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Face, Necks, Butts are Growth Areas for U.S. Plastic Surgeons


Eyelid surgery and facelifts are up. So are butt augmentations and neck lifts, according to new figures from the American Society of Plastic Surgeons that show a steady increase in cosmetic and reconstructive surgery procedures in the United States.
This was the fourth consecutive year of growth, the society reported, noting more than 15 million cosmetic surgeries and minimally invasive procedures were performed in 2013, an increase of 3 percent from the year before.
Nose jobs, liposuction and laser hair removal missed the boom, however. These procedures declined from the previous year, the report said.
Meanwhile, reconstructive surgeries increased by 2 percent, the society reported.
Better technology and new products, including a facial filler that uses hyaluronic acid (Juvederm Voluma) to treat mid-face volume loss as well as two types of silicone gel breast implants recently approved by the U.S. Food and Drug Administration, are likely the reason behind the upward trend, the society noted.
“The demand for plastic surgery remains strong, with our statistics showing increases in both cosmetic surgical and minimally invasive procedures,” said society president Dr. Robert Murphy.
“Facial rejuvenation procedures were especially robust last year, with more Americans opting for facelifts, forehead lifts, eyelid surgery, fillers and peels,” Murphy said in a society news release. “With new devices and products hitting the market each year, there are more options and choices available to consumers wanting to refresh their look or [undergo] a little nip and tuck.”
Of the 13.4 million minimally invasive procedures performed in 2013, the most common included:

  • Botox injections: 6.3 million injections, up 3 percent
  • Soft tissue fillers: 2.2 million procedures, up 13 percent
  • Chemical peels: 1.2 million procedures, up 3 percent

With more people taking steps to smooth out their wrinkles and folds, the report noted that Botox injections jumped 700 percent since 2000. And hyaluronic acid facial fillers have increased 18 percent since 2012.
There were also 1.7 million cosmetic surgeries in 2013, up 1 percent from a year ago. Among the most common procedures:

  • Breast augmentation: 290,000 procedures, up 1 percent
  • Nose jobs: 221,000 procedures, down 9 percent
  • Eyelid surgery: 216,000 procedures, up 6 percent
  • Liposuction: 200,000 procedures, down 1 percent
  • Facelifts: 133,000 procedures, up 6 percent

Silicone implants were used in 72 percent of all breast augmentations, while saline implants were chosen for 28 percent of these surgeries. The experts noted new technology offers women more natural looking and feeling results.
Butt augmentation with fat grafting and neck lifts are two new procedures also on the rise in the United States, according to the report.
There were 10,000 butt augmentation procedures performed in 2013, up 16 percent from 2012. More than 55,000 neck lifts were also performed last year, up 6 percent from the year before.
Reconstructive plastic surgery to improve both the appearance and function of abnormalities also increased 2 percent in 2013. The top reconstructive procedures performed last year include: tumor removal, up 5 percent from 2012; laceration repair, with 254,000 procedures; and scar revision.
Breast reconstruction, with 96,000 procedures, was up 4 percent last year.
“It’s promising to see breast reconstruction rates rising,” noted Murphy. “Less than 20 percent of breast cancer patients undergo breast reconstruction because they are not always informed of their options, although studies show that reconstruction greatly improves quality of life.”
This News Brought to You Courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
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Laser 360 and Juvederm Voluma

Laser Skin Resurfacing and Filler Juvederm Voluma

Using a laser skin resurfacing treatment like our Laser 360 and combining this with the new Juvederm Voluma; these are two of the best options to combat the signs of aging. You would want to start with a skin resurfacing laser treatment(s), such as the Laser 360. This would help erase wrinkles, tighten the skin, even out your skin tone, and also stimulate collagen. After your laser treatment we would then inject the filler of choice, and a great choice would be the Juvederm Voluma for adding volume to the cheek area.
Laser 360:
Laser360™ is a skin treatment for anyone who would like to revitalize their look without invasive procedures or injections. You no longer have to accept fine lines and wrinkles or skin discoloration as an inevitable part of the aging process.
Juvederm Voluma:
JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA™ XC, however, adds volume to the cheek area.
Please contact our office at (817) 473-2120 for more information on combing these treatments and you can also visit our website at www.MarkBisharaMD.com.
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Cosmetic Surgery Predicts The 8 Most Popular Procedures For 2014

While the new year will see many attempt to turn over a new leaf, it seems certain old habits die much harder than others – especially when it comes to beauty.
According to Transform, cosmetic and non-surgical cosmetic procedures will still be very much en trend in the UK in 2014.
“There is a growing awareness of the different types of surgery available to people, coupled with the increasing desire to look and feel at your best,” says Shami Thomas from Transform. “Patients come to us as they want to feel good about their bodies and surgery can help them, and ultimately improve their self-confidence.
“Whilst surgical procedures are still very popular, it’s the non-surgical procedures that are proving to be a key theme and this trend is set to continue into 2014 and beyond.”
Here are Transform’s predictions for the hottest cosmetic surgery trends for 2014:
Breast Surgery
Responsible for over 80,000 breast augmentations, Transform shines the spotlight firmly on society’s fascination with women’s twin peaks and suggests that the allure of boobs – whether to have them bigger, smaller or more pert – will continue to be one of the most popular cosmetic procedures in the UK. Welcome news for a country that is united in its love for all things boobilicous.
Chin Implants
Women will continue to aspire to capture Hollywood glamour and opt to have chin implants – a procedure revealed in 2013 to have been undertaken by movie starlet, Marilyn Monroe. The procedure adds definition and balances facial features, producing instant and significant changes in the profile of patients – serving to inject a new bout of confidence into those with a weak or receding chin.
Enquiries for chin implants have doubled since 2010, with 60% of queries coming from women wishing to alter the silhouette of their faces and Transform expects the desire for a striking and defined chin to continue far into 2014.
Tummy Tucks
For those who’ve been left with excess skin after losing weight or following having a baby, a tummy tuck or abdominoplasty is fast becoming the solution for many unconfident Brits. For those left hanging with stretched skin, and weakened muscles, this is fast becoming one of the most popular procedures as it takes away loose skin and tightens up the muscles. And 2014 is sure to see a continued rise in people wanting to fold up their saggy skin and opt for a slimmer, more toned tummy.
Brachioplasty or ‘Bingo Wing’ Surgery
Brachioplasty is the removal of excess, aging skin from the upper arms – often referred to as ‘bingo wings’ and gives tighter, more toned and youthful arms. An ever increasingly popular treatment among mature ladies who feel self-conscious about their ‘flappy’ upper arms or for those who have lost significant amounts of weight and want to tighten up the skin.
Vaginoplasty
The quest for a ‘designer vagina’ has intensified, with labiaplasty and vaginoplasty amongst the UK’s fastest growing cosmetic surgery procedures.
Labiaplasty is a surgical procedure to reduce the size of, or reshape, the labia minora – either for medical or aesthetic reasons – while vaginoplasty ‘tightens’ the vagina, a procedure that is particularly popular among women who have given birth.
Transform reports that enquiries for the procedures have grown from 2,400 in 2010 to over 3,500 in 2013. Such results suggest that more and more women will feel empowered to undergo a vaginoplasty procedure in the coming year – and this is certainly set to be the surgery on everyone’s lips in 2014.
Non-surgical
2013 saw a whole host of celebrities under the spotlight as having undergone non-surgical treatments from Kim Kardashian to Coleen Rooney and Sharon Osbourne. With non-surgical procedures accounting for 75% of the cosmetic industry*, these treatments are the ones to watch.
The Non-Surgical Face-Lift
Anti-ageing treatments such as dermal fillers, Botox and chemical facial peels are fast becoming a must on beauty-lovers’ lists.
And combined, they provide the ideal ‘face-lift’ that is seen to be taking over the surgical face-lift; they restore the contour of the face without the need for any surgery.
A combination of wrinkle and line smoothing treatments, and dermal fillers result in a more refreshed, and line-free look that plumps up skin, minimises marionette lines and gives a rejuvenated look that is proving ideal for today’s youth-seekers. An increasing number of women want to stop the signs of ageing without surgery – and with such glowing results and minimal recovery time after these procedures, we’ll see the trend for non-surgical facelifts continue for years to come.
Laser Hair Removal
A treatment used for the removal of excess or unwanted hair, laser hair removal works by destroying the base of the hair follicle that is the source of new hair growth. Used on a variety of skin types, with minimum fuss and maintenance, it’s becoming the number one choice for those on the go wanting smooth, hair-free body zones.
This News is Brought to you Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX
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Don’t Worry, Get Botox

FEELING a little down? Smile and put on a happy face.

A recent article in The New York Times, suggests that it is possible to treat depression by paralyzing key facial muscles with Botox, which prevents patients from frowning.

In a study forthcoming in the Journal of Psychiatric Research, they randomly assigned a group of 74 patients with major depression to receive either Botox or saline injections in the forehead muscles. Six weeks after the injection, 52 percent of the subjects who got Botox showed relief from depression, compared with only 15 percent of those who received the saline placebo.
(You might think that patients would easily be able to tell whether they got the placebo or Botox. Actually, it wasn’t so obvious: Only about half of the subjects getting Botox guessed correctly. More important, knowing which treatment was received had no significant effect on treatment response.)

Other studies over the past several years have found similar effects of Botox on mood. Non-depressed patients receiving Botox injection above the eyes frowned less and felt better than those who did not receive this injection. Other studies have found that a Botox injection was superior to a placebo in a group of depressed patients.
The Botox studies, by contrast, suggest a circuit between the brain and the muscles of facial expression in which the brain monitors the emotional valence of the face and responds by generating the appropriate feeling. (Obviously, information flows in both directions, as you can think yourself into practically any emotional state and then have the face to match it.)
There are other treatments for depression that appear to use facial feedback in a similar way. Light therapy stimulates the retina and excites the optic nerve, which sends signals directly to the brain and effectively treats seasonal depression. And direct electrical stimulation of the brain’s vagal nerve has antidepressant effects.
Botox for depression is part of a long tradition of “outside-in” somatic therapies — many of dubious efficacy — that manipulate the body with the aim of altering the brain and mind, for instance by using cold wet sheet packs to treat severe agitation or acupuncture for anxiety.
In a broad sense, these Botox studies underscore one of the biggest challenges in treating people with depression. They might think that the reason they are depressed is that they have little interest in the world or their friends — a mistaken notion that is the result, not the cause, of their depression. They insist that only once they feel better will it make sense for them to rejoin the world, socialize and start smiling. Their therapists would be well advised to challenge their inverted sense of causality and insist that they will start feeling better after they re-engage with the world.

Whether Botox will prove to be an effective and useful antidepressant is as yet unclear. If it does prove effective, however, it will raise the intriguing epidemiological question of whether in administering Botox to vast numbers of people for cosmetic reasons, we might have serendipitously treated or prevented depression in a large number of them.
This Information is Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery and Med Spa in Mansfield and Southlake.
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Lisa Kudrow Calls Nose Job at 16 "life altering"

While other kids were out getting their driver licenses when they were 16, Lisa Kudrow did something else “life-altering”: She got a nose job.

The “Web Therapy” star recently turned 50 and opened up about childhood and young adult events that affected her.
The nose job “was life-altering,” Kudrow told Lawrence Grobel in the Saturday Evening Post. “I went from, in my mind, hideous, to not hideous. I did it the summer before going to a new high school. So there were plenty of people who wouldn’t know how hideous I looked before. That was a good, good, good change.”
The “Friends” star, who went on to win an Emmy for supporting actress in 1998, explained that she was isolated in junior high after her two best friends said they didn’t want to be friends with her anymore.
“It was just mean. And all of junior high felt upside down to me,” she said. “It was not, like, the nice people who were popular; it wasn’t the most entertaining people — it was the meanest people who were popular. We were reading ‘Macbeth’ at the time, and I remember the three witches: ‘What’s fair is foul and foul is fair.’ That’s all I could hear in my head during that whole period. When my friends dropped me, I was asking my parents, ‘What did I do?'”
Kudrow’s sister — seven years her senior — rescued her.
“She did, definitely. Unbelievable of her too, because I was 13 and she was 20,” she said. “She would find out when our half-days were, when everyone would go out to lunch and I would have no one to eat with. She would pick me up and take me to lunch. That’s extraordinary to me. It was just very generous of her to be so sensitive and aware, even though there was nothing anyone could do.”
“I had always thought that fame would give you permission to lighten up on yourself. If everybody else likes you, you could finally have permission to love yourself. It’s not true,” she said.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

 

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