contact-us
Sign up for a Consultation or Ask Dr Bishara a Question?
Breast augmentation surgery, also known as augmentation mammoplasty, involves enlarging or reshaping the breast with the use of an implant. If you are thinking about getting breast augmentation surgery, there are a few things you should know before embarking on the process. The first thing is to not be intimidated by the word “surgery”. This type of cosmetic enhancement is one of the most common types of procedures performed in the United States, with thousands of women having breast augmentation done every year.
The first step is to consult with your doctor about the nature of the procedure.
Matters discussed and questions asked during a typical consultation include:

  • What are the respective benefits of silicone and saline implants?
  • What type of anesthesia will be used?
  • The doctor’s level of experience (how many breast augmentation procedures do they perform every year?)
  • What is to be expected immediately after the procedure?
  • How often do they have to reoperate?
  • What kind of scarring is to be expected from a breast augmentation procedure?

About Implants
Silicone implants are considered to be more realistic in that the gel with which they are filled has a similar consistency to breast tissue. Saline implants are firmer and filled with salt water instead of gel. While there is the potential for a silicone gel implant to rupture as a result of an injury, this is a rare event. If it does rupture, the silicone should remain within the implant shell or move to the implant pocket. If a saline implant ruptures, its contents will be absorbed by the body.

The Surgery Itself
The factors governing the placement of the incision include the size of the implant, and your body-type. The incision may be placed in a number of areas including under your breast or arm, around your nipple. The incision may be placed through a mastectomy scar if the implant is being used to reconstruct your breast after mastectomy surgery. Dr Bishara will lift your skin tissue to create a pocket into which the implant will be inserted. After the implant is in place, the incisions will be closed by suturing the breast tissue and then using sutures, skin adhesive or surgical tape used to close the incision in the skin.

The Recovery Process Following Breast Augmentation Surgery
Immediately after breast augmentation surgery, your breasts will be covered in gauze, or you will be provided with a surgical bra. You will be taken to an observation area, where you will be observed for any possible post-surgical complications. Recovery after breast implant surgery will usually take 24 to 48 hours. You will be prescribed medications to help with any nausea or pain. Your doctor will tell you how to care for your wound and during follow-up visits, advise you on when you can return to regular activities like work and exercise.
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 for more information at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.
 

Plastic Surgery Procedures (Body Contouring) After Weight Loss

Most patients who undergo gastric bypass, or some form of gastric banding procedure, do lose weight. Many lose a lot of weight. But this massive weight loss brings problems of its own.
Typically patients are left with large folds of excess skin, along with loose muscles and sometimes localized pockets of unsightly fat tissue. In such cases, bariatric plastic surgery procedures, body contouring procedures and lipoplasty (liposuction), can help to reshape the normal structures of the body in order to improve appearance and self-esteem.
Plastic surgery is not an easy option. Mostly, it involves exchanging one cosmetic problem (eg. loose skin) for another (scars).
Plastic Surgery Procedures to Remove Loose Skin and Fat
For patients suffering from morbid or malignant obesity, choosing bariatric surgery to reduce calorie intake may offer them a passport to a healthy life. But even if such surgery causes them to lose substantial amounts of weight, they may face new problems which may necessitate further operations.
Plastic Surgery to Remove Loose Skin
When bariatric surgery (eg. gastric bypass) leads to dramatic weight loss, excessive amounts of skin can accumulate and hang in various areas, including face, neck, breasts, upper and lower abdomen, flanks, armpit, back, buttocks, arms, forearms, thighs, legs, and calves. This surplus skin can cause considerable hygienic problems, skin irritation, skin breakdown, pain and infection.
Plastic Surgery Procedures to Remove Excess Residual Fat
In addition, even though the patient might have experienced massive weight reduction, this weight loss may not be evenly spread around the body. This also depends on the patient’s type of obesity condition (whether gynoid or android). Body Contouring procedures can help to reduce these fat deposits, either by surgical excision or lipoplasty.
Cost of Plastic Surgery Procedures
The price of bariatric-related plastic surgery procedures can vary significantly, depending on several factors.

  • Patient’s condition
  • Complicating factors
  • The plastic surgeon
  • The hospital chosen
  • The type of anesthesia
  • Complications arising

Patient’s Needs
The full cost of your plastic surgery procedure is unlikely to become clear until after you have been examined by your surgeon, and your individual requirements and needs ascertained. Even then, you may need follow-up procedures after your plastic surgery.





Body Contouring Surgery Options

  • Abdominoplasty (tummy tuck)
  • Arm Lift (brachioplasty)
  • Body lift (Circumferential Panniculectomy)
  • Breast Lift (Mastopexy)
  • Breast Reduction (Women)
  • Buttock Lift
  • Face Lift
  • Forehead Lift
  • Male Breast Reduction (Gynecomastia)
  • Liposuction (Lipoplasty)
  • Thigh lift (Thighplasty)

Dr. Bishara will discuss these and other treatment options with you during your consultation to determine which procedures are right for you. Our  treatment plan is specifically designed for patients who have recently undergone bariatric surgery and are left with loose, sagging skin as a result of the extreme weight loss. Please call our office at (817) 473-2120 for more information or to schedule a consultation or visit our website at www.MarkBisharaMD.com for more pictures of body contouring patients.

Weight Loss Surgery, How Do I Get Started?

Taking the first step is often the hardest when it comes to weight loss, so True Results provides some easy-to-use tools and free services to help you get informed and get started on your journey.
In North Texas, True Results has teamed up with Baylor Health Care System to provide innovative weight loss solutions for life.
True Results provides a comprehensive program and an expert medical team that’s with you every step of the way. They have specialized bariatric centers in DallasFort WorthHoustonSan AntonioAustinPhoenixTucson and St. Louis.
True Results opened the nation’s first state-of-the-art outpatient surgery center to be recognized by the American College of Surgeons as an Accredited Outpatient Bariatric Center.
Losing weight is about more than just looking good. It’s about being healthy. Bariatric patients who lose a significant amount of weight typically improve or resolve weight-related co-morbidities including Type-II diabetes, hypertension (high blood pressure), sleep apnea, joint pain and asthma.

Quick Weight Loss with Bariatric Surgery


If you are overweight and are looking for quick weight loss, then a surgical weight loss procedure may be the right approach for you. True Results has excellent quick weight loss centers in Dallas, Fort Worth, Houston, San Antonio, Austin, Phoenix Tucson and St. Louis. Their centers are specially designed for outpatient bariatric procedures.  True Results specializes in the Lap Band and Sleeve Gastrectomy surgeries, and both can be performed in outpatient centers.  Lap Band procedures and the Sleeve Gastrectomy are available in all Texas and St. Louis markets.
To help you understand the differences in the Lap Band Procedure, Sleeve Gastrectomy Surgery and Gastric Bypass Surgery, this page provides a brief overview of each procedure.

Lap Band Procedure

Lap Band Surgery IllustrationGastric banding, commonly known as a Lap Band procedure, was approved by the U.S. Food and Drug Administration for safe and effective weight loss. It is a silicone band – like a ring or belt – that is placed around the upper part of your stomach.
It is designed to place a precise level of pressure on the nerves around the upper part of your stomach so they send signals to your brain that you are not hungry.  Because the band also constricts the upper portion of your stomach, you will eat less food at one time and still feel satisfied.
The Lap Band system includes a small access port that is safely placed under your skin.  The port is not visible and it is unlikely that anyone will know you have the Lap Band system, unless you tell them.
The band is adjusted by adding or removing saline through this access port with a small needle to ensure it continues providing optimum weight loss results.  True Results has the most experienced team of weight loss surgeons in America and pioneered performing this procedure in an outpatient setting.
True Results offers the Lap Band procedure at all of its specialty weight loss centers in DallasFort WorthHoustonSan AntonioAustinPhoenixTucson and St. Louis.

Sleeve Gastrectomy (Gastric Sleeve)

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 20% of its original size.
Gastric sleeve is a restrictive procedure where approximately 80% of the stomach is removed, creating a small vertical sleeve about the size of a small banana.  This procedure is not reversible.
This procedure limits the amount of food you can eat and helps you feel full sooner. It allows for normal digestion and absorption. Food consumed passes through the digestive tract in the usual order, allowing it to be fully absorbed in the body.
The majority of sleeve gastrectomy procedures are performed using a laparoscopic technique, which is considered minimally invasive. This procedure can be done in an outpatient, same-day surgery center or an inpatient hospital setting.
True Results offers the Sleeve Gastrectomy throughout Texas and in St. Louis.

Plastic Surgery Procedures After Weight Loss- Body Contouring

Most patients who undergo gastric bypass, or some form of gastric banding procedure, do lose weight and many lose a lot of weight. But this massive weight loss brings problems of its own.  Sometimes the need for plastic surgery or body contouring procedures are needed to get rid of excess fat, loose muscle and fat tissue.  The office of Dr. Mark Bishara offers many body contouring procedures that help patients look and feel their best after their weight loss. These procedures are designed to improve the appearance of the body and provide highly effective results. Many of these body contouring procedures can be combined in order to achieve your desired appearance.  Please call our office at (817) 473-2120 or visit our website at www.MarkBisharaMD.com for more information.

 

Breasts

Whether you want to increase your breast size, get a lift, go down a size or have breast revision surgery, the office of Dr. Mark Bishara has the information for you to get started on your smart beauty choice.

Breast Augmentation

Also known as augmentation mammaplasty, breast enlargement or breast implants
Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.

When to Consider Breast Augmentation

  • If you want a better proportioned or more appealing figure
  • If you wish your clothes fit better
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts
  • To restore symmetry if one of your breasts is smaller than the other
Also known as mastopexy and breast lift surgery
A breast lift addresses sagging and uneven breasts, decreased breast volume and drooping nipples and stretched areolas (the darker area surrounding the nipples), recreating a youthful shape and lift to your breasts. If there is too little or too much breast volume, a breast augmentation or breast reduction might be recommended in addition to a lift. Every year, thousands of women undergo successful breast-lift surgery, experience no major problems and are pleased with the results.

When to Consider a Breast Lift

  • Pregnancy, nursing, gravity, weight gain or loss, normal aging, and heredity have taken a toll on the shape of your breasts, resulting in sagging
  • If your surgeon thinks that breast implants alone are unlikely to achieve the contour you desire
  • If the tissue surrounding the nipple or areola has become stretched

Breast Reduction

Also known as reduction mammaplasty
The goal of breast reduction surgery is to reduce the size of your breasts and reshape them so that they are proportionate to the rest of your body and are no longer a source of physical discomfort. This commonly requested, predictable procedure has the dual benefits of improving your appearance while relieving the physical and emotional burden of overly large breasts.

When to Consider Breast Reduction

  • If your breasts are too large for your body frame and create neck, back, or shoulder pain
  • If you have heavy breasts with nipples and areolas (pigmented skin surrounding the nipples) that point downward
  • If one breast is much larger than the other
  • If you are unhappy and self-conscious about the large appearance of your breasts

Breast Revision

Also known as breast implant replacement
Breast implant revision surgery, which commonly involves removal and/or replacement of saline or silicone breast implants, is performed to change the size or type of your implants and to correct any complications from your primary breast augmentation. The overall goal is to restore a youthful breast contour and appearance.

When to Consider Breast Revision

  • Your saline breast implants have deflated or an X-ray or MRI suggests your silicone implant has a shell leak
  • If you want to change your implant/breast size
  • If you have tightening of the scar tissue around the implant (capsular contracture) or your breast implants have shifted in position
  • If your breast tissue has changed as a result of skin stretching or weight loss/gain

Dr. Mark Bishara, with offices in Mansfield and Southlake- 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 for more information at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.

 

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.