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Breast Augmentation Answers

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: Appointments@markbisharamd.com to schedule a consultation today!

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ARTAS Hair Studio Increases the Amount of Hair Transplanted

Recently, Restoration Robotics launched  ARTAS Hair Studio.  This state of the art product allows the patient and surgeon plan and produce a simulation of a possible outcome.  Although this product has some limitations to the realistic look of the transplanted hair, it does allow for a formal interaction between the surgeon and the patient that spawns more thought into the over- all operative goal and leads to increased numbers of hairs being transplanted.

The most common cause of dissatisfaction of hair transplant patients in my practice and in patients that come to me from other practices is that they didn’t get the thickness that they wanted.  The ARTAS Hair Studio allows the patient to “Test Drive” their appearance and modify the operative plan under the guidance of the surgeon.  It becomes the surgeon’s ethical and responsible role to provide guidance on safe and age appropriate hairline design, donor capacity, and realistic expectations on social and physiologic downtime.  The ARTAS Hair Studio becomes paramount providing a sneak preview to esthetic results that vary with amount of hair.
Put together with a well informed consult discussing preventative hairless measures backed by randomized double-blinded placebo controlled trials, the ARTAS Hair Studio is quickly becoming the standard of care in hair restoration planning and patient education.
ARTAS Hair Studio also integrates directly with the robot and becomes the operative plan for the patient ensuring that the patient is receiving exactly what he is intending to recieve.
For a consultation please call 817-473-2120 or email appointments@markbisharamd.com.  Skype and other internet-based consultations are available.
Mark A Bishara M.D., P.A. and Paragon Hair Clinics care for patients world-wide.
Dr. Mak A Bishara, M.D. P.A. performs robotic follicular unit graft selection for residents living around Mansfield, Southlake, Dallas, Arlington, Fort Worth, and surrounding the DFW area in North Texas.

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Capillus Laser Cap

Laser Hair Therapy

Capillus272 Laser Hair Therapy Dallas, Texas

At the Paragon Plastic Surgery and Med Spa, we are pleased to offer the most advanced and comprehensive laser treatments available for improving the appearance of your skin and hair. Laser hair therapy is just one of our most popular aesthetic laser treatments, and we are excited to share this technology with our Dallas, Fort Worth, and North Texas patients.

How Laser Hair Growth Works

The Capillus272 uses a special type of laser light that is known to improve circulation and stimulate cellular metabolism within and around the hair follicles of the scalp. Unlike the lasers used for aesthetic skin treatments and tattoo removal, Capillus does not ablate or damage the cells of your skin. Instead, hair restoration is performed with low level lasers that are cool-to-the-touch.
Step 1: Dr. Bishara Recommends Capillus
First, Dr. Bishara recommends treatment with the Capillus hair loss laser to reverse the signs of thinning, shedding, or balding. Treatment recommendations vary, but might include 30-minute sessions every other day.
Step 2: Laser Therapy Becomes Part of Your Routine
In order to be effective, laser therapy must be incorporated into your daily routine. This is where laser caps like Capillus outshine other treatment options, like in-office domes and laser combs. The wearable and portable design of the Capillus enables comfortable, convenient, and consistent treatment for superior results.
Step 3: Hair Follicles Receive Low Level Laser Stimulation
The Capillus272 provides safe exposure to low-level laser light on a regular basis. Exposure is non-invasive and the lasers are cool, creating a hair loss treatment experience with absolutely no pain or discomfort.
Step 4: Circulation and Metabolism Improve Across the Scalp
Low level laser therapy (LLLT) is known to improve circulation and cellular metabolism across the scalp. This nourishes hair follicles along the front, top, and sides of the head—even the ones that no longer produce hair.
Step 5: Newer, Fuller Hair Grows Naturally
LLLT continues to improve circulation and cellular metabolism, delivering more blood, nutrients, and oxygen to each hair follicle. Over time, consistent use of the Capillus272 has been shown to increase hair growth by up to 51%.*

Benefits of Capillus Laser Cap

Capillus is continually recommended by world-renowned physicians as a safe, proven, and effective method of non-surgical hair restoration. Below are just a few of the benefits offered only by Capillus.
Discrete. Capillus272 is a flexible dome-like insert that fits securely within your favorite baseball cap or hat. Simply insert, wear, and enjoy the benefits of laser hair restoration with complete discretion.
Portable. Capillus272 is powered by a portable battery pack, enabling you to take your hair loss treatment anywhere.
Powerful. With 272 lasers, the Capillus272 is capable of greater energy output than any other available laser cap. Greater output delivers a higher degree of hair follicle stimulation, which can ultimately lead to better results.
Effective. In premarketing study for FDA clearance, the Capillus272 demonstrated the ability to effectively promote hair regrowth when compared to a placebo device. On average, patients experienced a 51% increase in hair counts.*
Safe. Capillus272 has been cleared by the FDA for the treatment of androgenic alopecia, or hair loss.

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Platelet Rich Plasma (PRP) Therapy in Hair Restoration


Although platelet-rich plasma (PRP) has been used for many years in other medical specialties, including orthopedics,  it has only recently become popular in hair clinics.  It is becoming more popular and may patients are asking for it for help with their hair loss disorders. PRP is an exciting non-surgical therapeutic option for patients who require stimulation of hair growth for hair loss conditions.
Platelet-Rich Plasma or PRP, is the latest treatment to hit the hair loss market and is showing impressive results.  Dr. Bishara uses this therapy in his office for his hair transplant patients.
While PRP is in the early stages of scientific research in hair restoration, PRP is not meant to replace current FDA approved therapies such as DHT blockers and Minoxidil. but it is a promising non-surgical therapeutic option for those patients with hair loss.
There are many points of agreement on PRP including the ideal candidate for PRP: Most agree that patients with thinning but not fully balding are the best candidates.  Most everyone also agrees that about 70%-90% of patients will see a degree of improvement of hair mass/density.  The time that it takes for patients to see improvement in their hair growth varied from 2-6 months.
Differences in approaches:  In Dr. Bishara’s office, we buy components separately and create our own kit within our office.  Blood is drawn in our office, and then the blood is spun in a centrifuge.   The PRP is separated and removed from the rest of the blood and then injected into the recipient site before implantation.  This plasma rich in platelets and growth factors is very useful in tissue regeneration and healing. We use hypothermosol (this enables improved and extended preservation of cells, tissues and organs) at 60°C as a holding solution.  Dr. Bishara does not bathe graphs in PRP before because it would increase metabolic demand in a low oxygen environment, which would kill the graft.
For more information on PRP please call our office at (817) 473-2120.  This would be explained more in detail during a hair transplants consultation in our office(s) located in Mansfield and Southlake.
You can also visit us as www.MarkBisharaMD.com and our Facebook page at The Paragon Plastic Surgery and Medspa
 

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