While the new year will see many attempt to turn over a new leaf, it seems certain old habits die much harder than others – especially when it comes to beauty.
According to Transform, cosmetic and non-surgical cosmetic procedures will still be very much en trend in the UK in 2014.
“There is a growing awareness of the different types of surgery available to people, coupled with the increasing desire to look and feel at your best,” says Shami Thomas from Transform. “Patients come to us as they want to feel good about their bodies and surgery can help them, and ultimately improve their self-confidence.
“Whilst surgical procedures are still very popular, it’s the non-surgical procedures that are proving to be a key theme and this trend is set to continue into 2014 and beyond.”
Here are Transform’s predictions for the hottest cosmetic surgery trends for 2014:
Breast Surgery
Responsible for over 80,000 breast augmentations, Transform shines the spotlight firmly on society’s fascination with women’s twin peaks and suggests that the allure of boobs – whether to have them bigger, smaller or more pert – will continue to be one of the most popular cosmetic procedures in the UK. Welcome news for a country that is united in its love for all things boobilicous.
Chin Implants
Women will continue to aspire to capture Hollywood glamour and opt to have chin implants – a procedure revealed in 2013 to have been undertaken by movie starlet, Marilyn Monroe. The procedure adds definition and balances facial features, producing instant and significant changes in the profile of patients – serving to inject a new bout of confidence into those with a weak or receding chin.
Enquiries for chin implants have doubled since 2010, with 60% of queries coming from women wishing to alter the silhouette of their faces and Transform expects the desire for a striking and defined chin to continue far into 2014.
Tummy Tucks
For those who’ve been left with excess skin after losing weight or following having a baby, a tummy tuck or abdominoplasty is fast becoming the solution for many unconfident Brits. For those left hanging with stretched skin, and weakened muscles, this is fast becoming one of the most popular procedures as it takes away loose skin and tightens up the muscles. And 2014 is sure to see a continued rise in people wanting to fold up their saggy skin and opt for a slimmer, more toned tummy.
Brachioplasty or ‘Bingo Wing’ Surgery
Brachioplasty is the removal of excess, aging skin from the upper arms – often referred to as ‘bingo wings’ and gives tighter, more toned and youthful arms. An ever increasingly popular treatment among mature ladies who feel self-conscious about their ‘flappy’ upper arms or for those who have lost significant amounts of weight and want to tighten up the skin.
Vaginoplasty
The quest for a ‘designer vagina’ has intensified, with labiaplasty and vaginoplasty amongst the UK’s fastest growing cosmetic surgery procedures.
Labiaplasty is a surgical procedure to reduce the size of, or reshape, the labia minora – either for medical or aesthetic reasons – while vaginoplasty ‘tightens’ the vagina, a procedure that is particularly popular among women who have given birth.
Transform reports that enquiries for the procedures have grown from 2,400 in 2010 to over 3,500 in 2013. Such results suggest that more and more women will feel empowered to undergo a vaginoplasty procedure in the coming year – and this is certainly set to be the surgery on everyone’s lips in 2014.
Non-surgical
2013 saw a whole host of celebrities under the spotlight as having undergone non-surgical treatments from Kim Kardashian to Coleen Rooney and Sharon Osbourne. With non-surgical procedures accounting for 75% of the cosmetic industry*, these treatments are the ones to watch.
The Non-Surgical Face-Lift
Anti-ageing treatments such as dermal fillers, Botox and chemical facial peels are fast becoming a must on beauty-lovers’ lists.
And combined, they provide the ideal ‘face-lift’ that is seen to be taking over the surgical face-lift; they restore the contour of the face without the need for any surgery.
A combination of wrinkle and line smoothing treatments, and dermal fillers result in a more refreshed, and line-free look that plumps up skin, minimises marionette lines and gives a rejuvenated look that is proving ideal for today’s youth-seekers. An increasing number of women want to stop the signs of ageing without surgery – and with such glowing results and minimal recovery time after these procedures, we’ll see the trend for non-surgical facelifts continue for years to come.
Laser Hair Removal
A treatment used for the removal of excess or unwanted hair, laser hair removal works by destroying the base of the hair follicle that is the source of new hair growth. Used on a variety of skin types, with minimum fuss and maintenance, it’s becoming the number one choice for those on the go wanting smooth, hair-free body zones.
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More and more Americans are opting to enhance their assets. According to a new report from the American Society of Plastic Surgeons (ASPS), 15.1 million cosmetic surgery procedures took place in the United States in 2013 – up 3 percent from the previous year.
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While breast augmentations and nose reshaping (rhinoplasty) are still the most popular surgical procedures, butt augmentations are also on the rise.  Nearly 10,000 procedures took place in 2013, an increase of 16 percent from 2012.  The report also noted that neck lifts have become very popular, as it is one of the first areas of the body to show a person’s age.  More than 55,000 neck procedures were performed in 2013.
ASPS President Dr. Robert Murphy said advancements in technology have ultimately paved the way for growth of the plastic surgery industry.
“The demand for plastic surgery remains strong, with our statistics showing increases in both cosmetic surgical and minimally-invasive procedures,” Murphy said in a press release. “… With new devices and products hitting the market each year, there are more options and choices available to consumers wanting to refresh their look or a little nip and tuck.”
Patients
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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

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In 2012, more than 330,000 women in the United States elected to have breast augmentation surgery; worldwide, that number exceeded 1.5 million. Although media coverage suggests otherwise, only a minute percentage of the women who get breast implants are actresses and models. They come from all walks of life; they include policewomen and CEOs, teachers and soldiers, young mothers and nurses.
About 30 percent of the women who get breast implants are in their 20s. They often report being self-conscious about their lack of development or embarrassed about their breasts being asymmetrical or uneven. About 35 percent are women in their thirties, many of whom lost breast volume after childbirth. Some want to recapture their pre-pregnancy breast size, while others liked the breast fullness they had during pregnancy and want to recreate it with implants.
Whether women are having cosmetic breast surgery (augmentation, lift or reduction) or reconstructive surgery after a mastectomy, their goals are similar: They want to look feminine, natural and proportional. They want their clothes to fit better.
In consultation, 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.
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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

breast contour 2
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.
implant placement
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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