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Liposuction Vs. Abdominoplasty

Friday, July 29th, 2011

 

LIPOSUCTION   VS.   ABDOMINOPLASTY

People and physicians alike have difficulty deciding if liposuction or abdominoplasty is the best procedure when both fat and excess skin coexist.  Generally speaking, liposuction is best when we need to remove a fair amount of fatty tissue from areas where it has accumulated over time.  This would be the upper and lower abdomen, waist area, hips, upper buttocks, etc.   On the other hand, abdominoplasty is used typically when we have an apron in the lower portion of the abdomen and/or loose skin without a lot of fatty tissue in the abdominal area, whether it’s above or below the umbilicus.  Abdominoplasty is most frequently needed after pregnancy where the white tissue that covers muscles (fascia) has stretched out and relaxed.  This allows the abdomen to bulge and so the chief complaint is that of an abdominal “pooch” or loose skin, whether it is an abdominal apron or relaxed wrinkled skin over the abdominal area.

The difficult decision, however, comes when we have someone who has both loose abdominal fascia, wrinkled skin and also an excess accumulation of fatty tissue in the hips, upper buttocks, waist, upper back, and upper and lower abdomen.  In these instances, many times both of the procedures are necessary; HOWEVER, they cannot be carried out during the same surgical setting since extensive liposuction would create injury to the blood vessels that are necessary to keep the abdominal flap (that is, the anterior skin covering the abdomen that is going to be stretched from the umbilicus to the pubic area) in good nourishment.  In such an instance, the best solution is to carry out an abdominoplasty or liposuction first as a staged procedure and later coming back and doing secondarily whatever is necessary.  While this is in many instances the best avenue, it is also costlier and for this reason we tend to avoid it.  Typically, if this is necessary, it would best to carryout the liposuction first since in some instances liposuction will tend to solve both problems.

In our consultations for liposuction and abdominoplasty in Champaign-Urbana or Bloomington-Normal area offices, we do a very complete evaluation of the best procedure on an individual basis, keeping in mind that while to solve most problems both procedures would be necessary, in many instances proper evaluation will yield a good result with only one procedure as long as the right one is used to solve the primary problem, whether it be excess tissue or excess fat.

Dr. G.D. Castillo, Illinois Cosmetic Surgeon

G. D. Castillo, MD, FACS

Cosmetic Plastic Surgery, Skin

Rejuvenation & Laser Institute

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

Ask Our Expert – Tanning to Cover Sun Damage?

Wednesday, November 10th, 2010

Ask Our Expert Blog

Q:  Now that summer is over, my tan is fading.   I have dark brown patches and spots on my face that are making me feel very self-conscious.  If I use a tanning bed through the winter months to stay tan, will it help hide these brown spots?

A:  Stop…  Back away from the phone…  Do not schedule a tanning appointment.  Covering up sun damage by getting more sun damage is never the answer.

First, understand that the UV radiation (exposure to the sun or a tanning bed) is the reason these unwelcome spots are appearing on your face in the first place.  Though tanning your skin may initially camouflage them, those spots will become darker and multiply very quickly. Not only that, but eventually these unwelcome visitors will bring friends in form of lines, wrinkles, broken blood vessels, and poor skin texture.  Your skin is giving you an initial visual warning.  It is saying “STOP abusing me or else!”  And believe me, “or else” means it will punish you by introducing you to lines, wrinkles, large pores, and rough texture next!”

Many people find themselves caught in the same viscous circle.  They develop sun damage.  Then to cover the sun damage, they sun tan. Then they develop more sun damage.  It isn’t until the sun damage is so bad that it can no longer be hidden, that people truly realize what they have done to their skin.  Your best bet is to give your skin the protection it is demanding and begin to correct the sun damage that is causing you to feel self-conscious.

So let’s talk about ways to correct your sun damage.  There are many options that will help you to some degree or another.  It is important to seek advice from someone who specializes in aging, sun damaged skin such as a Cosmetic Plastic Surgeon.  They will help you match the amount of sun damage you have to the appropriate treatment. Usually the less expensive options are less aggressive and therefore give less result or require multiple treatments.  If you are someone who is willing to be patient, some of the less aggressive options may work well for you.  I will start with the least invasive options and work up.

Topical skincare treatment:

1.      Avoid sun exposure as much as possible and protect your skin faithfully by applying a medical grade physical sunblock every single day of the year, not just when it is hot or sunny. (THIS IS A MUST NO MATTER WHICH OF THE FOLLOWING SOLUTIONS YOU CHOOSE) In both our Bloomington and Champaign-Urbana locations, we recommend TiSilc 60 medical grade sunblock.

2.      Use a prescription bleaching agent with retinol every night for 6 weeks.  Both of these will help lighten the brown spots over time but you will need to be patient.

3.     In addition, applying Vitamin C and E topically to the skin every morning may also improve your spots.

4. Talk with an experienced medical skincare specialist within a Cosmetic Plastic Surgeon’s office.  Ask her or him to build a medical-grade skincare program for you based your skin injuries. Remember that there are no magic creams out there but there are some scientific based medical skincare products that will make great improvements to your skin.  However, you must be faithful in applying them as directed. 

Chemical Peels:

There are several formulations of strengths when it comes to chemical peels.  I suggest you seek an experienced cosmetic plastic surgeon to develop your chemical peel plan.  Chemical peels have a quantitative effect, so typically you would expect to have multiple peels. You need to protect your skin from UV radiation and use a physical sun block every day.

Approximate cost:  At Cosmetic Plastic Surgery Clinic chemical peels range from $50.00 to $175.00 each.

Intense Pulse Light (IPL) Treatments:

Intense Pulsed Light can improve both brown spots and redness.  You should plan on three to six treatments depending on the severity of your sun damage.  Expect redness and swelling for a few days following each treatment.  Your brown spots will get darker before they get lighter.  Then they will come to the surface and flake off.  Again you will need to protect your skin from UV radiation and use a physical sun block every day.

Approximate cost:  At Cosmetic Plastic Surgery Clinic, you can expect to pay $250.00 and up per IPL treatment depending on the location of the treatment area.

CO2 Micro-Fractional Laser Resurfacing:

This is typically the best treatment for sun damage in the form of brown spots, melasma, lines, wrinkles, and the break-down of collagen and elastin.  In most cases this is a one- time treatment. You will need to take about four days off from work or social activity as you will be swollen, red and your skin will peel between days three and five.  This option will give you the best non-ablative results available if preformed by an experienced laser practitioner.

Approximate cost:  At Cosmetic Plastic Surgery Clinic, for a first treatment you can expect to pay

Full face:  $2000.00                              Hands: $700.00                        Neck: $900.00

Chest:  $1900.00                                    Shoulders: $900.00                 Eyes only: $600.00

Upper & Lower lips:  $600.00            Upper or lower arms: $1800.00

Roxanne Hammond

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

Instant Wrinkle Reducers – Do They Really Work?

Monday, October 25th, 2010

ASK THE EXPERT:

Q:  I have seen advertisements for instant wrinkle reducers.  Is this a good investment?  Do they really work?

A:  I am sure that some of the over the counter products will reduce your wrinkles for a few hours.  They do this by acting as a plumper.  However, don’t be fooled by over-promising, over-the-counter skincare that swells the skin for an instant wrinkle reducer.  Remember, it is contracting and relaxing the elastic fibers of your skin over and over again.

Think of a new balloon.  What happens to that balloon after you have blown it up and let the air back out several times, expanding it and contracting it over and over again? The balloon material becomes loose and thin.  This doesn’t seem like a good solution to me.

Our experience at Cosmetic Plastic Surgery Clinic has been that it is best to treat the condition with a scientifically proven-effective method rather than putting your skin at risk of further damage for a few hours of temporary correction.

This blog was written by Roxanne

Medical Skincare and Laser Specialist

Cosmetic Plastic Surgery Clinic, Savoy and Bloomington IL

“Dying” To Get A Tan

Tuesday, June 1st, 2010

How many of you are “Dying” to get a tan?”

These facts were provided by The Skin Cancer Foundation: www.skincancer.org As I am a strong believer in the duty to make educated choices, I wanted to share these facts with you.

Skin cancer is the most common form of cancer in the United States.

More than one million skin cancers are diagnosed annually.

Each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon cancer.

One in five Americans will develop skin cancer in the course of a lifetime.

About 65 percent of melanoma cases can be attributed to ultraviolet (UV) radiation from the sun.

Melanoma accounts for about three percent of skin cancer cases, but it causes more than 75 percent of skin cancer deaths.

One in 55 people will be diagnosed with melanoma during their lifetime.

One or more blistering sunburns in childhood or adolescence more than double a person’s chances of developing melanoma later in life.

A person’s risk for melanoma doubles if he or she has had more than five sunburns at any age.

Frequent tanners using new high-pressure sunlamps may receive as much as 12 times the annual UVA dose compared to the dose they receive from sun exposure.

People who use tanning beds are 2.5 times more likely to develop squamous cell carcinoma and 1.5 times more likely to develop basal cell carcinoma.

The average annual melanoma rate among Caucasians is about 22 cases per 100,000 people. In comparison, African Americans have an
incidence of one case per 100,000 people. However, the overall melanoma survival rate for African Americans is only 77 percent, versus 91
percent for Caucasians.

More than 20 Americans die each day from skin cancer, primarily melanoma.

One person dies of melanoma almost every hour (every 62 minutes).

Still “DYING” to get a tan???

Roxanne, Skincare & Laser Specialist

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), IL
309-662-0436 Bloomington, IL

The Liquid Facelift – Truths In Reporting and Advertising?

Thursday, August 27th, 2009
On August 12, 2009, CBS had a program in which they demonstrated the so-called “liquid facelift.”  As it is shown, there were injections placed in appropriate areas of the face to diminish facial lines and furrows by injecting a product called Sculptra TM.  It incorrectly refers to Sculptra TM as being a  filler that was just recently approved, since it has been approved by the FDA for years for the treatment of immune-suppressed patients, and particularly directed at AIDS patients.
I take issue with describing this injectable as a “liquid facelift.”  In fact, it is not.  It is simply an injection to replace some of the volume loss in certain areas of the face.  It definitely does not give or even approximate the results of a mini facelift or regular facelift.  To compare the results of an injectable to a facelift is grossly unfair to the public and plays on the sensitivities of those who are looking for an alternative to surgery.  If what an individual needs is a facelift, then they are wasting their money on temporary filler.
Please do not misunderstand me.  There is nothing wrong with injectables.  I use them in my practice frequently with great success.  The whole idea is that it is very important to match the problem with the correct solution.  By that I mean that if there are already set-in facial problems like jowls, sagginess and volume loss, the most effective way of dealing with it is through a surgical procedure. Anything else would be at best a compromise.  For most patients, it would be a waste and a disappointment.
If, on the other hand, the patient is looking to treat early aging changes such as volume loss without sagginess or jowls, commonly seen after age 30, then an injectable such as Sculptra TM would be a good alternative. It will help minimize some of the volume loss effects of aging for approximately a year or two.  However, the physician injecting this filler needs to have a very good artistic eye in order to be able to inject the filler where it will have the most effect.  The goal is to minimize the normal shadows of light and to minimize the highs and lows that tend to develop as a result of facial aging.
The cost is another factor one needs to consider since it is likely that one may need $1,000.00 and $2,000.00 worth of Sculptra TM to accomplish the desired effect.  This needs to be taken into consideration because when one uses facial filler the effects are only temporary.  Within a period of 6 to 24 months, the effect is completely lost. When comparing this with the results of a surgical procedure like a facelift, one must realize that though the effects of a facelift may be modified by time (the aging process), the improvements will be with the person for life.
The report stated that you could go out the night of the injection and that is in essence, untrue.  Even in the hands of the most skilled professional, a moderate amount of swelling occurs with the injection of any filler within the face.  Bruising can also occur.  One should probably allow 3-4 days after an injectable before planning to attend a social engagement.
As with any other filler, Sculptra TM is a volume replacement agent which will be useful on a temporary basis. We should never call an injectable a “liquid facelift.”  We should call it exactly what is it, which is the correction of volume loss by use of a facial filler (injectable). This is much more accurate and honest reporting.
This blog entry was written by G.D. Castillo, M.D., FACS; Triple board-certified, Director of Cosmetic Plastic Surgery Skin Restoration and Laser Institute.

On August 12, 2009, CBS had a program in which they demonstrated the so-called “liquid facelift.”  As it is shown, there were injections placed in appropriate areas of the face to diminish facial lines and furrows by injecting a product called Sculptra TM.  It incorrectly refers to Sculptra TM as being a  filler that was just recently approved, since it has been approved by the FDA for years for the treatment of immune-suppressed patients, and particularly directed at AIDS patients.

I take issue with describing this injectable as a “liquid facelift.”  In fact, it is not.  It is simply an injection to replace some of the volume loss in certain areas of the face.  It definitely does not give or even approximate the results of a mini facelift or regular facelift.  To compare the results of an injectable to a facelift is grossly unfair to the public and plays on the sensitivities of those who are looking for an alternative to surgery.  If what an individual needs is a facelift, then they are wasting their money on temporary filler.

Please do not misunderstand me.  There is nothing wrong with injectables.  I use them in my practice frequently with great success.  The whole idea is that it is very important to match the problem with the correct solution.  By that I mean that if there are already set-in facial problems like jowls, sagginess and volume loss, the most effective way of dealing with it is through a surgical procedure. Anything else would be at best a compromise.  For most patients, it would be a waste and a disappointment.

If, on the other hand, the patient is looking to treat early aging changes such as volume loss without sagginess or jowls, commonly seen after age 30, then an injectable such as Sculptra TM would be a good alternative. It will help minimize some of the volume loss effects of aging for approximately a year or two.  However, the physician injecting this filler needs to have a very good artistic eye in order to be able to inject the filler.

ler where it will have the most effect.  The goal is to minimize the normal shadows of light and to minimize the highs and lows that tend to develop as a result of facial aging.

The cost is another factor one needs to consider since it is likely that one may need $1,000.00 and $2,000.00 worth of Sculptra TM to accomplish the desired effect.  This needs to be taken into consideration because when one uses facial filler the effects are only temporary.  Within a period of 6 to 24 months, the effect is completely lost. When comparing this with the results of a surgical procedure like a facelift, one must realize that though the effects of a facelift may be modified by time (the aging process), the improvements will be with the person for life.

The report stated that you could go out the night of the injection and that is in essence, untrue.  Even in the hands of the most skilled professional, a moderate amount of swelling occurs with the injection of any filler within the face.  Bruising can also occur.  One should probably allow 3-4 days after an injectable before planning to attend a social engagement.

As with any other filler, Sculptra TM is a volume replacement agent which will be useful on a temporary basis. We should never call an injectable a “liquid facelift.”  We should call it exactly what is it, which is the correction of volume loss by use of a facial filler (injectable). This is much more accurate and honest reporting.

G.D. Castillo, M.D. Premier Cosmetic Surgeon in Central Illinois


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