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!

Pregnancy does not affect the breast implants, although the tissue and skin will experience some level of changes.  To minimize its impact, avoid excessive weight gain to limit stretching of the tissue and prevent the saggy appearance.
What Happens to Breast Implants if You Get Pregnant? Can You still Breast Feed?
Implants do not interfere with pregnancy and usually do not affect breast feeding. Becoming pregnant after getting implants on the other hand can change how your breasts look, both short term and long term.
Breasts can change significantly with pregnancy regardless of whether you have implants. Most women become significantly larger breasted with pregnancy and breast feeding. This is known as “engorgement” and does not involve or affect the implants themselves. Once breast feeding stops, the breasts usually change again – women experience loss of volume and sagging. Many women actually end up smaller breasted than before pregnancy and a “touch-up” procedure is sometimes needed to restore a youthful appearance to the breast even if you’ve had breast augmentation before pregnancy.
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.
Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under our expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.  Please visit our website at for more information on breast implants or call our office at (817) 473-2120.
En Espanol
Embarazo no afecta a los implantes mamarios, aunque el tejido y la piel experimentarán algún nivel de cambios. Para minimizar su impacto, evitar el aumento de peso excesivo para limitar el estiramiento del tejido y prevenir la aparición caídos.
¿Qué sucede con los implantes mamarios, si queda embarazada? ¿Se puede todavía dar el pecho?Los implantes no interfieren con el embarazo y por lo general no afectan la lactancia materna. Quedar embarazada después de recibir los implantes, por otro lado puede cambiar la apariencia de sus pechos, tanto a corto como a largo plazo.
Los senos pueden cambiar significativamente con el embarazo, independientemente de si tiene implantes. La mayoría de las mujeres se convierten en pecho significativamente mayor con el embarazo y la lactancia. Esto se conoce como “congestión” y no implica o afecta a los propios implantes. Una vez que la lactancia materna se detiene, los senos suelen cambiar de nuevo – las mujeres experimentan pérdida de volumen y flacidez. Muchas mujeres en realidad terminan más pequeño pecho que antes del embarazo y un procedimiento de “retoque” a veces es necesaria para restaurar una apariencia juvenil a la mama, incluso si usted ha tenido el aumento del pecho antes del embarazo.
¿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.
Nuestros pacientes eligen someterse a aumento de senos para muchas diferentes razones médicas y estéticas, incluyendo equilibrar el tamaño del seno, compensando masa de mama reduce después del embarazo o la cirugía, y corrección de un defecto congénito de mama. Bajo nuestra atención de expertos, los pacientes disfrutan de excelente aspecto, los senos-sentimiento natural que son una o más tallas de copa más grande después de la operación. Por favor, visite nuestro sitio web en para obtener más información sobre los implantes mamarios o llame a nuestra oficina al (817) 473 – 2120.

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
En Espanol
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

What Happens to Breast Implants As You Age?
Many patients choose to replace their implants because of the natural effects of aging. All breasts, whether natural or implanted, are subject to gravity, sun damage, lost tissue connectivity and the physical effects of motherhood.
The natural breast tissue changes and becomes more lax over time in all women, including those who have had breast augmentation. This means that unfortunately, some women will experience sagging of their breasts as they age, even after getting breast implants. Over time changes in the breasts happen, including: breast sagging, hormonal fluctuations size change, as well as visible rippling of the implants. Women who received implants before motherhood may discover that pregnancy and breastfeeding change the original appearance of their breast implants. Many women voluntarily return after they are through having children, wanting to restore their breasts to the look and feel of the original implants.
Some patients will therefore need further surgery in the future, like a breast lift, breast reduction, breast augmentation, or a combination of these, to address this sagging and restore a more youthful appearance.
Some women can also experience hardening of the breasts over time known as “capsular contracture”. If this is severe or bothersome, more surgery is typically recommended. Fortunately, this has become much less frequent as implant technology and techniques have improved over the last several years.
As with any other type of surgery, patients can mitigate some of the risk of complications by selecting a surgeon who is well-experienced and has a respected presence in the medical community. Make sure you put your beauty in hands you can trust: Request a consultation with The Paragon Plastic Surgery & Med Spa today. You can also call our office at (817) 473-2120 or visit our website at
En Espanol
¿Qué sucede con los implantes mamarios a medida que envejece?
Muchos pacientes optan por reemplazar sus implantes debido a los efectos naturales del envejecimiento. Todos los pechos, ya sea natural o implantado, están sujetos a la gravedad, el daño solar, perdieron la conectividad del tejido y los efectos físicos de la maternidad.
Los cambios en el tejido natural del pecho y se vuelve más laxa con el tiempo en todas las mujeres, incluidas las que han tenido aumento de mamas. Esto significa que, por desgracia, algunas mujeres experimentan la flacidez de sus senos a medida que envejecen, incluso después de recibir los implantes mamarios. Con el tiempo los cambios en los senos suceden, incluyendo: flacidez de mama, el cambio fluctuaciones tamaño hormonal, así como ondulación visible de los implantes. Las mujeres que recibieron implantes antes de la maternidad pueden descubrir que el embarazo y la lactancia materna cambian el aspecto original de sus implantes mamarios. Muchas mujeres regresan voluntariamente después de que son a través de tener hijos, con ganas de recuperar sus pechos a la apariencia de los implantes originales.
Por ello, algunos pacientes necesitarán cirugía adicional en el futuro, como un levantamiento de senos, reducción de senos, aumento de senos, o una combinación de éstos, para abordar esta flacidez y restaurar una apariencia más juvenil.
Algunas mujeres también pueden experimentar endurecimiento de los senos en el tiempo conocido como “contractura capsular”. Si esto es grave o molesto, se recomienda por lo general más de la cirugía. Afortunadamente, esto se ha convertido en mucho menos frecuentes a medida que la tecnología de implantes y las técnicas han mejorado en los últimos años.
Al igual que con cualquier otro tipo de cirugía, los pacientes pueden mitigar algunos de los riesgos de complicaciones por la selección de un cirujano que es muy experimentado y tiene una presencia respetable en la comunidad médica. Asegúrese de que usted pone su belleza en las manos que usted puede confiar: Solicite una consulta con la Cirugía Plástica y Paragon Med Spa en la actualidad. También puede llamar a nuestra oficina al (817) 473-2120 o visite nuestro sitio web en



* 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.

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Please see BOTOX® Cosmetic Approved Uses and Important Safety Information below or click here
Also, if you refer a friend—
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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.


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