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Body Contouring Procedures Overview

Sometimes, even the most rigorous diet and exercise routines can’t get rid of stubborn, excess fat and skin folds that can accumulate in a variety of body areas. Dr. Mark Bishara is focused on helping patients recontour their bodies and enhance areas that may have proven resistant to traditional methods of losing weight. We can give you a tighter physique with a more toned appearance and enhance areas including the stomach, thighs, arms, buttocks and breasts.

If you are considering plastic surgery options to recontour your body, you can be assured that procedures offered are performed in a safe environment.  Our goal is to provide you with safe, effective treatment that results in cosmetic enhancement that looks natural, without the appearance of having undergone plastic surgery.
Please contact our office to schedule a consultation for body contouring surgery.  The following guide will explain some of the options available, that may help you with your specific body contouring needs. For more information on surgical and non-surgical cosmetic enhancement or reconstruction treatments, please contact our practice.

Abdominoplasty (Tummy Tuck Surgery)

Abdominoplasty, or tummy tuck surgery, can eliminate excess fat and skin in the midsection for a more firm, fit-looking stomach. A tummy tuck tightens the underlying abdominal muscles and re-drapes the skin with results you may not have been able to achieve with traditional diet and exercise.

Liposuction

Liposuction is one of the most popular cosmetic enhancement procedures available. With safe, effective liposuction techniques such as Vaser LipoSelection® here at LIPSG, excess fat deposits can be eliminated in virtually any area of the body.

Mastopexy (Breast Lift Surgery)

A breast lift, or mastopexy, is performed to restore youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, or simply the effects of aging and gravity. This procedure can also reduce the size of the areola and can be combined with breast reduction or augmentation to adjust the size and firmness of the breasts.

Post Bariatric Surgery

For patients who have had bariatric weight loss surgery, Dr. Mark Bishara offers a number of procedures designed to help you take this new and exciting phase of your life to the next step. Surgical options such as body lift, arm lift, abdominoplasty (tummy tuck), and liposuction can help you get rid of excess, loose skin and fat for tighter skin and a more toned appearance.

Please contact us for more information at (817) 473-2120, or to schedule a consultation for body contouring surgery or visit our website at www.MarkBisharaMD.com.
 

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'Tis the Season for Plastic Surgery?- by Dr. Mark Bishara, MD

Shopping malls and airports aren’t the only places that see more action around the holidays. This is also the time of year that merry-makers crowd the offices of plastic surgeons everywhere. Whether it’s because people can take extra time off for recovery, or because they want to be in top form for parties, plastic surgeons struggle to keep up with demand in November and December. However, there’s a few things you should keep in mind before booking your pre-holiday procedure.  At the office of Dr. Mark Bishara- we want you to take time to think about any procedure, whether it is during the holiday season or any other time of year.

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Party Perfect
Holiday parties and family gatherings, while fun, can be pretty stressful. You often see people you haven’t seen in a long time or those you’d like to impress. You splurge on new clothes, get your hair done and dissect your appearance in the mirror, your eye immediately drawn to what you don’t like. We’ve all been there. This added pressure leads many to take a proactive approach and seek cosmetic surgery.
It’s common for those considering cosmetic procedures to be motivated by the opinions of others. Though this is an understandable desire, we encourage patients to think about their own perceptions of themselves above all else. Showing up your snobby cousin over Christmas dinner or attracting a cute colleague at the holiday work party might not be the right reason to undergo major surgery. The decision should be about self-perception, with the understanding that a change to one’s appearance is not life-changing in itself.
Realistic Recovery
Another reason many choose this time of year for their surgery is the fact that it may be easier to take time off from work to recover. However, patients should be realistic about recovery times when considering having a procedure done during such a busy period. Though many surgeries only require a few days of rest, it’s important to err on the side of caution when it comes to recuperating in time for important events.
Though you can recover from a breast augmentation or liposuction over a long weekend, it’s normal for patients to experience some soreness for a few weeks after these procedures. On the other hand, recovering from more invasive procedures, like tummy tucks, can take up to a month.
What may normally seem like effortless tasks could become challenging or even painful when you’re recovering from surgery. Patients may be determined to have a procedure done in time for holiday fun, but they should be realistic about how the surgery will impact their everyday lives for a little while. The last thing you want is to be restricted by a surgery that was meant to increase your enjoyment of the season.
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Good options for those who want a beauty boost without the recovery are Botox and dermal fillers. At the office of Dr. Bishara & The Paragon Med Spa we offer, Botox, Xeomin, Juvederm Ultra Plus XC, Radiesse…..and soon the new Juvederm Voluma XC. These in-office, non-invasive procedures won’t put you out of commission for important holiday events. Dermal fillers are great for giving a bit of extra volume to lips, minimizing the appearance of wrinkles and enhancing contours. And Botox can be the perfect solution to wrinkles, crows feet and those pesky frown lines. Both procedures have immediate payoff and zero downtime, which may make them a better choice for those with packed calendars.
Other great options for short or no recovery time for the holidays are laser services, including laser hair removal, IPL fotofacials, VI Peel, skin resurfacing, skin tightening and skin remodeling.  You can also do a quick microdermabrasion or facial treatment during your lunch hour to look refereshed for your holiday events.
We all know that the holiday season ends in a new year, full of resolutions. This time causes many to seek change, both inside and out…which can result in packed plastic surgery waiting rooms. It can be tempting to try to squeeze in a procedure in time for that Caribbean cruise or the return to work, but make sure that whatever you decide allows you to enjoy the season to the fullest.
Please call our office at (817) 473-2120 if you would like to speak with someone about scheduling an appointment so you can look refreshed for the holidays.
 

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Popular Plastic Surgery Procedures by Age-by Dr. Mark Bishara, MD

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.

 

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Gastric Bypass Should Include Body Contouring- by Dr. Mark Bishara

Body contouring surgery to remove excess skin improves long-term weight control in patients after gastric bypass surgery, reports a study in the October issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Patients with body contouring present better long-term weight control after gastric bypass, according to a study at University of Geneva, Switzerland. Since maintaining weight loss to reduce long-term health problems is the key goal of bariatric surgery, the researchers believe that body contouring should be considered reconstructive rather than cosmetic surgery for patients who have achieved massive weight loss.
Better Long-Term Weight Control after Body Contouring
The researchers compared long-term weight outcomes for two groups of patients who underwent gastric bypass surgery. In 98 patients, gastric bypass was followed by body contouring procedures to remove excess fat and skin. A matched group of 102 patients with similar characteristics underwent gastric bypass alone, without body contouring.
Body contouring surgery usually consisted of abdominoplasty (“tummy tuck”), often with other procedures to remove excess skin and tissue from the breasts, legs and upper arms. Within two years after gastric bypass, the patients had lost an average of nearly 100 pounds. In subsequent years, patients who underwent body contouring regained less weight: an average of just over one pound per year, compared to four pounds per year for patients who had gastric bypass only.
Seven years after gastric bypass, patients who underwent body contouring surgery achieved an average weight of 176 pounds, and those with bariatric surgery alone, 200 pounds. Patients who underwent body contouring had regained about four percent of their initial body weight, compared to 11 percent for those who had gastric bypass only. After accounting for the weight of excess skin removed, average weight regain was about 14 pounds in patients who had gastric bypass plus body contouring, compared to nearly 50 pounds with gastric bypass only.
Body Contouring Should Be Considered Essential Part of Bariatric Surgery
Bariatric surgery produces fast, massive weight loss in morbidly obese patients. Unfortunately, many patients regain much of their body weight in the years after gastric bypass, putting them back at increased risk of obesity-related health problems.
A recent study in Plastic and Reconstructive Surgery reported significant improvements in quality of life for patients who underwent body contouring after gastric bypass. The new study shows that patients who have body contouring surgery are also more likely to keep weight off after gastric bypass. Because of this improvement in long-term weight control, bariatric surgery is more likely to be considered an effective procedure – from the standpoint of reducing obesity-related health risks – if followed by body contouring.
Colleagues believe this study adds to the argument that body contouring should be considered an essential part of successful bariatric surgery and, because of its favorable effects on patient health, should be covered by insurance plans. The researchers conclude, since plastic surgery after massive weight loss is mandatory for quality of life improvement and weight loss maintenance in many patients, body contouring must be considered a reconstructive surgery for those who have achieved massive weight loss.
Dr. Mark Bishara provides a wide range of cosmetic procedures, including body contouring, 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 click on the button below
 

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Is Liposuction Right for Me?-by Dr. Mark Bishara in Mansfield & Southlake

Liposuction is one of the most popular cosmetic surgery procedures in the US, and sculpts the body by removing undesirable areas of fat that have not responded to diet and exercise. This procedure may be used on the abdomen, waist, hips, buttocks, thighs, chin, cheeks, arms and more, and helps contour the body for an overall slimmer appearance.  Dr. Mark Bishara provides a wide range of cosmetic procedures, including liposuction, and body contouring and tummy tucks- as well as many others.

What is Liposuction?

The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body’s contour by removing excess fat from deposits located between the skin and muscle. Liposuction involves the use of a small stainless steel tube, called a cannula (from the Latin word for reed, tube, cane). The cannula is connected to a powerful suction pump and inserted into the fat through small incisions in the skin. Fat removal is accomplished as the suction cannula creates tiny tunnels through the fatty layers. After surgery, these tiny tunnels collapse and thus result in an improved body contour.
Have you looked at your figure and wondered whether you could benefit from liposuction? Here are a few things to think about when considering liposuction.

Fine-Tuning, Not a Complete Overhaul

Liposuction is not a weight loss solution. Before getting liposuction, you should be at or close to your ideal weight. Liposuction is for those who exercise, eat a balanced diet, and are in good overall health but need help eliminating deposits of stubborn fat in specific areas.

Does Liposuction Produce Permanent Results?

After liposuction, the new body’s shape is more or less permanent. If a patient does gain a moderate amount of weight after liposuction, then the figure will simply be a larger version of the new body shape. Fat cells that are removed by liposuction do not grow back. If the patient does not gain excessive amounts of weight, then the new more pleasing silhouette is permanent. Of course after liposuction, the clock keeps ticking, and advancing age will produce the usual changes in the shape of the body associated with the aging process. Nevertheless, the benefits of liposuction will always be apparent.
If you have excessive amounts of fat and loose skin in these areas, you may require a more comprehensive procedures such as a tummy tuck or other body contouring procedure.

What Happens if I Gain Weight After Liposuction?

The more weight a patient gains after liposuction, the less dramatic the results of liposuction will be. Ideally a patient should weigh less after liposuction by an amount equal to the weight of the removed fat. Thus, after 150 pound woman has two liposuction surgeries, where each surgery removes 4 pounds of fat (total of 8 pounds, equal one gallon), she should ideally keep her weight at or below 142 pounds. However, if she gains 8 pounds and thus weighs 150 pounds six months after liposuction, then the cosmetic results will still be pleasing but not optimal. And if she were to weigh 160 pounds after liposuction, then she would still look better than if she had not had liposuction, and her clothes might fit better, but her results would be less than ideal.

If I Do Not Gain Weight, Does Fat Come Back in the Treated Areas?

If a patient does not gain weight after liposuction, then fat does not come back in the treated areas. However liposuction does not stop the aging process. It is natural for the size and location of the body’s fat deposits to change gradually with increasing age. Despite expected changes with aging, the results of a successful liposuction should always be apparent.
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.  To schedule an appointment with Dr. Bishara, please contact our office directly at (817) 473-2120.
 
 

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