Why you might need to remove your breast implants?

Have you had a breast augmentation with implants in the past, but are considering having them removed? If so, you may be able to benefit from breast implant removal with Dr. Azouz. Our team of board-certified plastic surgeons is dedicated to providing the best natural-looking and beautiful results to each of our patients. With many breast implants banned in the United States or recalled by the FDA, many patients are turning to plastic surgeons to remove their breast implants and capsules. 

Why Breast Implant Removal?

Breast implants removed | Dr. Azouz | Dallas & Plano

Breast implants that have been present for many years can have silent leaks, ruptures, and capsules.  Dr. Azouz often finds leaked and free-floating silicone which causes severe capsules and scar tissue.  Capsular contracture, can be painful or distort the look of the breast.

Breast implants can be removed through a variety of incision lines and in combination with many other plastic surgery procedures including breast lifts, liposuction, and in conjunction with a tummy tuck.

Breast implant removal:

During this procedure, incisions can be created in the same places they were during breast implant surgery, to reduce the need to create more scarring.  A total capsulectomy is routinely performed at the same time as the implants are removed.  If a lift is performed in conjunction with breast implant removal, a separate incision may or may not be necessary.

Breast implant removal with a breast lift:

If desired, a breast lift can be performed at the same time as your breast implant removal. This can help to lift your breasts to a perkier position. The areolas can also be resized to fit your new, smaller breast shape.

How do you prevent sag after breast implant removal?

Breast surgery Dallas | Dr. Azouz

Breast implant removal with a lift is the best way to prevent sag after a breast implant removal.  Many patients elect to have liposuction of the lateral breast (side boob) and/or the axilla (armpit fat) at the same time as their breast implant removal.

Contact Dr. Azouz for breast implants removal

For more information regarding breast implant removal, please contact Azouz Plastic and Cosmetic Surgery in Dallas, TX today to schedule a consultation with Dr. David Azouz or Dr. Solomon Azouz. You can also fill out an online contact form for a prompt reply or call at 972 702 8888.

What to Know About Breast Reconstruction

Breast reconstruction refers to surgery performed to correct acquired or congenital disorders of the breast or chest.   Most people define breast reconstruction as recreating the breast after mastectomy for breast cancer.  However, breast reconstruction can be performed for a multitude of different indications. 

Breast reconstruction can also refer to the reconstruction of the breast or chest for congenital disorders of the breast including Poland syndrome in men and women, pectus deformity in men and women, and extra nipples in men and women.

Breast reconstruction can be performed after massive weight loss, after trauma or work injury, and for revision of cosmetic surgery. 

All causes of breast loss in men and women take a heavy toll on a patient’s body confidence. For this reason, breast reconstruction can be an integral part of treatment for many men and women even when the patient has associated functional problems. Fortunately, many reconstructive options are available by board-certified plastic and reconstructive surgeon like Dr. Azouz in Dallas. 

Here’s what to know about your options for breast reconstruction and how Dr. Azouz can help.

What is Breast Reconstruction?

Breast reconstruction is a procedure that aims to restore the shape, look, and feel of the breasts after they’ve been partially or fully removed during mastectomy, from trauma, or for a patient who is born without a breast. There are a few different ways that breast reconstruction can be achieved. In some cases, breast reconstruction includes surgical techniques to rebuild and recreate the nipples, areolas, and breasts mounds. Breast reconstruction surgery with Dallas-based board-certified plastic surgeon Dr. Azouz can occur at the same time as mastectomy, or months to years later. 

Indications for Breast Reconstruction

  • Post-mastectomy
  • After trauma or work injury
  • Poland syndrome
  • Chest wall deformity (Pectus)
  • Breast/chest asymmetry 
  • Extra nipples (Polythelia)
  •  To revise cosmetic breast surgery
  • Gender confirmation surgery
  • Gynecomastia (male breasts)

How Does Breast Reconstruction with Implants Work?

Breast reconstruction with implants can occur in two different ways:

  1. Using tissue expanders that are placed under the skin. The tissue expanders are inflated and gradually stretch tissues to accommodate implants which are placed later in a different surgical procedure. 
  2. Breast implants are placed above, in the place of or below the pectoralis musculature.

Implants can be customized according to your desired goals. Breast implants come in a variety of shapes and sizes. Breast implants with or without tissue expanders are a good option for women who have undergone a mastectomy and would like to regain their feminine shape.  Pectoral implants are a good option in men who want the appearance of bigger pectoral muscles or who are missing a pectoral muscle (Poland syndrome).  

Dr. Azouz is known for his ability to perform directly to implant breast reconstruction in men and women with a drainless minimally invasive technique.

How Does Breast Reconstruction with a Tissue Flap Work?


Breast reconstruction with a tissue flap is also called autologous tissue grafting or flap reconstruction. This surgical procedure uses a section of tissue or muscle taken from another area of the body (either with or without the connected blood vessels) to create a natural breast mound out of the skin, muscle, and fatty tissue. Areas where flaps can be taken from include:

·           The abdomen (DIEP flap) which does not include muscle

·           The latissimus dorsi (LD flap), or the middle and side of the back

·           The lower abdomen (TRAM flap) which does include muscle

Additionally, some women can opt for fat grafting from areas around the thighs or buttocks if they’ve previously undergone major abdominal surgery (or don’t have enough tissue in the torso for reconstruction). For some women, a combination of tissue flaps and implants is the most effective reconstruction technique.

How Does Nipple and Areola Reconstruction Work?

After recovery from breast reconstruction, many women and men opt for nipple and areola reconstruction. This can be performed by grafting small pieces of skin to the breast mound in combination with medical tattooing. The goal of nipple and areola reconstruction surgery is to create a more natural-looking breast, nipple, and areola. Some mastectomies can be performed while sparing the nipple and areola, preventing the need for nipple reconstruction at a later time.

Schedule an appointment

The best way to achieve life-changing and confidence-boosting reconstruction results is by partnering with an experienced reconstructive breast surgeon. To meet with board-certified Dallas Plastic surgeons Dr. David Azouz and Dr. Solomon Azouz, we invite you to contact our office or call 972 702 8888.

Explore Breast Implants Options and Breast Augmentation Surgery

If you are considering breast augmentation surgery (placement of breast implants), it is recommended to start exploring the different breast implants options with a board-certified plastic surgeon in your area to help you to determine what is the best choice for you and fulfill your aesthetic expectations. With that being said, it is helpful to go into your first appointment knowing some of the basics about breast implants and breast augmentation surgery and address with your surgeon any doubts or concerns. Here we share the basic information you need to know about breast implants and breast augmentation surgery.

Breast Implants Options for Breast Augmentation

Before going to your first appointment, spend some time thinking about what you want your new silhouette to look like. When you are ready schedule your appointment with a breast augmentation plastic surgeon to explore the different breast implants options available. Dallas Plastic Surgeon Dr. Azouz is a great resource to help you to find the best breast implants for you and create a surgical plan to achieve your aesthetic goals.

Anesthesia used for Breast Augmentation

Breast augmentation procedures can be performed under either general anesthesia or IV sedation. In nearly all cases, Dr. Azouz will use a combination of local anesthetic and IV sedation. This means that you are asleep but do not have a machine that is breathing for you.  Sedation is often considered much safer than general anesthesia.  Dr. Azouz has found that the recovery period is much quicker and patients report less nausea when local and sedation are used compared to a general anesthetic. 

Breast Augmentation Incisions

There are several incision placements that may be used to complete a breast augmentation procedure. The goal is to minimize scarring after healing is complete.  Dallas plastic surgeon Dr. Azouz will explain these options and which one is best for your procedure during a consultation. Generally speaking, a breast augmentation can be completed using one of the following incisions:

Breast Augmentation with Dr. Azouz | Dallas & Plano
  • Periareolar incisions are made in a semi-circular pattern around the nipple and areola. Any resulting scarring is camouflaged within the areola.
  • Inframammary incisions are made just below the breast crease. 
  • Transaxillary incisions are made within the armpit.This is more common with saline implants which can be filled after placing them within the breast pocket.

Inserting and Placing Breast Implants

Once incisions have been made, Dr. Azouz is ready to place the breast implants. The technique for this step will again vary depending on the type of implants you have chosen and your desired results. Breast implants can be placed either below the pectoral muscle, known as a submuscular placement, or between the muscle and natural breast tissue, known as a submammary or subglandular placement. Submuscular placements typically create a more natural result, especially for those who have a smaller amount of natural breast tissue. This placement is also associated with a lower rate of capsular contracture or rippling in the case of saline implants. Subglandular placement is beneficial for those who do not have a pectoral muscle especially in cases of Poland Syndrome. During a consultation, Dr. Azouz will help you choose the best option according to the results you are looking for.

Closing Breast Augmentation Incisions

After successfully placing the breast implants, Dr. Azouz will then close the incisions. This is typically done with a combination of sutures and skin adhesive or surgical tape. After closing incisions, dressings and bandages will be placed over the incisions, and you will wear a compression bra to keep the breasts in place as you heal. When surgery is complete, you will be given detailed instructions on caring for the incision sites.  At times a breast augmentation can be combined with a mini lift or full lift (mastopexy).

Recovery and Results After Breast Augmentation

Immediately after a breast augmentation, you can expect to feel tired and sore and should prioritize rest, especially for the first 48 hours. Swelling and redness at incision sites can both be normal.  Dr. Azouz uses a variety of techniques for minimal pain and rapid recovery after breast implants are placed.

Through your recovery period, Dr. Azouz will explain exercises you should perform to help avoid capsular contracture and maintain soft breast tissue. He will also outline when you can safely return to all normal activities, such as your exercise routine. Most patients are ready to return to work and non-strenuous activity within a few days after a breast augmentation.

Schedule a Consultation with Dr. Azouz

To learn more about the breast augmentation procedure, schedule a consultation with Dr. David Azouz or Dr. Solomon Azouz by calling our Dallas office at (972) 702-8888 or contacting us online.

Breast Augmentation: Which breast implant is best for me?

According to The Aesthetic Society, Breast Augmentation is one of the top breast plastic surgery procedures for women in the United States. Breast Augmentation is a procedure performed by plastic surgeons that helps women to resize and reshape their breasts. Women interested in Breast Augmentation in Dallas can enhance their breasts with fat transfer or implants. Breast Implants are devices that can help women to go from a subtle change to a dramatic difference or a modest enlargement. If you are not sure yet which breast implant to choose, Dallas Plastic Surgeon Dr. Azouz will guide you to make an informed decision and select the best implants for your breast augmentation.

Dallas & Plano Breast Augmentation Dr. Azouz

Breast Implants Types

Cosmetic breast augmentation offers two main categories of breast implants. What type is suitable for you depends on your cosmetic goals, implants cost, and reason to get the implants (cosmetic or breast reconstruction surgery). Dr. Azouz explains the pros and cons of each one, so you know which one can provide the best result for your body structure.

Saline Breast Implant:

  • Saline-filled implants are approved for women at least 18 years old.
  • They are inserted empty and filled with sterile salt water.
  • Saline implants can last from 10 to 15 years or even longer.
  • The incision site is smaller and less noticeable.
  • Saline implants can enhance and project a patient’s natural breast tissue.
  • In case of rupture, the saline is absorbed by the body and the implant shell needs to be removed.

Silicone Breast Implants:

  • Silicone implants are approved for women at least 22 years old.
  • The fill of silicone impants is meant to mimic the feel of the breast.
  • There are regular silicone implants and more cohesive silicone implants known as gummy bear.
  • Gummy bear implants can be formed into an anatomical shape and are cohesive in case of a rupture.
  • Silicone implants’ rupture can go undetected. A MRI is recommended to check for ruptures.
  • If a rupture occurs, silicone implants need to be removed.

Which breast implant is best for me?

Breast Implants Dr. Azouz Dallas & Plano

Both Saline and Silicone Breast Implants are made to last and enhance the breast. To know which breast implant is best to reach your goals, it is essential to consult a plastic surgeon. If you are located in the Dallas metroplex, request your first breast augmentation consultation with Dr. Azouz, a board-certified plastic surgeon specializing in breast surgery and breast reconstruction. 

In your first consultation, you will have the opportunity to explore your options for breast augmentation, discuss the pros and cons of implants, and decide which breast implant is best to help you achieve your new breast’s shape and volume.

Schedule a consultation with Dr. Azouz

Dr. Azouz, a board-certified plastic surgeon in Dallas, has helped patients in their journey to find the best implants for their patients according to their body structure, lifestyle, and expectations. Request your initial consultation with Dr. Azouz in Dallas by calling 972 702 8888 or filling out our contact form.

What is Breast Implant Illness?

Breast implants are one of the most studied biomedical devices. Breast implants maintain a high safety profile. Dallas plastic and reconstructive surgeon Dr. David Azouz explains that a small subset of patients who have had breast implants in the past can report symptoms of Breast implant illness. Breast implant illness is also known as BII refers to a cluster of symptoms that can occur after undergoing a breast augmentation.  Symptoms of breast implant illness can occur soon after surgery or many years after surgery. Breast implant illness has been reported in patients with both silicone and saline implants.

What causes breast implant illness?

The exact cause to suffer from breast implant illness is not known; however, some patients might be predisposed to having an immune reaction to the materials used to elaborate implants causing them to feel different symptoms of discomfort. Breast implant illness is also more common in patients who have had a breast implant rupture or had older breast implants placed that were not cohesive gel (gummy bear implants). There is also a variety of breast implants that were taken off the market including textured implants, PIP implants (Poly Implant Prothèse), CEREFORM implants and others for which patients are more likely to experience problems.

What are the symptoms of Breast Implant Illness?

  • The Breast Implant Illness symptoms include:
  • Hair loss
  • Sleep disturbances
  • Memory changes
  • Headaches
  • Anxiety and depression
  • Muscle and joint pain
  • Rashes
  • Gastrointestinal upset
  • Dry eyes and mouth

Breast Implant Illness treatment

If you are experiencing breast implant illness symptoms, the treatment often recommended by Dr Azouz. is removing your breast implants. Many patients have reported that they feel a difference in their overall health within the first few months of their implant removal surgery. Patients usually have the choice of breast implant removal alone or breast implant removal and replacement.

Considering Breast Implant removal?

During your consultation, plastic surgeon Dr. Azouz evaluates your physical condition and examines your breast implants. Dr. Azouz also encourages performing a comprehensive history and exam to rule out other things that might be causing discomfort or pain before considering breast implant removal. If the patient is in good health and still wants breast implant removal, Dr. Azouz provides different surgical options to patients to help maintain some of the breast’s fullness without the implants. The aesthetic results will vary depending on which surgical plan the patient decided is the best option for his/her goals.

Contact Dr. Azouz to evaluate your case

Dallas plastic surgeon is happy to help patients who suffer from breast implant illness and is able to assist patients through in person or virtual consulations. Scheduling a consultation with a board-certified plastic surgeon to evaluate your case is mandatory. Contact Dr. Azouz office in Dallas by calling 972 702 8888 and take the first step to recover your health.

Breast Augmentation: Nadia’s Story

About Breast Augmentation

There are three types of implants that are used for breast augmentation today: the saline implant, the silicone gel implant, and the cohesive gel implant (sometimes called the gummy bear implant). Depending on the patient’s desires and needs, all of the implants can work well. It’s an individual decision, depending on the patient, depending on what her anatomy is and what Dr. Azouz thinks would work best for her. The surgery itself is usually about an hour. The recovery for the breast augmentation and lift can be four to six weeks.

Nadia’s Story

Having a breast augmentation was something that Nadia wanted to do for a long time. When she finally had enough courage to pursue it, she contacted Azouz Plastic and Cosmetic Surgery and scheduled a consultation. Nadia complained that her breasts were too small and saggy. Not only did she want to be bigger, she also wanted her breasts reshaped, and felt that her nipple areolas were too low. Nadia wanted to have this procedure done before she got married, so Dr. Azouz recommended a breast augmentation and breast lift at the same time.

“Dr. Azouz said, ‘Well, I can take you the following Friday.’ And I went ahead and scheduled it, so I didn’t give myself any time to really think about it or contemplate, you know, second-guessing my decision,” Explained Nadia. “The initial consultation with Dr. Azouz, was pretty lengthy. He’s very thorough. He takes a long time to make sure that he walks you through each step and process.”

Nadia ultimately went from a 36-C to a 36-DD, and she is very happy with her results! “Thanks to Dr. Azouz, I feel much more confident in myself,” she said. “He did an excellent job with my breast augmentation, and I would highly recommend him to anybody.”

If you are interested in learning more about breast augmentation in Dallas, contact our office today to schedule a consultation with Dr. Azouz.