Not sure what’s causing that stubborn cellulite? Turns out, it could be your hormones. Although many don’t realize it, there is a connection between cellulite and your hormones. Some experts believe that estrogen tends to aggravate and worsen cellulite since it encourages the body to build up and store fat, especially in the stomach, thighs, hips and butt. “Although a definitive hormonal cause has not been established, about 85 to 90 percent of women have some cellulite whereas men with normal hormones do not have it,” says Lincolnshire, IL, dermatologist Amy Forman Taub, MD.
Cellulite can get worse during pregnancy because of acute weight gain and fluid retention. During pregnancy, the body releases a hormone known as relaxin, which is believed to diminish collagen production. And the less elastic the skin is, the more common it is to see fat cells pushing against the skin. During and after menopause, many women see more cellulite since the quality and texture of the skin changes and it becomes thin, making cellulite more apparent.
Genetics are a factor of cellulite too. Chances are, if your mother had cellulite you will too. Even if you are predisposed to cellulite, you can minimize its appearance by maintaining a healthy weight, eating properly and taking care of your skin.
Treating cellulite in the early stages is the best plan of attack if you want to diminish its appearance. Since cellulite affects everyone differently, there is no set amount of time that it takes for it to progress and worsen. Some women notice exacerbated cellulite in a matter of months, while in others, it can take years for it to worsen. We can help you determine how you should go about treating your cellulite. Learn more about the right cellulite treatments for you.
This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
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En Espanol
No estoy seguro de lo que está causando que la celulitis tenaz? Resulta que, podría ser hormonas. Aunque muchos no se dan cuenta de que hay una conexión entre la celulitis y sus hormonas. Algunos expertos creen que el estrógeno tiende a agravar y empeorar la celulitis, ya que estimula al cuerpo a acumular y almacenar la grasa, especialmente en el estómago, los muslos, las caderas y las nalgas. “A pesar de que una causa hormonal definitiva no se ha establecido, el 85 y el 90 por ciento de las mujeres tienen celulitis mientras que algunos hombres con hormonas normales no lo tienen”, dice Lincolnshire, IL, dermatóloga Amy Forman Taub, MD.
La celulitis puede empeorar durante el embarazo debido a la ganancia de peso aguda y retención de líquidos. Durante el embarazo, el cuerpo libera una hormona conocida como la relaxina, que se cree que disminuir la producción de colágeno. Y la menos elástica la piel es, la más común es ver las células de grasa que empujan contra la piel. Durante y después de la menopausia, muchas mujeres ver más celulitis ya que la calidad y la textura de los cambios en la piel y se vuelve delgada, por lo que la celulitis más evidente.
Genética son un factor de la celulitis también. Es probable que, si su madre tenía celulitis que usted también. Incluso si usted está predispuesto a la celulitis, puede minimizar su aparición por mantener un peso saludable, comer correctamente y el cuidado de su piel.
El tratamiento de la celulitis en las primeras etapas es el mejor plan de ataque si quiere disminuir su apariencia. Desde la celulitis afecta a todos de manera diferente, no existe una cantidad de tiempo que toma para que pueda progresar y empeorar. Aviso Algunas mujeres exacerban la celulitis en cuestión de meses, mientras que en otros, puede tomar años para que empeore. Podemos ayudarle a determinar cómo se debe proceder para el tratamiento de la celulitis. Más información sobre los tratamientos para la celulitis adecuados para usted.
Esta información es traído a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med Spa
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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.

 

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.
 

Cameras, jewelry, iPods. These are things we expect to see on the wish lists of our friends and family. But, a face lift? Yep, it seems that cosmetic procedures have found their way into Santa’s sack.
With this trend, though, comes a warning. While giving someone a pricey surgery can be considered kind and loving, it can also come with problematic implications. Because the choice is such a personal one, gifting a plastic surgery procedure can be interpreted as meddling and insulting. If you’re thinking of bestowing a loved one with the gift of physical improvement this year, make sure it will be well-received.
Gift-Giver Beware
It wasn’t so long ago that plastic surgery was a hush-hush topic; something that people did but didn’t discuss. But with its rapid rise in popularity and the openness with which many celebrities discuss the work they’ve had, the stigma has been lifted. And with that lift, we’ve seen the fairly recent phenomenon of giving surgeries as gifts.
Presenting significant others and family members with cosmetic procedures has become increasingly common. And it’s not unusual for people to use the holiday season as an excuse to pay for a loved one’s surgery. This practice, however, can rub some people the wrong way.
Surprise Surgery
When it comes to buying someone else a surgery, the worst mistake is making it a surprise. For example, giving your girlfriend a gift certificate for a breast augmentation can cause offense if she didn’t ask for it. It would be like giving someone a membership for a weight loss program; it sends an obvious message that you’re unhappy with their appearance. What was meant to be a present is actually an insult.
There’s really no right way to offer someone a surgery unexpectedly. If you give a certificate for a specific procedure, it’s very clear that you’re critical of that particular part of their body. And if you give an open-ended certificate to a plastic surgeon’s office, it comes across as a general affront to their entire appearance. You might as well say, “I’d love you more if your body were different.”
The Right Way
Giving the gift of surgery is less problematic when it’s on the patient’s wish list. If someone expressly asks for a surgery, then the gift can be considered extremely generous and thoughtful. If the asker isn’t able to afford the procedure on their own, receiving it as a present can be a dream come true.
Before making a purchase, remember that the choice to have a plastic surgery is a very personal one that should be made without the influence of others’ desires for your appearance.
The best possible scenario goes as follows: You are absolutely certain that someone wants a specific procedure as a gift- and you give them a gift card. In a consultation, the surgeon will be able to fully inform the prospective patient about their options, the risks involved and the expected outcomes, as well as an accurate cost. Only after these preliminary steps, should the gift be considered.
There are certainly more conventional and less awkward gifts than that of a plastic surgery procedure. A present should never result in hurt feelings or compromise of one’s own desires. But, if you’re still thinking about wrapping up a surgery gift certificate, make sure it’s for the right reasons.

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