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!


For women who are interested in breast enhancement, one of the biggest questions is, “What’s the best time for breast augmentation?”
To determine that answer, you need to ask yourself why exactly you’re choosing the procedure in the first place. Many women choose breast augmentation because they want to have a beautiful body for the summer and beyond. After all, the summer means more time at the pool and the beach, and more time in a bikini.
Patients should think about the time they’ll spend resting and recovering after the procedure.
Women who have breast augmentation are going to need a few days to begin the recovery process and start to feel like themselves again.
So is there a universally-accepted time that is considered the best time for breast augmentation? Again, it depends on a woman’s goals and needs.


Many women have found that the “best” time for breast augmentation procedures is in the fall or winter months. For starters, the colder weather means heavier, less-revealing clothing. That means you can recover privately. With fewer outdoor activities, it also makes it easier to rest up and focus on recovery.
Many breast augmentation patients agree that getting the procedure done in the fall and winter allows the most time for healing and, when summer comes, they feel great showing off their new curves, whether it’s at the pool, beach, or any vacation spot.
No matter what time of year you decide to schedule cosmetic surgery, there are many other considerations to keep in mind. At the top of your list has to be the skill and experience of your surgeon. Look for a surgeon who has extensive experience performing breast augmentation procedures. Also review your implant options so you can determine which implant style is best for your aesthetic goals. By paying attention to all of the variables that go into making breast enlargement a successful and rewarding experience, you can make the most of your procedure.
If you are considering breast augmentation in the Dallas, TX area, call and schedule a consult now.  At the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa, we offer the Vectra 3-d Imaging system , so you can take a 3-dimensional sneak peek at yourself and how you might appear after breast implants.  Please call our office at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.

en Español

¿Qué hora es “mejor” para el aumento mamario?
Para las mujeres que están interesadas en la mejora de mama, una de las mayores preguntas es, “¿Cuál es el mejor momento para el aumento mamario?”
Para determinar la respuesta, usted tiene que preguntarse por qué es exactamente lo que está eligiendo el procedimiento en el primer lugar. Muchas mujeres optan por el aumento de senos porque quieren tener un cuerpo hermoso para el verano y más allá. Después de todo, el verano significa más tiempo en la piscina y la playa, y más tiempo en bikini.
Los pacientes deberían pensar en el tiempo que va a pasar en reposo y la recuperación después del procedimiento.
Las mujeres que tienen el aumento de senos van a necesitar unos días para comenzar el proceso de recuperación y empezar a sentirse como ellos de nuevo.
Entonces, ¿hay un tiempo universalmente aceptada que se considera el mejor momento para el aumento mamario? Una vez más, depende de los objetivos y necesidades de la mujer.
INVIERNO Y CAÍDA: El momento óptimo para el aumento mamario?
Muchas mujeres han encontrado que el “mejor” momento para los procedimientos de aumento de senos es en los meses de otoño o invierno. Para empezar, el tiempo más frío significa más pesada ropa, menos reveladora. Esto significa que puede recuperar de forma privada. Con menos actividades al aire libre, sino que también hace que sea más fácil para descansar y centrarse en la recuperación.
Muchos pacientes de aumento de senos están de acuerdo en que obtener el procedimiento realizado en el otoño y el invierno permite más tiempo para la curación y, cuando llega el verano, se sienten gran mostrando sus nuevas curvas, ya sea en la piscina, la playa o cualquier lugar de vacaciones.
No importa en qué época del año usted decide programar la cirugía estética, hay muchas otras consideraciones a tener en cuenta. En la parte superior de su lista tiene que ser la habilidad y experiencia del cirujano. Busque un cirujano con amplia experiencia realizando procedimientos de aumento de senos. También revise sus opciones de implantes para que pueda determinar qué implante estilo es mejor para sus objetivos estéticos. Al prestar atención a todas las variables que van a hacer la ampliación de mama una experiencia exitosa y gratificante, puede hacer que la mayor parte de su procedimiento.
Si usted está considerando el aumento del pecho en el área de Dallas, TX, llamar y programar una consulta ahora. En la oficina del Dr. Mark Bishara y La Cirugía Plástica y Paragon Med Spa, ofrecemos el 3-d sistema Imaging Vectra, para que pueda tomar una ojeada en 3 dimensiones a ti mismo y cómo puede aparecer después de los implantes mamarios. Por favor llame a nuestra oficina al (817) 473-2120 o visite nuestro sitio web en www.MarkBisharaMD.com.

What is BRA Day USA?

About BRA Day USA
Breast Reconstruction Awareness Day, or BRA Day, occurs annually in October and is an initiative designed to promote education, awareness and access regarding post-mastectomy breast reconstruction.
The third annual BRA Day will take place on October 15, 2014.
BRA Day USA is a collaborative effort between the American Society of Plastic SurgeonsThe Plastic Surgery Foundation, plastic surgeons, breast centers, nurse navigators, corporate sponsors and breast cancer support groups.
These and other organizations, breast cancer patients, their families and friends coordinate events on BRA Day USA that include gala fundraisers, question and answer sessions, lectures, flash mobs, advertising campaigns and community events.

Many women eligible for breast reconstruction following cancer surgery are not being informed of their options. All women should know their options. It’s time to close the loop on breast cancer.
Studies have revealed:

Visit https://www.bradayusa.org for more information on how you can be a part of this day.

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

You may have had or are about to have a mastectomy — by choice or for medical necessity. If so, your doctor has likely told you about options to rebuild your breast or breasts — a surgery called breast reconstruction. Breast reconstruction takes place during or after mastectomy, and in some cases, lumpectomy. During reconstruction, a plastic surgeon creates a breast shape using an implant, tissue from another place on your body, or both.
Whatever your age, marital status, sexual activity or orientation, you can’t predict how you will react to losing a breast. It’s very normal to feel anxious, uncertain, sad, and mournful about giving up a part of your body. Moving forward, you now have the opportunity to shape and determine what you want to have happen next. But first you must do some careful thinking and delving into your feelings in order to figure out what is best for you. In this section, we’ll talk you through each of the reconstruction techniques, including no reconstruction, what’s involved, and any risks.
Asking yourself some questions can help you start to think about what type of reconstruction you want — if you want reconstruction at all:

  • How important is rebuilding your breast to you?
  • How important is it to you that your breasts be symmetrical?
  • Can you live with a breast form that you take off and put on?
  • Do you need breast reconstruction to feel whole again?
  • Are you OK with having more surgery for breast reconstruction after mastectomy or lumpectomy?

It’s also important to know that while breast reconstruction rebuilds the shape of the breast, it doesn’t restore sensation to the breast or the nipple. Over time, the skin over the reconstructed breast can become more sensitive to touch, but it won’t be exactly the same as it was before surgery.
This Information is Brought to You Courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
En Espanol
Usted puede haber tenido o están a punto de tener una mastectomía – por elección o por necesidad médica. Si es así, probablemente su médico le ha dicho sobre las opciones para reconstruir su seno o senos – una cirugía llamada reconstrucción mamaria. La reconstrucción del pecho se lleva a cabo durante o después de la mastectomía, y en algunos casos, la tumorectomía. Durante la reconstrucción, un cirujano plástico crea una forma de seno usando un implante, el tejido de otra parte de su cuerpo, o en ambos.
Sea cual sea su edad, estado civil, la actividad o la orientación sexual, no se puede predecir cómo va a reaccionar a la pérdida de un seno. Es muy normal sentirse ansioso, inseguro, triste y lúgubre acerca de renunciar a una parte de su cuerpo. En el futuro, ahora tiene la oportunidad de dar forma y determinar lo que desea que sucederá después. Pero primero hay que pensar un poco cuidadoso y profundizar en sus sentimientos con el fin de averiguar qué es lo mejor para usted. En esta sección, vamos a hablar a través de cada una de las técnicas de reconstrucción, incluyendo la no reconstrucción, lo que está involucrado, y cualquier riesgo.
Haciéndose algunas preguntas puede ayudarle a empezar a pensar en qué tipo de reconstrucción que desea – si quieres reconstrucción en absoluto:
¿Qué tan importante es la reconstrucción de la mama con usted?
¿Qué tan importante es para usted que sus senos serán simétricos?
¿Se puede vivir con una forma del seno que te quitas y pones?
¿Necesita reconstrucción mamaria a sentir de nuevo todo?
¿Estás bien con tener más cirugía para la reconstrucción mamaria después de una mastectomía o lumpectomía?
También es importante saber que mientras que la reconstrucción mamaria reconstruye la forma de la mama, no restablecerá la sensibilidad a la mama o el pezón. Con el tiempo, la piel sobre el seno reconstruido puede ser más sensible al tacto, pero no va a ser exactamente el mismo que era antes de la cirugía.
Esta información se ponga a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med Spa