Why Breast Augmentation?

Breast augmentation is done to enlarge breasts that are naturally small, to restore breast size and shape after pregnancy, weight loss or breast feeding and to:

  • restore symmetry if the breasts are not asymmetrical
  • restore the breast after the patient underwent breast cancer or some other condition that affected the breast size and shape.

Breast augmentation can benefit you. There are a few decisions one must make with the help Dr. Mark A. Bishara, M.D. P.A. to have this procedure done.

Self-Esteem Boost

Typically women experience a significant boost in their overall self-esteem and how they feel about themselves sexually and towards their partners. According to an article published in Plastic and Reconstructive Surgery, 98% of women who underwent breast augmentation surgery said that the results met their expectations. In addition to this women also reported that they had improvement in overall quality of life after the procedure. This research makes all too much sense, when a woman isn’t happy with her body, and is forced to live with it day in and day out, once she gets the issue resolved it is a whole new beginning and chapter in her life. Her loved ones can enjoy her more now than ever as well. The common saying, “happy wife, happy life” rings true.


In one study, 225  women that underwent breast augmentation surgery reported   that they were back to normal within 25 days of their surgery date.

  • 85% said that 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.

These findings support a general tendency to go a little larger …especially if you are going back and forth between two sizes you more than likely will be pleased to have gone up in size than down. We hear this all too often that women wish this would’ve gone bigger and rarely hear it the other way around.

  • 1% were not happy with their scars.
  • 75% thought that their breast firmness was “just right”
  • 98% said their results met with their expectations.

The key words here are “met with their expectations” its just as important if not more to have realistic expectations for your breast augmentation surgery. In our edited and photoshopped society we live in it is important to keep those facts in mind when imaging your end result. It’s perfectly normal to expect great looking breasts just not perfect in every aspect like some pictures would lead us to believe.

According to the American Society of Plastic Surgery, there were  286,000 breast augmentations procedures in the USA in 2014. Breast augmentation was also named One of The Top 5 Cosmetic Surgical Procedures in 2014. There is no doubt in anyone’s mind that women getting breast augmentations are growing rapidly and becoming more and more common.

What are breast implants

A breast implant is placed inside the breast to reshape or reconstruct the physical form of the breast. The implant allows surgeons to create an entirely different breast than the one we are born with and aim for the shape and size that will make the patient and surgeon happy with their end result. The outer layer of the breast implant is made of firm silicone. The inside of the implant is where the different options come from, they can either be filled with salt water (saline solution) or silicone gel. At The Paragon Plastic Surgery and Med Spa we are proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants.The makers of these breast implants say that a standard amount of time that their safe to be in the body is 10 years give or take.

Incision Types

Dr. Mark A. Bishara, M.D. P.A. makes incisions in inconspicuous places on or around the breast to minimize scar visibility. The incisions may be located in three different places. First, in the armpit (transaxillary) this incision is one of the newer ones offered by surgeons and has given great results. Second, the crease on the underside of the breast (inframammary) no one will be able to see this unless they are right underneath you and even then it is hard to notice once the patient is fully recovered and the incisions are completely healed. Lastly, around the areola (periareolar) the dark skin around the nipple.

Placement Options

The first option is having a Submuscular placement of the breast implant, this means that the implant would be underneath the pectoral muscle. The recovery time from this placement may be a little bit longer than above because it is going under a muscle that hasn’t had anything underneath it. If this is your second time getting implants underneath the muscle then it shouldn’t be too much of a difference. Placing the implant underneath the muscle gives the breast a more natural look, reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. The other option is a Subglandular placement which is behind the breast tissue but over the pectoral muscle.

Before / After Photo

Please visit our website for more Before / After Photos and information on Breast Augmentation Surgery.

Give us a Call: 817-473-2120 or Email: to schedule a consultation today!

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 should come in for a consultation to get their questions answered and to make an informed choice. Please contact our office at (817) 473-2120 for more information or visit our website at  While breast augmentation is not right for everyone, for those who choose it, it can make a life-altering difference.
En Espanol
¿Es normal tener diferentes tamaños de los senos?
Los pechos son hermanas, no gemelos. No hay tal cosa como los pechos perfectamente idénticas. La mayoría de las mujeres tienen senos que son ligeramente diferentes tamaños. En las consultas, cuando las mujeres se ven a docenas de antes y el después-fotos, están sorprendidos y aliviados al ver que ellos no son los únicos que tienen diferentes tamaños pechos.
La asimetría puede ser tratado durante la cirugía, mediante la ampliación de los senos con implantes de diferentes tamaños, aumentando la mama más pequeña o la reducción de la mama más grande. Mientras que la cirugía no puede transformar esas hermanas en gemelos, puede que se vean como hermanas de la misma familia.
¿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.
¿Los implantes en el camino de la lectura de una mamografía?
Ellos pueden. Es por eso que los técnicos de preguntar de forma rutinaria a las mujeres si tienen implantes mamarios. Si es así, van a desplazar suavemente (empujar hacia arriba) los implantes y tomar vistas adicionales de cada seno. Debido a la cantidad de mujeres que han tenido aumento de mamas, los radiólogos pueden tener experiencia en la evaluación senos con implantes.
Me una copa C completa puede hacer?
Las mujeres suelen pensar que el estar en proporción significa usar un sostén de copas C. Debido a que no existe un sistema estándar de taza de tamaño del sujetador, y debido a los implantes mamarios se miden en centímetros cúbicos no Tamaño de sostén, es mejor referirse a proporcional como una “mirada C”. Para lograr esto, una mujer de 5 pies de altura, con un pequeño marco podría terminar usando un sujetador copa B y unos 5 ‘8 “mujer podría usar una D.
¿Cuándo puedo volver a trabajar y de hacer ejercicio?
El primero depende de lo que implica su trabajo. En general, las mujeres que trabajan en una oficina pueden volver a trabajar en el quinto día después de la cirugía. Aquellos cuyos puestos de trabajo implicaría levantar, empujar o tirar normalmente vuelven al trabajo al final de la segunda semana.
Tres semanas después de la cirugía es un hito: Eso es cuando las mujeres pueden correr, andar en bicicleta estacionaria y hacer el entrenamiento de peso inferior del cuerpo. Es también cuando policías o soldados pueden poner su chaleco antibalas espalda. Las mujeres suelen ser cómodo haciendo ejercicios de brazo (pesos superior del cuerpo) a partir de unas seis semanas después de la cirugía.
Haga implantes mamarios tienen que ser reemplazados cada 10 años?
Los implantes mamarios no tienen una fecha de caducidad. Ellos pueden manejar cientos de libras de presión, por lo que una mamografía – que puede aplicar hasta 50 libras – no perjudicarles.
A través de los años, los fabricantes han aumentado la resistencia de la cubierta del implante. En promedio, menos del 3 por ciento de los implantes se rompen o se desinfle.
¿Mis implantes mamarios fundir en un sauna?
Tanto gel de silicona y los implantes salinos tienen una cubierta exterior de silicona, que puede fundirse a temperaturas superiores a 392 grados Fahrenheit. Una sauna convencional es típicamente entre 150 y 190 grados. Si usted estuviera en un ambiente donde sus implantes se derretirían, te fundes demasiado.
Las mujeres deberían ser objeto de una consulta para obtener respuestas a sus preguntas y para hacer una elección informada. Por favor, póngase en contacto con nuestra oficina al (817) 473-2120 para más información o visite nuestro sitio web en Si bien el aumento del pecho no es adecuado para todos, para los que lo elija, puede hacer una diferencia que altera la vida.

Patients who refer a friend who gets a breast augmentation can also receive a free treatment.


* Offer valid only for new BOTOX® Cosmetic (onabotulinumtoxinA) and LATISSE® (bimatoprost ophthalmic solution) 0.03% patients. For qualified augmentation patients only; only a doctor can determine who is an appropriate patient candidate for these prescription products. Patients have the ability to choose any physician of their choice. Terms and restrictions apply.
The SkinMedica® product described here is intended to meet the FDA’s definition of a cosmetic product, an article applied to the human body to cleanse, beautify, promote attractiveness, and alter appearances. This cosmetic product is not intended to be a drug product to diagnose, treat, cure, or prevent any disease or condition.

Description: Natrelle® Gel—Discover the right one for you.
Description: Don’t miss out. Make an appointment today to take advantage of this exclusive offer.

Please see BOTOX® Cosmetic Approved Uses and Important Safety Information below or click here
Also, if you refer a friend—
for a Natrelle® Gel breast augmentation, she is eligible to receive a free
BOTOX® Cosmetic or LATISSE®treatment.
Natrelle® Breast Implants Important Information
Who may get breast implants (INDICATIONS)?
Natrelle® Breast Implants are indicated for women for the following:

Breast augmentation for women at least 22 years old for silicone-filled implants.
Breast augmentation for women at least 18 years old for saline-filled implants.
Breast augmentation includes primary breast augmentation to increase breast size, as well as revision surgery to correct or improve the result of a primary breast augmentation surgery.

Who should NOT get breast implants (CONTRAINDICATIONS)?

Breast implant surgery should not be performed in women with active infection anywhere in their body, with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions, and women who are currently pregnant or nursing.
What else should I consider (WARNINGS)?
Breast implants are not lifetime devices or necessarily a one-time surgery. You may experience unacceptable dimpling, puckering, wrinkling, or other cosmetic changes of the breast, which may be permanent. Breast implants may affect your ability to produce milk for breastfeeding. Silicone-filled implants may rupture without symptoms. MRI examinations 3 years after surgery and then 2 years after can detect ruptures. Symptoms of a ruptured implant may be hard knots or lumps surrounding the implant or in the armpit, change or loss of size or shape of the breast or implant, pain, tingling, swelling, numbness, burning or hardening. Talk to your doctor about removing ruptured implants. Inform any other doctor if you have implants.

This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX. For more information call our office at (817) 473-2120 or see the Patient Brochures at or call the Allergan Product Support line at 1-800-433-8871.

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