient surgical facilities like ours able to take care of you in an emergency?  The answer is yes.  Our facility is equipped to respond to an emergency in the same manner as a hospital would be.  That is, our facility is accredited by The Joint Commission https://www.cosmeticplasticsurgery.com/cosmetic-plastic-surgery/accreditation.cfm, which is the accrediting body for most hospitals in the nation.  This means that the level of response, equipment, drugs and supplies is par with a hospital.  What the outpatient surgery facility has that the hospital does not, is the experience to deal with the type of surgical procedure, that is, cosmetic surgery, which you are going to have.  This is an area, like in most areas, where expertise is not only important but is often the determinant for the degree of satisfaction and success that the procedure has.

So regarding the question, are you better off having your surgical procedure in a dedicated outpatient surgical facility doing cosmetic surgery only?  The answer is a qualified yes for the above reasons.

 

G.D. Castillo,M.D., FACS
Cosmetic Plastic Surgery Center

 

 

Ask Our Expert: Retin-A

Friday, July 20th, 2012

RetinA postQ:   My dermatologists gave me a prescription for Retin-A, but after a few days my skin became very red and irritated.   My Doctor explained that several weeks of skin irritation is often just par for the course when using Retin-A.  He asked me to try applying it every other night instead of every night, to be patient and that eventually the irritation would resolve itself.  I stopped using the Retin-A because the irritation was worse than my aging skin.   Is there anything else I can do?

A:  I am happy to report – YES!  Both our Bloomington area and Champaign area Cosmetic Plastic Surgery Clinic patients have found success with a few simple adjustments to the way they apply their Retin-A, Renova, Tretinion, etc.

1.  After you cleanse your face, pat it dry and wait at least 15 minutes (to assure your skin is completely dry) before applying your Retin-A.

2. Apply a pea size amount.  This is typically all you need for the entire face. Remember that more is not better in this case. 

3. Avoid combining other exfoliating or skin regenerating products like glycolic acids, with Retin-A, at least until your skin is able to easily tolerate the Retin-A.

4. Always apply a moisturizer on top of your Retin-A.  This is a very important step in the success of your regimen so resist skipping it. (If you find that you are still experiencing dry, irritated skin after trying all of the suggestions here,  you can try mixing your moisturizer and Retin-A together as this will reduce its potency. )

5. Begin applying your Retin-A every third night.  As your skin tolerates the Retin-A, increase use to every other night, then every night.

6. Remember that Retin-A and like products will cause increased sensitivity to the sun.  Therefore Retin-A should only be applied at night only, never during the day.  Wear a medical grade broad-spectrum suncreen every day, re-apply the sunscreen when needed and avoid excessive sun exposure.

If despite all of the above suggestions, you find that you are still unable to tolerate Retin-A, you may want to consider medical microdermabrasion.  It is a pain-free, even relaxing way to keep your skin well exfoliated and looking fresh.  For more information on medical microdermabrasion.

Roxanne, Skincare & Laser Specialist

 

 

 

 

COSMETIC PLASTIC SURGERY
Like us Facebook @  http://www.facebook.com/DrCastilloCosmetiPlasticSurgery

https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Barefoot Beauty

Tuesday, May 29th, 2012

There are two things a girl should never miss; a great shoe sale, and her nightly skincare regimen.  My most prized possession on earth, without a doubt, is a serious collection of must have heels. There is just something about shoes…oooh…they are just so good for my soul! (I didn’t say “sole,” as that’s a whole other story) I find that even on the worst of days, I can walk in to my shoe closet and find something to put a little sass in my step. As Marilyn Monroe so eloquently put it… “give a girl the right pair of shoes and she can conquer the world.”  So true!

However, if I ever had to choose between giving up my skincare regimen and giving up my beloved shoe “investment,” I would be going barefoot; sad, but barefooted;  And…well…shorter.     ….But I’d have beautiful skin!!

Now I know we’re all inundated with cosmetic commercials telling us that all we have to do is apply their make-up and “wha-la,” you will have flawless, radiant, model-esk skin and everyone will sit up to  take notice as you enter the room. But the reality is flawless radiance doesn’t begin with cosmetics.  It begins with skin and how we take care of it. Proper care and maintenance is the only path to achieve that. The best make-up in the world won’t give you the flawless, smooth complexion you’re looking for if you’re battling dull, dry, flaky, sun-abused skin. A consistent, daily skincare regimen will improve the texture of your skin, getting you yet another step closer to your goal.

So start with the basics … And remember… success can ONLY be accomplished if the basics are part of your DAILY routine…

  1. Cleanse – Clean your skin with a cleanser for your skin type.  The right cleanser should not leave your skin feeling dry and tight. It should feel fresh and clean.  I know this next part is tempting after al one day but – do not go to bed with your make-up on. Pinky swear?!
  2. Exfoliate – Proper exfoliation is a must.  If you develop a dead skin build up, your skin will look dull and develop a yellow tinge. Lines, wrinkles and poor texture will become more noticeable and your make-up will not lay properly on your skin.  You can accomplish this task in several ways.  I recommend monthly medical microdermabrasion treatments to remove dead cells and brighten your skin along with a nightly application of Retexturing Complex  or Retinol Serum PM by Castillo MD Skin Science.  I also love, love, love  to use a weekly application of the Dr. Castillo’s Microdermabrasion Scrub.  It leaves my skin so smooth.
  3. Hydration – Choose a moisturizer for your skin type.  Proper hydration is imperative when it comes to creating smooth, fresh, supple skin.
  4. Protection – The first three steps on your path to sensational skin will mean nothing without providing UVA/UVB sun protection, 365 days per year.

I referred to steps 1-4 as the basics.  That is because in some cases, you may need to add a treatment to your skincare regimen as well.  This may be in the form of particular active ingredients to enhance your basic routine such l. It could also include of series of IPL (Intense Pulse Light), Medical Microdermabrasion or even CO2 Micro-Fractional Laser Resurfacing, just depending on the severity of your skin concerns and your goals.

For more information on this an similar topics, check out my other blog posts  regarding skincare and treatment options.

Taking your skin to new heights!

 

Yours truly,

DSC_0040G. D. Castillo, M.D.

COSMETIC PLASTIC SURGERY
www.cosmeticplasticsurgery.com

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

800-252-7123 (within IL)

217-359-7508 Savoy (Champaign-Urbana)

309-662-0436 Bloomington