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Woman with full breasts after breast augmentation surgery. Woman with full breasts after breast augmentation surgery.

Many women feel that their breasts are a direct expression of their femininity and feel that breast augmentation can provide a full, natural look while enhancing proportions and helping clothes to fit better. Dr. David Azouz has been a top provider of breast augmentation in Dallas for over 30 years. Dr. Azouz is known for excellent results, quick recovery, and minimal scarring. Cosmetic breast implants can improve breast asymmetry, shape, size, and contours. Contact Dr. Azouz to schedule your breast augmentation consultation and take the first step to enhance your figure!

Am I a Candidate for Breast Implants?

woman holding her bra

For women who find that their breasts are small, asymmetrical, have lost shape and volume, or have breasts that did not develop normally, breast enhancement in Dallas can be a fantastic option. The best candidates for breast augmentation are physically healthy and are not currently pregnant or breastfeeding.

Breast Augmentation Benefits

Breast augmentation helps women to improve and enhance the appearance of their figure in different ways, such as:

Improving Body Contour
Some people find that a flat chest causes them to look and feel less feminine. Breast augmentation can provide a more feminine-appearing silhouette. Patients with pear or square-shaped figure find that breast augmentation provides a more cosmetic hourglass shape.
Adjusting Breast Size After Pregnancy and/or Breastfeeding
In many women, breastfeeding and pregnancy can leave the breasts stretched, sagging, and deflated. With many choices for breast implant size, breast augmentation can help reverse deflation and recreate the pre-pregnancy breasts by providing fullness, firmness, and improving stretched-out skin. Some women further benefit from a breast lift (mastopexy) in addition to implants.

woman breast in black bra

Restoring a more youthful look
Patients who have deflated and sagging breasts often report feeling their bodies appear aged. This can occur at a variety of ages and can be caused by poor skin elasticity, genetics, or weight loss (i.e. after bariatric surgery). Breast enlargement with or without a breast lift (mastopexy) can provide a more youthful look and can tighten the skin of the breasts.

Breast Augmentation with Fat Transfer

Breast enhancement with fat transfer is also known as natural breast augmentation. This technique is an alternative to plastic surgery with implants. It uses fat from different parts of your body re-injected into the breasts to enhance their fullness.

This technique is ideal for women looking for a subtle and permanent increase in breast size and who want to have a more natural look. Liposuction is used to extract the fat from problem areas of excess fat elsewhere on the body, and then small incisions are made to inject the fat for augmentation in the breasts.

Breast Augmentation Surgery Procedure

Dr. Azouz will use his advanced techniques during your breast implant procedure to ensure the most natural-looking results and the least amount of downtime. Depending on the implants you choose, the incisions may differ. Incisions tend to be larger for silicone implants since these implants come pre-filled. Saline implants use a smaller incision since they can be filled after placement. Implants can either be placed above or under the pectoral muscle. Dr. Azouz will create a pocket to place the implant before closing the incisions with sutures.

Comparing Silicone and Saline Breast Implants

Silicone Implants


  • Silicone gel breast implants can feel similar to natural breast tissue.
  • May better retain shape, with less rippling.
  • When broken do not leak.


  • Require examination with ultrasound or MRI to detect ruptures or damage to the shell.
  • Leak silicone when ruptured.
  • May have silent leaks of silicone.

Highly cohesive form-stable silicone gel implants (gummy bear Implants)

  • Higher malposition, more seromas (especially when textured).
  • Cross-linking improves form stability but the gel can fracture (causing a fissure or crack in the gel) or delaminate (the shell separates from the underlying shell).

Saline Implants

doctor shows the patient's silicone inserts


Saline implants have a silicone shell filled with saline salt water.

  • Are adjustable
  • More inexpensive (lower cost)
  • Offer more volume choices
  • Can be placed through a shorter incision with a smaller scar


  • Deflate when ruptured

This can actually be advantageous because the patient will be aware that a rupture is present. Saline implants should be overfilled to prevent rupture and rippling.

Breast Implants Shape and Texture

Round breast implants: Round breast implants are the most commonly used for their ability to provide a fuller appearance, and their consistent shape, which makes these implants extremely stable.

Textured breast implants: Dr. Azouz does NOT recommend placing textured implants. Dr. Azouz performs the removal and replacement of textured implants with smooth saline or smooth silicone implants. Many breast implant companies have recalled textured breast implants and recommend their removal in symptomatic patients.

How is Breast Augmentation performed in Dallas, TX?

Breast augmentation is most commonly done with implants that are inserted into the breasts below or above the pectoralis muscle. Breast implants have a silicone shell and are either filled with saline or silicone gel. Most silicone implants are cohesive gel commonly known as “gummy bear” implants. Dr. Azouz recommends smooth implants either silicone or saline.

Breast Implant Positioning

Breast implants may be positioned above or below the pectoralis major muscle. Breast implants placed below the pectoralis muscle have been associated with a lower rate of capsular contracture, but may not be recommended in certain circumstances.

two women breast in bra

Chest Body Sculpting with Liposuction

Dr. Azouz utilizes cutting-edge liposuction techniques including power-assisted liposuction and high definition liposuction to provide additional, highly precise chest sculpting during breast implant surgery. With liposuction, Dr. Azouz can remove lateral breast tissue and axillary breast tissue for an improved appearance.

Advanced surgical and liposuction techniques allow Dr. Azouz to provide beautiful and natural results. Liposuction can be performed through the same incisions as breast augmentation and therefore can be performed without additional scarring.

Dr. Azouz takes time to customize breast augmentation procedures to the individual patient in order to provide them with the best result for their individual body size and shape. Many patients feel that combining liposuction with breast augmentation yields superior results.

Anesthesia for Breast Augmentation

Breast augmentation is generally performed under local anesthesia and sedation. Anesthesia can be adjusted to the patient’s desire in being more awake or completely asleep. Both the sedation and local anesthetic allow you to be comfortable during the procedure. Dr. Azouz uses advanced techniques to minimize pain and allow for a rapid recovery.

Breast Augmentation Recovery

Following your breast augmentation procedure, you will need to relax and get plenty of rest for 48 hours. It is normal to have soreness and swelling, and these side effects will improve within a few weeks. Dr. Azouz helps to make your recovery easy with his drainless breast augmentation methods. This means that there will be no surgical drains in place to take care of while you are focusing on healing.

Additionally, thanks to Dr. Azouz’s advanced techniques, most patients have camouflaged scars after their breast augmentation. Dr. Azouz will provide you with a detailed list of instructions for recovery and when to follow up with him. He will also inform you as to when you can return to all normal activities.

Breast Implant Exercises

Dr. Azouz will guide his patients on how to perform breast implant exercises after augmentation. Breast implant exercises are critical in maintaining a soft-feeling breast and in preventing capsular contracture or scar tissue around the implant.

Combination of a Breast Augmentation with Other Plastic Surgeries

Women interested in breast augmentation in Dallas can also consider other plastic surgeries to enhance their figure, such as:

Breast Augmentation Cost

There is no one cost for breast augmentation. The costs depend on the implant type, change desired, incision placement, and more. Dr. Azouz and his team will be able to give you an individualized estimated cost of your custom breast surgery during your consultation appointment. Dr. Azouz provides patients with different payment and financing options to help make any procedure affordable for his patients.

How Long Do Breast Augmentation Results Last?

Many patients have breast implants that are stable for 15-20 years. Dr. Azouz recommends annual visits to check the condition of the implant and mammograms in patients older than 35. Dr. Azouz routinely examines patients with breast implants that were placed in the early 1980s who still have wonderful results years later.

Breast Augmentation Before and After

Schedule Your Consultation with Dr. Azouz

If you are looking to improve your breasts’ size, shape, or overall look, breast augmentation is often the best option. Contact Azouz Plastic and Cosmetic Surgery in Dallas, Texas, to schedule a consultation online today or call us at (972) 702-8888.

Frequently Asked Questions

Breast Videos

Breast Augmentation Surgery Patient Review for Dr. Azouz

“I have to give an amazing review to Dr. Azouz who did a great job with my breast implant surgery. He has a great eye for detail and helped me pick the perfect size implants. I’ll definitely be coming back for more surgeries. He is a great Doctor! Dr. Azouz and his staff have been nothing but phenomenal in my experience. I felt 110% comfortable and never thought I could look this good.”

Read more patient reviews for Dr. Azouz

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