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.
    Spring, Texas Sugar Land, Texas Temple Texarkana, Texas Texas City, Texas The Colony, Texas The Woodlands Tyler, Texas University Park Victoria, Texas Waco, Texas Watauga, Texas Waxahachie Weatherford, Texas Weslaco, Texas Wichita Falls, Texas Wylie,




What To Expect From Procedure

Consulting with an awesome doctor like Dr. Mark Bishara is the first thing you want to do.Although you might have an idea on what you?d like to look like after its also good to ask Dr. Mark Bishara for his recommendations. At your consultation at the Paragon Plastic Surgery and Med Spa we use 3d imaging to determine what is best for you, from sizes and implant types. Implants come in forms of saline and silicone. After choosing between silicone and saline you will then choose size and form. Dr. Mark Bishara will then recommend where to place the implant, if below or above the muscle.


Breast Augmentation is an outpatient procedure. It can take between one and two hours. On the day of your breast augmentation Dr. Mark Bishara will go over the surgical procedure again. An iv will get started and you will be placed under general anesthesia.


After being put under general anesthesia, Dr. Mark Bishara will begin. During the procedure Dr. Mark Bishara will make cuts under the breast and begin the insertion of the implants. Once the implants are put in place Dr. Mark Bishara will close the incisions with a suture, Throughout the whole surgical procedure Dr. Mark Bishara’s nurses will be monitoring the patients blood pressure, temperature, pulse and oxygen.


After your Breast Augmentation surgery is complete, the anesthetist will wake you up from your induced sleep. You will then be transferred to the recovery room where our experienced nurses will monitor you until you are fully awake. You may feel a little tired and groggy at this point. Supporting bandages will be wrapped around your chest along with a surgical bra that we provide here at the Paragon Plastic Surgery and Med Spa.  Soreness and swelling are very common to be there for a few weeks after your breast augmentation. Bruising is normal as well. Scars will begin to gradually fade over time.


The patient should have someone to drive them home the day of their procedure and have someone help throughout the first 24 hours.  To reduce any swelling and pain you should sleep upright for the first 48 hours. House work should be done prior to your breast augmentation procedure or put on hold at least for a week after. Loose fitting clothing and ice packs will come handy after your breast augmentation procedure. Stay well hydrated, make sure to drink plenty of water during your recovery process.
Respectfully yours,
Mark A Bishara, M.D., P.A. Medical Director


The American Society of Plastic Surgeons (ASPS) have guidelines in place for young girls (13-19) seeking out breast augmentation for cosmetic reasons, suggesting the age of 18 or at least until the breast has fully developed to the last TANNER stage. But for girls seeking labiaplasty? There really isn’t a set precedent. Why are young girls and women concerned about this? Interestingly, it is more than what meets the eye.
Young girls are seeking out advice about what looks “normal”. For a lot of young girls or women its not about aesthetics, its about feeling comfortable, if the labia minor is larger than normal it can create an extremely painful situation. For athletes such as barrel racers, bicyclist, runners with a larger than “normal” labia, it can create a lot of discomfort for the patient.
Your age should not preclude you from enjoying all activities life has to offer and neither should securing your esteem with a labiaplasty.
Dr. Bishara performs labiaplasty at Paragon Plastic Surgery and Med Spa in Mansfield, Texas. The procedure may be done under local or general anesthesia and is an out-patient procedure typically lasting an hour or two. Some patients opt to pair this surgery with other surgical procedures such as liposuction, breast augmentations or blepharoplasty.
Recovery is typically within 2 weeks. Most patients are able to return to work the day or two post operation and pain managed with over the counter pain medication. As dissolvable sutures are used, no stitches need to be removed and ice can be applied to the area in the event of swelling. Sexual activity and strenuous exercise should be postponed approximately six week post procedure
For more information about breast augmentation or labiaplasty please call 817-473-2120 or appointments@markbisharamd.com.


Having children is one’s biggest blessings. Along with your blessing come along changes in your body, especially in the breast and abdomen area. Sagging breast or loose skin doesn’t always look great. That is why Dr. Mark A. Bishara offers what are known as Mommy Makeovers. In the following are some frequently asked questions that might help you decide towards coming in and consulting with Dr. Mark A. Bishara about your Mommy Makeover.

What is a mommy makeover?

The rejuvenation  of the breast and the abdomen is what a mommy makeover refers to. The purpose of a mommy makeover is to transform changes in the breast and abdomen that occur after pregnancies.

Can i have more kids after my mommy makeover?

If you are planning on having more children it is best to wait. Pregnancies are possible after an abdominoplasty but with the skin getting stretched again the results after pregnancy may not be the best.

Is a mommy makeover all done at once?

Majority of the time the mommy makeover is done all at once. Depending on the areas needing to be addressed it can also be done in two different stages.

Are there different options for a Mommy Makeover?

Mommy makeover consist of a breast lift with no augmentation or breast reduction; and abdominoplasty or as many refer to as a tummy tuck, a mini tummy tuck and liposuction.

Who are good candidates for a mommy makeover?

In order to be a good candidate for a mommy makeover the patient should be in over all good health. The patient should also would have completed their child bearing stage.

What can i do to prepare myself for my mommy makeover?

The best thing one can do to prepare for their mommy makeover is to understand why it is being done, what actually is going to get done and have an idea what results will be like.

How soon can i resume normal activities?

For the first week after a mommy makeover you want to have some help with your children or help in general around your home. Recovery generally ranges from 1 to 4 weeks.
Click here to view a Full Tummy Tuck procedure animated »
Click here to view a Mini Tummy Tuck procedure animated »

Who is a candidate for Breast Augmentation?

When thinking about a Breast Augmentation the ideal candidate must be over the age of 18. The patient should also be in good health and have reasonable expectations for their Breast Augmentation surgery.  Women that are breast feeding or who have been pregnant in the last 3 months are not ideal candidates.

Should i be at an ideal weight for a Breast Augmentation?

A stable weight is highly recommended when opting to a Breast Augmentation. Weight loss after a Breast Augmentation can alter the results and can be unsatisfying. Weight gain can cause a significant increase in breast size.

Can pregnancy affect my Breast Augmentation?

Typically after a pregnancy women can experience some sagging and deflation after a Breast Augmentation. It can cause a significant change in size and appearance in general.

Will a Breast Augmentation interfere with breast feeding?

In comparison with non- breast augmented women, when having a breast augmentation there is a higher risk of lactation insufficiency.

Should i wait until I’m done have children for a Breast Augmentation?

If breast augmentation is something you have been looking into doing you don’t necessarily have to wait. Many women have done a Breast Augmentation before having children. Although if you planning on becoming pregnant within a year or two after surgery, the breast augmentation is recommended to be postponed after the surgery.

Can having a  Breast Augmentation cause stretch marks?

When inserting implants their could be some stretch marks but its not very common. You can minimize the risk of stretch marks by going with a moderate size implant.

Will my chest be wrapped my after Breast Augmentation?

After breast augmentation surgery you will leave the office with an ace wrap and and a fluff dressing that can be removed after 2 days when a shower is necessary.  After showering, Dr Mark Bishara recommends using a post-surgical compression bra.  Dr Mark Bishara does not recommend under wire bra for 3 months after surgery.

What bra should i use after my Breast Augmentation?

Following your breast augmentation surgery you want to avoid under wire bras for 3 months. You want to make sure to wear a soft comfortable bra, a bra strap on the top of the bra, or a sports bra that can be worn regularly or rolled up to place downward pressure on the breasts.  This facilitates the “dropping” process that occurs between months 2-10.

Where to find a good doctor for my Breast Augmentation?

Finding a good cosmetic surgeon can be quite difficult, results vary even amongst the most season cosmetic breast surgeons…but i’ll help you out a bit. Dr. Mark A. Bishara at the Paragon Plastic Surgery is a fantastic surgeon! Dr. Mark A. Bishara has done hundreds of Breast Augmentation surgeries, and the results are just phenomenal!