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!

According to the FDA, breast implants are not considered lifetime devices, but they also don’t necessarily have an expiration date. They need to be replaced only if they break, and they are not that fragile. 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.

If you’ve been considering breast implants, we’re sure you have a lot of questions. Questions like “How often do breast implants need to be replaced?” along with “How often do breast implants leak?”
For all of those questions, the short answer is: It varies. Breast implant longevity depends somewhat on the patient’s body and lifestyle, somewhat on the surgeon and implant type, and somewhat on chance. Here we’ve compiled more detailed answers that may help bring to light any uncertainties faced in the decision-making process of implants.
When Do Breast Implants Need to Be Replaced?
A common misconception is that breast implants need to be replaced or lifted every few years. Breast implants last longer than you may think. Which means: There is no reason to plan on having major surgery every few years for the rest of your life!
The reality of implants is that you should be aware that you may have one or two follow-up surgeries in your lifetime. It’s not a given, but it is better to be prepared for the possibility than to be surprised when you experience a complication or dissatisfaction with your implants.
When it comes to the “average lifespan” of implants, there are no guarantees. On average, the majority of implants last 10-20 years without complications. Recent FDA reports indicate that about 20% of women will have their breast implants repaired or replaced within 10 years of the original surgery.
How Often Do Breast Implants Leak?
As with all types of surgery, complications from breast implants vary widely. A common complication is a leaky or ruptured implant. When this happens, reparative surgery is not medically urgent or even necessary, but is performed for obvious cosmetic reasons.
Whether you are considering saline or silicone implants, the difference for how noticeable a leak is varies. Learn more about the difference between silicone and saline implants.

Please contact our office to find out more about breast implants at (817) 473-2120.  You can also visit our website at
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Según la FDA, los implantes mamarios no se consideran dispositivos de por vida, pero también no necesariamente tienen una fecha de caducidad. Ellos necesitan ser reemplazados sólo si se rompen, y que no son tan frágiles. 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.
Si usted ha estado considerando los implantes mamarios, estamos seguros de que tienes un montón de preguntas. Preguntas como “¿Con qué frecuencia los implantes mamarios deben ser sustituidos?”, Junto con “¿Con qué frecuencia se escapan los implantes mamarios?”
Por todas esas preguntas, la respuesta corta es: Varía. Breast longevidad del implante depende de alguna manera en el cuerpo y estilo de vida del paciente, tanto en el tipo de cirujano y el implante, y algo en el azar. Aquí hemos recopilado respuestas más detalladas que pueden ayudar a sacar a la luz cualquier incertidumbre que enfrentan en el proceso de toma de decisiones de los implantes.
¿Cuándo los implantes mamarios que ser reemplazado?
Un error común es que los implantes mamarios deben ser sustituidos o levantado cada pocos años. Los implantes de senos duran más de lo que piensa. Lo que significa: No hay razón para planear en tener una cirugía mayor cada pocos años para el resto de tu vida!
La realidad de los implantes es que usted debe tener en cuenta que es posible que tenga una o dos cirugías de seguimiento en su vida. No es un hecho, pero es mejor estar preparado para la posibilidad de ser sorprendido cuando usted experimenta una complicación o insatisfacción con sus implantes.
Cuando se trata de la “vida media” de los implantes, no hay garantías. En promedio, la mayoría de los implantes últimos 10-20 años sin complicaciones. Los últimos informes de la FDA indican que alrededor del 20% de las mujeres tendrán sus implantes mamarios reparados o reemplazados dentro de los 10 años de la cirugía original.
¿Con qué frecuencia los implantes mamarios de fugas?
Como con todos los tipos de cirugía, las complicaciones de los implantes mamarios varían ampliamente. Una complicación frecuente es un implante que gotea o roto. Cuando esto sucede, la cirugía reparadora no es médicamente urgente o incluso necesario, pero se realiza por razones estéticas evidentes.
Si usted está considerando salinos o implantes de silicona, la diferencia de cómo perceptible una fuga varía. Obtenga más información sobre la diferencia entre los implantes de silicona y solución salina.
Por favor, póngase en contacto con nuestra oficina para obtener más información sobre los implantes mamarios al (817) 473 a 2120. También puede visitar nuestro sitio web en

For those looking to improve their breast shape and/or size, breast augmentation is an option to explore. But through exploration, many women come across the same questions and concerns, leaving them to wonder what they should and shouldn’t believe. What are the most common myths regarding breast implants:
1) Saline is safer than silicone.
False. Saline implants were largely used because silicone implants were thought to cause medical problems. In scientific studies and in real life, silicone implants perform equal to or better than saline implants, which are filled with salt water. They produce more of a natural feeling. However saline implants require less surveillance and don’t necessitate MRIs.
2) Under the muscle is more natural looking than over the muscle.
False. The practice of placing breast implants under the pectoralis major muscle depends on individual breast anatomy and the type of breast implants selected. Some patients get better, more natural-looking results with the breast implants under the pectoralis major muscle, while others over the muscle. It really depends on your unique anatomy.
3) You cannot breast feed after you have had a breast augmentation.
False. When a breast augmentation is done via an incision through the inframammary fold, armpit or belly button, there is not usually a problem with breast-feeding.
4) Natural breast augmentation with fat is better than breast implants.
False. Taking a person’s own fat with liposuction and adding it to the breasts may create future problems because some of the fat transferred will perish within a year. It’s a new technology, and there is no regulatory approval in the U.S., so the technique is not yet standardized. So at this point, the procedure is very controversial, and there is concern about the long-term safety and efficacy.
5) You need breast implants for a breast lift.
False. Breast implants are not a treatment for breast sagginess. Only a breast lift (mastopexy) corrects sagginess.

For more information regarding breast augmentation, breast lift (mastopexy), or breast revision please contact the office of Dr. Mark Bishara, with offices in both Mansfield and Southlake, TX.  Dr. 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. Please contact our office at (817) 473-2120 or visit our website at
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