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 APPOINTM[email protected] TO SCHEDULE AN  APPOINTMENT.
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Mothers everywhere are feeling the pressure to look like a supermodel weeks after welcoming their child to the world and turn to Mommy Makeovers. Many believe this mind set is due to our pop-culture. For example, Kim Kardashian, someone who is always in the spotlight bounced right back after her first child and was rumored to look even better than before her pregnancy. Dr. Diana Zuckerman, president of the National Research Center for Women & Families, describes this as “the trickledown effect”: “The most beautiful women are getting Mommy Makeovers to look even more beautiful, then having their photographs computer-enhanced, and the rest of us are left saying, ‘Why don’t I look that good?’” We say this with the intent to educate those that aren’t aware of the editing that goes on to make those in the public eye look picture perfect 24/7. It is best for mothers, and all patients, to go into cosmetic surgery with the end goal of increased confidence, self esteem and love for their body, not with the intent to look perfect. To find out the psychology behind women who choose cosmetic surgery after the baby please refer to the information below. Real Self surveyed mothers of all age ranges: 99.5% of them had work done after they had a child (or children) and 85% of them have had more than two kids.

[calltoaction]To learn more about Mommy Makeover Procedures, please contact usat (817) 473-2120 today or email [email protected][/calltoaction]

“so fresh and so clean clean”

Clean your house and tidy up before having your breast augmentation surgery with Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Med Spa because we will be joining you for dinner! No, we won’t be joining you for dinner (unless you insist). We recommend cleaning your house before surgery because coming home to a dirty dishevelled house is not relaxing. Create your own serene environment, whatever that may entail, it doesn’t matter as long as you will be able to recover and relax. Nothing beats snuggling up in bed with fresh clean sheets!

Nightstand Necessities

For those that don’t know CVS and most other drug stores have a wall of one dollar priced items that are travel size. Use this wall to your advantage and stock up on little things that we usually keep in our purse or car. Think of all the items that you use on a daily basis and put them right in arms reach on the nightstand. Such items could include your favorite lip balms, lotions, gum or mints, tissues, water (for the adventurous – water with cucumber, lemon and mint leaves), tv remote, baby wipes to freshen up, smart phone, charger, magazines and books (self help books could be great, we all need some improvement)! FreeImages.com/RicardoVasquez.

Right In Arms Reach

Before breast augmentation surgery go around the house and see what you reach for on a daily or weekly basis. Keep your arms to your sides and see if you can still reach it, if the item is too high and your have to lift your arms up relatively high move it to a lower place. After surgery you won’t want to be raising your arms up over your head. So, pretend to make dinner or get ready for the day and bring those items to you!

“Plump” up the volume


Body pillows are available at most stores like Kohls or Target. Get a couple of these body pillows to have on both sides of you to prop up those arms (soft fuzzy pillow cases are available for these). In addition to those, prop a few regular pillows behind you or get a wedge type of pillow to help you sit at a 45 degree angle. Sitting at this angle and propping your arms up will help with bruising. FreeImages.com/Mdmartian.

Cocoa Butter

Once you have the clear all after your breast augmentation surgery to take showers, your skin will be tighter than usual and could start itching if you aren’t moisturizing properly. Be careful not to get the cocoa butter/moisturizing lotion of your choice near the incisions but you can apply this to the surrounding areas to help with the tightness and itching.

Child Care


Dr. Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Med Spa have special places in their hearts for kids and animals of all kinds so we want to be sure their taken care of! If child care entails picking your daughter/son up from school, taking them to practice and stopping for a quick bite on the way home make sure that someone will be able to take care of these for a little while. It can take as much as two weeks before driving will feel comfortable again. Also, if child care is taking your hyper dog for an afternoon run/walk be sure to have someone do this until you fully recover. Walking should be fine after a couple weeks. Be careful holding the leash if your little guy/girl likes to pull! FreeImages.com/MehmetGoren. FreeImages.com/DanMitchell.

Food


Very important topic for all of you fellow foodies! Make your meals ahead of time and store these away in the freezer (in a easy to reach place not above your head) so that you can easily reheat them. Little snack foods throughout the day are best. For the later weeks, stock up on the easy to cook favorites that you can do in your sleep (figuratively of course). Or, have your favorite delivery options saved in your smart phone! FreeImages.com/Rotorhead.

Feeling Peachy In No Time


The post operative combination of medications after your breast augmentation surgery can lead to you having constipation (I know, no one wants to talk about this) but you will be thankful later. Canned peaches, white grape juice or a high fiber based laxative like Metamucil will help alleviate this issue. FreeImages.com/Ecilaecila.

Bra

Ladies, we all know there’s nothing better than coming home and taking off your bra after a long day. I’m here to burst your bubble. After surgery your girls should be kept in the sports bra that your doctor provides you for the first month. After a month or two it is okay to wear sports bras of your choice as long as it supports you and doesn’t have underwire. After 6 months you should get the OK to go bra shopping and pick out the pretty bras that you’ve been itching to wear, until then, hold tight!

Ice ice baby

Have your ice packs ready (in an easy to reach place) in the freezer so when you get home they will be good and cold. Get 4 so you can use two at time and swap the room temperature ones out with the cold ones. The more flexible the ice pack the better so that you can form it to ice all areas and not just the top or side. Be sure to keep them on for 20 minutes on and 20 minutes off.

Comfortable Clothing

When you come home from your breast augmentation surgery you won’t want to be pulling anything over your head. Wear a button up loose fitting shirt to the surgery and easy to put on shorts (it’s okay if you look like you roam the streets for a couple weeks). Stock up on your boyfriend/husbands big button up shirts or go buy some soft comfy flannel ones!

Arnica Montana

No, I’m not instructing you to move to Montana! Arnica Montana is a pill that will help tremendously with bruising. It can be hard to find so get this ahead of time, it can usually be found in most drug stores or on Amazon for a cheaper price!

 

Please call 817-473-2120 or email [email protected] to come in for your personalized breast augmentation consultation with Dr. A. Bishara, M.D., P.A. and The Paragon Plastic Surgery & Med Spa!

Why Breast Augmentation?

Breast augmentation is done to enlarge breasts that are naturally small, to restore breast size and shape after pregnancy, weight loss or breast feeding and to:

  • restore symmetry if the breasts are not asymmetrical
  • restore the breast after the patient underwent breast cancer or some other condition that affected the breast size and shape.

Breast augmentation can benefit you. There are a few decisions one must make with the help Dr. Mark A. Bishara, M.D. P.A. to have this procedure done.

Self-Esteem Boost

Typically women experience a significant boost in their overall self-esteem and how they feel about themselves sexually and towards their partners. According to an article published in Plastic and Reconstructive Surgery, 98% of women who underwent breast augmentation surgery said that the results met their expectations. In addition to this women also reported that they had improvement in overall quality of life after the procedure. This research makes all too much sense, when a woman isn’t happy with her body, and is forced to live with it day in and day out, once she gets the issue resolved it is a whole new beginning and chapter in her life. Her loved ones can enjoy her more now than ever as well. The common saying, “happy wife, happy life” rings true.

Statistics

In one study, 225  women that underwent breast augmentation surgery reported   that they were back to normal within 25 days of their surgery date.

  • 85% said that 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.

These findings support a general tendency to go a little larger …especially if you are going back and forth between two sizes you more than likely will be pleased to have gone up in size than down. We hear this all too often that women wish this would’ve gone bigger and rarely hear it the other way around.

  • 1% were not happy with their scars.
  • 75% thought that their breast firmness was “just right”
  • 98% said their results met with their expectations.

The key words here are “met with their expectations” its just as important if not more to have realistic expectations for your breast augmentation surgery. In our edited and photoshopped society we live in it is important to keep those facts in mind when imaging your end result. It’s perfectly normal to expect great looking breasts just not perfect in every aspect like some pictures would lead us to believe.

According to the American Society of Plastic Surgery, there were  286,000 breast augmentations procedures in the USA in 2014. Breast augmentation was also named One of The Top 5 Cosmetic Surgical Procedures in 2014. There is no doubt in anyone’s mind that women getting breast augmentations are growing rapidly and becoming more and more common.

What are breast implants

A breast implant is placed inside the breast to reshape or reconstruct the physical form of the breast. The implant allows surgeons to create an entirely different breast than the one we are born with and aim for the shape and size that will make the patient and surgeon happy with their end result. The outer layer of the breast implant is made of firm silicone. The inside of the implant is where the different options come from, they can either be filled with salt water (saline solution) or silicone gel. At The Paragon Plastic Surgery and Med Spa we are proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants.The makers of these breast implants say that a standard amount of time that their safe to be in the body is 10 years give or take.

Incision Types

Dr. Mark A. Bishara, M.D. P.A. makes incisions in inconspicuous places on or around the breast to minimize scar visibility. The incisions may be located in three different places. First, in the armpit (transaxillary) this incision is one of the newer ones offered by surgeons and has given great results. Second, the crease on the underside of the breast (inframammary) no one will be able to see this unless they are right underneath you and even then it is hard to notice once the patient is fully recovered and the incisions are completely healed. Lastly, around the areola (periareolar) the dark skin around the nipple.

Placement Options

The first option is having a Submuscular placement of the breast implant, this means that the implant would be underneath the pectoral muscle. The recovery time from this placement may be a little bit longer than above because it is going under a muscle that hasn’t had anything underneath it. If this is your second time getting implants underneath the muscle then it shouldn’t be too much of a difference. Placing the implant underneath the muscle gives the breast a more natural look, reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. The other option is a Subglandular placement which is behind the breast tissue but over the pectoral muscle.

Before / After Photo

Please visit our website for more Before / After Photos and information on Breast Augmentation Surgery.

Give us a 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
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