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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.
TO LEARN MORE ABOUT OUR BREAST SURGERY AND BOTOX SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.
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18th Century

In 1895, surgeon Vincenz Czerny was responsible for the earliest breast implant emplacement. He used the patient’s loose connective tissue from a benign lumbar lipoma, to repair the asymmetry of the breast where he had removed the tumor.

19th Century

Morton I. Berson, in 1945, and Jacques Maliniac, in 1950, each performed flap-based breast augmentations by rotating the patient’s chest wall tissue into the breast to increase its volume.

In the 1950’s, polyurethane, cartilage, wood and even glass balls, were all tried as breast implants. In addition, doctors started inserting sponge implants into women’s breasts. The sponge technique worked well at first, but did not last – the sponges soon shrank, and became “hard as baseballs” says Biggs.
In 1961, the American plastic surgeons Thomas Cronin and Frank Gerow, and the Dow Corning Corporation, developed the first silicone breast prosthesis, filled with silicone gel. “Frank Gerow squeezed a plastic blood bag and remarked how much it felt like a woman’s breast,” says Teresa Riordan, author of Inventing Beauty: A History of the Innovations that have Made Us Beautiful.”And he had this ‘Aha!’ moment, where he first conceived of the silicone breast implant.”

1st Silicone Breast Implant

It was spring 1962 when Timmie Jean Lindsey, a mother-of-six lay down on the operating table at Jefferson Davis hospital in Houston, Texas. Over the next two hours, she went from a B to a C cup, in an operation that made history. Lindsey went to the hospital that day to get a tattoo removed from her breasts, and it was then that doctors asked if she would consider volunteering for this first-of-its-kind operation. Fifty years later Timmie Jean Lindsey remains delighted with the results, though there is no stopping the passing of time, she says. She is still very happy with the little piece of history she carries inside her body. “It’s kind of awesome to know that I was first,” she says.

Manufacturing

In 1964, the French company Laboratoires Arion developed and manufactured the saline breast implant, filled with saline solution, and then introduced for use as a medical device in 1964. The significance began to hit home when Cronin presented the work at the International Society of Plastic Surgeons in Washington DC in 1963. “The plastic surgery world was absolutely set on fire with enthusiasm,” says Biggs. It was the decade in which Playboy magazine and Barbie launched.

Fun Facts

In the early days, they only had four choices or sizes – large, medium, small and petite. Now we have over 450 choices! It is 54 years since the first breast enlargement using silicone implants. Today breast augmentation rates as one of the most popular form of cosmetic surgery worldwide, undergone by 1,348,197 women in 2014.
[calltoaction]To learn more about Breast Augmentation, please contact us at (817) 473-2120 today or email [email protected] [/calltoaction]

“so fresh and so clean clean”

Clean your house and tidy up before having your breast augmentation surgery with Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Med Spa because we will be joining you for dinner! No, we won’t be joining you for dinner (unless you insist). We recommend cleaning your house before surgery because coming home to a dirty dishevelled house is not relaxing. Create your own serene environment, whatever that may entail, it doesn’t matter as long as you will be able to recover and relax. Nothing beats snuggling up in bed with fresh clean sheets!

Nightstand Necessities

For those that don’t know CVS and most other drug stores have a wall of one dollar priced items that are travel size. Use this wall to your advantage and stock up on little things that we usually keep in our purse or car. Think of all the items that you use on a daily basis and put them right in arms reach on the nightstand. Such items could include your favorite lip balms, lotions, gum or mints, tissues, water (for the adventurous – water with cucumber, lemon and mint leaves), tv remote, baby wipes to freshen up, smart phone, charger, magazines and books (self help books could be great, we all need some improvement)! FreeImages.com/RicardoVasquez.

Right In Arms Reach

Before breast augmentation surgery go around the house and see what you reach for on a daily or weekly basis. Keep your arms to your sides and see if you can still reach it, if the item is too high and your have to lift your arms up relatively high move it to a lower place. After surgery you won’t want to be raising your arms up over your head. So, pretend to make dinner or get ready for the day and bring those items to you!

“Plump” up the volume


Body pillows are available at most stores like Kohls or Target. Get a couple of these body pillows to have on both sides of you to prop up those arms (soft fuzzy pillow cases are available for these). In addition to those, prop a few regular pillows behind you or get a wedge type of pillow to help you sit at a 45 degree angle. Sitting at this angle and propping your arms up will help with bruising. FreeImages.com/Mdmartian.

Cocoa Butter

Once you have the clear all after your breast augmentation surgery to take showers, your skin will be tighter than usual and could start itching if you aren’t moisturizing properly. Be careful not to get the cocoa butter/moisturizing lotion of your choice near the incisions but you can apply this to the surrounding areas to help with the tightness and itching.

Child Care


Dr. Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Med Spa have special places in their hearts for kids and animals of all kinds so we want to be sure their taken care of! If child care entails picking your daughter/son up from school, taking them to practice and stopping for a quick bite on the way home make sure that someone will be able to take care of these for a little while. It can take as much as two weeks before driving will feel comfortable again. Also, if child care is taking your hyper dog for an afternoon run/walk be sure to have someone do this until you fully recover. Walking should be fine after a couple weeks. Be careful holding the leash if your little guy/girl likes to pull! FreeImages.com/MehmetGoren. FreeImages.com/DanMitchell.

Food


Very important topic for all of you fellow foodies! Make your meals ahead of time and store these away in the freezer (in a easy to reach place not above your head) so that you can easily reheat them. Little snack foods throughout the day are best. For the later weeks, stock up on the easy to cook favorites that you can do in your sleep (figuratively of course). Or, have your favorite delivery options saved in your smart phone! FreeImages.com/Rotorhead.

Feeling Peachy In No Time


The post operative combination of medications after your breast augmentation surgery can lead to you having constipation (I know, no one wants to talk about this) but you will be thankful later. Canned peaches, white grape juice or a high fiber based laxative like Metamucil will help alleviate this issue. FreeImages.com/Ecilaecila.

Bra

Ladies, we all know there’s nothing better than coming home and taking off your bra after a long day. I’m here to burst your bubble. After surgery your girls should be kept in the sports bra that your doctor provides you for the first month. After a month or two it is okay to wear sports bras of your choice as long as it supports you and doesn’t have underwire. After 6 months you should get the OK to go bra shopping and pick out the pretty bras that you’ve been itching to wear, until then, hold tight!

Ice ice baby

Have your ice packs ready (in an easy to reach place) in the freezer so when you get home they will be good and cold. Get 4 so you can use two at time and swap the room temperature ones out with the cold ones. The more flexible the ice pack the better so that you can form it to ice all areas and not just the top or side. Be sure to keep them on for 20 minutes on and 20 minutes off.

Comfortable Clothing

When you come home from your breast augmentation surgery you won’t want to be pulling anything over your head. Wear a button up loose fitting shirt to the surgery and easy to put on shorts (it’s okay if you look like you roam the streets for a couple weeks). Stock up on your boyfriend/husbands big button up shirts or go buy some soft comfy flannel ones!

Arnica Montana

No, I’m not instructing you to move to Montana! Arnica Montana is a pill that will help tremendously with bruising. It can be hard to find so get this ahead of time, it can usually be found in most drug stores or on Amazon for a cheaper price!

 

Please call 817-473-2120 or email appointmen[email protected] to come in for your personalized breast augmentation consultation with Dr. A. Bishara, M.D., P.A. and The Paragon Plastic Surgery & Med Spa!

WHY DO WOMEN UNDERGO BREAST AUGMENTATION SURGERY?

Most women seek breast augmentation for more than one reason. In fact, most women cite several reasons. The overwhelming majority of women cite the desire to look better both naked and clothed as reasons to undergo breast augmentation, while many simply desire to have larger breasts. Confidence and a desire to have improved self-esteem are also common reasons for breast augmentation. Whatever the reason, it is important that a woman seek out breast augmentation for herself and not as a reaction to the desires of others.

HOW SATISFIED ARE WOMEN WITH THEIR BREAST AUGMENTATION SURGERY?

For most women, breast augmentation has a number of benefits. More than 90 percent of women who undergo breast augmentation are pleased with their decision to get implants and would recommend breast augmentation to others. More than 80 percent also report that their self-confidence improved after breast augmentation, even if they already had high self-esteem before surgery. As an added bonus, 70 percent of women report having a more satisfying sex life after breast augmentation, and more than 60 percent report having sex more frequently.
If you have been considering breast augmentation, a great first step is to schedule a consultation with Dr. Mark Bishara. Call us today at (817) 473-2120 to schedule your consultation. We look forward to meeting you!

Breast augmentation, also called augmentation mammaplasty, involves surgical placement of an implant behind each breast to increase its volume and enhance its shape. Often, after weight loss, childbirth, or as a result of aging, the breasts lose volume and their shape changes. Also, many women choose to have their breasts enlarged in order to satisfy their desire for a fuller bustline. Breast augmentation can be performed at any age after the breasts are developed.

Silicone Breast Implants:
Silicone implants are pre-filled with silicone gel — a thick, sticky fluid that closely mimics the feel of human fat. Most women feel that silicone breast implants look and feel more like natural breast tissue.
They come in different sizes and have either smooth or textured shells.
Silicone gel-filled breast implants are approved for breast augmentation in women age 22 or older and for breast reconstruction in women of any age. They are also used in revision surgeries, which correct or improve the result of an original surgery.

BENEFITS:

  • Positive aesthetic results, and data has shown patients often receive a substantial psychological boost.
  • It is often possible to return to work within a week, depending on the nature of your work.
  • No scientific evidence that breast augmentation increases the risk of breast cancer, autoimmune disease, or any systemic illness.
  • No evidence that breast implants affect pregnancy or ability to breast-feed.

OTHER CONSIDERATIONS:

  • Every surgical procedure carries some risk. Potential complications may include reactions to anesthesia, blood accumulation that may need to be drained surgically, and infection.
  • Changes in nipple or breast sensation may result from breast augmentation surgery, although they are usually temporary.
  • When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. If the capsular contracture is severe, it may cause discomfort or changes in the breast’s appearance. Additional surgery may be needed to modify or remove scar tissue, or perhaps remove or replace the implant.
  • Breast implants can make performing and reading mammograms technically difficult. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination.
  • As with other surgical implants, breast implants cannot be expected to last forever. If a saline-filled implant breaks, its contents are harmlessly absorbed by the body, usually within hours.
  • Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of breast augmentation.
  • As of May 2000, Federal regulation prohibits breast augmentation for purely aesthetic surgery in women less than 18 years of age

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