“so fresh and so clean clean”

Clean your house and tidy up before having your breast augmentation surgery with Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Med Spa because we will be joining you for dinner! No, we won’t be joining you for dinner (unless you insist). We recommend cleaning your house before surgery because coming home to a dirty dishevelled house is not relaxing. Create your own serene environment, whatever that may entail, it doesn’t matter as long as you will be able to recover and relax. Nothing beats snuggling up in bed with fresh clean sheets!

Nightstand Necessities

For those that don’t know CVS and most other drug stores have a wall of one dollar priced items that are travel size. Use this wall to your advantage and stock up on little things that we usually keep in our purse or car. Think of all the items that you use on a daily basis and put them right in arms reach on the nightstand. Such items could include your favorite lip balms, lotions, gum or mints, tissues, water (for the adventurous – water with cucumber, lemon and mint leaves), tv remote, baby wipes to freshen up, smart phone, charger, magazines and books (self help books could be great, we all need some improvement)!

Right In Arms Reach

Before breast augmentation surgery go around the house and see what you reach for on a daily or weekly basis. Keep your arms to your sides and see if you can still reach it, if the item is too high and your have to lift your arms up relatively high move it to a lower place. After surgery you won’t want to be raising your arms up over your head. So, pretend to make dinner or get ready for the day and bring those items to you!

“Plump” up the volume

Body pillows are available at most stores like Kohls or Target. Get a couple of these body pillows to have on both sides of you to prop up those arms (soft fuzzy pillow cases are available for these). In addition to those, prop a few regular pillows behind you or get a wedge type of pillow to help you sit at a 45 degree angle. Sitting at this angle and propping your arms up will help with bruising.

Cocoa Butter

Once you have the clear all after your breast augmentation surgery to take showers, your skin will be tighter than usual and could start itching if you aren’t moisturizing properly. Be careful not to get the cocoa butter/moisturizing lotion of your choice near the incisions but you can apply this to the surrounding areas to help with the tightness and itching.

Child Care

Dr. Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Med Spa have special places in their hearts for kids and animals of all kinds so we want to be sure their taken care of! If child care entails picking your daughter/son up from school, taking them to practice and stopping for a quick bite on the way home make sure that someone will be able to take care of these for a little while. It can take as much as two weeks before driving will feel comfortable again. Also, if child care is taking your hyper dog for an afternoon run/walk be sure to have someone do this until you fully recover. Walking should be fine after a couple weeks. Be careful holding the leash if your little guy/girl likes to pull!


Very important topic for all of you fellow foodies! Make your meals ahead of time and store these away in the freezer (in a easy to reach place not above your head) so that you can easily reheat them. Little snack foods throughout the day are best. For the later weeks, stock up on the easy to cook favorites that you can do in your sleep (figuratively of course). Or, have your favorite delivery options saved in your smart phone!

Feeling Peachy In No Time

The post operative combination of medications after your breast augmentation surgery can lead to you having constipation (I know, no one wants to talk about this) but you will be thankful later. Canned peaches, white grape juice or a high fiber based laxative like Metamucil will help alleviate this issue.


Ladies, we all know there’s nothing better than coming home and taking off your bra after a long day. I’m here to burst your bubble. After surgery your girls should be kept in the sports bra that your doctor provides you for the first month. After a month or two it is okay to wear sports bras of your choice as long as it supports you and doesn’t have underwire. After 6 months you should get the OK to go bra shopping and pick out the pretty bras that you’ve been itching to wear, until then, hold tight!

Ice ice baby

Have your ice packs ready (in an easy to reach place) in the freezer so when you get home they will be good and cold. Get 4 so you can use two at time and swap the room temperature ones out with the cold ones. The more flexible the ice pack the better so that you can form it to ice all areas and not just the top or side. Be sure to keep them on for 20 minutes on and 20 minutes off.

Comfortable Clothing

When you come home from your breast augmentation surgery you won’t want to be pulling anything over your head. Wear a button up loose fitting shirt to the surgery and easy to put on shorts (it’s okay if you look like you roam the streets for a couple weeks). Stock up on your boyfriend/husbands big button up shirts or go buy some soft comfy flannel ones!

Arnica Montana

No, I’m not instructing you to move to Montana! Arnica Montana is a pill that will help tremendously with bruising. It can be hard to find so get this ahead of time, it can usually be found in most drug stores or on Amazon for a cheaper price!


Please call 817-473-2120 or email to come in for your personalized breast augmentation consultation with Dr. A. Bishara, M.D., P.A. and The Paragon Plastic Surgery & Med Spa!


Most women seek breast augmentation for more than one reason. In fact, most women cite several reasons. The overwhelming majority of women cite the desire to look better both naked and clothed as reasons to undergo breast augmentation, while many simply desire to have larger breasts. Confidence and a desire to have improved self-esteem are also common reasons for breast augmentation. Whatever the reason, it is important that a woman seek out breast augmentation for herself and not as a reaction to the desires of others.


For most women, breast augmentation has a number of benefits. More than 90 percent of women who undergo breast augmentation are pleased with their decision to get implants and would recommend breast augmentation to others. More than 80 percent also report that their self-confidence improved after breast augmentation, even if they already had high self-esteem before surgery. As an added bonus, 70 percent of women report having a more satisfying sex life after breast augmentation, and more than 60 percent report having sex more frequently.
If you have been considering breast augmentation, a great first step is to schedule a consultation with Dr. Mark Bishara. Call us today at (817) 473-2120 to schedule your consultation. We look forward to meeting you!

Breast augmentation, also called augmentation mammaplasty, involves surgical placement of an implant behind each breast to increase its volume and enhance its shape. Often, after weight loss, childbirth, or as a result of aging, the breasts lose volume and their shape changes. Also, many women choose to have their breasts enlarged in order to satisfy their desire for a fuller bustline. Breast augmentation can be performed at any age after the breasts are developed.


  • Positive aesthetic results, and data has shown patients often receive a substantial psychological boost.
  • It is often possible to return to work within a week, depending on the nature of your work.
  • No scientific evidence that breast augmentation increases the risk of breast cancer, autoimmune disease, or any systemic illness.
  • No evidence that breast implants affect pregnancy or ability to breast-feed.

Other Considerations:

  • Every surgical procedure carries some risk. Potential complications may include reactions to anesthesia, blood accumulation that may need to be drained surgically, and infection.
  • Changes in nipple or breast sensation may result from breast augmentation surgery, although they are usually temporary.
  • When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. If the capsular contracture is severe, it may cause discomfort or changes in the breast’s appearance. Additional surgery may be needed to modify or remove scar tissue, or perhaps remove or replace the implant.
  • Breast implants can make performing and reading mammograms technically difficult. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination.
  • As with other surgical implants, breast implants cannot be expected to last forever. If a saline-filled implant breaks, its contents are harmlessly absorbed by the body, usually within hours.
  • Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of breast augmentation.
  • As of May 2000, Federal regulation prohibits breast augmentation for purely aesthetic surgery in women less than 18 years of age

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

en Español

El aumento de senos, también llamada mamoplastia de aumento, implica la colocación quirúrgica de un implante detrás de cada seno para aumentar su volumen y mejorar su forma. A menudo, después de la pérdida de peso, el parto, o como resultado del envejecimiento, los senos pierden volumen y su forma cambia. Además, muchas mujeres prefieren que sus pechos agrandados con el fin de satisfacer su deseo de tener un busto más lleno. El aumento de senos se puede realizar a cualquier edad después se desarrollan los senos.
Resultados estéticos positivos, y los datos han demostrado que los pacientes a menudo reciben un impulso psicológico sustancial.A menudo es posible volver al trabajo dentro de una semana, dependiendo de la naturaleza de su trabajo.No hay evidencia científica de que el aumento del pecho aumenta el riesgo de cáncer de mama, enfermedad autoinmune, o cualquier enfermedad sistémica.No hay evidencia de que los implantes de mama afectan el embarazo o la capacidad de amamantar.
Cada procedimiento quirúrgico conlleva cierto riesgo. Las complicaciones potenciales pueden incluir reacciones a la anestesia, la acumulación de sangre que pueden necesitar ser drenado quirúrgicamente, y la infección.Cambios en el pezón o la sensación del pecho pueden resultar de la cirugía de aumento de pecho, a pesar de que suelen ser temporales.Cuando un implante mamario se inserta, se forma una cápsula cicatricial alrededor de él como parte del proceso de curación natural. La cápsula puede a veces apriete y comprimir el implante, causando la mama a sentirse más firme que la normal. Si la contractura capsular es grave, puede causar molestias o cambios en la apariencia de la mama. Cirugía adicional puede ser necesaria para modificar o eliminar el tejido cicatricial, o tal vez eliminar o reemplazar el implante.Los implantes mamarios pueden hacer escénicas y mamografías lectura técnicamente difícil. La colocación del implante debajo del músculo pectoral puede interferir menos con el examen mamográfico.Al igual que con otros implantes quirúrgicos, los implantes mamarios no se puede esperar que dure para siempre. Si una solución salina implante se rompe, su contenido se inofensivamente absorbidas por el cuerpo, por lo general en cuestión de horas.El embarazo puede alterar el tamaño del pecho de un modo impredecible y podría afectar a los resultados a largo plazo de aumento de senos.Hasta mayo de 2000, la regulación federal prohíbe el aumento de senos para la cirugía puramente estética en mujeres menores de 18 años de edadEsta información es traído a usted por cortesía de Dr. Mark Bishara y La Cirugía Plástica y Paragon Med Spa

You might consider a mommy makeover cosmetic surgery procedure if pregnancy or childbirth has reduced the fullness of your breasts, or caused sagging of the breasts, and left you with sagging skin in your midsection.  We provide a mommy makeover procedure for you moms out there who have these issues.

Goals of Mommy Makeover

The combined procedures known as mommy makeover are customized to meet your needs. The desired outcome of a mommy makeover is full, lifted breasts and a tight abdomen.

Breast Lift Procedure

To reshape the breasts, our mommy makeover patients choose to undergo a breast lift with or without augmentation (breast implants). A breast lift increases breast perkiness. Implants can restore or create a fuller breast contour. The ideal candidates for a breast lift are women who have completed their child bearing and breastfeeding and who are also close to their ideal weight.

Tummy Tuck Procedure

To reshape the midsection, our mommy makeover patients choose a tummy tuck (abdominoplasty) with or without liposuction. The tummy tuck tightens the abdomen while removing excess skin. Liposuction addresses excess fatty tissue. The best candidate for a tummy tuck procedure are women who are close to an ideal weight. Dr. Bishara believes that patients who intend to lose more weight or women who want to have more children should wait to have this procedure.
Please contact us for more information at (817) 473-2120 or visit our website at

en Español

Usted podría considerar un procedimiento de cirugía estética makeover de la mama si el embarazo o el parto se ha reducido la plenitud de sus senos, o causado caída de los senos, y le dejó con la flacidez de la piel en su abdomen. Proporcionamos un procedimiento makeover de la mama para usted mamás por ahí que tienen estos problemas.
OBJETIVOS DE Mommy Makeover
Los procedimientos combinados conocidos como makeover de la mama pueden personalizarse para satisfacer sus necesidades. El resultado deseado de un makeover de la mama está llena, levantó los pechos y el abdomen apretado.
Para cambiar la forma de los pechos, nuestros pacientes makeover de la mama optan por someterse a un levantamiento de senos con o sin aumento (implantes de senos). Un levantamiento de senos aumenta perkiness mama. Los implantes se pueden restaurar o crear un contorno de pecho más lleno. Los candidatos ideales para un levantamiento de senos son las mujeres que han completado su fértil y la lactancia materna y que también están cerca de su peso ideal.
Para cambiar la forma de la sección media, nuestros pacientes makeover de la mama eligen una cirugía estética de abdomen (abdominoplastia), con o sin liposucción. La cirugía estética de abdomen se tensa el abdomen mientras se quita el exceso de piel. La liposucción se dirige a exceso de tejido graso. El mejor candidato para un procedimiento de cirugía estética de abdomen son mujeres que están cerca de un peso ideal. Dr. Bishara cree que los pacientes que tienen intención de perder más peso o las mujeres que quieren tener más hijos deben esperar a tener este procedimiento.
Por favor, póngase en contacto con nosotros para obtener más información al (817) 473-2120 o visite nuestro sitio web en

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.