How Do I Know Which Breast Surgery is Right for Me?

Many women are insecure about the size, shape, and overall look of their breasts. In some patients the breasts are too large, too small, or sagging, whatever the issue, there is a Plastic Surgical operation which can offer a solution. In Dallas, Texas Dr. David Azouz performs various breast surgeries on women who are looking for a change. Dr. David Azouz is a Board-Certified Plastic Surgeon specializing in drainless, rapid recovery breast surgery. Dr. Azouz offers an individualized approach to breast surgery and thoroughly explains the benefits and drawbacks of each surgery. Dr. David Azouz is highly experienced and offers many minimally invasive approaches to breast surgery that allows for minimal scarring with a natural look.

Why do a woman’s breast empty?  There are many reasons including:


The most common reason for a woman’s breast to be empty is hereditary.  Some women inherit poor skin elasticity which causes their breasts to sag over time.  Other women lose their breasts when they lose weight.  There are some women who never develop breast tissue.


Pregnancy can cause enlargement of the breasts.  Some women find that when they are finished breast feeding they no longer have the breast tissue they started with.

Weight Loss

Massive weight loss with diet and exercise or with bariatric surgery can cause the breasts to be emptied and are often associated with sagging breasts.


As some women age, they are left with sagging or empty breasts.

Breast Augmentation

Breast augmentation is a surgery that is done to increase the size of the breasts, correct asymmetrical breasts, and improve breast contour. This is a good option for women who wish to increase the size and improve the shape of their breasts. This surgery alone will may correct slightly sagging or drooping breasts. Patients who have more significant sagging or drooping of the breasts will require a lift or a lift in addition to an augmentation. Candidates for this surgery are women who are physically healthy, have fully developed breasts, and are not currently pregnant or breastfeeding.

Recovery Time for Breast Augmentation

Recovery time from a breast augmentation varies for each patient. Dr. Azouz will give you a list of detailed postoperative instructions to follow to help the recovery be smooth and easy. It is important to rest and relax for the first 48 hours following your surgery. Most patients can return to most daily activities within a week. More strenuous activity such as contact sports, marathon running and crossfit may still need to be paused for a few weeks.

Cost of Breast Augmentation

Each patient’s breast augmentation cost will vary. At your consultation with Dr. Azouz, he will give you an estimated cost based on your customized procedure. Costs vary due to implant type, size, and placement. If any other procedures are performed in combination such as a breast lift or liposuction, that will also affect the cost. If you have any questions regarding cost and payment, feel free to contact our Dallas office at 972-702-8888.

Breast Lift

A breast lift, also called mastopexy, is a surgical procedure that is performed to lift sagging, loose breasts. Often women’s breasts start to lose volume and elasticity after pregnancy or weight loss. This breast surgery also repositions the nipple and areola to a more youthful position. Women who seek breast lifts want to get higher, fuller appearing breasts without increasing the actual size through augmentation.

Recovery Time for Breast Lift

The recovery from breast lift surgery is relatively quick. Dr. Azouz will provide detailed instructions for your post-operative care. These will help to make recovery smooth and easy for you.

Cost of Breast Lift

The cost of breast lift procedures varies for every patient. It is highly dependent on the amount of change desired, techniques used, and any combination procedures. There are three main approaches to a breast lift which include a lollipop incision, anchor lift or a mini lift.  Dr. Azouz will give you an estimated cost during your consultation appointment and identify which breast lift is best for you.

Breast Reduction

Breast reduction, also known as reduction mammaplasty, is a surgical procedure that helps to reduce the size of large and/or sagging breasts. Dr. Azouz can also reduce the size of the areola during this procedure to make the breasts look more natural. This procedure is great for women who have large breasts that are causing them pain, discomfort, and even lowering their self-confidence. Breast reductions help to aesthetically improve the look of the breasts and alleviate discomfort associated with large breasts. Dr. Azouz utilizes liposuction with a breast reduction to remove lateral breast tissue and fat.   Liposuction allows for a more sculpted look.

Recovery Time for Breast Reduction

You will notice an immediate improvement in the look and feel of the breasts. Most patients return to work within one week of the procedure. Dr. Azouz will provide specific aftercare instructions for you to follow.

Cost of Breast Reduction

Each breast reduction procedure has a varied cost. The cost depends on the amount of change desired and any combination procedures that are done. During your consultation with Dr. Azouz, he will give you an estimated cost for your breast reduction.

Breast Reconstruction

Breast reconstruction is a procedure that is done to help restore breasts for women who have undergone surgery for breast cancer, have altered breasts from previous surgery, or have altered breasts due to trauma. Dr. Azouz works with each woman individually to find the best breast reconstruction method and to help them feel comfortable. Dr. Azouz will strive to make sure that the results look natural.

Breast reconstruction can be done in multiple ways depending on the health, history and goals of the patient.

Recovery Time for Breast Reconstruction

The recovery time for breast reconstruction varies for each patient. It is dependent on the type of breast reconstruction, amount of breast tissue, the health of the patient, and medical history. Most patients return to work within one week following their surgery.

Cost of Breast Reconstruction

Each breast reconstruction will vary in cost. There are many factors playing into the cost of the surgery such as method, desired change, and more. Dr. Azouz will give you an estimated cost during the in-person consultation.

Removal of Implants

Many women decide to remove their breast implants for a variety of different reasons.  Some women do not want an augmented look as they age.  Other women are concerned as their specific type of breast implant may have been recalled by the FDA.   Dr. Azouz does not place textured implants which have been recalled by the FDA.  While there is not a recommendation for breast implant explantation of textured implants, many women feel more comfortable removing their textured implants.

Recovery Time for Removal of Implants

Recovery time for removal of breast implants is somewhat dependent on if a total capsulectomy is performed or not.  In general recovery from removal of implants is rapid with patients returning to work a few days after surgery.  It is not recommended to engage in heavy exercise activity for four to six weeks after surgery.

Cost of Breast Implant Removal

The cost of breast implant explantation is dependent on the type of implant and the need for a total capsulectomy.  Insurance coverage is possible for women with advanced capsules.  Many insurance companies deep breast implants to be cosmetic and therefore coverage is dependent on the insurance carrier and policy.

Breast Feeding After Breast Surgery

Breast feeding is possible after breast augmentation, breast implant removal, breast reduction, and  breast lift.  Patients who have undergone a mastectomy for breast cancer will be unable to breast feed as the breast glands, ducts and nipples may have been removed.

Drainless Breast Surgery

Surgical drains are used to evacuate fluid after surgery.  While they can be helpful to remove fluid, they involve additional scarring, are potentially painful and need to be continually emptied.  Dr. Azouz performs drain free breast surgery.  This allows patients to recover more quickly and to have a better postoperative experience.

Enhanced Recovery Breast Surgery

Dr. Azouz utilizes many surgical techniques to that provide an optimal post operative experience.  Dr. Azouz places long acting anaesthetics to minimize pain. Dr. Azouz avoids general anesthesia whenever possible to provide his paitents with a quick recovery.  He also utilizes compression garments,  which minimize pain and swelling after surgery.

Combining Liposuction with Breast Surgery

Liposuction can be used in almost all breast surgeries.  Liposuction provides a more defined and sculpted look by removing axillary adiposity, later breast tissue and by giving the breasts a more natural rounded look.  Many patients also decide to add liposuction to the abdomen with a breast surgery for a full body make over known as a “mommy makeover”.

Schedule a Consultation

Dr. Azouz will work with you to choose the best breast procedure, or combination procedures, for you. To make a consultation at his Dallas office, call Dr. Azouz at 972-702-8888 or fill out an online form.

How You Can Benefit From Breast Reduction

What is Breast Reduction?

Breast reduction is a surgical procedure that reduces the size of overly-large breasts through the removal of breast tissue and fat. It can be performed at the same time as a breast lift or a mommy makeover procedure and has one of the highest rates of satisfaction among patients. It requires incisions of varying sizes and locations to access and remove the underlying tissues and to tighten and reposition the skin. This results in smaller, healthier, and more youthful breasts.

Why Choose a Breast Reduction?

Women who have disproportionately large breasts and want a reduction in their size can and do greatly benefit from a breast reduction procedure. Overly-large breasts can have a largely negative effect on a woman’s quality of life and even health, so a breast reduction can be one of the best steps towards contentment with their body and a healthier lifestyle. These problems can include things like chronic back pain, skin rash, and difficulty finding accommodating clothing. Many women with large breasts are unable to participate in sports or athletic activities because of the extra weight.

Scheduling Your Consultation   

Large breasts can take a long-term toll on your health, and many women wait until damage has already been done before seeking out a breast reduction procedure with a board certified plastic surgeon. Be sure to schedule a consultation with Dr. Azouz, who is a top Dallas plastic surgeon, at Azouz Plastic and Cosmetic surgery. An effective breast reduction procedure with an experienced plastic surgeon can ensure you get back to a comfortable and active lifestyle as early as possible.

What to Expect From Your Breast Reduction Recovery

As with any plastic surgery procedure, your recovery is one of the most important parts. During your consultation with Dr. Azouz, you’ll receive step-by-step instructions on how to make the best of your recovery and what exactly to expect for follow-up appointments, but it can be helpful to know what your downtime will look like in the days following your procedure. Here are some of the main things to keep in mind.

Managing Discomfort

Most plastic surgery procedures come with some discomfort or pain afterwards, but this can be managed with medications prescribed by Dr. Azouz. These can also include medications to help decrease swelling and prevent infection, so it’s important to follow these instructions carefully. You’ll want to collect plenty of pillows to help make yourself comfortable, since you will want to avoid moving too much as you sleep. This can disturb your incisions and cause discomfort. You’ll also be asked to wear a surgical bra during this time to aid in blood flow and help your skin adhere to the new contour. This is similar to a supportive athletic bra and should be worn for the first few weeks or until Dr. Azouz clears you for removing it.

Knowing Your Timeline

Your breast reduction recovery timeline can depend on a few different things– like your body’s natural healing process, the procedure itself, and how much time for rest you give yourself. You can expect to take around a week off of work or school for your initial recovery period, but you may be able to return to physical activity within a month or longer. Dr. Azouz can give you the best idea of what to expect during your consultation, as well as during your follow-up appointments to ensure your incisions are healing properly.

Seeing Results

Most patients notice a substantial improvement in their posture and back pain immediately after the procedure, although some swelling will occur. This will only continue to improve as your body heals and your results settle into their new form and position. This can continue to occur for months after your procedure, so you may need to be prepared with clothing for different stages of recovery as your body adjusts. Some patients experience regrowth at some point after their procedure, especially with pregnancy and nursing, so it’s important to speak with Dr. Azouz about what you can expect in the long term.

A breast reduction procedure can be one of the best procedures that women with large breasts choose for themselves. To discuss your options and what you can expect, schedule a consultation with Dr. Azouz who can recommend the best option for you.

Breast Augmentation Over Summer Break

Summer is here, which means more time to spent outdoors and by the pool. However, it can also be a great time to undergo a plastic surgery procedure! The most popular plastic surgery procedure to date is breast augmentation, which individuals across the U.S. benefiting from it! If you are interested in undergoing breast augmentation this summer, read on!

Why Undergo a Procedure Now?

During the summer, the weather is nicer, so you won’t have to be cooped up in the house during recovery. While this doesn’t mean that you can take part in exercise or activities, it does mean that if you wish to sit in a chair on your deck instead of sitting on the couch outside, you may do so.

Some individuals also have less work to do during the summer months, such as teachers, which makes this a great time to heal before autumn comes around. Plus, the kids are out of school now, so you won’t have to worry about driving them to and from school and activities.

Things to Consider Before the Procedure

Now, if you have decided that summer is a great time to undergo your breast augmentation- great! However, there are now some things you should consider before booking your surgery date.

The first is breast implant type. There are three main types of breast implants used today, including saline, silicone, and form stable. Saline implants are filled with a sterile salt water solution, and silicone implants are filled with a silicone gel. Form stable implants are similar to silicone implants, though they tend to hold their shape better.

Second, you will have to consider the incision pattern. During a breast augmentation, an incision is created in the breast, through which the implant can be placed. Patients can choose from the periareolar incision (around the nipples), the inframammary incision (in the breast crease), or the transaxillary incision (in the armpit).

Overall, these decisions can be discussed during your consultation with a board certified plastic surgeon in Dallas like Dr. Azouz. If you are interested in learning more about breast augmentation in Dallas, TX, contact us today to begin your plastic surgery journey!


Tips for a Successful Breast Augmentation Recovery

Like any surgical procedure, a breast augmentation comes with some recovery time. It’s normal to feel nervous or even scared for your recovery period, but knowing what you can expect and how to prepare can help you feel more comfortable on your procedure day! Don’t let the fear of recovery stop you from getting the life-long enhancement you need to look and feel confident. Keep reading to find out how you can ensure a successful recovery.

Manage Pain

Many women fear the pain and discomfort of recovery more than anything else. It’s true that you can expect some degree of discomfort, but it isn’t anything unmanageable! Your surgeon can prescribe you with pain medication, which you should have filled and ready before your procedure day. You might only need this for the first day of recovery and can switch to an over-the-counter pain reliver after that. Ice packs and wearing your support bra can also minimize swelling and discomfort.

Have Assistance

You shouldn’t go into your breast augmentation alone. Make sure you plan to have someone there to drive you home from your procedure and stay with you for at least the first few days. You will be able to get up and be walking as soon as the next day, but you will have some movement restrictions that you need to take seriously to ensure proper healing. Having someone there to help you, especially if you have small children to care for, will make your recovery go a lot smoother!

Get Plenty of Rest

The most important part of your recovery is to rest. Your body needs time to heal itself and moving around too much can strain your incision sites. You might be eager to get up and get back to your regular routine, but you need to be patient with your healing process. You should plan for at least a week off work so you can rest at home.

Your plastic surgeon in Dallas will be there for you every step of the way and can go over your recovery process in more detail at your consultation. To schedule a consultation with board-certified plastic surgeon, Dr. Azouz, contact our office today!

Achieve a More Masculine Chest with a Male Breast Reduction

Gynecomastia, or enlarged breast tissue, can be a result of weight gain, age, or genetic factors. The condition is common and can cause emotional harm in those it affects. Luckily plastic surgery offers a solution! With a male breast reduction, you can achieve a more masculine chest that you can feel comfortable showing.

Eliminate Fat

The appearance of enlarged breasts is often due to the presence of stubborn fat. During a male breast reduction, this stubborn fat is eliminated using liposuction techniques. For treatment, a small incision will be made on the side of the chest, around the areola, or in the armpit to allow access for a cannula device. The cannula breaks up stubborn fat and removes the cells with a light suction. Liposuction can also be used in the abdomen or flanks for more slimming benefits.

Remove Tissue

If loose, excess tissue is the cause of enlarged breasts, patients might need a tissue excision. Incisions will be made around the areola or in the natural breast creases where they can be concealed. Tissue and unnecessary skin can then be removed for a flattened appearance.

Maintaining Results

Although a male breast reduction is intended to give permanent results, it is important to keep a healthy diet and exercise to help maintain your new masculine appearance. The removed tissue and fat cannot return, but if weight is gained in other areas, the results might become distorted. It is also important to avoid any drugs that might affect your testosterone levels which could effect your results.

If you suffer from enlarged breast tissue, you can achieve a more masculine chest with a male breast reduction. Contact our office today for more information or to schedule your consultation with Dr. Azouz.

Do I Need to Revise My Breast Implants?

Breast augmentation is intended to provide long-lasting results for our patients seeking enhancement. However, it is important to know the signs that it’s time to visit your plastic surgeon. With time, implants continue to improve safety and longevity, however, simple wear and aging can take a toll after several years.

Reasons to have Implants Checked for Revision

Time & Aging

After several years our bodies age and experience periods of change that could affect the integrity of breast implants. One concern is that a patient’s skin can lose elasticity and the implants will droop downward with the weight against the skin. This is usually fixed by undergoing a breast implant revision paired with a lift.


Depending on how long ago your implants were placed, it is important to stay on top of any noticeable changes or recalls that come out on the implants you received. If you ever feel that your implants have changed in shape or feeling it is recommended that you see your surgeon as soon as possible to confirm if a revision is needed.

Advances in Technology

If it has been approximately a decade since you had your breast surgery, there have undoubtedly been some major technological advancements in breast implants. Breast implants continue to become safer and more natural looking with each new development. With this being said, your implants may be just fine, but a checkup with your surgeon after many years is recommended.

If it has been several years since your breast augmentation procedure we encourage you to schedule a consultation with Dr. David Azouz to have your implants evaluated. Call our office today to learn more.

The 3 Types of Implants

Breast augmentation remains one of the most popular cosmetic surgeries today and doesn’t appear to be slowing down anytime soon now that more options are coming to the market. If you have opted to have a breast augmentation, you may be in the stage of deciding what type of implant to choose. Today we will discuss the different features and benefits of the three types of implants which will hopefully help you to define which type suits your aesthetic goals.


Saline implants consist of an outer shell that’s filled with a saline type solution that is comprised of salt and purified water. These implants provide shape and firmness with the ability to slightly increase or decrease size once they’re placed before completing the procedure. This type also has a natural filling making them very safe in the event that an implant was to rupture. This is because the saline can be safely absorbed by the body.


Silicone implants use a silicone gel filling to mimic the feeling of natural breast tissue. The silicone gel feels natural while at the same time holding its shape. This type of implant comes in a variety of shapes and sizes to suit any patient’s preference. Something to keep in mind is that in the event an implant ruptures, the implant will deflate but the gel will not be able to be absorbed, therefore a trip to your surgeon is imminent.

Cohesive Gel or “Gummy Bear”

One of the newer implant types, the cohesive gel is an implant that uses a silicone gel of a firmer substance that when cut into doesn’t “run” or spill. This can be seen as a positive in that they do not run the same risk of traveling into the body or deflate if it were to rupture. However, it is important to note that issues may be hard to detect with this type, so keeping a good relationship with your surgeon is important.

If you are interested in learning more about the different types of implants available, contact Azouz Plastic and Cosmetic Surgery today to schedule a consultation with Dr. David Azouz.

Reasons for Breast Implant Revision

Breast augmentation is the most popular cosmetic surgery to date, which women around the world benefiting from the procedure. One thing that breast augmentation patients should be aware of is the possibility of implant replacement in the future. Some women who are happy with their breast augmentation results may require some form of breast implant replacement or revision. This can be due to a variety of reasons, which we have explained below.

Capsular Contracture

Capsular contracture is a complication that can occur following breast augmentation surgery. It happens when scar tissue forms around the implant, causing the breast to become hard and uncomfortable. When this occurs, the implant must be removed and replaced with a new implant.

Implant Rupture

All breast implants have the risk of rupture, which can occur due to the implant wearing down, or being punctured. If a woman has saline implants, her breast implant will deflate and it will be apparent that a rupture has occurred. For those with silicone or gummy bear implants, it may not be detectable, since the implants will keep their shape. This is why an MRI should be done every year after treatment, to detect possible ruptures.

Unsatisfactory Results

Some patients may be unhappy with their results from a previous breast augmentation. When this occurs, breast implant revision can be done to correct the issue at hand. The procedure done will differ depending on the condition of the breast(s).

If you are interested in breast implant revision, contact Azouz Plastic and Cosmetic Surgery today to schedule a consultation.