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What is Breast Augmentation? What are Breast Implants?

Augmentation mammoplasty, or breast augmentation is a surgical procedure to increase the size, shape or fullness of a woman’s breasts. The surgeon places silicone, saline or alternative composite breast implants under the chest muscles or breast tissue.
Breast augmentation is done to:

  • Enlarge breasts that are naturally small.
  • Restore breast size and shape after pregnancy, weight loss or breastfeeding.
  • Restore symmetry when the breasts are asymmetrical
  • Restore the breast(s) after surgery as treatment for breast cancer or some other condition or event that affected the size and shape of the breast.

Breast enlargement can boost self esteem- women usually experience a significant boost in self-esteem and positive feelings about their sexuality after undergoing breast enlargement.
98% of women who underwent breast augmentation surgery said the results met their expectations. Women also reported improvements in quality of life and self-esteem after their procedure.
A study, involving 225 women who were followed for five years, found that:

  • Patients said they were “back to normal” within 25 days of their surgery
  • 85% said their new breast size was “just right”
  • 13% said a larger size would have been better
  • Less than 2% would have preferred a smaller size
  • 1% were not happy with their scars, which are usually in the crease under the breast
  • 75% thought their breast firmness was “just right”
  • 98% said their results met with their expectations

What are breast implants?

A breast implant is a medical prosthesis that is placed inside the breast to augment, reconstruct or create the physical form of the breast.
The outer layer of breast implants is made of firm silicone. The inside of the implant is filled either with salt water (saline solution), silicone gel, or a composite of alternative substances. Makers of breast implants say they should last for at least ten years.

Saline breast Implant
Breast implants filled with saline solution

There are three main types of breast implants:

    • Saline implants – filled with a sterile saline solution (biological-concentration salt water 0.90% w/v of NaCl, ca. 300 mOsm/L.) which is held within an elastomer silicone shell. These implants can be filled with different amounts of saline solution, which may affect the feel, firmness and shape of the breast.If this type of implant leaks, the solution will be absorbed and expelled by the body naturally.

 

Breast implants in hand 01
A breast implant filled with silicon gel
    • Silicone implants – filled with a viscous silicone gel which is held within an elastomer silicone shell.If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket. A leaking silicone-filled implant might not collapse. Patients choosing this type of implant should carry out more regular checks with their doctor compared to those on saline solution implants. The condition of the implants can be determined with an MRI or ultrasound scan.

What happens during the breast augmentation procedure?

Anesthesia

The patient may have a choice of general or local anesthesia. Under local anesthesia the patient is awake and only the surgical area is numbed. However, in most cases the procedure is done under general anesthesia.

The incision

The surgeon and patient should discuss incision options. The doctor should explain which are most suitable for the patient and her desired outcome.
The following incision options are possible:

  • Inframmammary incision – in the crease under the breast.
  • Transaxillary incision – in the armpit (axilla)
  • Periareolar incision – around the nipple

The choice of which incision to use depends on several factors, including the degree of enlargement, the patient’s anatomy, the type of implant, and surgeon-patient preference.

Inserting and placing the breast implant

1. Breast after subglandular augmentation.
2. Breast after submuscular augmentation.

The breast implant is inserted into a pocket. Today, there is a choice between two types of placements:

  • A submuscular placement – under the pectoral muscle. When placed here the patient may take slightly longer to recover, compared to subglandular placement, and may also experience a little more post-operative pain.
  • A submammary (subglandular) placement – behind the breast tissue, over the pectoral muscle.

Techniques used today for placing breast implants have significantly improved recovery times.

The incisions are closed

The surgeon closes the incisions with layered sutures (stitches) in the breast tissue, and with skin adhesives, sutures and surgical tape to close the skin and keep it closed.
Initially, there will be evident incision lines. These will fade with time.

View the results

Please view our website at www.markbisharamd.com for even more before and after pictures of some of our patients.
Breast augmentation results are visibly evident straight away. There will be some swelling caused by the surgery, which will resolve within a couple of weeks. As the swelling dies down and the incision lines fade, the patient will have a better idea of whether the procedure met her expectations.
Dr. Mark Bishara provides a wide range of cosmetic procedures 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 visit our website for before and after pcitures of patients at www.markbisharamd.com.  Please call our office to receive more information at (817) 473-2120.
 
 

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FDA Botox News & Botox Specials with Dr. Mark Bishara, MD

The US Food and Drug Administration (FDA) has approved use of onabotulinumtoxinA (Botox Cosmetic, Allergan) for temporary improvement in the appearance of moderate to severe lateral canthal lines, also known as crow’s feet, in adults. Botox Cosmetic is currently the only FDA-approved drug treatment option for lateral canthal lines, the FDA said today.
The agency approved Botox Cosmetic in 2002 for the temporary improvement of glabellar lines (frown lines) in adults. Botox Cosmetic works by keeping muscles from tightening, so wrinkles are less prominent.
Botox Cosmetic is administered via intramuscular injections. Treatment for both frown lines and crow’s feet can be given at the same time, the FDA said.
Boxed Warnings
The approval of Botox Cosmetic for treating lateral canthal lines was based on 2 clinical efficacy and safety studies involving 833 adults with moderate to severe lateral canthal lines who were randomly assigned to receive either Botox Cosmetic or placebo.
The results showed that those treated with Botox Cosmetic had greater improvement compared with placebo in the appearance of lateral canthal lines, the FDA said.
BOTOX® is a prescription medicine that is injected into muscles and also used for the following:

  • to treat overactive bladder symptoms such as a strong need to urinate with leaking or wetting accidents (urge urinary incontinence), a strong need to urinate right away (urgency), and urinating often (frequency) in adults 18 years and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken.
  • to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older
  • to treat increased muscle stiffness in elbow, wrist, and finger muscles in people 18 years and older with upper limb spasticity
  • to treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in people 16 years and older
  • to treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years and older
  • to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older
This news is brought to you courtesy of Dr. Mark Bishara and The Paragon Med Spa
Dr. Mark Bishara provides a wide range of cosmetic procedures, including Botox and fillers, to help patients look and feel their best. All injections are performed by Dr. Bishara in our office. Please call our office to schedule an appointment at (817) 473-2120.
Interested? Click Here!

 

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Breast Reductions and Competitive Sports- by Dr. Mark Bishara in Mansfield & Southlake

Young Women Undergoing Breast Reduction for Competitive Sports

An international tennis star has made headlines not for her serve but for disclosing her decision to undergo breast reduction surgery, not only to help improve her game, she said, but for relief from severe back pain.

Simona Halep, 21, went from a 34DD to a 34C.
“I think she really caused a breakthrough, where all of a sudden this was not a taboo topic,” said Megan Greenwell, senior editor at ESPN magazine. “When you see people at the highest levels talking openly about these things that opens the floodgates for other people to discuss it as a real issue.”
And it’s not only professional athletes going under the knife to reduce breast size. Carly Mortensen, 19, plays collegiate softball, and decided to have her bust reduced surgically.
“It just felt uncomfortable for me because I had to wear two sports bras every time,”  Mortensen said.
“It was emotionally pretty tough. I wasn’t sure if I was going to be happy with it. If this would help me in life and be a bonus for softball then it’d definitely be worth it.”
More than 100,000 women had similar surgeries last year — some of them, experts say, do it to play sports, according to Cosmetic Surgery National Data Bank statistics.
“We are tending to a lot more young patients who realize there’s a surgery out there that can help them, help them feel better and help them become more athletic,” said Dr. Michelle Spring, a plastic surgeon, told ABC News.
But just how much can breast reduction enhance one’s game? After the surgery, Halep climbed 450 spots in world rankings. She’s now ranked number 18.
“I think it’s definitely helped my play because a lot of it comes from mentally being more confident in myself,” she said.
Halep says she’s looking forward to this softball season, when she takes the field for her first official game.

gty Simona Halep breast reduction thg 130919 4x3 608 Young Women Undergoing Breast Reduction for Competitive Sports
https://abcnews.go.com/blogs/lifestyle/2013/09/young-women-undergoing-breast-reduction-for-competitive-sports/
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Taboo To Talk About Plastic Surgery? by Dr. Mark Bishara in Mansfield and Southlake

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 is 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 or click on the button below.

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Breast Augmentation- by Dr. Mark Bishara in Mansfield & Southlake

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?

    The 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!

 

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