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Top 5 Plastic Surgery Myths- by Dr. Mark Bishara, MD

Many myths surround the seemingly glamorous world of plastic surgery. But in fact, plastic surgery is a lot like every other medical specialty with highly-trained physicians providing many different services. Here are the Top 5 Plastic Surgery Myths.
#5 Plastic Surgery is All About Beauty and Vanity
Although breast augmentations, Botox and facelifts get all the press, plastic surgery encompasses everything from correcting birth defects such as cleft palates to post-cancer breast reconstruction and work-related hand injuries.
Plastic surgeons care about the functional and overall results after surgery, not just the aesthetics (although we are specifically trained to optimize those, as well). When a patient does choose to have surgery for cosmetic reasons, it is often to correct areas which are not amenable to diet, weight loss or nonsurgical procedures.
#4 Plastic Surgery Patients are the Rich and Famous
If plastic surgeons only operated on the 1%, we wouldn’t have a thriving plastic surgery industry.
Most aesthetic patients are not the rich and famous, but are average people who simply wish to restore confidence, enhance their overall appearance and improve their lives.
#3 Only Women Get Plastic Surgery
Although women have been the traditional customers of plastic surgery, men are turning to plastic surgery in increasing numbers.
Less invasive procedures such as Botox, laser treatments and dermal fillers can give men a rejuvenated and naturally youthful appearance without any downtime and at relatively low costs. These, along with liposuction, are the most popular cosmetic surgery treatments for men, with many men reporting a need for a competitive edge in the workforce as the reason they have pursued cosmetic treatments.
#2 Plastic Surgery Leaves No Scars and Lasts Forever
Plastic surgeons are great at making scars look better, more refined and smaller, but all types of plastic surgery will generally cause some type of scar formation. We can often recommend the best way to minimize scarring, and give advice and treatments on how to make your scar look as great as possible after surgery.
And while many plastic surgery procedures are long lasting and can give you years, if not decades of personal satisfaction, many factors determine how long the results will last. Plastic surgery can turn back the hands of time – but the clock keeps on ticking. Great skin care, less-invasive office procedures, surgical touch-ups, and your overall health are all important to maintain your natural good looks.
#1 Plastic Surgery is the Same as Cosmetic Surgery
All plastic surgeons do not have the same training. Many doctors trained in, and board certified in, other specialties such as gynecology or family medicine have ventured into plastic surgery, causing what is known as “white coat confusion“. Yes, they are board certified – but not in plastic surgery.
Being board certified in plastic surgery means that a physician has undergone years of specific training related to all the nuances of cosmetic and plastic surgery. Patients choosing a surgeon for their cosmetic and plastic surgery procedures should always inquire about a doctor’s specific board certifications.

This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa with offices in Mansfield and Southlake, TX



 

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New Evidence On What Women Can Expect After Breast Augmentation Surgery

Ninety-eight percent of women undergoing breast augmentation surgery say the results met or exceeded their expectations, according to a prospective outcome study published in the May issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Women also report improvements in self-esteem and quality of life after breast augmentation, according to the study by ASPS Member Surgeon Dr. Eric Swanson, a plastic surgeon in private practice in Leawood, Kan. The study adds high-quality information regarding expected outcomes after breast augmentation – including recovery time and psychological benefits.
98 Percent of Women Satisfied with Breast Augmentation Results
The survey study evaluated 225 consecutive women who returned for interviews at least one month after breast augmentation over a five-year period. Interviews included questions about the recovery, results, complications and psychological effects.
The average patient was 34 years old, and the majority of women received saline-filled breast implants placed under the muscle. The average implant volume was 390 cc.
On a 10-point scale, the women reported an average pain score during recovery of 5.9. On average, they used prescription pain medication for five days and were off work seven days. Patients felt they were “back to normal” about 25 days after surgery.
Eighty-five percent of women rated their new breast size “just right.” Thirteen percent would have preferred a larger size and less than two percent a smaller size. Only one percent expressed dissatisfaction with their scars, which were usually located in the crease under the breast. Seventy-five percent of women rated their breast firmness “just right.” When asked to rate the result, over half of the patients gave it a perfect 10 on a scale of 1 to 10. Almost all patients (98 percent) reported that the results met or exceeded their expectations.
Increased Self-Esteem and Other Psychological Benefits
Nearly 40 percent of the women surveyed experienced at least temporary nipple numbness after surgery. Persistent numbness was reported by only two percent. The complication rate reported by patients was 10 percent. When asked about psychological effects, 92 percent of women reported improved self-esteem after breast augmentation and 64 percent reported an improved quality of life. Before surgery, the majority of women (86 percent) were self-conscious about their breasts. After surgery, only 13 percent were self-conscious about them.
Breast augmentation is the most popular cosmetic surgery procedure in the United States – approximately 286,000 operations were performed in 2012, according to ASPS statistics. The study results provide new information for women considering breast augmentation, particularly in terms of their expectations of the recovery and results. “This study is valuable in providing information from the patient’s perspective, not the surgeon’s,” according to Dr. Swanson. “Patient satisfaction is the most important measure of surgical success.”
This news is brought to you courtest of Dr. Mark Bishara and The Paragone Plastic Surgery & Med Spa
Dr. Bishara, with offices in Mansfield and Southlake, TX- 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.
 

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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.

Saline breast Implant
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.

 

Breast implants in hand 01
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

Breast Implants
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.
 
 

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Breast Augmentation- by Dr. Mark Bishara in Mansfield & Southlake

Breast augmentation plastic surgery is one of the most common procedures performed annually by members of the American Society for Aesthetic Plastic Surgery. Women may choose to under go breast enlargement surgery for various reasons. These personal reasons may center around breasts that are perceived to be under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast feeding.
Some women may be happy with their breasts but just want them made fuller. Often after weight loss, aging or childbirth a woman’s breast volume and shape may change. This too can lead to a woman to seek a breast augmentation. Breast implant surgery performed by cosmetic plastic surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.
Before and After Pictures of Dr. Mark Bishara’s Patients:
Are you a good candidate for breast augmentation?
One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the otherDuring the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.How will my plastic surgeon evaluate me for breast augmentation surgery?Your plastic surgeon will examine your breasts and take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.
    You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.
    If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery. If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

    What type of breast implants can be used for breast augmentation?

    The implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

    The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your plastic surgeon discuss.  All breast implants include a solid silicone rubber outer shell, called a lumen.
    Breast implant options include:

    • Saline breast implants: Filled with sterile salt water
    • Silicone filled breast implants: Filled with soft, elastic gel

    New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your plastic surgeon will be able to provide you with the latest information.

    Maintaining a Relationship with your Plastic Surgeon

    Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.
    Dr. Bishara offers cosmetic surgery procedures that help sculpt the appearance of the face and body to help patients look and feel their best. Facelift, rhinoplasty, breast augmentation, tummy tuck, and BOTOX® Cosmetic injections are just some of the many procedures Dr. Bishara offers.
    For more information about Dr. Bishara and his practice, feel free to explore the website, or call the office today at 817.473.2120 to schedule a consultation with Dr. Bishara.
    For more before and after pictures of breast augmentation patients- please visit our website at markbisharamd.com
    Contact Us!

 

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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.

 

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