We all know that botox works for wrinkles but did you know it can work for breasts? Botulinum toxin type A can now play a role in inhibiting one of the most serious breast surgery complications-  capsular contracture.
Capsular contracture is an immune system response to foreign materials in the body. It mostly occurs from complications from breast implants and artificial joint prosthetics. It is followed by the formation of capsules of tightly woven collagen fibers tightening and compressing to the implant. It can occur in different grades and become very discomforting and painful to the touch.
Now researchers have found that botox can reduce the capsule thickness by injecting 0.5 mL into implant pockets and found it had also decreased inflammatory cells. Once validated in a clinical setting, this may be another use for the neurotoxin. In a published article in 2015 in the Archives of Plastic Surgery authors wrote about botox’s role and suggesting it may be effective in reducing keloid scarring, which is similar to implant capsules.
Current uses for Botox include treating facial wrinkles, hyperhydrosis, blepharospasm and migraines. This could be just another beneficial use for the neurotoxin after performing more patient research.
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Who is a candidate for Breast Augmentation?

When thinking about a Breast Augmentation the ideal candidate must be over the age of 18. The patient should also be in good health and have reasonable expectations for their Breast Augmentation surgery.  Women that are breast feeding or who have been pregnant in the last 3 months are not ideal candidates.

Should i be at an ideal weight for a Breast Augmentation?

A stable weight is highly recommended when opting to a Breast Augmentation. Weight loss after a Breast Augmentation can alter the results and can be unsatisfying. Weight gain can cause a significant increase in breast size.

Can pregnancy affect my Breast Augmentation?

Typically after a pregnancy women can experience some sagging and deflation after a Breast Augmentation. It can cause a significant change in size and appearance in general.

Will a Breast Augmentation interfere with breast feeding?

In comparison with non- breast augmented women, when having a breast augmentation there is a higher risk of lactation insufficiency.

Should i wait until I’m done have children for a Breast Augmentation?

If breast augmentation is something you have been looking into doing you don’t necessarily have to wait. Many women have done a Breast Augmentation before having children. Although if you planning on becoming pregnant within a year or two after surgery, the breast augmentation is recommended to be postponed after the surgery.

Can having a  Breast Augmentation cause stretch marks?

When inserting implants their could be some stretch marks but its not very common. You can minimize the risk of stretch marks by going with a moderate size implant.

Will my chest be wrapped my after Breast Augmentation?

After breast augmentation surgery you will leave the office with an ace wrap and and a fluff dressing that can be removed after 2 days when a shower is necessary.  After showering, Dr Mark Bishara recommends using a post-surgical compression bra.  Dr Mark Bishara does not recommend under wire bra for 3 months after surgery.

What bra should i use after my Breast Augmentation?

Following your breast augmentation surgery you want to avoid under wire bras for 3 months. You want to make sure to wear a soft comfortable bra, a bra strap on the top of the bra, or a sports bra that can be worn regularly or rolled up to place downward pressure on the breasts.  This facilitates the “dropping” process that occurs between months 2-10.

Where to find a good doctor for my Breast Augmentation?

Finding a good cosmetic surgeon can be quite difficult, results vary even amongst the most season cosmetic breast surgeons…but i’ll help you out a bit. Dr. Mark A. Bishara at the Paragon Plastic Surgery is a fantastic surgeon! Dr. Mark A. Bishara has done hundreds of Breast Augmentation surgeries, and the results are just phenomenal!


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!

Quick, name three materials other than silicone or saline that have used historically for breast augmentation! On what animal were recent predecessors of modern silicone implants first tested on? Think you know? Breast augmentation is one of the most popular cosmetic surgeries in the United States, and it isn’t surprising when you consider the level of satisfaction most women report after their surgery. However, very few know the history of augmentation and statistics that surround this popular procedure. Read on to learn a brief history of breast augmentation, as well as the reasons why women seek breast augmentation and other fun facts.


Long before modern silicone and saline implants were available, women were subjected to a number of questionable materials when seeking breast enhancement. At one time, surgeons used materials such as glass balls, carved ivory, wood chips, peanut oil, and even ox cartilage to fill out the breasts. The resulting complications are too disturbing to describe.
In the 1880s, an Austrian physician named Robert Gersuny began to offer paraffin injections in the breasts as an augmentation method. However, women suffered from complications such as having unnatural hard masses in the breasts to experiencing life-threatening conditions such as blood clots in the lungs and brain. Later, silicone was injected directly into the breasts without good results, although with significantly fewer complications than Gersuny’s methods and materials. Scarily, these methods of breast augmentation are still in use in some parts of Asia.


Moving forward to the 1960s, an American surgeon named Thomas Cronin was carrying a bag of blood when he realized that it was similar in consistency to a human breast. Cronin had already developed silicone prosthetics and realized that he could put together the idea of a solid bag with silicone gel to form implants. Cronin and his colleague, Frank Gerow, developed the first true predecessor to modern breast implants. The first prototypes were implanted in a dog named Esmeralda.
After World Wars I and II, mass media such as movies and magazines began to place wider emphasis on appearances, and starlets such as Marilyn Monroe were often cited as the ideal for body shape and breast size. This created a push for proper surgical solutions for women who were unsatisfied with their breasts.
Technology advanced fairly rapidly after Cronin and Gerow’s developments, and now breast implants are safer than ever before with oversight by the Food and Drug Administration (the FDA). Although there are risks with any procedure, cosmetic or otherwise, breast implants have come so far in terms of both materials and surgical approach that breast augmentation is now often considered one of the safest of all surgeries performed in the United States.


In the United States, the FDA currently has approved two types of implants, both of which are encased in silicone shells. The choice of material inside the implants is either silicone or saline. Thirty-one percent of implants used in the United States are saline-filled, and these implants may come either pre-filled or they may be filled after they are placed. Saline implants are FDA-approved for women 18 years of age and older. The remaining 69 percent are filled with a stable, silicone gel. Silicone gel implants are available pre-filled, and are FDA-approved for women over the age of 22.
If you have been considering breast augmentation, a great first step is to schedule a consultation with Dr. Mark Bishara at The Paragon Plastic Surgery & Med Spa. Call us today at (817) 473-2120 to schedule your consultation. We look forward to meeting you!

Ninety-eight percent of women undergoing breast augmentation surgery say the results met or exceeded their expectations, according to a prospective outcome study published in an issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Women also report improvements in self-esteem and quality of life after breast augmentation, according to the study. The study adds high-quality information regarding expected outcomes after breast augmentation – including recovery time and psychological benefits.
98 Percent of Women Satisfied with Breast Augmentation Results
The survey study evaluated 225 consecutive women who returned for interviews at least one month after breast augmentation over a five-year period. Interviews included questions about the recovery, results, complications and psychological effects.
The average patient was 34 years old, and the majority of women received saline-filled breast implants placed under the muscle. The average implant volume was 390 cc.
On a 10-point scale, the women reported an average pain score during recovery of 5.9. On average, they used prescription pain medication for five days and were off work seven days. Patients felt they were “back to normal” about 25 days after surgery.
Eighty-five percent of women rated their new breast size “just right.” Thirteen percent would have preferred a larger size and less than two percent a smaller size. Only one percent expressed dissatisfaction with their scars, which were usually located in the crease under the breast. Seventy-five percent of women rated their breast firmness “just right.” When asked to rate the result, over half of the patients gave it a perfect 10 on a scale of 1 to 10. Almost all patients (98 percent) reported that the results met or exceeded their expectations.
Increased Self-Esteem and Other Psychological Benefits
Nearly 40 percent of the women surveyed experienced at least temporary nipple numbness after surgery. Persistent numbness was reported by only two percent. The complication rate reported by patients was 10 percent. When asked about psychological effects, 92 percent of women reported improved self-esteem after breast augmentation and 64 percent reported an improved quality of life. Before surgery, the majority of women (86 percent) were self-conscious about their breasts. After surgery, only 13 percent were self-conscious about them.
Breast augmentation remains the most popular plastic surgery procedure for women. In 2013, there were 290,224 breast augmentation surgeries performed by ASPS member surgeons. That represents a growth of 37% since 2000. The study results provide new information for women considering breast augmentation, particularly in terms of their expectations of the recovery and results. “This study is valuable in providing information from the patient’s perspective, not the surgeon’s,” according to Dr. Swanson. “Patient satisfaction is the most important measure of surgical success.”
This news is brought to you courtest of Dr. Mark Bishara and The Paragone Plastic Surgery & Med Spa
Dr. Bishara, with offices in Mansfield and Southlake, TX- 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 call our office for more information at (817) 473-2120.
En Espanol
El noventa y ocho por ciento de las mujeres sometidas a cirugía de aumento mamario dicen que los resultados alcanzaron o superaron sus expectativas, según un estudio de resultados prospectivo publicado en una edición de Plástica y Reconstructiva Surgery®, la revista médica oficial de la Sociedad Americana de Cirujanos Plásticos (ASPS) .
Las mujeres también reportan mejoras en la autoestima y la calidad de vida después de aumento de senos, según el estudio. El estudio añade información de alta calidad respecto a los resultados deseados con el aumento de senos – incluyendo el tiempo de recuperación y los beneficios psicológicos.
98 Porcentaje de mujeres satisfechas con los resultados de aumento de senos
El estudio encuesta evaluó 225 mujeres consecutivas que regresaron para las entrevistas, al menos, un mes después de aumento de senos durante un período de cinco años. Las entrevistas incluyeron preguntas sobre la recuperación, resultados, complicaciones y efectos psicológicos.
El paciente promedio fue de 34 años de edad, y la mayoría de las mujeres recibieron implantes mamarios rellenos de solución salina colocados debajo del músculo. El volumen medio de los implantes fue de 390 cc.
En una escala de 10 puntos, las mujeres reportaron una puntuación media de dolor durante la recuperación de 5,9. En promedio, se utilizan medicamentos para el dolor durante cinco días y estaban fuera del trabajo de siete días. Los pacientes sentían que eran “volver a la normalidad” unos 25 días después de la cirugía.
El ochenta y cinco por ciento de las mujeres calificaron su nuevo tamaño de los senos “justo.” El trece por ciento hubiera preferido un tamaño más grande y menos de dos por ciento de un tamaño más pequeño. Sólo el uno por ciento expresó su descontento con sus cicatrices, que por lo general se ubican en el pliegue debajo del pecho. El setenta y cinco por ciento de las mujeres calificaron su firmeza del pecho “justo.” Cuando se les pidió calificar el resultado, más de la mitad de los pacientes le dio un perfecto 10 en una escala de 1 a 10. Casi todos los pacientes (98 por ciento) informó que los resultados alcanzaron o superaron sus expectativas.
El aumento de la autoestima y Otros Beneficios psicológicos
Casi el 40 por ciento de las mujeres encuestadas experimentaron al menos temporal pezón entumecimiento después de la cirugía. Entumecimiento persistente fue reportado por sólo dos por ciento. La tasa de complicaciones reportada por los pacientes fue de 10 por ciento. Cuando se le preguntó acerca de los efectos psicológicos, el 92 por ciento de las mujeres informó de mejora de la autoestima después de aumento de senos y el 64 por ciento informó de una mejor calidad de vida. Antes de la cirugía, la mayoría de las mujeres (86 por ciento) eran tímidos sobre sus pechos. Después de la cirugía, sólo el 13 por ciento era consciente de ellos.
El aumento del pecho sigue siendo el procedimiento de cirugía plástica más popular para las mujeres. En 2013, había 290.224 cirugías de aumento de senos realizados por cirujanos miembros de la ASPS. Esto representa un crecimiento del 37% desde el año 2000. Los resultados del estudio proporcionan nueva información para mujeres que están considerando el aumento del pecho, sobre todo en cuanto a sus expectativas de recuperación y resultados. “Este estudio es valioso en el suministro de información desde la perspectiva del paciente, no el cirujano”, según el Dr. Swanson. “La satisfacción del paciente es la medida más importante del éxito de la cirugía.”
Esta noticia es traído a usted courtest del Dr. Mark Bishara y La Cirugía Plástica & Paragone Med Spa
Dr. Bishara, con oficinas en Mansfield y Southlake, TX-ofrece una amplia gama de procedimientos cosméticos para ayudar a los pacientes a verse y sentirse mejor. Estos procedimientos están diseñados para mejorar la apariencia de la cara y el cuerpo a través de las técnicas mínimamente invasivas que proporcionan resultados muy efectivos. Muchos de estos procedimientos se pueden combinar con el fin de lograr su apariencia deseada. Por favor llame a nuestra oficina para más información al (817) 473-2120.