Augmentation mammoplasty, or breast augmentation is a surgical procedure to increase the size, shape or fullness of a woman’s breasts. The surgeon places silicone, saline or alternative composite breast implants under the chest muscles or breast tissue.
Breast augmentation is done to:

  • Enlarge breasts that are naturally small.
  • Restore breast size and shape after pregnancy, weight loss or breastfeeding.
  • Restore symmetry when the breasts are asymmetrical
  • Restore the breast(s) after surgery as treatment for breast cancer or some other condition or event that affected the size and shape of the breast.

Breast enlargement can boost self esteem- women usually experience a significant boost in self-esteem and positive feelings about their sexuality after undergoing breast enlargement.
98% of women who underwent breast augmentation surgery said the results met their expectations. Women also reported improvements in quality of life and self-esteem after their procedure.
A study, involving 225 women who were followed for five years, found that:

  • Patients said they were “back to normal” within 25 days of their surgery
  • 85% said 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
  • 1% were not happy with their scars, which are usually in the crease under the breast
  • 75% thought their breast firmness was “just right”
  • 98% said their results met with their expectations

What are breast implants?

A breast implant is a medical prosthesis that is placed inside the breast to augment, reconstruct or create the physical form of the breast.
The outer layer of breast implants is made of firm silicone. The inside of the implant is filled either with salt water (saline solution), silicone gel, or a composite of alternative substances. Makers of breast implants say they should last for at least ten years.

Saline breast Implant
Breast implants filled with saline solution

There are three main types of breast implants:

    • Saline implants – filled with a sterile saline solution (biological-concentration salt water 0.90% w/v of NaCl, ca. 300 mOsm/L.) which is held within an elastomer silicone shell. These implants can be filled with different amounts of saline solution, which may affect the feel, firmness and shape of the breast.If this type of implant leaks, the solution will be absorbed and expelled by the body naturally.

 

Breast implants in hand 01
A breast implant filled with silicon gel
    • Silicone implants – filled with a viscous silicone gel which is held within an elastomer silicone shell.If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket. A leaking silicone-filled implant might not collapse. Patients choosing this type of implant should carry out more regular checks with their doctor compared to those on saline solution implants. The condition of the implants can be determined with an MRI or ultrasound scan.

What happens during the breast augmentation procedure?

Anesthesia

The patient may have a choice of general or local anesthesia. Under local anesthesia the patient is awake and only the surgical area is numbed. However, in most cases the procedure is done under general anesthesia.

The incision

The surgeon and patient should discuss incision options. The doctor should explain which are most suitable for the patient and her desired outcome.
The following incision options are possible:

  • Inframmammary incision – in the crease under the breast.
  • Transaxillary incision – in the armpit (axilla)
  • Periareolar incision – around the nipple

The choice of which incision to use depends on several factors, including the degree of enlargement, the patient’s anatomy, the type of implant, and surgeon-patient preference.

Inserting and placing the breast implant

Breast Implants
1. Breast after subglandular augmentation.
2. Breast after submuscular augmentation.

The breast implant is inserted into a pocket. Today, there is a choice between two types of placements:

  • A submuscular placement – under the pectoral muscle. When placed here the patient may take slightly longer to recover, compared to subglandular placement, and may also experience a little more post-operative pain.
  • A submammary (subglandular) placement – behind the breast tissue, over the pectoral muscle.

Techniques used today for placing breast implants have significantly improved recovery times.

The incisions are closed

The surgeon closes the incisions with layered sutures (stitches) in the breast tissue, and with skin adhesives, sutures and surgical tape to close the skin and keep it closed.
Initially, there will be evident incision lines. These will fade with time.

View the results

Please view our website at www.markbisharamd.com for even more before and after pictures of some of our patients.
Breast augmentation results are visibly evident straight away. There will be some swelling caused by the surgery, which will resolve within a couple of weeks. As the swelling dies down and the incision lines fade, the patient will have a better idea of whether the procedure met her expectations.
Dr. Mark 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. Many of these procedures can be combined in order to achieve your desired appearance.  Please visit our website for before and after pcitures of patients at www.markbisharamd.com.  Please call our office to receive more information at (817) 473-2120.
 
 

Breast augmentation plastic surgery is one of the most common procedures performed annually by members of the American Society for Aesthetic Plastic Surgery. Women may choose to under go breast enlargement surgery for various reasons. These personal reasons may center around breasts that are perceived to be under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast feeding.
Some women may be happy with their breasts but just want them made fuller. Often after weight loss, aging or childbirth a woman’s breast volume and shape may change. This too can lead to a woman to seek a breast augmentation. Breast implant surgery performed by cosmetic plastic surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.
Before and After Pictures of Dr. Mark Bishara’s Patients:
Are you a good candidate for breast augmentation?
One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the otherDuring the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.How will my plastic surgeon evaluate me for breast augmentation surgery?Your plastic surgeon will examine your breasts and take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.
    You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.
    If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery. If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

    What type of breast implants can be used for breast augmentation?

    The implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

    The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your plastic surgeon discuss.  All breast implants include a solid silicone rubber outer shell, called a lumen.
    Breast implant options include:

    • Saline breast implants: Filled with sterile salt water
    • Silicone filled breast implants: Filled with soft, elastic gel

    New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your plastic surgeon will be able to provide you with the latest information.

    Maintaining a Relationship with your Plastic Surgeon

    Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.
    Dr. Bishara offers cosmetic surgery procedures that help sculpt the appearance of the face and body to help patients look and feel their best. Faceliftrhinoplastybreast augmentationtummy tuck, and BOTOX® Cosmetic injections are just some of the many procedures Dr. Bishara offers.
    For more information about Dr. Bishara and his practice, feel free to explore the website, or call the office today at 817.473.2120 to schedule a consultation with Dr. Bishara.
    For more before and after pictures of breast augmentation patients- please visit our website at markbisharamd.com
    Contact Us!

 

Breast augmentation plastic surgery is one of the most common procedures performed annually by members of the American Society for Aesthetic Plastic Surgery. Women may choose to under go breast enlargement surgery for various reasons. These personal reasons may center around breasts that are perceived to be under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast feeding.
Some women may be happy with their breasts but just want them made fuller. Often after weight loss, aging or childbirth a woman’s breast volume and shape may change. This too can lead to a woman to seek a breast augmentation. Breast implant surgery performed by cosmetic plastic surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.
Before and After Pictures:
Are you a good candidate for breast augmentation?
One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the otherDuring the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.How will my plastic surgeon evaluate me for breast augmentation surgery?Your plastic surgeon will examine your breasts and take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery. If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

    What type of breast implants can be used for breast augmentation?

    The implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

    The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your plastic surgeon discuss.  All breast implants include a solid silicone rubber outer shell, called a lumen.
    Breast implant options include:

    • Saline breast implants: Filled with sterile salt water
    • Silicone filled breast implants: Filled with soft, elastic gel

    New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your plastic surgeon will be able to provide you with the latest information.

    Maintaining a Relationship with your Plastic Surgeon

    Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.
    Dr. Bishara offers cosmetic surgery procedures that help sculpt the appearance of the face and body to help patients look and feel their best. Faceliftrhinoplastybreast augmentationtummy tuck, and BOTOX® Cosmetic injections are just some of the many procedures Dr. Bishara offers.
    For more information about Dr. Bishara and his practice, feel free to explore the website, or call the office today at 817.473.2120 to schedule a consultation with Dr. Bishara.
    For more before and after pictures of breast augmentation patients- please visit our website at markbisharamd.com
     

Breast augmentation plastic surgery is one of the most common procedures performed annually by members of the American Society for Aesthetic Plastic Surgery. Women may choose to under go breast enlargement surgery for various reasons. These personal reasons may center around breasts that are perceived to be under developed, or because of differences in the sizes of the breasts or from changes after pregnancy or breast feeding.
Some women may be happy with their breasts but just want them made fuller. Often after weight loss, aging or childbirth a woman’s breast volume and shape may change. This too can lead to a woman to seek a breast augmentation. Breast implant surgery performed by cosmetic plastic surgeons is the most popular way to improve breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.
Are you a good candidate for breast augmentation?
One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the otherDuring the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.How will my plastic surgeon evaluate me for breast augmentation surgery?Your plastic surgeon will examine your breasts and take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery. If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

    What type of breast implants can be used for breast augmentation?

    The implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

    The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your plastic surgeon discuss.  All breast implants include a solid silicone rubber outer shell, called a lumen.
    Breast implant options include:

    • Saline breast implants: Filled with sterile salt water
    • Silicone filled breast implants: Filled with soft, elastic gel

    New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. Your plastic surgeon will be able to provide you with the latest information.

    Maintaining a Relationship with your Plastic Surgeon

    Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.
    Dr. Bishara offers cosmetic surgery procedures that help sculpt the appearance of the face and body to help patients look and feel their best. Faceliftrhinoplastybreast augmentationtummy tuck, and BOTOX® Cosmetic injections are just some of the many procedures Dr. Bishara offers.
    For more information about Dr. Bishara and his practice, feel free to explore the website, or call the office today at817.473.2120 to schedule a consultation with Dr. Bishara.
    For before and after pictures of breast augmentation patients- please visit our website at markbisharamd.com