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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!

 

Ask Our Expert: Retin-A

Friday, July 20th, 2018

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!  Our 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 visit Dr. Castillo’s website.

 

 

 

 

 

COSMETIC PLASTIC SURGERY
Follow us on 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

 

 

 

 

ASK OUR EXPERT: How to choose effective skincare products

Wednesday, July 15th, 2009

Q: I have a drawer full of lotions and creams that don’t work. There are so many skincare products out there.  How I know which skin care products work and which ones do not?

A: Well, first of all, you are on the right track. Maintaining youthful, healthy looking skin does require an effective home-care routine. With the abundance of the over-the-counter and infomercial skin care products available today, I understand how confusing and frustrating it can be to choose effective skincare products without wasting your time and your money.
My first recommendation:
Consult a reputable doctor who specializes in facial aging such as a cosmetic or facial plastic surgeon. Remember, just because “M.D.” appears behind their name, it does not make them an expert in every field of medicine. Technology is always changing, so it’s important to consult with someone who is up to date on those changes. Many times cosmetic or facial plastic surgeons will have a Medical Skincare Specialist on staff, such as myself.
My job is to take the guess work out of the equation. Most often, patients come to the consultation, very frustrated. They just want to look their best. But they feel like they have wasted a lot of time and money experimenting with different products, just trying to narrow down what works and what doesn’t.
During a skincare consultation at Cosmetic Plastic Surgery Skin Restoration and Laser Institute, we listen to the patient’s skin concerns and their goals. Then we talk about the options they may have.  During this time you get lots of great, FREE information to help them understand what ages the skin, how to avoid it, and works for their particular skin issues. They get a better understanding of what each product does and how to best maintain results. We de-bunk many of the media driven myths that are out there and answer any questions the patient may have. I would also recommend that you do not relay on magazines, talk shows, or infomercials as much of that information is misleading.
My second recommendation:
Use only products have SCIENTIFICALLY PROVEN clinical data to support their effectiveness. When is the last time you seen an infomercial offer a non-affiliated, SCIENTIFIC CLINICAL STUDY for their latest, greatest “miracle in a jar?”  Ummm, never! So, I guess we shouldn’t be surprised when it doesn’t work right?
I cannot stress enough the difference that a medical grade skincare program can make in the way your skin looks, acts and feels for the same cost as you would pay at the mall. The main differences between over–the-counter-skincare and medical-grade skincare are strength and effectiveness.  Medical-grade skincare is typically formulated at a much higher strength, as it is used under the care of a physician. Medical-grade skincare is tested in a blind or double-blind clinical study to prove its effectiveness. Over-the-counter skincare is not. Therefore you do not know if you are really getting what you are paying for. Unlike over-the-counter skincare, medical-grade skincare must be FDA-approved. The ingredients are listed in order of quantity as well.
I guess what I am saying is that you do not need a drawer full of skincare products to get the results you want. You just need the right products and the scientific-based knowledge to know the difference.
This question was answered by Roxanne, Medical Skincare and Laser Specialist at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Please contact us for additional information at  217-359-7508 or 309-662-0436

A: Well, first of all, you are on the right track. Maintaining youthful, healthy looking skin does require an effective home-care routine. With the abundance of the over-the-counter and infomercial skin care products available today, I understand how confusing and frustrating it can be to choose effective skincare products without wasting your time and your money.

My first recommendation:

Consult a reputable doctor who specializes in facial aging such as a cosmetic or facial plastic surgeon. Remember, just because “M.D.” appears behind their name, it does not make them an expert in every field of medicine. Technology is always changing, so it’s important to consult with someone who is up to date on those changes. Many times cosmetic or facial plastic surgeons will have a Medical Skincare Specialist on staff, such as myself.

My job is to take the guess work out of the equation. Most often, patients come to the consultation, very frustrated. They just want to look their best. But they feel like they have wasted a lot of time and money experimenting with different products, just trying to narrow down what works and what doesn’t.

During a skincare consultation at Cosmetic Plastic Surgery Skin Restoration and Laser Institute, we listen to the patient’s skin concerns and their goals. Then we talk about the options they may have.  During this time you get lots of great, FREE information to help them understand what ages the skin, how to avoid it, and works for their particular skin issues. They get a better understanding of what each product does and how to best maintain results. We de-bunk many of the media driven myths that are out there and answer any questions the patient may have. I would also recommend that you do not relay on magazines, talk shows, or infomercials as much of that information is misleading.

My second recommendation:

Use only products have SCIENTIFICALLY PROVEN clinical data to support their effectiveness. When is the last time you seen an infomercial offer a non-affiliated, SCIENTIFIC CLINICAL STUDY for their latest, greatest “miracle in a jar?”  Ummm, never! So, I guess we shouldn’t be surprised when it doesn’t work right?

I cannot stress enough the difference that a medical grade skincare program can make in the way your skin looks, acts and feels for the same cost as you would pay at the mall. The main differences between over–the-counter-skincare and medical-grade skincare are strength and effectiveness.  Medical-grade skincare is typically formulated at a much higher strength, as it is used under the care of a physician. Medical-grade skincare is tested in a blind or double-blind clinical study to prove its effectiveness. Over-the-counter skincare is not. Therefore you do not know if you are really getting what you are paying for. Unlike over-the-counter skincare, medical-grade skincare must be FDA-approved. The ingredients are listed in order of quantity as well.

I guess what I am saying is that you do not need a drawer full of skincare products to get the results you want. You just need the right products and the scientific-based knowledge to know the difference.  Dr. Castillo offers free skincare consultations with me. During this consultation you will receive valuable skincare information to help determine the best options for your skin.  If you would like to take advantage of this offer, just all our Savoy (Champaign-Urbana Il.) office 217-359-7508 or our Bloomington office at 309-622-0436 to schedule at appointment.

Roxanne, Skincare and Laser Specialist

This question was answered by Roxanne, Medical Skincare and Laser Specialist at Cosmetic Plastic Surgery Skin Restoration and Laser Institute.  Please contact us for additional information at  217-359-7508 or 309-662-0436