MAIN SITE BLOG HOME

Posts Tagged ‘Lines and Wrinkles’

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 Board-Certified Facial Plastic and Reconstructive 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 sunscreen 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)  We have 4 medical grade sunscreen options available here for our patients to meet the needs of any skin type.

2.      Use a prescription skin lightening 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.

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.

CO2 Micro-Fractional Laser Resurfacing:

CO2 Micro-Fractional Laser Resurfacing 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.

 

Roxanne Hammond

Roxanne Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

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.

Roxanne Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

The Dysport Challenge – Save $150.00!

Wednesday, July 7th, 2010

THE DYSPORT CHALLENGE
Now extended through September 30, 2010!!!

If you have enjoyed the benefits of Botox® in the past then you will love this new DYSPORT Challenge! Or maybe you’ve always wondered about the Botox® (botulinum toxin type A) or Dysport (botulinum toxin type A) but haven’t tried it yet. Well now is your chance…
We are excited to partner with the manufacturer of Dysport for this very special offer. Save $75.00 on a DYSPORT injection and an ADDITIONAL $75.00 OFF on your next DYSPORT injection. Wow! Talk about a savings! That is a total of $150.00!

What is Dysport?
Dysport is a new botulinum toxin A product just as Botox® is. Like Botox®, Dysport relaxes muscles to smooth out unwanted facial lines to give a more youthful, refreshed appearance.
Call our Savoy (Champaign-Urbana) office 217-359-7508 or schedule your Dysport treatment today. This offer is only available through September 30, 2010.

Roxanne, Skincare & Laser Specialist

Roxanne Grace

Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

Ask Our Expert: Will Botox or Dermal Fillers give me the best result?

Friday, June 11th, 2010

Q: I have lines between my eyebrows, which treatment will give me the best results, Botox Cosmetic ® or a dermal filler?

A: Stand in front of your mirror. Do the lines between your brows become noticeable only when you are scrunching your eye brows together? Or, can you see the grooves between your brows even when you are not making a facial expression?

If the lines become noticeable only when scrunching your eye brows together or squinting, then Dr. Castillo would typically select Botox Cosmetic ®  as the best injectable treatment choice. Treating the over-active muscles with Botox Cosmetic ® can help prevent the creases or wrinkles in your skin from becoming deeper and deeper over time, resulting in groves that are present between your brows with or without facial expression.

If the lines are present even when you are not scrunching your brows, then a dermal filler can smooth out those lines nicely. In certain cases, Dr. Castillo might suggest using Botox Cosmetic® to relax the muscles that initially caused your frown lines and a dermal filler to fill and smooth out the frown lines to completely rejuvenate your lines. It is possible that you may also be a good candidate for a frown line excision. The frown line excision would provide you with a more permanent solution to your problem.

IF you would like to talk further with Dr. Castillo about your treatment options, call Cosmetic Plastic Surgery Clinic in Savoy (Champaign – Urbana) at 217-359-7508 today to schedule your consultation.

Roxanne, Skincare & Laser Specialist

Roxanne Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

 

ASK OUR EXPERT: Do BOTOX AND JUVEDERM GIVE THE SAME RESULTS?

Friday, June 4th, 2010

 

 

Derma fillers can be used to fill volume loss as seen here

 

Q: Are Botox and Juvederm the same treatment?

A: No. However, this is a good question and one we hear often in our Savoy (Champaign–Urbana) Cosmetic Plastic Surgery Clinics.

Botox Cosmetic ® and Juvederm are both injections, but they are very different.
Botox Cosmetic ® is a neuro-muscular relaxant. It is used to relax over-active muscles, such as the vertical lines that can appear between the eyebrows, forehead lines and crow’s feet around the eyes. By injecting Botox into these problem areas it prevents the muscles from “creasing” the skin over and over which forms unwanted facial lines. An added benefit of using Botox Cosmetic ® repeatedly (every 3-6 months) is that over time it can re-train your motor memory to no longer make the expressions that created the lines in the first place.

Juvederm is classified as a dermal filler. There are several of dermal fillers available today (Radiesse, Restylane, Perlane, Sculptra…). Dermal fillers vary in thickness and longevity, as well as content. Though injecting dermal filler is not a new procedure, it is getting a lot of publicity these days. You may have heard the term “liquid facelift.” This refers to the use of dermal fillers to lift, fill, smooth or volumize an aging face. However, “liquid facelift” is a misleading title choice as a dermal filler will not achieve the type of results received with a facelift and is therefore deceptive. Dermal fillers such as Juvederm are used to replace or add volume. As we age, we lose facial fat volume and experience skin changes. Our once smooth, plump skin develops wrinkles and folds. By injecting dermal filler, Dr. Castillo can fill in or smooth away facial lines and restore volume. Dermal fillers are used to add volume to areas such as lips, lip lines, nasolabial folds, marionette lines, cheeks, even hands. Our patients like this treatment because they see immediate improvement.

Oh the “beauty” of science!

Roxanne, Skincare & Laser Specialist

Roxanne Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

“Dying” To Get A Tan

Tuesday, June 1st, 2010

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

The following facts below were provided by The Skin Cancer Foundation.  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 Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

ASK OUR EXPERT: Skin Rejuvenation Treatments for Hands In Champaign, IL

Friday, April 30th, 2010

Q:  Do you offer anti-aging treatments for hands at Dr. Castillo’s Cosmetic Plastic Surgery Skin Restoration and Laser Institute?

A:  When it comes to trying to conceal our age, hands can be a dead give-a-way.  Brown spots, “age spots”, loose skin, and loss of fat can all be contributing factors of aging hands.  So often we protect our face or improve the appearance of aging facial skin but we forget about our hands, and our neck and chest for that matter. Think of all the hours spent over a lifetime with your hands on the steering wheel of a car while the sun is beating down on them.   Do you apply UVA/UVB sun block with an SPF of 45 or higher to your hands each day; winter, spring summer, fall?

I have a few of recommendations for improving the appearance of aging hands.

  1. The first and most important recommendation is to apply a UVA/UVB physical sunscreen with SPF of 45 of higher to your hands each day.  Because incidental sun is responsible for a large percentage of skin cancer and aging it is imperative to use sun block 365 days a year.   Using sunscreen on your hands daily will help prevent melanocytes from becoming over-active which leaves brown spots on your skin.
  2. CO2 Micro-Fractional Laser resurfacing removes brown spots, builds new collagen and improves loose, sagging, crepy skin to restore your hands to a more youthful appearance.   This is typically a one- time treatment and will provide the best corrective results.  A prescription skin lightening agent may also be used to pre-treat brown spots in conjunction with this treatment.
  3. IPL (Intense Pulse Light) can be used to improve brown spots and redness.  It is not likely to improve loose, sagging skin however.  This procedure typically requires 3-6 treatments.  Again a prescription skin lightening agent may be used as a pre-treatment in conjunction with this procedure.  I would not recommend this treatment for skin types IV and higher.
  4. Dermal fillers such as Radiesse can be used to increase volume if fat loss has occurred.  This option offers immediate, long-term effects in a single treatment.  It also works well in conjuction with any of the above mentioned options.
  5. Wear gloves when driving.  Remember that your hands get a lot of UV radiation while perched on the steering wheel of your vehicle.
  6. You’re at home skincare regimen should include a minimum of exfoliation, hydration and sun protection.

Roxanne, Skincare & Laser Specialist

Roxanne Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

Fat Transplantation : Could It Be Right For You?

Friday, December 18th, 2009

Fat Transplantation has become a very popular and intriguing topic over the past few months. More and more patients enter our office with questions about whether or not fat transplantation may be a solution for their volume loss and signs of aging.  Media coverage has also exploded onto this topic, touting it as a “new” and successful procedure.

The media is correct. In the hands of an experienced cosmetic plastic surgeon, we are indeed seeing a nice, long lasting result for those who have lost volume in areas such as the face, and breast.  However, this procedure is hardly new to those physicians on the leading edge in a cosmetic surgery practice.  In fact, fat transplantation has been in high use for decades as it parallels the beginning of liposuction.  I have been utilizing fat transplantation in my practice since the 1980’s.

So, why has the media suddenly taken interest in this procedure? The interest and notoriety of procedures is a little bit like that of celebrities-it comes and goes, has peaks and valleys and is likely related to news media events that are highly popular.  Such is the current interest in fat transplantation. The primary reason for the resurgence of interest in fat transplantation has to do with changes in technique.  With a slightly better understanding of stem cell research and years of technique evolution, this procedure continues to be refined.

In the beginning, fat transplantation was done by placing moderate to large amounts of fat into different areas of the body.  The results were okay, that is, there was some fat that survived this rudimentary method of transplantation; however, the results were not consistent enough to be able to accomplish wide acceptance by both physicians and patients.

In the late 90’s, popularization of fat transplantation in the medical literature in general and cosmetic surgery in particular revolved around the idea that for fat transplantation to be successful the fat needed to be placed in very small amounts in multiple areas.  That meant that fat needed to be injected with instruments that created very little bleeding. Therefore, we used blunt cannulas for the injections.  The fat needed to be placed in very minute amounts into many areas, and so there was the development of a technique whereby multiple passes were created in one area, depositing very small amounts of fat in each one of those passes.  This resulted in a more successful and consistent outcomes for all experienced practitioners.

Today, some questions still remain, like “Does the fat need to be prepared prior to the injection or not?”  This question is still to be resolved in the future.  Most practitioners today will harvest fat from a common area, mainly stomach and/or thighs, will  prepare it by centrifuge at low speed, that is, it will be placed in rotation separating the serum from the fat.  Once this is accomplished, the serum is discarded.  The fat is placed into very small syringes and then injected as soon as possible.  While the fat can be under deep freeze and injected in the future, it is much more effective; that is the rate of “take” is much higher, when the fat is injected immediately.

One needs to place a lot of fat in the area to be remodeled because approximately 70% of the fat will be reabsorbed by the body and only 30% of the fat will take and be part of the graft.  Fat is primarily used to fill out areas of the body and face by taking fat from an area that has excess, preparing it and utilizing it to fill out areas that need volume or rejuvenation. Fat transplantation is most commonly used to create a more shapely body region such as the buttocks or breasts.  Fat is extremely useful in filling the contours of the face that deflate with age.  Such facial areas may be deflated, sagging cheeks, corners of the mouth, lips, or smile lines. It’s most successful in removing divots, depressions and over a period of time, successful in remodeling wrinkling.

More recently, studies are showing that there seems to be an effect from fat transplantation, which is beyond filling depressed areas. Fat contains stem cells, which are primary cells that are able to regenerate tissue.  These studies indicate that when fat is placed underneath the skin, it can remodel the skin, reversing signs of aging and creating a more uniform result.

Because the fat is grafted using the patient’s own fat, the risk of allergic reaction is eliminated. Fat transplantation is done both under local anesthesia and under sedation or general anesthesia.  Patients can expect bruising and swelling for 7-10 days, and patients can expect to return back to work in  7-10 days.  While to some people this may be a new procedure, it has been part of the arsenal of procedures that the plastic and cosmetic surgeon has had at his or her disposal for over 25 years.  We are very encouraged by advances made with this procedure over the years, as it is a reliable and cost effective option for our patients.

G.D. Castillo M.D., Fat Transplantation Expert

G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)