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How To Prepare For Your Rhinoplasty: Our New Straight-Forward Guide

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
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)

 

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Posted in Recovery: What to expect, Rhinoplasty, Uncategorized | No Comments »

Feel Welcomed: What To Expect During Your Rhinoplasty Consultation

Wednesday, July 11th, 2018

Think of your Rhinoplasty consultation as a fact-finding mission. This is the time to ask as many questions as you need to be able to decide whether Rhinoplasty is right for you. It is also important to determine whether or not the cosmetic plastic surgeon is a good match for you as well.

Questions to ask during your consultation:

  1. Is your Dr. board-certified? Which board-certifications does he/she hold? Is he or she certified by The American Board of Facial Plastic And Reconstructive Surgery?
  2. What is his surgical training background? Did he train in head and neck surgery?
  3. How many Rhinoplasties has the surgeon performed?
  4. What is his/her revision rate?
  5. Does the surgeon believe you are a good candidate for nasal surgery?
  6. Will Rhinoplasty accomplish the changes you desire?
  7. What changes can you expect from this surgery?
  8. Will the surgeon be performing an open or closed technique?
  9. What will your recovery process be like?
  10. Are there risks you should be aware?
  11. Is there anything you should do to prepare for your surgery?

If you are having a Rhinoplasty consultation with Dr. Castillo, you will be asked to fill out a brief registration form. Then one of clinical/surgical staff members will ask a few questions and review your list of your current prescribed medications, allergies, past surgeries and dates. You will then meet with Dr. Castillo. This is your chance to convey the changes you would like to see.

During your consultation, Dr. Castillo will consider all of your facial features; the shape of your face, the width of your cheek and position of your eyes. He will evaluate the internal and external structures of your nose; the bones, cartilage, and your breathing function. All of these factors come together along with your ethnic background to help Dr. Castillo determine which shape and size will bring the most balance to your face. He will show you some before and after photos of similar noses and outcomes and will discuss your surgical options in detail. You will leave your consultation with a full understanding of what you should expect from your surgery and recovery process.

There is no pressure to make decision during your consultation. We encourage you to take some time to think about all the information you collected. Think about your experience with Dr. Castillo, our facility, and our staff. Is our team a good match for you? Was it easy to communicate with Dr. Castillo? Did he help you establish realistic expectations?

Before                 After

Once you have thought it over, if you decide we are the right choice for you, we will be here to help in any way we can. Now of course we often have patients who choose to schedule their surgery before they leave their consultation so if you know that we are right facility and rhinoplasty is the right procedure for you, then we happy to set up appointments for your pre-op, surgery and post-operative appointments for you before our leave our office.

Once you have scheduled surgery, you will receive a packet in the mail with instructions on how to prepare for your surgery so be sure to be on the look out for it.   If you have any questions, we are only a phone call away.

 

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)

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Posted in Rhinoplasty, Uncategorized | 1 Comment »

Do You Know The Best Season for Your Cosmetic Surgery Procedure?

Wednesday, December 7th, 2016

Are you considering a facelift, tummy tuck, or another plastic surgery procedure? Many of Dr. G.D. Castillo’s patients in both his Champaign cosmetic surgery practices will often ask if there is a better time of the year is to have the particular surgery they are considering. Truthfully, most surgeries can be performed anytime of the year but each season does lend itself to certain advantages. Hopefully this blog post will give you some points to consider when choosing the best time for you and your lifestyle.

FALL:

Fall is known to be a time for change. The leaves change, colors change, temperatures change, daylight hours change, so why not make some changes of your own?

There are many advantages to having surgery during this time of year. The kids are back in school. Busy summer schedules and beach days have come to an end (at least here in the Midwest) and life is starting to get back into a more consistent routine after summer. The holidays are coming up and with a little planning you can have surgery and be healed with no remaining telltale signs all before your first holiday get-together.

lipo jeans to bigThere are also a few long holiday weekends like Columbus Day and Thanksgiving. This is a good time to have body contouring with liposculpture or even neck liposcultpure. Breast augmentation, breast lift, breast reduction, and even mini-facelift procedures are possibilities over long weekends. It is usually cool enough to camouflage yourself with an over-sized shirts, turtlenecks or scarves.

The only real disadvantage to having plastic surgery this time of year is that you are heading into the holiday season. It you have a lot of pre-holiday prep work or demands, it might be more challenging.

 

WINTER:

Winter is typically a very popular time to have surgery and for good reason; it is generally a slower, more laid back time. You can extend time off from work by adding vacation days to the beginning or end of holiday time. For this reason, it’s an ideal time to have surgeries that take more than a long weekend to be presentable, like a facelift, forehead lift, eyelid surgery, fat transplant or rhinoplasty.

It is easier to hide out for a few days without friends and family getting suspicious of your absence. It’s a common time to be stuck at home with “the flu or a cold” for a few days. Since no one wants your flu or a cold, they are likely to stay away. 😉

Winter wardrobes make it easy to conceal post-surgical swelling and bruising of the face or body. Scarves, turtlenecks and cute winter hats make it easy to hide lady covered with scarfthe signs of a recent facelift or forehead lift. Big, comfy sweaters can hide slower movements that are necessary just after breast surgeries, tummy tucks, and body contouring. Since you will need to avoid sun exposure after surgeries like laser resurfacing, winter is also the easiest time to stay out of the sun.

I cannot really think of any disadvantages of having surgery in the winter, though winter sometimes creates procrastination and before you know it, it’s spring and you’re suddenly in a time crunch to meet your cosmetic goals.

 

SPRING:

Spring is probably the most motivating season. It’s a very popular season for 4562 smallscheduling liposuction, tummy tucks, breast surgery and mommy makeovers. Patients are looking ahead to late spring and summer and want to get their body in check before heading to the beach, going to class reunions, weddings, vacations, or just having less clothing to conceal their areas of concern. It is also a great time for those who couldn’t fit a facelift, brow lift, rhinoplasty into their winter schedule because you can still conceal with a big spring hat, scarf and sunglasses for the first few days if you have bruising or swelling to cover.

 

SUMMER:

Summer can be a more challenging time to have certain cosmetic surgery procedures, as it is more difficult to avoid sun exposure to lasered skin or new, exposed incisions. If you are a gardener, a golfer or work outside, summer may not be the best season to have laser surgery. Most surgeries will impinge on your summer activities, at least to some extent.

However, if your daily summer lifestyle doesn’t include spending lots of time summer-cute-hipster-beautyoutside and you are accustomed to protecting your skin from the sun depending on your lifestyle, if you’re someone who already restricts the amount of sun exposure you get, or if you are willing restrict the time you spend outside for awhile, it can be a good option.

If you have kids at home, summer is a good time to send them off to Grandma’s house or summer camp for a fun-filled week while you concentrate on your recovery. By the time they return, they will be none-the-wiser. Since most people are pretty busy during the summer months, it won’t be too suspicious if you disappear from your social scene for a week.

Procedures like breast augmentation, breast lift, breast reduction, eyelid surgery and tummy tuck procedures are good summer surgery choices. If summer is not a good time for surgery but you want a more youthful look for all your summer events, consider BOTOX Cosmetic or dermal filler treatments, or facials and skincare to keep yourself looking fresh until fall.

I think James Taylor said it best when he sang “Winter, spring, summer, or fall…all you’ve got to do is call…”

 

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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)

 

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Posted in Body Procedures, BOTOX® Cosmetic & Dermal Fillers, Breast, Brow Lift, Eyelid Surgery, Facelift, Facial Surgery, Laser, Liposuction, Non-Surgical Treatments, Rhinoplasty, Tummy Tuck | 3 Comments »

Ask Our Expert: What Can a Non-Surgical Nose Job Really Accomplish?

Friday, October 2nd, 2015

With the increased use of injectables through out the face, injectables as known as dermal fillers have come to play a role in managing small deformities of the nose.  Sometimes people refer to these derma filler injections to the nose as a non-surgical nose job.  In reality, it is not really a nose job, but rather the camouflaging of a deformity that can be corrected without the need of surgery.

A few examples of deformities that would possibly fall under this category would be:

1. A small dent on the side of the nose

2. A skin deformity related to scar and/or trauma

3.  A small nasal hump on a nose in which an experienced cosmetic or plastic surgeon could add dermal filler above and below the hump, adding volume to create the illusion of a straight nasal dorsum or straight nasal bridge.

While I do find patients who fall in this category in our consultations for nasal surgery in Champaign/Urbana, it is the minority of the noses that can be corrected through injectables.  Most of the patients seeking a nasal change do require changes about nasal cartilages and/or bones that would necessitate surgery as the treatment of choice.

When injectables can be used, one of two substances can usually be utilized.

1. Hyaluronic Acid– [Voluma, Restylane Silk, Restylane Lift, Juvaderm, Perlane, etc.,)

2. Hydroxy Appetite (such as Radiesse)

If you are thinking about undergoing nasal surgery and/or changes to your nose, your surgeon can easily point to the areas that can be corrected with either injectables and/or surgery and should be able to show you pictures of corrections that he has performed.  We have an extensive showcase of before and after photos of multiple types nasal deformities to demonstrate the corrective surgeries we have performed in our practice.  Our patients find this helps in a significant way when they are trying to address his own personal issues.

 

Dr. G. D. Castillo

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)

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Posted in BOTOX® Cosmetic & Dermal Fillers, Facial Surgery, Non-Surgical Treatments, Patient Advocacy, Rhinoplasty, Uncategorized | No Comments »

Ask Our Expert – Advantages of an Outpatient Surgical Facility Verse a 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.  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
LIKE US ON FACEBOOK and INSTAGRAM   
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)

 

 

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Posted in Ask Our Expert, Body Procedures, Breast, Facial Surgery, Patient Advocacy, Uncategorized | 1 Comment »

Has Facetime influenced an increase in chin implants?

Wednesday, April 18th, 2012

 

 

For those of you who listened to news on the way to
work in yesterday morning, you may have heard some surprising statistics
released by ASPS (American Society for Plastic Surgery). The statistics state
that there was a 71% increase in the number of chin implant surgeries
(Mentoplasty) performed from 2010 to 2011. Whoa!  Even I was surprised at
that number. That is a more hefty increase than breast augmentation;
liposuction and Botox combine, according to the ASPS.  Like everyone else listening to those
statistics, you’re probably wondering what the driving force is behind the 71% increase
in chin augmentations over the course one year.

Now, I am not surprised that chin implants are popular  choice, as they are a true un-glorified work horse in the quest to improve
facial harmony.  This procedure has been  around for decades with hundreds of thousands of enriching success stories.  Best of all, it’s undetectable, even to your  closest friend!

 

 

Chin implant surgery is rarely thought of, often  misunderstood, but immensely rewarding. The idea behind a chin implant isn’t to go in looking like Keira Knightley and come out looking like Jay Leno. People often
have an image in their head of looking like a caricature, but I assure you that  isn’t the case.  At least not in the  skills hands of a plastic surgeon like G.D. Castillo, .D.https://www.cosmeticplasticsurgery.com/cosmetic-surgery/chin-surgery.cfm  It is a subtle change that can simply restore  a profile of the lower face and the neck to achieve more youthful look.  The best candidates for this procedure are  those who have a weak or receding chin, jowls, excessive neck tissue or a
larger nose.

Dr. Castillo, at Cosmetic Plastic Surgery Clinic uses Chin  implants to solve various facial and neck concerns, not just to increase the  protrusion of the chin”.  Chin augmentationhttps://www.cosmeticplasticsurgery.com/cosmetic-surgery/chin-surgery.cfm can be used to correct a weak or recessed chin by re-establishing  the proportional balance of the face for many of our Central Illinois patients.  In males in particular, a strong chin is  associated with masculinity and strength.  Men who present with a strong chin or jaw line are often perceived as  leaders, men of power and assertiveness.  In the case of a female face, a chin implant can create proportional  balance, ridding unwanted jowls and saggy neck tissue.  The result changes a round face into a more chiseled, femine form.

A receding chin can also make a normal sized nose appear  large or prominent nose appear even larger.
In some cases, a Rhinoplasty (nose job) https://www.cosmeticplasticsurgery.com/cosmetic-surgery/rhinoplasty.cfm is used in combination with chin augmentation to adequately provide the best facial balance possible.

An increasing number of both our male and female patients seeking  plastic surgery are bothered by their increasing jowls and a double chin,  whether the condition is due to a congenital deformity or normal aging.  Jowls and sagging neck tissue concerns have
recently become amplified with the use of video chatting tools like Skype and Facetime by Apple.  If you haven’t  experienced the different ways to communicate via video, check it out.  Though I caution you – this activity is not  for the faint at heart.   For many of us heading into a more “mature” stage of life, it may not be so flattering.  A chin implant or chin implant with a mid- cheek / neck lift or neck liposuction can erase their concerns and put patients at ease once again.

This truly is a 10 years younger type procedure!

 

Roxanne, Skincare & Laser Specialist

 

Roxanne Hammond, RMA

Skincare and Laser Specialist

G. D. Castillo, M.D.

COSMETIC PLASTIC SURGERY
https://www.cosmeticplasticsurgery.com

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http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

800-252-7123 (within IL)

217-359-7508 Savoy (Champaign-Urbana)

 

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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.

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)

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Posted in Ask Our Expert, Rhinoplasty | 6 Comments »