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Breast Enhancement


Your Choices of Breast Enhancement
Breast surgery has been around for more than a century. Each year an increasing number of women opt for cosmetic breast surgery, mainly augmentation (to enlarger size) surgery.

If you have thought long and hard about breast augmentation and have decided you want it, then you will next need to decide on what form of augmentation. Here there are two particularly popular forms of implants which are explained below:
Implants (Silicone or Saline)
Implants are perhaps the more common form of breast enhancement. These involve implanting a foreign object into the breasts as ‘fillers’ to pad these out. These implants can be placed wither directly below the skin, or can be ‘submuscular’ (which is recommended for those who already have larger breasts) and this will make some difference to the appearance. At the same time there are different types of implants that can be used, though most often silicone implants are used. While saline implants (bags filled with a mixture of salt and water) can also be effective and have their own advantages, these are more prone to aesthetic problems which can include rippling and other problems.

History of cosmetic breast surgery
Breast augmentation surgery involves placing of a silicone gel-filled implant in the intrices of breasts with the aim to enhance size.
Implants made of different materials have been tried in the past; use of silicone implants began in 1962. The commonest kind of breast implants used today are saline and silicone implants.
• Saline implants – as the name suggests, these are filled with sterile salt water which is either pre-filled or can be filled in at the time of the procedure. Saline implants requires a smaller incision (as compared to silicone implants) – this is usually taken under the crease of the breast or the armpit and thus is very hard to detect.
• Silicone gel-filled implants – are made of a silicone gel and come only in pre-filled variety. Although, these require a much larger incisions, they are much safer than the saline ones – chances of an infection greatly decrease with silicone based implants.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa
 
 
 
 

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5 Top Breast Implant Myths: What's True Or False?


For those looking to improve their breast shape and/or size, breast augmentation is an option to explore. But through exploration, many women come across the same questions and concerns, leaving them to wonder what they should and shouldn’t believe. What are the most common myths regarding breast implants:
1) Saline is safer than silicone.
False. Saline implants were largely used because silicone implants were thought to cause medical problems. In scientific studies and in real life, silicone implants perform equal to or better than saline implants, which are filled with salt water. They produce more of a natural feeling. However saline implants require less surveillance and don’t necessitate MRIs.
2) Under the muscle is more natural looking than over the muscle.
False. The practice of placing breast implants under the pectoralis major muscle depends on individual breast anatomy and the type of breast implants selected. Some patients get better, more natural-looking results with the breast implants under the pectoralis major muscle, while others over the muscle. It really depends on your unique anatomy.
3) You cannot breast feed after you have had a breast augmentation.
False. When a breast augmentation is done via an incision through the inframammary fold, armpit or belly button, there is not usually a problem with breast-feeding.
4) Natural breast augmentation with fat is better than breast implants.
False. Taking a person’s own fat with liposuction and adding it to the breasts may create future problems because some of the fat transferred will perish within a year. It’s a new technology, and there is no regulatory approval in the U.S., so the technique is not yet standardized. So at this point, the procedure is very controversial, and there is concern about the long-term safety and efficacy.
5) You need breast implants for a breast lift.
False. Breast implants are not a treatment for breast sagginess. Only a breast lift (mastopexy) corrects sagginess.

For more information regarding breast augmentation, breast lift (mastopexy), or breast revision please contact the office of Dr. Mark Bishara, with offices in both Mansfield and Southlake, TX.  Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Please contact our office at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.
Click here for more information on Breast Augmentation

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Breast Augmentation in Mansfield, TX

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Breast augmentation surgery, also known as augmentation mammoplasty, involves enlarging or reshaping the breast with the use of an implant. If you are thinking about getting breast augmentation surgery, there are a few things you should know before embarking on the process. The first thing is to not be intimidated by the word “surgery”. This type of cosmetic enhancement is one of the most common types of procedures performed in the United States, with thousands of women having breast augmentation done every year.
The first step is to consult with your doctor about the nature of the procedure.
Matters discussed and questions asked during a typical consultation include:

  • What are the respective benefits of silicone and saline implants?
  • What type of anesthesia will be used?
  • The doctor’s level of experience (how many breast augmentation procedures do they perform every year?)
  • What is to be expected immediately after the procedure?
  • How often do they have to reoperate?
  • What kind of scarring is to be expected from a breast augmentation procedure?

About Implants
Silicone implants are considered to be more realistic in that the gel with which they are filled has a similar consistency to breast tissue. Saline implants are firmer and filled with salt water instead of gel. While there is the potential for a silicone gel implant to rupture as a result of an injury, this is a rare event. If it does rupture, the silicone should remain within the implant shell or move to the implant pocket. If a saline implant ruptures, its contents will be absorbed by the body.

The Surgery Itself
The factors governing the placement of the incision include the size of the implant, and your body-type. The incision may be placed in a number of areas including under your breast or arm, around your nipple. The incision may be placed through a mastectomy scar if the implant is being used to reconstruct your breast after mastectomy surgery. Dr Bishara will lift your skin tissue to create a pocket into which the implant will be inserted. After the implant is in place, the incisions will be closed by suturing the breast tissue and then using sutures, skin adhesive or surgical tape used to close the incision in the skin.

The Recovery Process Following Breast Augmentation Surgery
Immediately after breast augmentation surgery, your breasts will be covered in gauze, or you will be provided with a surgical bra. You will be taken to an observation area, where you will be observed for any possible post-surgical complications. Recovery after breast implant surgery will usually take 24 to 48 hours. You will be prescribed medications to help with any nausea or pain. Your doctor will tell you how to care for your wound and during follow-up visits, advise you on when you can return to regular activities like work and exercise.
Dr. Mark Bishara provides a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office for more information at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.
 

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Weight Loss Surgery- What To Know

Weight Loss Surgery, How Do I Get Started?

Taking the first step is often the hardest when it comes to weight loss, so True Results provides some easy-to-use tools and free services to help you get informed and get started on your journey.
In North Texas, True Results has teamed up with Baylor Health Care System to provide innovative weight loss solutions for life.
True Results provides a comprehensive program and an expert medical team that’s with you every step of the way. They have specialized bariatric centers in Dallas, Fort Worth, Houston, San Antonio, Austin, Phoenix, Tucson and St. Louis.
True Results opened the nation’s first state-of-the-art outpatient surgery center to be recognized by the American College of Surgeons as an Accredited Outpatient Bariatric Center.
Losing weight is about more than just looking good. It’s about being healthy. Bariatric patients who lose a significant amount of weight typically improve or resolve weight-related co-morbidities including Type-II diabetes, hypertension (high blood pressure), sleep apnea, joint pain and asthma.

Quick Weight Loss with Bariatric Surgery


If you are overweight and are looking for quick weight loss, then a surgical weight loss procedure may be the right approach for you. True Results has excellent quick weight loss centers in Dallas, Fort Worth, Houston, San Antonio, Austin, Phoenix Tucson and St. Louis. Their centers are specially designed for outpatient bariatric procedures.  True Results specializes in the Lap Band and Sleeve Gastrectomy surgeries, and both can be performed in outpatient centers.  Lap Band procedures and the Sleeve Gastrectomy are available in all Texas and St. Louis markets.
To help you understand the differences in the Lap Band Procedure, Sleeve Gastrectomy Surgery and Gastric Bypass Surgery, this page provides a brief overview of each procedure.

Lap Band Procedure

Lap Band Surgery IllustrationGastric banding, commonly known as a Lap Band procedure, was approved by the U.S. Food and Drug Administration for safe and effective weight loss. It is a silicone band – like a ring or belt – that is placed around the upper part of your stomach.
It is designed to place a precise level of pressure on the nerves around the upper part of your stomach so they send signals to your brain that you are not hungry.  Because the band also constricts the upper portion of your stomach, you will eat less food at one time and still feel satisfied.
The Lap Band system includes a small access port that is safely placed under your skin.  The port is not visible and it is unlikely that anyone will know you have the Lap Band system, unless you tell them.
The band is adjusted by adding or removing saline through this access port with a small needle to ensure it continues providing optimum weight loss results.  True Results has the most experienced team of weight loss surgeons in America and pioneered performing this procedure in an outpatient setting.
True Results offers the Lap Band procedure at all of its specialty weight loss centers in Dallas, Fort Worth, Houston, San Antonio, Austin, Phoenix, Tucson and St. Louis.

Sleeve Gastrectomy (Gastric Sleeve)

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 20% of its original size.
Gastric sleeve is a restrictive procedure where approximately 80% of the stomach is removed, creating a small vertical sleeve about the size of a small banana.  This procedure is not reversible.
This procedure limits the amount of food you can eat and helps you feel full sooner. It allows for normal digestion and absorption. Food consumed passes through the digestive tract in the usual order, allowing it to be fully absorbed in the body.
The majority of sleeve gastrectomy procedures are performed using a laparoscopic technique, which is considered minimally invasive. This procedure can be done in an outpatient, same-day surgery center or an inpatient hospital setting.
True Results offers the Sleeve Gastrectomy throughout Texas and in St. Louis.

Plastic Surgery Procedures After Weight Loss- Body Contouring

Most patients who undergo gastric bypass, or some form of gastric banding procedure, do lose weight and many lose a lot of weight. But this massive weight loss brings problems of its own.  Sometimes the need for plastic surgery or body contouring procedures are needed to get rid of excess fat, loose muscle and fat tissue.  The office of Dr. Mark Bishara offers many body contouring procedures that help patients look and feel their best after their weight loss. These procedures are designed to improve the appearance of the body and provide highly effective results. Many of these body contouring procedures can be combined in order to achieve your desired appearance.  Please call our office at (817) 473-2120 or visit our website at www.MarkBisharaMD.com for more information.

 

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Breast Surgery Options

Breasts

Whether you want to increase your breast size, get a lift, go down a size or have breast revision surgery, the office of Dr. Mark Bishara has the information for you to get started on your smart beauty choice.

Breast Augmentation

Also known as augmentation mammaplasty, breast enlargement or breast implants
Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.

When to Consider Breast Augmentation

  • If you want a better proportioned or more appealing figure
  • If you wish your clothes fit better
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts
  • To restore symmetry if one of your breasts is smaller than the other
Also known as mastopexy and breast lift surgery
A breast lift addresses sagging and uneven breasts, decreased breast volume and drooping nipples and stretched areolas (the darker area surrounding the nipples), recreating a youthful shape and lift to your breasts. If there is too little or too much breast volume, a breast augmentation or breast reduction might be recommended in addition to a lift. Every year, thousands of women undergo successful breast-lift surgery, experience no major problems and are pleased with the results.

When to Consider a Breast Lift

  • Pregnancy, nursing, gravity, weight gain or loss, normal aging, and heredity have taken a toll on the shape of your breasts, resulting in sagging
  • If your surgeon thinks that breast implants alone are unlikely to achieve the contour you desire
  • If the tissue surrounding the nipple or areola has become stretched

Breast Reduction

Also known as reduction mammaplasty
The goal of breast reduction surgery is to reduce the size of your breasts and reshape them so that they are proportionate to the rest of your body and are no longer a source of physical discomfort. This commonly requested, predictable procedure has the dual benefits of improving your appearance while relieving the physical and emotional burden of overly large breasts.

When to Consider Breast Reduction

  • If your breasts are too large for your body frame and create neck, back, or shoulder pain
  • If you have heavy breasts with nipples and areolas (pigmented skin surrounding the nipples) that point downward
  • If one breast is much larger than the other
  • If you are unhappy and self-conscious about the large appearance of your breasts

Breast Revision

Also known as breast implant replacement
Breast implant revision surgery, which commonly involves removal and/or replacement of saline or silicone breast implants, is performed to change the size or type of your implants and to correct any complications from your primary breast augmentation. The overall goal is to restore a youthful breast contour and appearance.

When to Consider Breast Revision

  • Your saline breast implants have deflated or an X-ray or MRI suggests your silicone implant has a shell leak
  • If you want to change your implant/breast size
  • If you have tightening of the scar tissue around the implant (capsular contracture) or your breast implants have shifted in position
  • If your breast tissue has changed as a result of skin stretching or weight loss/gain

Dr. Mark Bishara, with offices in Mansfield and Southlake- provides a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office for more information at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.

 

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