Vaginoplasty is a procedure that aims to “tighten up” a vagina that’s become slack or loose from vaginal childbirth or aging.
Labiaplasty, plastic surgery on the labia (the “lips” surrounding the vagina), can be performed alone or with vaginoplasty. Surgery can be performed on the labia major (the larger, outer vaginal lips), or the labia minor (the smaller, inner vaginal lips). Labiaplasty changes the size or shape of the labia, typically making them smaller or correcting an asymmetry between them.
Surgeries Related to Vaginoplasty and Labiaplasty
More recently, vaginoplasty has grown into a group of cosmetic surgeries marketed as “vaginal rejuvenation” and “designer vagina” procedures. Vaginoplasty and Labiaplasty surgeries give benefits to women as with other cosmetic surgeries, such as beauty, self-esteem, and confidence.
Women’s genitals naturally have a wide range of normal appearances that are anatomically correct. There’s no one “look” or right way for a vagina and labia to be formed.
This Information is Brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
En Espanol
La vaginoplastia es un procedimiento que tiene como objetivo “reforzar” una vagina que se ha vuelto flojo o suelto del parto vaginal o el envejecimiento.
LABIAPLASTÍA, cirugía plástica en los labios (los “labios” de la vagina), se puede realizar solo o con VAGINOPLASTIA. Cirugía se puede realizar en los principales LABIA (cuanto más grande, labios externos de la vagina), o los labios menores (los más pequeños, LABIOS vaginales internos). LABIAPLASTÍA cambia el tamaño o la forma de los labios, haciendo TÍPICAMENTE más pequeños o corregir una asimetría entre ellos.
CIRUGÍAS RELACIONADOS CON VAGINOPLASTIA Y LABIAPLASTÍA
Más recientemente, la vaginoplastia ha crecido hasta convertirse en un grupo de cirugías cosméticas comercializados como “rejuvenecimiento vaginal” y procedimientos “de la vagina de diseño”. Cirugías y Vaginoplastia Labioplastia dan beneficios a las mujeres al igual que con otras cirugías cosméticas, como la belleza, la autoestima y la confianza.
Genitales de las mujeres, naturalmente, tienen una amplia gama de apariencias normales que son anatómicamente correcta. No hay nadie “look” o camino correcto para una vagina y los labios a formar.
Esta información llega a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med Spa

Oftentimes, plastic surgery addicts start out with one or two surgeries and over time start seeing their doctor more frequently for more procedures, occasionally with very strange requests. Plastic surgery, fillers and injectables all have their place when it comes to reversing the signs of aging. When more than a couple of standard procedures are done in a very short amount of time, and there’s an underlying urge to continue to be operated on despite what the results look like, that’s reason for concern. Even when the original problem is corrected, true plastic surgery addicts will not be satisfied with the outcome and will turn their focus on another area of concern. Plastic surgery addiction triggers include:
Poor self-esteem and underlying psychological issues. Some people get addicted to surgery because they are not happy with themselves at the core.
Personal trauma or negative experiences. “A patient of mine had a bad relationship with her father. She was reminded of him every time she looked in the mirror. She physically wanted the trauma erased,” says Marietta, GA facial plastic surgeon Seth A. Yellin, MD.
Attention. Some women thrive on the attention that comes with being notably enhanced. Others do it as a status symbol—it lets people know they can afford the procedures.
How to tell if you have an addiction:
Everything in moderation—that’s the mantra we are told to live by. When anything becomes too excessive, it’s considered dangerous and addictive.
Plastic surgery obsessions exist because there are numerous procedures available, and an emphasis in the media on youth. Patients who are addicted to aesthetic procedures range from mild to borderline obsessive-compulsive. The most severe cases of obsession with the body would be an authentic BDD patient.
Body Dysmorphic Disorder (BDD) is a serious obsessive-compulsive condition, which causes its sufferers to obsess over their appearance because they do not feel beautiful. They view their imperfections, even the minor ones, as severe and go to great lengths to correct them. The setback with operating on those with BDD is that it feeds the patient with false hope. About 1 percent of Americans truly suffer from BDD. An evaluation by a psychologist or psychiatrist is often recommended by a plastic surgeon who believes a patient may have BDD.
This Information brought to you courtesy of Dr. Bishara and The Paragaon Plastic Surgery & Med Spa

The BotTom line when it comes to an insurer’s decision to pay for plastic surgery is typically whether a procedure is considered medical necessary.

Americans love to look good, but insurers are often reluctant to pay the bills to help us look better.
Last year we spent nearly $11 billion on cosmetic procedures, according to the American Society for Aesthetic Plastic Surgery. Of the more than 10 million procedures performed, the most requested was breast augmentation.
But Cameo Wichinsky, a 42-year-old investment fund manager living in Santa Monica, wants to take her figure in the opposite direction.
Having long lived with the discomfort of breasts large enough to cause shoulder and neck pain and to limit her level of physical activity, she’s ready to go under the knife to reduce her breast size and, she hopes, improve her quality of life.

“I’m at the stage of my life when I’m ready to be active and be at my highest level. These things get in the way,” Wichinsky said.
Despite the fact that she has health insurance, she says she’ll have to shell out the nearly $9,000 for breast reduction surgery, which she has scheduled for November. Her insurer won’t cover the procedure.
“Insurance is a huge hassle,” Wichinsky said.
There was a time when health insurers more readily paid for breast reductions. We tend to think of breast reduction as reconstructive surgery and not cosmetic, even though it has that cosmetic aspect to it.
Plastic surgery is expensive. It’s important to know ahead of time what insurers will pay for.
The line between the desire for improved physical appearance and medical need can be fuzzy in the world of health insurance. Although few people expect to have their health plan pay for their tummy tucks or face lifts, there are procedures that legitimately warrant coverage.
The bottom line when it comes to an insurer’s decision to pay for a procedure is typically whether it’s considered medically necessary, experts say.
“Generally, if a procedure is necessary to repair or preserve the healthy functioning of the body, it’s likely to be medically necessary,” said Carrie McLean, senior manager of customer care with online insurance broker eHealthInsurance.com.
“If the procedure is typically considered standard practice for any given diagnosis, that may also meet the criterion for medically necessary,” she said.
Exactly where that line is drawn depends on the individual and his or her circumstances, not the procedure itself, said Patrick Johnston, president of the California Assn. of Health Plans, which represents 40 health plans insuring more than 21 million Californians.
For example, a middle-aged man interested in a tummy tuck to restore the six-pack of his youth isn’t likely to get much sympathy from his insurer, he said, but it’s a different story for someone who lost 150 pounds after bariatric surgery and is left with excess skin.

“This is a recognized standard of treatment for morbidly obese individuals,” Johnston said.
In the same way, he said, a nose job to correct a deviated septum or surgery to lift drooping eyelids that impair vision are other common surgeries likely to be covered by a health plan.
Consumers have a variety of legal protections that guarantee access to certain cosmetic procedures.
Women who have undergone a mastectomy after a diagnosis of cancer, for example, are guaranteed coverage for reconstructive surgery.
“Both federal and state laws guarantee a woman who has had a mastectomy as a result of breast cancer coverage for breast reconstruction,” Johnston said.
California law also requires insurers to cover the repair of a child’s cleft palate, which includes any medically necessary dental or orthodontic services that are an integral part of reconstructive surgery.
If you’re in the market for a cosmetic procedure, here are some important reminders.
• Check with your insurer in advance. In most cases you’re likely to need your insurer’s pre-authorization to obtain coverage.
It’s a good idea to work with your doctor. Submitting medical records, letters from specialists who have treated you for long-term symptoms and in some cases photos can all lend support for the medical necessity of the procedure and increase your chances of gaining approval.
• Pre-approval may not be enough. Breast reduction surgery such as what Wichinsky plans is a good example of the devil being in the details.
Most insurers dictate how many grams of tissue must be removed from each breast for the procedure to be covered. Asking in advance what those requirements are can help avoid surprise bills.
• You can appeal insurer decisions. Don’t be deterred if your insurer initially denies coverage. You frequently have to appeal the claim … to obtain insurance coverage.
This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

Euny Hong joins guest host Terry O’Reilly to discuss the ubiquity of plastic surgery in South Korea, where it is believed one in three women have gone under the knife in recent years.

Hong, author of The Birth of Korean Cool, explains the cultural factors driving their popularity, and sheds light on the growing counter-trend that inspired the new Back to my Face reality show.
Watch the trailer for the Back to my Face reality show, mentioned in the interview, below. The show has attracted contestants who have had at least 10 procedures and now want to return to some version of their pre-surgical look.

 
Western Eyes
Hong, who herself has undergone eyelid surgery, doesn’t think South Korean women seeking plastic surgery are necessarily trying to look more Western.

“None of these people actually look more Caucasian,” Hong says, “It’s true that they want bigger eyes, but this pre-dates significant contact with the west and it also pre-dates the prevalence of plastic surgery.”
Filmmaker Ann Shin’s NFB documentary, Western Eyes (2000), explores similar themes while following two Canadian women of Filipino and Korean heritage.

Western Eyes by Ann Shin, National Film Board of Canada

This Information is Brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

Pregnancy does not affect the breast implants, although the tissue and skin will experience some level of changes.  To minimize its impact, avoid excessive weight gain to limit stretching of the tissue and prevent the saggy appearance.
What Happens to Breast Implants if You Get Pregnant? Can You still Breast Feed?
Implants do not interfere with pregnancy and usually do not affect breast feeding. Becoming pregnant after getting implants on the other hand can change how your breasts look, both short term and long term.
Breasts can change significantly with pregnancy regardless of whether you have implants. Most women become significantly larger breasted with pregnancy and breast feeding. This is known as “engorgement” and does not involve or affect the implants themselves. Once breast feeding stops, the breasts usually change again – women experience loss of volume and sagging. Many women actually end up smaller breasted than before pregnancy and a “touch-up” procedure is sometimes needed to restore a youthful appearance to the breast even if you’ve had breast augmentation before pregnancy.
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.
Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under our expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.  Please visit our website at www.MarkBisharaMD.com for more information on breast implants or call our office at (817) 473-2120.
En Espanol
Embarazo no afecta a los implantes mamarios, aunque el tejido y la piel experimentarán algún nivel de cambios. Para minimizar su impacto, evitar el aumento de peso excesivo para limitar el estiramiento del tejido y prevenir la aparición caídos.
¿Qué sucede con los implantes mamarios, si queda embarazada? ¿Se puede todavía dar el pecho?Los implantes no interfieren con el embarazo y por lo general no afectan la lactancia materna. Quedar embarazada después de recibir los implantes, por otro lado puede cambiar la apariencia de sus pechos, tanto a corto como a largo plazo.
Los senos pueden cambiar significativamente con el embarazo, independientemente de si tiene implantes. La mayoría de las mujeres se convierten en pecho significativamente mayor con el embarazo y la lactancia. Esto se conoce como “congestión” y no implica o afecta a los propios implantes. Una vez que la lactancia materna se detiene, los senos suelen cambiar de nuevo – las mujeres experimentan pérdida de volumen y flacidez. Muchas mujeres en realidad terminan más pequeño pecho que antes del embarazo y un procedimiento de “retoque” a veces es necesaria para restaurar una apariencia juvenil a la mama, incluso si usted ha tenido el aumento del pecho antes del embarazo.
¿Podré amamantar si tengo implantes?
En la mayoría de los casos, la cirugía de aumento de senos no interfiere con la lactancia materna, ya que los conductos de leche generalmente no perturbados durante el procedimiento. Cuando los implantes se colocan a través de una incisión alrededor de la areola, conductos de la leche a veces se rompen, lo que puede afectar la lactancia materna. Sin embargo, no todas las mujeres son naturalmente capaces de amamantar, ya sea que tengan o no la cirugía estética de las mamas.
Nuestros pacientes eligen someterse a aumento de senos para muchas diferentes razones médicas y estéticas, incluyendo equilibrar el tamaño del seno, compensando masa de mama reduce después del embarazo o la cirugía, y corrección de un defecto congénito de mama. Bajo nuestra atención de expertos, los pacientes disfrutan de excelente aspecto, los senos-sentimiento natural que son una o más tallas de copa más grande después de la operación. Por favor, visite nuestro sitio web en www.MarkBisharaMD.com para obtener más información sobre los implantes mamarios o llame a nuestra oficina al (817) 473 – 2120.