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What to Know Regarding Body Contouring Surgery


Body contouring is a general term that refers to any surgical procedure that alters the shape of different areas of the body. Body contouring after massive weight loss refers to a series of procedures that eliminate and/or reduce excess skin and fat that remains after previously obese individuals have lost a significant amount of weight, in a variety of places including the torso, upper arms, chest, and thighs.
Obesity is in epidemic proportions in the US and many parts of the world. It is defined as a condition where a person’s body mass index (BMI) is 30 or greater. BMI is calculated by dividing the patient’s weight in kilograms by their height in meters, squared. Normal weight individuals have a BMI that ranges from 18 to 25. Overweight people have a BMI from 26 to 30, with 30 and above people considered obese. Once the BMI reaches 35 and above, patients are considered morbidly obese. From a BMI of 30 and above a person’s life span is shortened. In addition, obesity negatively affects the economic health of a society as well as other aspects of adult and child health, often for life. Childhood obesity is on the rise in Europe as well.

The Facts About Body-Contouring Surgery

When you lose 100 pounds or more, what happens to the extra skin? For many, the answer lies in body-contouring surgery.

Body Contouring: Is It For You? continued…

Short of surgery, there is really nothing that can help. Exercise won’t tighten it, and skin creams and lotions won’t do a thing to help.

7 Things to Do Before Having Surgery

If you are considering body-contouring surgery, here’s what you should do before surgery:

  1. Stabilize your weight — at your goal — for at least three months, and be sure to correct all nutritional deficiencies (which are common after weight loss surgery).
  2. Establish a reliable support network of family and friends to help you during recovery.
  3. Make sure you can get enough time off from work to recover. It will take 4-6 weeks depending on the procedure.
  4. Understand that everything is a trade-off between removing skin, getting a contour, and having a scar. Scars are permanent. They do get lighter, but don’t disappear over time.
  5. Prioritize your body according to the area that bothers you the most, and concentrate your surgery there first. You may find you don’t need additional procedures.
  6. Prior to surgery, stop smoking (to reduce complications) and increase your protein intake to 50 to 70 grams per day to speed healing.
  7. Choose a surgeon who is board-certified in plastic and reconstructive surgery — not just a board-certified doctor.

At the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa 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. Cosmetic surgery after massive weight loss includes procedures such as facelift and neck lift, breast lift, abdominoplasty, arm lift, thigh lift, body lift, and abdominal hernia repair.  Please contact our office to ask more about body contouring procedures at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.
 

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Breast Implant Placement 101


Breast augmentation surgery may be a surefire way to get the breasts you ultimately desire, but when it comes to making decisions, there are a variety of factors to take into consideration. A properly trained plastic surgeon should be able to guide you through your decision-making process. One of those decisions will be if your implants should go over or under the muscle. So, what’ the difference?
Subglandular: Over the Muscle
The upside: Since the implant is placed over the pectoral muscle and below the breast tissue, recovery time is usually shorter because there is fewer traumas to the underlying tissues. Placing the implant over the muscle can also give a slightly lifted look.
The downside: The implant sits closer to the surface of the skin, making it more detectable through touch and more visible if your skin is thin. In a mammogram, additional views may be necessary.
Silicone implants allow for more patients to have their implant placed subglandularly (in front of the muscle) because there is less rippling and visibility with silicone.

Submuscular: Under The Muscle
The upside: Positioning the implant below both the pectoral muscle and the breast tissue allows for the implant to be less visible and act as an internal bra, keeping the implant in place. The implant is also only partially covered by muscle, so it’s less likely to cause problems with mammograms.
The downside: It’s a more painful recovery because the internal anatomy of the tissue behind the breast is hanged more.
Placing the implant under the muscle is good for those who are thin because it provides extra coverage over the implant, which gives a more natural look.

Breast augmentation helps women with small or unevenly-sized breasts achieve a fuller, firmer and better-proportioned look through the placement of breast implants. Women may elect to undergo this procedure for many different reasons, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery.
During your breast augmentation exam, Dr. Bishara will examine your breasts and perhaps take photographs for your medical record. Dr. Bishara will then examine the size and shape of your breasts for Breast augmentation surgery, the quality of your skin and the placement of your nipple and areola. Also, a breast lift may be recommended with the breast augmentation.  Please call our office at (817) 473-2120 or click on the link below.  You can also visit us on our website at www.MarkBisharaMD.com and our Facebook page at Paragon Plastic Surgery and Med Spa at www.facebook.com/pages/Paragon-Plastic-Surgery-and-Medspa

 

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Juvederm Ultra Plus Facts

JUVEDERM ULTRA PLUS – INJECTABLE FILLER TREATMENTS


What is Juvederm Ultra Plus?
Juvederm Ultra Plus is hyaluronic acid which is a complex sugar that is identical to the hyaluronic acid your body makes. Because the Juvederm Ultra Plus is identical to the hyaluronic acid in your own body, it breaks down naturally.
How does Juvederm Ultra Plus work?
When Juvederm Ultra Plus is injected into or below the skin it lifts wrinkles, depressions, or scars, so that they are level to the surrounding skin.
Where is Juvederm Ultra Plus used?
Juvederm Ultra Plus can be used anywhere in the face (except for the hollows under the eyes (tear troughs), but it is best suited for deep wrinkles and to replace the facial volume lost due to the aging process. The ideal locations for Juvederm Ultra Plus are the smile lines or parentheses lines (nasolabial or melolabial folds), the marionette lines, to hide the jowls by replacing the volume lost just in front of the jowl (prejowl depression) and for lip augmentation (plumper lips).
Are there different types of hyaluronic acid?
Currently, there are two companies that make injectable hyaluronic acid. Medicis makes Restylane and Perlane, and Allergan makes Juvederm Ultra, Juvederm Ultra Plus and Juvederm Voluma XC.
Does Juvederm Ultra Plus work instantly?
Juvederm Ultra Plus works instantly to lift wrinkles, depressions, scars, and to restore the volume lost during the aging process.
How long does Juvederm Ultra Plus last?
The duration of Juvederm Ultra Plus varies from person to person, from injection site to injection site, and from visit to visit. There are three general rules with Juvederm Ultra Plus: 1. The closer you inject Juvederm Ultra Plus to the mouth, the faster the Juvederm Ultra Plus breaks down. 2. The more superficial you inject Juvederm Ultra Plus the longer it lasts. 3. There are no guarantees of duration when it comes to Juvederm Ultra Plus.
How many visits are there for a Juvederm Ultra Plus injection?
Unless you have had injectable fillers before, and know exactly what you want, there is usually a consultation to discuss your concerns and to educate you about your treatment options. Once the appropriate injectable filler has been determined for your concern we can do treatment at the time of the consultation.
Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best, including Botox and Juvederm. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office at (817) 473-2120 to schedule your Juvederm appointment and ask about our weekly Botox specials.  Please also visit our website at www.MarkBisharaMD.com and “LIKE” us on our Facebook Page- Paragon Plastic Surgery and Med Spa.

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Breast Enhancement Basics

Breast enhancement is of course the act of having your breasts augmented in order to appear larger and firmer. This means having them filled with some substance other than the fat that would normally be there naturally in order to both pad them and make them more buoyant and stretch the skin around them more tightly. This is achieved in several different ways and there are various different methods of breast enhancement. Knowing precisely what you are signing yourself up for before you get the breast enhancement is highly important and will help you also to decide on precisely which procedure is right for you. Here we will have a brief overview of the subject of breast enhancement.

Why Breast Enhancement? There are many reasons why people will choose breast enhancement, but generally they will be cosmetic. Breasts are often considered one of the female features that men find most attractive, and so by having a pair of pert and full breasts a woman can feel confident and attractive. It is thought that men find breasts attractive because they suggest that the woman is fertile and able to provide healthy offspring and then to look after them. Because breasts are such an important part of the female physique, many clothes depend on the woman having large or perky breasts. Meanwhile many other tops make use of a good cleavage while others just look better for it. Meanwhile breasts have the effect of improving the appearance of the rest of your physique. They achieve this by making other areas seem comparatively smaller. For instance if you are concerned about the size of your stomach and you think it sticks out – then by getting breast enlargement it is possible to make this look relatively flat, and particularly when underneath certain clothing. The idea is then that a woman will feel womanly, can enjoy a better silhouette and can get away with wearing more different clothes all as a result of having a fuller pair of breasts. This will then make them feel more confident and often in some cases happier. Furthermore, it can help them to find partners both as a result of the breasts themselves and because of the new found confidence and it can even help in their careers. Of course in some cases breast enhancement techniques will be used to repair damage that might have been done by an injury or by disease or necessary surgical procedure. In these cases the techniques are used to try and return the breasts to their previous shape and size rather than to in any way augment them – and as a result these methods are not always referred to as ‘enhancement’.
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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Beauty for life

Enhancing your appearance with skin rejuvenation and resurfacing

1.8 Billion was spent on skin rejuvenation procedures in 2012

If you want to improve the appearance of your skin, skin rejuvenation or resurfacing may be right for you.
Skin rejuvenation can be achieved in a number of ways, ranging from laser, light and other energy-based treatments to chemical peels and other non-ablative methods. The result is a smoother, clearer and more youthful appearance to your skin.

What can skin rejuvenation treat?

Skin rejuvenation is a treatment to resurface your skin, or to improve the texture, clarity and overall appearance of your skin.
Conditions that can be treated include:

  • Static wrinkles: These wrinkles are visible at all times and do not change in appearance with facial movements.
  • Dynamic wrinkles: These are expression lines that may appear as folds when the skin is not moving, and deepen with facial movements or expressions.
  • Pigmentation: Freckles, sun spots, melasma, or other darkened patches of skin result mainly from sun exposure.
  • Scars: As the result of acne or injury to the skin, scars may be rolling (a wavy appearance to the skin), pitted, discolored, or have raised borders.
  • Vascular conditions: Blood vessels visible on the surface of the skin, vascular lesions that appear as tiny blood filled blisters or even a constant flush of facial redness.
  • Loss of skin tone: Weakening of the supportive skin structure (collagen and elastin fibers) that results in a loss of skin firmness, or the development of cellulite.

Is it right for me?

While not as involved as surgical cosmetic procedures, skin rejuvenation is a medical procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.
Skin rejuvenation is an option for you if:

  • You are physically healthy
  • You don’t smoke
  • You have a positive outlook and specific, but realistic goals in mind for the improvement of your appearance.

One of the most popular anti-aging procedures is skin resurfacing for many reasons.  Please contact the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa to see why. Visit us at www.MarkBisharaMD.com or call (817) 473-2120.

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