Breast augmentation plastic surgery is one of the most common procedures performed annually by members of the American Society for Aesthetic Plastic Surgery. Women may choose to under go breast enlargement surgery for various reasons. These personal reasons may center around breasts that are perceived to be under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast feeding.
Some women may be happy with their breasts but just want them made fuller. Often after weight loss, aging or childbirth a woman’s breast volume and shape may change. This too can lead to a woman to seek a breast augmentation. Breast implant surgery performed by cosmetic plastic surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.
Before and After Pictures of Dr. Mark Bishara’s Patients:
Are you a good candidate for breast augmentation?
One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the otherDuring the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.How will my plastic surgeon evaluate me for breast augmentation surgery?Your plastic surgeon will examine your breasts and take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.
    You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.
    If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery. If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

    What type of breast implants can be used for breast augmentation?

    breastaug c2The implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

    The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your plastic surgeon discuss.  All breast implants include a solid silicone rubber outer shell, called a lumen.
    Breast implant options include:

    • Saline breast implants: Filled with sterile salt water
    • Silicone filled breast implants: Filled with soft, elastic gel

    New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your plastic surgeon will be able to provide you with the latest information.

    Maintaining a Relationship with your Plastic Surgeon

    Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.
    Dr. Bishara offers cosmetic surgery procedures that help sculpt the appearance of the face and body to help patients look and feel their best. Facelift, rhinoplasty, breast augmentation, tummy tuck, and BOTOX® Cosmetic injections are just some of the many procedures Dr. Bishara offers.
    For more information about Dr. Bishara and his practice, feel free to explore the website, or call the office today at 817.473.2120 to schedule a consultation with Dr. Bishara.
    For more before and after pictures of breast augmentation patients- please visit our website at markbisharamd.com
    Contact Us!

 

Eyelid Lift Surgery
Drooping eyelids may seem like a common effect of getting older, but sagging eyelids not only age someone’s face, but they can also impair peripheral vision too. Removing the excess skin through surgery can both improve vision and result in a more youthful appearance, but determining whether the procedure is cosmetic or medically necessary has become a point of controversy.  Dr. Mark Bishara, with offices in Mansfield and Southlake, offers eyelid lifts (also known as Blepharoplasty) among his cosmetic services.
Eyelid lifts, called blepharoplasties, are done when the upper eyelid, which usually hangs about 2mm above the pupil, starts to sag. It can be removed for cosmetic reasons or because it starts to block a person’s peripheral vision.

Does Insurance Cover Eyelid Lifts?

An increase in eyelid lift surgeries covered by Medicare has risen. According to the Center of Public Integrity, Medicare can pay $574 to $640 per eye. There are no national Medicare criteria for what determines a functional blepharoplasty. Different Medicare contractors that cover different regions of the country have their own criteria, but were fairly uniform across the country.
For Medicare to cover the surgery, a doctor must perform two vision tests, which measure the degrees to which a person can see peripherally from the horizon. The surgery would have to theoretically improve a patient’s peripheral vision by a specific number of degrees to be approved. The number of degrees depends on what is required by the individual Medicare contractor.
Other private insurance companies often use the same criteria as Medicare to determine if an eye lift is necessary. For example, United Health Group, one of the largest private U.S. health insurance carriers, uses the Medicare guidelines to determine if a blepharoplasty is medically necessary or if it is cosmetic.
A photo of the patient also has to be included to show that he or she has sagging eyelids, and the patient must report additional symptoms, such as headaches from straining their eyebrows or injuries from running into things they can’t see. One common early sign was difficulty reading. At the end of the day, the eyelids might become so heavy they can’t open them.
What to Know Regarding Eyelid Lifts:
As with any type of surgeries, there are risks and complications involved in the procedure. Below are just a few of the risks that are involved and they may, or may not, affect the patient:
• Slow process of recovery
• Visible whiteheads after stitches are eradicated
• Impermanent swelling of eyelids
• Loss of vision or damage to eyes (rare risk)
• Closing the eyes while sleeping might be difficult (normally temporarily)
• Blurred or double vision
• Irregular scarring or healing
People who are considering eyelid surgery should also learn about the medical conditions that make it more risky for them, such as:
• Thyroid problems – Hypothyroidism or Graves’ diseases
• Diabetes
• High blood pressure or other types of circulatory disorders
• Lack of tear production or dry eyes
• Disorders of blood vessels and/or heart disease
People who are opting for eyelid lift surgery have the option of going through a laser eyelid surgery, but the risks and complications are said to be higher than the traditional surgery. It is advisable for patients to research various surgeons and medical centers prior to the surgery. Obtain as much information as possible to avoid any unwanted discrepancies after the surgery. Research can be done via the Internet, which is easy, quick, and informative.
Dr. Bishara provides a wide range of cosmetic procedures, including Blepharoplasties, to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office for more information at (817) 473-2120.
 

Breast augmentation plastic surgery is one of the most common procedures performed annually by members of the American Society for Aesthetic Plastic Surgery. Women may choose to under go breast enlargement surgery for various reasons. These personal reasons may center around breasts that are perceived to be under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast feeding.
Some women may be happy with their breasts but just want them made fuller. Often after weight loss, aging or childbirth a woman’s breast volume and shape may change. This too can lead to a woman to seek a breast augmentation. Breast implant surgery performed by cosmetic plastic surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.
Before and After Pictures:
Are you a good candidate for breast augmentation?
One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the otherDuring the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.How will my plastic surgeon evaluate me for breast augmentation surgery?Your plastic surgeon will examine your breasts and take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery. If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

    What type of breast implants can be used for breast augmentation?

    breastaug c2The implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

    The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your plastic surgeon discuss.  All breast implants include a solid silicone rubber outer shell, called a lumen.
    Breast implant options include:

    • Saline breast implants: Filled with sterile salt water
    • Silicone filled breast implants: Filled with soft, elastic gel

    New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your plastic surgeon will be able to provide you with the latest information.

    Maintaining a Relationship with your Plastic Surgeon

    Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.
    Dr. Bishara offers cosmetic surgery procedures that help sculpt the appearance of the face and body to help patients look and feel their best. Facelift, rhinoplasty, breast augmentation, tummy tuck, and BOTOX® Cosmetic injections are just some of the many procedures Dr. Bishara offers.
    For more information about Dr. Bishara and his practice, feel free to explore the website, or call the office today at 817.473.2120 to schedule a consultation with Dr. Bishara.
    For more before and after pictures of breast augmentation patients- please visit our website at markbisharamd.com
     

Not so long ago, when a person went in for a cosmetic procedure, the entire procedure was kept under wraps as much as possible.  Though people speculated about whether or not someone they knew had had “work done”, rarely were such things discussed openly in public or even in privacy with friends.
But cosmetic procedures have changed a lot over the years. There are more technologically advanced procedures available today that require a lot less of a financial commitment and significantly less recovery time. The advent of Botox and other injectables and a variety of non-invasive liposuction options have made cosmetic procedures much more accessible and much more appealing to a wider range of people. As a result, more and more people are having cosmetic procedures performed and more and more people are also talking about their procedures more openly. at. Dr. Mark Bishara’s office we strive to help patients feel confident about their cosmetic procedures.
Though more people are admitting to having some sort of work done to cosmetically enhance their appearance, it is generally considered rude to ask another person about cosmetic procedures point-blank.  Many people will talk about their cosmetic procedures if they feel comfortable about it, but asking about it considered to be a social faux pas.  These days, patients are aiming to create natural looking cosmetic changes and when people notice the work that’s been done (and come right out and say it), this can be perceived as an insult.  And what if your friend or coworker hasn’t had any cosmetic procedures performed? Asking could make the person in question feel good about the way they look, or it could make them wonder if they need to consider a cosmetic procedure. Either way, you run the risk of putting your foot in your mouth.
One of the reasons why people change the way they look it because changing one’s appearance alters people’s reaction to their appearance.  It’s considered extremely rude to ask a person about whether or not they’ve had cosmetic procedures performed. It is best to let them confess to the procedure by their own volition.
If you suspect someone has had cosmetic enhancements, give them a compliment about their appearance. If that person wants to tell you about their cosmetic procedure, they’ll find an appropriate time or place to do so. Otherwise, you’ll just have to wonder. Remember, cosmetic surgery is not what it used to be and many people do end up spilling the beans. The whole point of cosmetic surgery is to make noticeable changes in one’s appearance and since approximately 9 million people in the United States underwent some kind of cosmetic procedure in 2011, many people feel like it’s counterproductive to keep their procedure a secret.  Rather than be secretive, many patients opt to clear the air and take pride in their renovated appearance. After all, who isn’t having work done these days?
To learn more about the minimally invasive and surgical cosmetic procedures that Dr. Bishara’s office offers, please call out office at (817) 473-2120.