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
For 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.

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.

October 30, 2013/by markbisharamd

Abdominoplasty (Tummy Tuck), Body Contouring, Cosmetic Surgery, Liposuction, Lower Body Lift, Male Breast Reduction, male plastic surgery, Plastic Surgery, Weight Loss Surgery

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

October 22, 2013/by markbisharamd

Body Contouring, Breast Cosmetic Surgery, Breast Implants, Breast Lift, Breast Lift (Mastopexy), Cosmetic Surgery, Plastic Surgery, Saline Breast Implants, Silicone Breast Implants

What is Breast Augmentation? What are Breast Implants?

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.

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.

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

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.

October 22, 2013/by markbisharamd

Body Contouring, Liposuction

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.

September 25, 2013/by markbisharamd

Abdominoplasty (Tummy Tuck), Body Contouring, Brachioplasty, Breast Lift, Breast Lift (Mastopexy), Cosmetic Surgery, Lower Body Lift, male plastic surgery, Stomach Lift

Body Contouring by Dr. Mark Bishara, MD in Mansfield & Southlake

The obesity epidemic across the United States and the rest of the world has led to many programs centered on lowering Body Mass Index (BMI) for the well-being of the individual. However, significant amounts of weight loss cannot ignore the physics of the real world. Bariatric (weight loss) surgery has caused many individuals to meet their BMI goals and develop healthier lives, but it has also created the need for much of the body contouring necessary from weight loss. At Dr. Mark Bishara’s office we provide a wide range of cosmetic procedures to help patients look and feel their best.
Following a well-balanced diet to maintain a healthy weight, and exercising consistently to maintain or attain a fit and healthy body are important contributing factors when it comes to an individual’s body image. However, heredity, changes in the body over time such as weight gain or loss, pregnancy, and even aging can result in a change in your body’s proportions and curves that may affect both your body image and self-confidence. Reshaping disproportionate curves or reducing unwanted fat cannot always be achieved through weight loss and exercise alone. Fitness and skin care have little effect on uneven contours or bulges as well as skin that lacks elasticity.
Body contouring surgery can help many people reshape body features that cannot be improved by other measures. Body contouring can dramatically improve the shape and proportion of your body, enhancing your appearance and boosting your self-confidence. The aim of body contouring is to excise the skin for both cosmetic and functional purposes. Daily activity can be bothersome due to frequent chafing between the functional skin and excess skin.
One or more procedures may be recommended to achieve your goals for a more youthful, contoured body. Body contouring goals may be achieved in one surgical session or may be more safely performed in stages depending on your overall health, the type and extent of procedures being considered along with the outcome from discussions and recommendations by your plastic surgeon during the consultation process. Improvements to your body’s shape and overall image may be achieved by reducing excess fat and/or sagging skin and tissue. Dr. Bishara will discuss these and other treatment options with you during your consultation to determine which procedures are right for you.
Lower Body Lift Before and After with Dr. Mark Bishara:

The body contouring procedures are split up into a few of the most common areas operated on:

Abdominoplasty Before and after pictures with Dr. Mark Bishara:

Breast Lift before and after pictures with Dr. Mark Bishara:

Dr. Bishara provides a wide range of cosmetic procedures that are designed to improve the appearance of the body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. All of our procedures are performed using the most advanced, state-of-the-art equipment.Please contact us for more information (817) 473-2120.

September 24, 2013/by markbisharamd

Highlight of Services at Dr. Mark Bishara's Offices in Mansfield & Southlake

Brow/Eyelid Lift