Mark A Bishara M.D. P.A. and the Paragon Plastic Surgery & Med Spa provide silicone and saline breast augmentation surgery for patients living in Dallas, Grand Prairie, Fort Worth, Arlington, Southlake, Highland Park and Burleson.


Upon arrival to the Paragon Plastic Surgery Center you will fill out basic information regarding your health status, take photographs, undergo our three-dimensional body scan and spend time face-to-face with Dr. Mark A. Bishara, M.D. P.A. discussing the pros and cons to each procedure you may be a candidate for. In addition, you will have the opportunity to try on breast implants to gain a perspective on what size and type of implant would be best. Ultimately, leaving our facility with an individual treatment plan, pricing and the implant you want.


Dr. Mark A. Bishara, M.D. P.A. maintains surgical attending privileges at Mansfield Medical Center and throughout the Methodist Hospital System, where his father is a Legacy in Pediatric Infectious Diseases. Most cosmetic surgery procedures performed by Dr. Mark A. Bishara, M.D. P.A. are held at the privately owned Paragon Plastic Surgery and Med Spa surgery center in Mansfield, Texas. The location is 1101 Matlock Rd. in Mansfield Texas.
This facility established in 2014 is a State of The Art, World Class AAAHC Certified Surgery Center with two fully equipped and certified operating rooms. The family waiting area is equipped with linear fireplaces, Italian glass-blown chandeliers and plenty of relaxation space for love ones to wait during your procedure. All anesthesia providers are certified in their field.


In general, most women from ages 18 to 35 are interested in primary for augmentation. These women typically have small under-developed breasts.
Women who are ages 20 to 40 who have had several children may also experience involutional micromastia where the breast gland deflates overtime. These women may be interested in increasing the breast size and lifting in a procedure known as augmentation mastopexy.
Finally, there are patients who have had previous breast surgery before that may need a Revision Breast Surgery due to asymmetry, unevenness, rippling, capsular contraction or hardening of the implants. These patients are typically undergo removal of the breast implants in exchange for another larger implant or switching from sailing to silicone.
Call 817-473-2120 or email: [email protected] to schedule a consultation today!

There are seasons for everything, but one thing you wouldn’t expect to be seasonal is cosmetic surgery. Any plastic surgeon, however, will tell you that the spring is the season for breast augmentations and liposuction, and the season for facelifts is right after Christmas. And many other procedures are more common during certain times of the year.

The reasons for this seasonality become obvious when you consider each procedure. During the spring, women start thinking about that dreaded bathing suit. They try them on and might notice a little fat that wasn’t there last year, or they might wish they filled it out better in certain areas. Since it takes a month or so to look reasonable in a bathing suit after cosmetic surgery, by July 4, if the surgery hasn’t been performed yet, many women wait until after the summer. 
When it comes to facial surgery, like face or eyelid lifts, fall or winter surgery is most common. While you should be able to face the public two weeks after a facelift, you might not really want to. You’ll have residual swelling and even a little bruising up to a month after the lift, and there’s always a chance of some odd lumps and bumps. It’s a lot easier to wear scarves or heavier makeup when it’s cold outside. When planning for cosmetic surgery, you might be pleasantly surprised at how fast you recover, but 5-10% of people have one thing or another that slows down their recovery. When planning out your schedule, you really have to plan for the worst-case scenario.
Recovery from larger procedures takes longer than recovery from smaller procedures. And older women take longer to bounce back than younger ones. And, of course, if you have significant medical problems, you have a much higher chance of a complication after surgery; you and your surgeon may decide to forgo surgery and improve your appearance with less invasive procedures that are less demanding on your body.
While some office procedures like Botox, Xeomin and Fillers, are easier to do and really don’t have seasonality, not all types of procedures are suited for the summer. Chemical peels and some laser treatments require strict avoidance of sun, so unless you live in a cave or are a vampire, you might consider having these treatments during the fall-winter months.

This Information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX
Please visit us on our Facebook page at The Paragon Plastic Surgery and Medspa



For women who are interested in breast enhancement, one of the biggest questions is, “What’s the best time for breast augmentation?”
To determine that answer, you need to ask yourself why exactly you’re choosing the procedure in the first place. Many women choose breast augmentation because they want to have a beautiful body for the summer and beyond. After all, the summer means more time at the pool and the beach, and more time in a bikini.
Patients should think about the time they’ll spend resting and recovering after the procedure.
Women who have breast augmentation are going to need a few days to begin the recovery process and start to feel like themselves again.
So is there a universally-accepted time that is considered the best time for breast augmentation? Again, it depends on a woman’s goals and needs.


Many women have found that the “best” time for breast augmentation procedures is in the fall or winter months. For starters, the colder weather means heavier, less-revealing clothing. That means you can recover privately. With fewer outdoor activities, it also makes it easier to rest up and focus on recovery.
Many breast augmentation patients agree that getting the procedure done in the fall and winter allows the most time for healing and, when summer comes, they feel great showing off their new curves, whether it’s at the pool, beach, or any vacation spot.
No matter what time of year you decide to schedule cosmetic surgery, there are many other considerations to keep in mind. At the top of your list has to be the skill and experience of your surgeon. Look for a surgeon who has extensive experience performing breast augmentation procedures. Also review your implant options so you can determine which implant style is best for your aesthetic goals. By paying attention to all of the variables that go into making breast enlargement a successful and rewarding experience, you can make the most of your procedure.
If you are considering breast augmentation in the Dallas, TX area, call and schedule a consult now.  At the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa, we offer the Vectra 3-d Imaging system , so you can take a 3-dimensional sneak peek at yourself and how you might appear after breast implants.  Please call our office at (817) 473-2120 or visit our website at

en Español

¿Qué hora es “mejor” para el aumento mamario?
Para las mujeres que están interesadas en la mejora de mama, una de las mayores preguntas es, “¿Cuál es el mejor momento para el aumento mamario?”
Para determinar la respuesta, usted tiene que preguntarse por qué es exactamente lo que está eligiendo el procedimiento en el primer lugar. Muchas mujeres optan por el aumento de senos porque quieren tener un cuerpo hermoso para el verano y más allá. Después de todo, el verano significa más tiempo en la piscina y la playa, y más tiempo en bikini.
Los pacientes deberían pensar en el tiempo que va a pasar en reposo y la recuperación después del procedimiento.
Las mujeres que tienen el aumento de senos van a necesitar unos días para comenzar el proceso de recuperación y empezar a sentirse como ellos de nuevo.
Entonces, ¿hay un tiempo universalmente aceptada que se considera el mejor momento para el aumento mamario? Una vez más, depende de los objetivos y necesidades de la mujer.
INVIERNO Y CAÍDA: El momento óptimo para el aumento mamario?
Muchas mujeres han encontrado que el “mejor” momento para los procedimientos de aumento de senos es en los meses de otoño o invierno. Para empezar, el tiempo más frío significa más pesada ropa, menos reveladora. Esto significa que puede recuperar de forma privada. Con menos actividades al aire libre, sino que también hace que sea más fácil para descansar y centrarse en la recuperación.
Muchos pacientes de aumento de senos están de acuerdo en que obtener el procedimiento realizado en el otoño y el invierno permite más tiempo para la curación y, cuando llega el verano, se sienten gran mostrando sus nuevas curvas, ya sea en la piscina, la playa o cualquier lugar de vacaciones.
No importa en qué época del año usted decide programar la cirugía estética, hay muchas otras consideraciones a tener en cuenta. En la parte superior de su lista tiene que ser la habilidad y experiencia del cirujano. Busque un cirujano con amplia experiencia realizando procedimientos de aumento de senos. También revise sus opciones de implantes para que pueda determinar qué implante estilo es mejor para sus objetivos estéticos. Al prestar atención a todas las variables que van a hacer la ampliación de mama una experiencia exitosa y gratificante, puede hacer que la mayor parte de su procedimiento.
Si usted está considerando el aumento del pecho en el área de Dallas, TX, llamar y programar una consulta ahora. En la oficina del Dr. Mark Bishara y La Cirugía Plástica y Paragon Med Spa, ofrecemos el 3-d sistema Imaging Vectra, para que pueda tomar una ojeada en 3 dimensiones a ti mismo y cómo puede aparecer después de los implantes mamarios. Por favor llame a nuestra oficina al (817) 473-2120 o visite nuestro sitio web en

Breast augmentation, also called augmentation mammaplasty, involves surgical placement of an implant behind each breast to increase its volume and enhance its shape. Often, after weight loss, childbirth, or as a result of aging, the breasts lose volume and their shape changes. Also, many women choose to have their breasts enlarged in order to satisfy their desire for a fuller bustline. Breast augmentation can be performed at any age after the breasts are developed.


  • Positive aesthetic results, and data has shown patients often receive a substantial psychological boost.
  • It is often possible to return to work within a week, depending on the nature of your work.
  • No scientific evidence that breast augmentation increases the risk of breast cancer, autoimmune disease, or any systemic illness.
  • No evidence that breast implants affect pregnancy or ability to breast-feed.

Other Considerations:

  • Every surgical procedure carries some risk. Potential complications may include reactions to anesthesia, blood accumulation that may need to be drained surgically, and infection.
  • Changes in nipple or breast sensation may result from breast augmentation surgery, although they are usually temporary.
  • When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. If the capsular contracture is severe, it may cause discomfort or changes in the breast’s appearance. Additional surgery may be needed to modify or remove scar tissue, or perhaps remove or replace the implant.
  • Breast implants can make performing and reading mammograms technically difficult. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination.
  • As with other surgical implants, breast implants cannot be expected to last forever. If a saline-filled implant breaks, its contents are harmlessly absorbed by the body, usually within hours.
  • Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of breast augmentation.
  • As of May 2000, Federal regulation prohibits breast augmentation for purely aesthetic surgery in women less than 18 years of age

This Information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa

en Español

El aumento de senos, también llamada mamoplastia de aumento, implica la colocación quirúrgica de un implante detrás de cada seno para aumentar su volumen y mejorar su forma. A menudo, después de la pérdida de peso, el parto, o como resultado del envejecimiento, los senos pierden volumen y su forma cambia. Además, muchas mujeres prefieren que sus pechos agrandados con el fin de satisfacer su deseo de tener un busto más lleno. El aumento de senos se puede realizar a cualquier edad después se desarrollan los senos.
Resultados estéticos positivos, y los datos han demostrado que los pacientes a menudo reciben un impulso psicológico sustancial.A menudo es posible volver al trabajo dentro de una semana, dependiendo de la naturaleza de su trabajo.No hay evidencia científica de que el aumento del pecho aumenta el riesgo de cáncer de mama, enfermedad autoinmune, o cualquier enfermedad sistémica.No hay evidencia de que los implantes de mama afectan el embarazo o la capacidad de amamantar.
Cada procedimiento quirúrgico conlleva cierto riesgo. Las complicaciones potenciales pueden incluir reacciones a la anestesia, la acumulación de sangre que pueden necesitar ser drenado quirúrgicamente, y la infección.Cambios en el pezón o la sensación del pecho pueden resultar de la cirugía de aumento de pecho, a pesar de que suelen ser temporales.Cuando un implante mamario se inserta, se forma una cápsula cicatricial alrededor de él como parte del proceso de curación natural. La cápsula puede a veces apriete y comprimir el implante, causando la mama a sentirse más firme que la normal. Si la contractura capsular es grave, puede causar molestias o cambios en la apariencia de la mama. Cirugía adicional puede ser necesaria para modificar o eliminar el tejido cicatricial, o tal vez eliminar o reemplazar el implante.Los implantes mamarios pueden hacer escénicas y mamografías lectura técnicamente difícil. La colocación del implante debajo del músculo pectoral puede interferir menos con el examen mamográfico.Al igual que con otros implantes quirúrgicos, los implantes mamarios no se puede esperar que dure para siempre. Si una solución salina implante se rompe, su contenido se inofensivamente absorbidas por el cuerpo, por lo general en cuestión de horas.El embarazo puede alterar el tamaño del pecho de un modo impredecible y podría afectar a los resultados a largo plazo de aumento de senos.Hasta mayo de 2000, la regulación federal prohíbe el aumento de senos para la cirugía puramente estética en mujeres menores de 18 años de edadEsta información es traído a usted por cortesía de Dr. Mark Bishara y La Cirugía Plástica y Paragon Med Spa

The BotTom line when it comes to an insurer’s decision to pay for plastic surgery is typically whether a procedure is considered medical necessary.

Americans love to look good, but insurers are often reluctant to pay the bills to help us look better.
Last year we spent nearly $11 billion on cosmetic procedures, according to the American Society for Aesthetic Plastic Surgery. Of the more than 10 million procedures performed, the most requested was breast augmentation.
But Cameo Wichinsky, a 42-year-old investment fund manager living in Santa Monica, wants to take her figure in the opposite direction.
Having long lived with the discomfort of breasts large enough to cause shoulder and neck pain and to limit her level of physical activity, she’s ready to go under the knife to reduce her breast size and, she hopes, improve her quality of life.

“I’m at the stage of my life when I’m ready to be active and be at my highest level. These things get in the way,” Wichinsky said.
Despite the fact that she has health insurance, she says she’ll have to shell out the nearly $9,000 for breast reduction surgery, which she has scheduled for November. Her insurer won’t cover the procedure.
“Insurance is a huge hassle,” Wichinsky said.
There was a time when health insurers more readily paid for breast reductions. We tend to think of breast reduction as reconstructive surgery and not cosmetic, even though it has that cosmetic aspect to it.
Plastic surgery is expensive. It’s important to know ahead of time what insurers will pay for.
The line between the desire for improved physical appearance and medical need can be fuzzy in the world of health insurance. Although few people expect to have their health plan pay for their tummy tucks or face lifts, there are procedures that legitimately warrant coverage.
The bottom line when it comes to an insurer’s decision to pay for a procedure is typically whether it’s considered medically necessary, experts say.
“Generally, if a procedure is necessary to repair or preserve the healthy functioning of the body, it’s likely to be medically necessary,” said Carrie McLean, senior manager of customer care with online insurance broker
“If the procedure is typically considered standard practice for any given diagnosis, that may also meet the criterion for medically necessary,” she said.
Exactly where that line is drawn depends on the individual and his or her circumstances, not the procedure itself, said Patrick Johnston, president of the California Assn. of Health Plans, which represents 40 health plans insuring more than 21 million Californians.
For example, a middle-aged man interested in a tummy tuck to restore the six-pack of his youth isn’t likely to get much sympathy from his insurer, he said, but it’s a different story for someone who lost 150 pounds after bariatric surgery and is left with excess skin.

“This is a recognized standard of treatment for morbidly obese individuals,” Johnston said.
In the same way, he said, a nose job to correct a deviated septum or surgery to lift drooping eyelids that impair vision are other common surgeries likely to be covered by a health plan.
Consumers have a variety of legal protections that guarantee access to certain cosmetic procedures.
Women who have undergone a mastectomy after a diagnosis of cancer, for example, are guaranteed coverage for reconstructive surgery.
“Both federal and state laws guarantee a woman who has had a mastectomy as a result of breast cancer coverage for breast reconstruction,” Johnston said.
California law also requires insurers to cover the repair of a child’s cleft palate, which includes any medically necessary dental or orthodontic services that are an integral part of reconstructive surgery.
If you’re in the market for a cosmetic procedure, here are some important reminders.
• Check with your insurer in advance. In most cases you’re likely to need your insurer’s pre-authorization to obtain coverage.
It’s a good idea to work with your doctor. Submitting medical records, letters from specialists who have treated you for long-term symptoms and in some cases photos can all lend support for the medical necessity of the procedure and increase your chances of gaining approval.
• Pre-approval may not be enough. Breast reduction surgery such as what Wichinsky plans is a good example of the devil being in the details.
Most insurers dictate how many grams of tissue must be removed from each breast for the procedure to be covered. Asking in advance what those requirements are can help avoid surprise bills.
• You can appeal insurer decisions. Don’t be deterred if your insurer initially denies coverage. You frequently have to appeal the claim … to obtain insurance coverage.
This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa