The older, traditional form of hair transplantation is called Follicular Unit Transplantation (FUT), or more commonly, “strip” surgery. In a “strip” surgery, the surgeon uses a scalpel to remove a large piece of scalp from the back of the head. This process requires stitches or staples to close the wound. The strip of scalp is given to a group of technicians who then manually dissect each individual follicular unit. These dissected follicular units are transplanted into the scalp by the surgical team. The recovery period for this procedure is significant, typically several weeks. In addition, patients may experience numbness, scalp tightness or lingering pain. More importantly, the risk of leaving a noticeable linear scar on the back of the head is unacceptable to many patients.

Donor Area Comparison

The “Strip” method:  a strip of scalp from your donor area is cut out with a scalpel, and the strip is completely removed from the head.  The donor area is pulled together and stitched close to the wound.  This method leaves a visible scar.
ARTAS Robotic method: the hair is removed individually by the robot and no cutting or stitches are needed.  The scalp retains the natural appearance with no linear scar.
Strip Method Post Procedure:                     ARTAS Method- 1 Week Post Procedure:
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For the very latest technology in hair restoration, Dr. Bishara uses the ARTAS System. This interactive, computer assisted equipment employs image guidance to enhance the quality of hair follicle harvesting. ARTAS is the first hair transplant robot to improve the most challenging aspects of Follicular Unit Extraction (FUE). It received clearance from the Food & Drug Administration (FDA) for use in April 2011.  Please contact our office for more information at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.
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Plastic surgeons are seeing more patients who wish to undergo facial surgery, suggesting social media-posted selfies may be inspiring more Americans to consider plastic surgery.
The growing trend of taking selfies – a type of self-portrait photograph, typically taken at arm’s length with a hand-held digital camera or camera phone – and posting them on Facebook, Twitter,  Snapchat, and Instagram, has been attributed to the increase in nose jobs and other reconstructive facial procedures.
Dr. Edward Farrior, President of the AAFPRS who conducted the research that posed these assertions, states in CBS News:

“Social platforms like Instagram, Snapchat and the iPhone app Selfie.im, which are solely image based, force patients to hold a microscope up to their own image and often look at it with more self-critical eye than ever before. These images are often the first impressions young people put out there to prospective friends, romantic interests and employers, and our patients want to put their best face forward.”

According to an annual survey conducted by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) of a select group of the organization’s 2,700 members revealed one in three plastic surgeons reported seeing an increase in requests for facial procedures by patients who wanted to look better online.
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Between 2012 and 2013 they saw a 10 percent rise in nose jobs, a seven percent rise in hair transplants and a six percent rise in eyelid surgery, says the NY Daily News. In addition, 58 percent of the doctors surveyed noted having a growing number of patients under 30 seeking out services – in part because of social media images like selfies.
Nose jobs (rhinoplasty) are the most popular elective surgical procedure conducted among those in the under 35 crowd – accounting for 90 percent of women, and 86 percent of men respectfully. And while women account for nearly 80 percent of plastic surgeries for face and eye lifts, men are becoming more determined to keep their hair and combat wrinkles.
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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In consultations, women ask dozens of questions about the safety, durability and longevity of saline and silicone gel implants – the two types that are approved for sale by the U.S. Food and Drug Administration. Here’s a sampling:
Is it normal to have different-sized breasts?
Breasts are sisters, not twins. There’s no such thing as perfectly identical breasts. Most women have breasts that are slightly different sizes. In consultations, when women look at dozens of before-and-after photos, they are surprised and relieved to see that they are not the only ones with different-sized breasts.
The asymmetry can be addressed during surgery, by enlarging breasts with implants of different sizes, augmenting the smaller breast or reducing the larger breast. While surgery cannot transform those sisters into twins, it can make them look like sisters from the same family.
Will I be able to breastfeed if I get implants?
In most cases, breast augmentation surgery does not interfere with breastfeeding, because milk ducts are generally not disturbed during the procedure. When implants are placed through an incision made around the areola, milk ducts are sometimes disrupted, which may affect breastfeeding. However, not all women are naturally able to breastfeed, whether or not they have cosmetic breast surgery.
Do implants get in the way of reading a mammogram?
They can. That’s why technicians routinely ask women if they have breast implants. If so, they will gently displace (push up) the implants and take extra views of each breast. Because of the number of women who have had breast augmentation, radiologists are likely to have experience evaluating breasts with implants.
Can you make me a full C cup?
Women commonly think that being in proportion means wearing a C cup bra. Because there is no standard bra cup-sizing system, and because breast implants are measured in cubic centimeters not cup size, it’s better to refer to proportional as a “C look.” To achieve that, a 5-foot-tall woman with a small frame might end up wearing a B cup bra and a 5’ 8” woman might wear a D.
How soon can I get back to work and to working out?
The former depends on what your job entails. Generally, women who work in an office setting can go back to work on the fifth day after surgery. Those whose jobs entail lifting, pushing or pulling normally return to work at the end of the second week.
Three weeks after surgery is a milestone: That’s when women can run, ride a stationary bike and do lower-body weight training.  It’s also when policewomen or soldiers can put their bulletproof vest back. Women are usually comfortable doing arm exercises (upper-body weights) starting about six weeks after surgery.
Do breast implants have to be replaced every 10 years?
Breast implants don’t have an expiration date. They can handle hundreds of pounds of pressure, which is why a mammogram – which can apply up to 50 pounds – doesn’t harm them.
Through the years, manufacturers have increased the strength of the implant shell. On average, less than 3 percent of implants rupture or deflate.
Will my breast implants melt in a sauna?
Both silicone gel and saline implants have an outer silicone shell, which can melt at temperatures greater than 392 degrees Fahrenheit. A conventional sauna is typically between 150 and 190 degrees. If you were in an environment where your implants would melt, you’d melt too.
Women come in for a consultation to get their questions answered and to make an informed choice. While breast augmentation is not right for everyone, for those who choose it, it can make a life-altering difference.
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This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

A recent survey conducted by the International Society of Hair Restoration Surgery (ISHRS) showed that men and women around the world are seeking to correct hair loss while they’re younger rather than putting it off until later in life.
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Since the ISHRS starting tracking data on hair restoration in 2004, the extrapolated worldwide volume of surgical hair restoration procedures performed from 2004 to 2012 increased 85 percent.  What explains this tremendous increase in people seeking help for hair loss, even during tough economic times?  We believe the unprecedented growth and increased popularity in hair restoration over the past decade can be directly attributed to the continual refinements and advances in this type of surgery – together with proven medical therapies – that produce natural-looking, permanent results.
Other key findings of the survey include:

  • The number of women undergoing hair restoration surgery worldwide increased 20 percent from 2004 to 2012
  • Patients aged 30 to 49 sought treatment for hair loss more than any other age group
  • In 2012, ISHRS members chose John Mayer and Sofia Vergara as the celebrities with the best hair

In our practice, we offer patients some of the latest techniques in hair restoration surgery and proven medical treatments that can help men and women permanently restore thinning hair.  If you are interested in hair restoration treatments, including robotic hair transplants, and the latest treatment options, we would be happy to speak with you or invite you for a consult at our office.  Please call our office at (817) 473-2120, visit our website at www.MarkBisharaMD.com, or click on the link below.
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What is a tummy tuck?

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.
Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

  • Pregnancy
  • Aging
  • Significant fluctuations in weight
  • Heredity
  • Prior surgery

What a tummy tuck won’t do:
Tummy tucks are not a substitute for weight loss or an appropriate exercise program. Also, tummy tuck operations cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised, generally the treated areas below the belly button.
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Tummy tuck words to know

  • Abdominoplasty/Tummy Tuck A surgical procedure to correct the apron of excess skin hanging over your abdomen.
  • Diastasis: Condition in which abdominal muscles have separated.
  • General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness
  • Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
  • Liposuction: Also called lipoplasty or suction lipectomy, this procedure vacuums out fat from beneath the skin’s surface to reduce fullness.
  • Local anesthesia: A drug is injected directly to the site of an incision during an operation to relieve pain.
  • Sutures: Stitches used by surgeons to hold skin and tissue together.

Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best. Please call our office at (817) 473-2120 for for information on tummy tucks, liposuction or many other cosmetic surgeries.  You can also visit our website at www.MarkBisharaMD.com for further information.