Plastic surgery is one of the most common procedures performed in the United States and the transformative power compels thousands of men and women to go under the knife every year. Unlike most surgeries, cosmetic procedures are not medically necessary which can make it hard to analyze the demographics. While each individual’s needs and wants differ when it comes to choosing a procedure, the most popular cosmetic surgeries can be broken down by age group. While trends in plastic surgery vary from year to year, the American Society of Plastic Surgeons 2012 statistics report shows that some procedures are consistently popular with certain age groups. Here’s why.

Nose reshaping is widespread among 13-19 year-old patients, simply because the nose you were born with is the nose you will have for life. While other parts of the body can change given time or lifestyle habits, the shape and structure of your nose changes the least. The skin does thicken and the cartilage can lose its support, but for the most part, the defining features remain constant throughout life. Adolescents who are approaching adulthood oftentimes turn to rhinoplasty to get a new start or a fresh look as they embark on milestones such as high school graduation or the start of college.
On the other hand, breast augmentation is a popular procedure for those who have gone through puberty: 20-29 year-olds. The breasts are typically fully formed by that age, and the size and shape are at a fixed point. Shifts in weight, pregnancy and lifestyle (bra usage) may alter breast size and shape but in an unpredictable way. This is a time when image is very important to women, so they seek larger breasts in order to boost their self-confidence and balance the proportions of their new adult figures.
Once men and women reach their 30’s, their metabolism begins to slow down. They notice a change in the way their bodies deposit fat even if their exercise pattern and diet have remained the same. Certain body parts store stubborn fat that is hard to lose even with healthy eating and exercise. Liposuction has traditionally been the remedy to this problem. We have seen an increase in the popularity of newer technologies that provide less invasive options for fat reduction. However, liposuction remains time honored and consistent in providing the most predictable results. A variety of techniques are available to safely remove fat and sculpt curves.
The 40’s are a time when the aging process really begins to set in. We typically start to see the earlier signs of aging around the eyes and forehead. The skin around the eye is prone to wrinkle and show redundancy. The upper eyelids and forehead can begin to droop and give a tired or sad appearance. Thus it’s no surprise that patients between the ages of 40-54 are likely to undergo an eyelid and/or brow lifting surgery in order to minimize these changes. The lower eyelids are treated by removing or tightening skin as well as treating fat pockets.
Finally, the facelift is an extremely popular procedure for those 55 and older. At this point, there are multiple parts of the face that need rejuvenating. The cheeks typically fall or deflate, the corners of the mouth turn down, jowls appear, the jawline loses its contour and the neck becomes loose and droopy at times, showing bands under the chin. A facelift helps restore a youthful appearance by addressing these parts that have aged including the eyelids, sagging of the neck and volume loss in the cheeks. Combinations of procedures can lift the brow, the mid face or cheek area and tighten the jaw line while treating jowls and reshaping the neck.
Of course everyone ages differently and each person’s goals are different, but these tend to be the most popular procedures by age group. Do any of these surprise you? What procedure have you been thinking about?
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 at (817) 473-2120 for more information.

 

Dr. Mark A. Bishara, is an experienced cosmetic surgeon that specializes in a wide range of hair restoration treatments, as well as face and body plastic surgery procedures. Dr. Bishara’s main focus is to help patients restore or achieve their ideal appearance in order to feel confident about the way they look.
Dr. Bishara’s unique treatments offer patients hair restoration, cosmetic surgery procedures that help sculpt the appearance of the face and body to help patients look and feel their best. Faceliftrhinoplastybreast augmentationtummy tuck, and BOTOX® Cosmetic injections are just some of the many procedures Dr. Bishara offers.

Brow/Eyelid Lift

Brow/Eyelid lifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive methods, the muscles above the eyes are altered to smooth lines and raise the eyebrows for a more youthful appearance. This procedure is often combined with others to improve the look of the eyes.
Breast Augmentation
Breast augmentation helps women with small or unevenly-sized breasts achieve a fuller, firmer and better-proportioned look through the placement of breast implants. Women may elect to undergo this procedure for many different reasons, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery

Body Contouring

The aim of body contouring is to excise the skin for both cosmetic and functional purposes. Although it is possible to perform a full body lift in one lengthy session, most doctors prefer to break up body contouring surgeries for the safety and comfort of the patient. Combined procedures can be performed assuming a slightly higher increased risk in blood transfusion. The body contouring procedures are split up into a few of the most common areas operated on:

Most of these surgeries result in lengthy scars. The incisions are situated in normally covered areas of the body, such as under the arms or below the waist line. All post bariatric body contouring consultations are performed by our master surgeon, Dr. Mark Bishara.
The ARTAS System- Robotic Hair Transplants
The ARTAS SystemFor the very latest technology in hair restoration, Dr. Bishara is now using the ARTAS System. This interactive, computer assisted equipment employs image guidance to enhance the quality of hair follicle harvesting. ARTAS is the first hair transplant robot to improve the most challenging aspects of Follicular Unit Extraction (FUE). It received clearance from the Food & Drug Administration (FDA) for use in April 2011.
robotic hair transplants

Minimally Invasive Procedures

More and more patients are now seeking treatment to reduce or eliminate the signs of aging on their face, hands and body. Minimally invasive procedures offer patients the results they desire without the hassle and lengthy downtime often associated with cosmetic surgery procedures. These treatments are designed to provide subtle enhancements that can improve your targeted problem areas, while allowing you to return to work and your regular activities the very same day.
Dr. Bishara is proud to offer a wide range of dermal fillers and other enhancing, minimally invasive procedures such as chemical peels and laser liposuction.  We offer Botox, Xeomin, Juvederm, and Radiesse

Our Paragon Med Spa Services

Laser Hair Removal, Laser Tattoo Removal, IPL Fotofoacial, Skin Tightening, Skin Resurfacing and Laser 360. We also offer many different types of peels and microdermabrasion.
At the office of Dr. Mark Bishara and The Paragon Med Spa, we have many more services that we offer.  Please contact a member of our staff to find out more information at (817) 473-2120.
 

Here’s a snapshot of breast implant statistics and basics, and references to RealSelf worth it ratings.

breast augmentation
 
breasts implants infographic
This information brought to you courtesy of Dr. Mark Bishara and The Paragon Med Spa in Mansfield and Soutlake.  For more information visit www.markbisharamd.com or call (817) 473-2120.
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. Many of these procedures can be combined in order to achieve your desired appearance.


 

Augmentation mammoplasty, or breast augmentation is a surgical procedure to increase the size, shape or fullness of a woman’s breasts. The surgeon places silicone, saline or alternative composite breast implants under the chest muscles or breast tissue.
Breast augmentation is done to:

  • Enlarge breasts that are naturally small.
  • Restore breast size and shape after pregnancy, weight loss or breastfeeding.
  • Restore symmetry when the breasts are asymmetrical
  • Restore the breast(s) after surgery as treatment for breast cancer or some other condition or event that affected the size and shape of the breast.

Breast enlargement can boost self esteem- women usually experience a significant boost in self-esteem and positive feelings about their sexuality after undergoing breast enlargement.
98% of women who underwent breast augmentation surgery said the results met their expectations. Women also reported improvements in quality of life and self-esteem after their procedure.
A study, involving 225 women who were followed for five years, found that:

  • Patients said they were “back to normal” within 25 days of their surgery
  • 85% said their new breast size was “just right”
  • 13% said a larger size would have been better
  • Less than 2% would have preferred a smaller size
  • 1% were not happy with their scars, which are usually in the crease under the breast
  • 75% thought their breast firmness was “just right”
  • 98% said their results met with their expectations

What are breast implants?

A breast implant is a medical prosthesis that is placed inside the breast to augment, reconstruct or create the physical form of the breast.
The outer layer of breast implants is made of firm silicone. The inside of the implant is filled either with salt water (saline solution), silicone gel, or a composite of alternative substances. Makers of breast implants say they should last for at least ten years.

Saline breast Implant
Breast implants filled with saline solution

There are three main types of breast implants:

    • Saline implants – filled with a sterile saline solution (biological-concentration salt water 0.90% w/v of NaCl, ca. 300 mOsm/L.) which is held within an elastomer silicone shell. These implants can be filled with different amounts of saline solution, which may affect the feel, firmness and shape of the breast.If this type of implant leaks, the solution will be absorbed and expelled by the body naturally.

 

Breast implants in hand 01
A breast implant filled with silicon gel
    • Silicone implants – filled with a viscous silicone gel which is held within an elastomer silicone shell.If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket. A leaking silicone-filled implant might not collapse. Patients choosing this type of implant should carry out more regular checks with their doctor compared to those on saline solution implants. The condition of the implants can be determined with an MRI or ultrasound scan.

What happens during the breast augmentation procedure?

Anesthesia

The patient may have a choice of general or local anesthesia. Under local anesthesia the patient is awake and only the surgical area is numbed. However, in most cases the procedure is done under general anesthesia.

The incision

The surgeon and patient should discuss incision options. The doctor should explain which are most suitable for the patient and her desired outcome.
The following incision options are possible:

  • Inframmammary incision – in the crease under the breast.
  • Transaxillary incision – in the armpit (axilla)
  • Periareolar incision – around the nipple

The choice of which incision to use depends on several factors, including the degree of enlargement, the patient’s anatomy, the type of implant, and surgeon-patient preference.

Inserting and placing the breast implant

Breast Implants
1. Breast after subglandular augmentation.
2. Breast after submuscular augmentation.

The breast implant is inserted into a pocket. Today, there is a choice between two types of placements:

  • A submuscular placement – under the pectoral muscle. When placed here the patient may take slightly longer to recover, compared to subglandular placement, and may also experience a little more post-operative pain.
  • A submammary (subglandular) placement – behind the breast tissue, over the pectoral muscle.

Techniques used today for placing breast implants have significantly improved recovery times.

The incisions are closed

The surgeon closes the incisions with layered sutures (stitches) in the breast tissue, and with skin adhesives, sutures and surgical tape to close the skin and keep it closed.
Initially, there will be evident incision lines. These will fade with time.

View the results

Please view our website at www.markbisharamd.com for even more before and after pictures of some of our patients.
Breast augmentation results are visibly evident straight away. There will be some swelling caused by the surgery, which will resolve within a couple of weeks. As the swelling dies down and the incision lines fade, the patient will have a better idea of whether the procedure met her expectations.
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 visit our website for before and after pcitures of patients at www.markbisharamd.com.  Please call our office to receive more information at (817) 473-2120.
 
 

Young Women Undergoing Breast Reduction for Competitive Sports

An international tennis star has made headlines not for her serve but for disclosing her decision to undergo breast reduction surgery, not only to help improve her game, she said, but for relief from severe back pain.

Simona Halep, 21, went from a 34DD to a 34C.
“I think she really caused a breakthrough, where all of a sudden this was not a taboo topic,” said Megan Greenwell, senior editor at ESPN magazine. “When you see people at the highest levels talking openly about these things that opens the floodgates for other people to discuss it as a real issue.”
And it’s not only professional athletes going under the knife to reduce breast size. Carly Mortensen, 19, plays collegiate softball, and decided to have her bust reduced surgically.
“It just felt uncomfortable for me because I had to wear two sports bras every time,”  Mortensen said.
“It was emotionally pretty tough. I wasn’t sure if I was going to be happy with it. If this would help me in life and be a bonus for softball then it’d definitely be worth it.”
More than 100,000 women had similar surgeries last year — some of them, experts say, do it to play sports, according to Cosmetic Surgery National Data Bank statistics.
“We are tending to a lot more young patients who realize there’s a surgery out there that can help them, help them feel better and help them become more athletic,” said Dr. Michelle Spring, a plastic surgeon, told ABC News.
But just how much can breast reduction enhance one’s game? After the surgery, Halep climbed 450 spots in world rankings. She’s now ranked number 18.
“I think it’s definitely helped my play because a lot of it comes from mentally being more confident in myself,” she said.
Halep says she’s looking forward to this softball season, when she takes the field for her first official game.

gty Simona Halep breast reduction thg 130919 4x3 608 Young Women Undergoing Breast Reduction for Competitive Sports
https://abcnews.go.com/blogs/lifestyle/2013/09/young-women-undergoing-breast-reduction-for-competitive-sports/