We all know that botox works for wrinkles but did you know it can work for breasts? Botulinum toxin type A can now play a role in inhibiting one of the most serious breast surgery complications-  capsular contracture.
Capsular contracture is an immune system response to foreign materials in the body. It mostly occurs from complications from breast implants and artificial joint prosthetics. It is followed by the formation of capsules of tightly woven collagen fibers tightening and compressing to the implant. It can occur in different grades and become very discomforting and painful to the touch.
Now researchers have found that botox can reduce the capsule thickness by injecting 0.5 mL into implant pockets and found it had also decreased inflammatory cells. Once validated in a clinical setting, this may be another use for the neurotoxin. In a published article in 2015 in the Archives of Plastic Surgery authors wrote about botox’s role and suggesting it may be effective in reducing keloid scarring, which is similar to implant capsules.
Current uses for Botox include treating facial wrinkles, hyperhydrosis, blepharospasm and migraines. This could be just another beneficial use for the neurotoxin after performing more patient research.
TO LEARN MORE ABOUT OUR BREAST SURGERY AND BOTOX SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.
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Many of us have jokingly made the comment, “if only I could transfer this fat to another part of my body.” Well, you can! Many plastic surgeons like Dr. Mark A. Bishara have performed many liposuction with fat transfer procedures. The procedure is safe and provides natural looking results.
 

Who should consider a fat transfer?

 
According to smartbeautyguide.com, people who consider getting a fat transfer are patients who have facial areas that appear creased or sunken, people that want more permanent correction than what fillers provide, and people that would like to do body contouring and breast reconstruction. The most popular fat transfer procedure performed is the buttock augmentation because more and more people want to have a rounder and fuller buttock.
 

How to know if you are a good candidate

 
The first step for this procedure would be to schedule a consultation with Dr. Mark A. Bishara. During your consultation, you and Dr. Bishara will talk about what your goals are and he will evaluate and provide you with different options. Paragon Plastic Surgery & Med Spa will use different machines, such as the Vectra, which is a 3D imaging device that helps give you an understanding as to what your results will look like after the procedure.
 

How its done…

 
The fat being transferred is taken from areas such as the outer thighs, abdomen and flanks. Once marking the area, the fat will be taken from the area on your body using a cannula. Once the fat has been extracted, it goes through the purification process where the fat cells are transferred into small syringes. The next step will be the preparation of the area where the fat will be transferred. Using a needle or a cannula, Dr. Mark A. Bishara will then begin inserting the fatty tissues. The same process is repeated until the desired shape has been achieved.
 

After the procedure

 
After the procedure, swelling and bruising are common during the first week. On week 2, you will still have some swelling but bruising should start going away. Following the third week, you will notice that everything will start look normal. Instructions about drains and other symptoms will be reviewed with you after the procedure and written instructions will be provided as well. Following recovery, you may notice tiny scars that will fade with time but sometimes they are not visible.
 
TO LEARN MORE ABOUT OUR LIPO WITH FAT TRANSFER SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN APPOINTMENT.
 
 
ARLINGTON TEXAS    
 

 
 

BEFORE

AFTER

What To Expect From Procedure

Consulting with an awesome doctor like Dr. Mark Bishara is the first thing you want to do.Although you might have an idea on what you?d like to look like after its also good to ask Dr. Mark Bishara for his recommendations. At your consultation at the Paragon Plastic Surgery and Med Spa we use 3d imaging to determine what is best for you, from sizes and implant types. Implants come in forms of saline and silicone. After choosing between silicone and saline you will then choose size and form. Dr. Mark Bishara will then recommend where to place the implant, if below or above the muscle.
 

DAY OF THE PROCEDURE

Breast Augmentation is an outpatient procedure. It can take between one and two hours. On the day of your breast augmentation Dr. Mark Bishara will go over the surgical procedure again. An iv will get started and you will be placed under general anesthesia.
 

DURING THE PROCEDURE

After being put under general anesthesia, Dr. Mark Bishara will begin. During the procedure Dr. Mark Bishara will make cuts under the breast and begin the insertion of the implants. Once the implants are put in place Dr. Mark Bishara will close the incisions with a suture, Throughout the whole surgical procedure Dr. Mark Bishara’s nurses will be monitoring the patients blood pressure, temperature, pulse and oxygen.
 

AFTER THE PROCEDURE

 
After your Breast Augmentation surgery is complete, the anesthetist will wake you up from your induced sleep. You will then be transferred to the recovery room where our experienced nurses will monitor you until you are fully awake. You may feel a little tired and groggy at this point. Supporting bandages will be wrapped around your chest along with a surgical bra that we provide here at the Paragon Plastic Surgery and Med Spa.  Soreness and swelling are very common to be there for a few weeks after your breast augmentation. Bruising is normal as well. Scars will begin to gradually fade over time.
 

Tips

 
The patient should have someone to drive them home the day of their procedure and have someone help throughout the first 24 hours.  To reduce any swelling and pain you should sleep upright for the first 48 hours. House work should be done prior to your breast augmentation procedure or put on hold at least for a week after. Loose fitting clothing and ice packs will come handy after your breast augmentation procedure. Stay well hydrated, make sure to drink plenty of water during your recovery process.
 
Respectfully yours,
 
 
Mark A Bishara, M.D., P.A. Medical Director
TO LEARN MORE ABOUT OUR BREAST AUGMENTATION  SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.
   


 
 
 
 
 

Plastic surgeons all over the country are offering a shall we say “very interactive” approach to medicine.
Dr. Miami also know as Dr. Michael Salzhauer is taking the camera phone into the operating room. Want to know how a brazilian butt lift is done? Watch it via his snapchat. With 130,000 followers on Instagram and 12,000+ on Twitter, nothing about his procedures is left to the imagination.
Think its crazy? Well maybe not. More and more clients are open to bringing you in on the experience. This platform allows the next patient to get an idea of what to expect. “ This allows people to actually see what the process is like. It demystifies it so it’s a lot easier for them to take the plunge, so to speak, “ he said.
Makes sense right? One patient even said she was happy to share her story and thought how cool is it, stating I can watch my surgery later…
Want to know what your favorite plastic surgeon is doing in the O.R.? Prop your feet up and check it out from the comfort of your couch. Dr. Matthew Schulman has “several hundred thousand” followers and 450,000 views daily. That’s a lot of people interested in watching you go under the knife.
Platforms like snapchat and twitter allow the surgeon a truly interactive relationship, with not only their existing clientele, but new patients as well. Its an educational platform, in real time. What more could you ask for? Does this violate privacy and HIPAA? You bet it does, but physicians simply ask for consent and have an open dialogue on what will and will not be shared.
 
TO LEARN MORE ABOUT OUR COSMETIC SURGERY   SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.
   

The American Society of Plastic Surgeons (ASPS) have guidelines in place for young girls (13-19) seeking out breast augmentation for cosmetic reasons, suggesting the age of 18 or at least until the breast has fully developed to the last TANNER stage. But for girls seeking labiaplasty? There really isn’t a set precedent. Why are young girls and women concerned about this? Interestingly, it is more than what meets the eye.
Young girls are seeking out advice about what looks “normal”. For a lot of young girls or women its not about aesthetics, its about feeling comfortable, if the labia minor is larger than normal it can create an extremely painful situation. For athletes such as barrel racers, bicyclist, runners with a larger than “normal” labia, it can create a lot of discomfort for the patient.
Your age should not preclude you from enjoying all activities life has to offer and neither should securing your esteem with a labiaplasty.
Dr. Bishara performs labiaplasty at Paragon Plastic Surgery and Med Spa in Mansfield, Texas. The procedure may be done under local or general anesthesia and is an out-patient procedure typically lasting an hour or two. Some patients opt to pair this surgery with other surgical procedures such as liposuction, breast augmentations or blepharoplasty.
Recovery is typically within 2 weeks. Most patients are able to return to work the day or two post operation and pain managed with over the counter pain medication. As dissolvable sutures are used, no stitches need to be removed and ice can be applied to the area in the event of swelling. Sexual activity and strenuous exercise should be postponed approximately six week post procedure
For more information about breast augmentation or labiaplasty please call 817-473-2120 or [email protected]