Breast Augmentation Steps | Houston Plastic Surgery | TexasThe duration and invasiveness of breast augmentation cosmetic surgery can vary according to the surgical technique chosen and the placement of implants. However, the procedure steps largely remain unchanged in all cases. Board certified plastic surgeon Dr. Paul Fortes provides breast augmentation to patients in Houston, Texas, TX, and surrounding locations.



Breast augmentation plastic surgery is usually performed with the patient under general anesthesia. Inhaled or IV sedation may be used to put the patient to sleep until the procedure is over. The anesthesiologist will continue to monitor the patient throughout the surgery. The patient will not be able to hear, see, or feel anything during the surgery.

Following the surgery, the patient will be brought out of anesthesia. She will probably be groggy and having a feeling of nausea for some time. She should have someone to drive her back home after the surgery when she is released from the observation area in a few hours. In exceptional cases, the surgeon may use local anesthesia with IV sedation for breast augmentation.


Incision Placement

The surgeon will place an incision in the breast crease, the armpit, the perimeter of the areola, or in a few cases, the navel. Discreet incision placement is a priority for an experienced surgeon to ensure minimal visible scarring. Location of the incisions will be determined in advanced at the time of surgical planning in consultation with the patient.

The patient’s aesthetic goals and unique anatomy will be taken into account to create optimally placed incisions. Experienced cosmetic surgeon Dr. Fortes receives patients from Houston, Texas, TX, and nearby areas for breast augmentation.


Placing the Breast Implants

The surgeon will create a breast pocket to place the implant in a pre-determined position. The implant may be positioned in front of the pectoral muscle and directly behind the breast tissue or under the pectoral muscle.

In the first option, the post-surgical pain and soreness is reduced, and in the second option, the implant’s interference with future mammograms is avoided. The patient should discuss both options with the surgeon and arrive at the best decision based on her body type and personal preference.


Closing the Wounds

Once the implants have been placed and adjusted into the desired position, the surgeon will close the incisions carefully with sutures. Traditional or absorbable sutures may be used as per the surgeon’s discretion. Traditional sutures will have to be removed in about one to two weeks following the implant surgery.

The area around the sutures should be kept clean to prevent infection. As far as possible, the patient should avoid submerging the incision site into water. Vigorous movement and activity should be avoided to minimize the risk of the sutures getting pulled.


Drains and Bandages

After the incisions have been closed, the surgeon will wrap the breasts in a bandage. The patient will be fitted with a surgical bra to provide support for the first few weeks. Drain tubes may be placed below the skin in the incision areas to collect excess fluid. This will help to minimize the risk of infection.


For more information about the cosmetic surgery treatments and procedures performed by Houston | Katy TX Plastic Surgeon Dr. Paul F. Fortes please click here or call 713-489-7996.

Breast Reduction Surgery Recovery | Houston Plastic SurgeryA patient seeking breast reduction cosmetic surgery should have a clear idea of what to expect during the recovery stage in order to be adequately prepared for it. During the initial consultation, the surgeon will explain all aspects of the procedure, including recovery. Board certified plastic surgeon Dr. Paul Fortes provides breast reduction to patients in Houston, Texas, TX, and surrounding locations.


First Two Weeks

Following breast reduction plastic surgery, the patient will experience some degree of pain and discomfort in the first few days. This can be managed with pain medications prescribed by the surgeon. Bruising and swelling are to be expected, but these will progressively subside over a few weeks. If the patient feels itching or dryness, she may apply a moisturizer on breasts, but away from the incision sites.

The instructions of the cosmetic surgeon should be followed diligently to ensure safer and faster healing. A special surgical bra or an elastic bandage will have to be worn in the first two to three days. Once the dressings are removed, the patient will be required to wear the surgical bra continuously for a few weeks for support. Sutures will be removed in about a week or 10 days after breast reduction.

Heavy lifting of weights and vigorous exercises should be avoided for three to four weeks. Most women, depending on the nature of their job, may return to work in about one to two weeks. Sexual activity should be avoided for at least one week or more to minimize the risk of inflammation around the incisions.


First Few Months

The patient should take care that any contact with the breasts is gentle for at least one month after surgery. Swelling and tenderness in the breasts may occur during the first menstrual period of the recovery phase. If pain symptoms occur during this period, the surgeon may prescribe pain meds to alleviate the symptoms.

The patient should be prepared for an altered sensation of the nipple and breast skin, which is a common side effect of breast reduction surgery. This is a temporary condition, but in some women, numbness may last for as long as a year. In rare cases, the numbness or altered sensation may become permanent.

Swelling will be reduced in about four to six months. It takes a long time because breast tissue is considerably disrupted during the surgery. Final results of breast reduction will be established only when the swelling is completely gone. Dr. Fortes receives patients from Houston, Texas, TX, and nearby areas for breast reduction.



A skilled surgeon will try to place the incisions in discreet locations, which allow the patient to wear swim suits and low cut tops. The breast reduction scars can be fairly well hidden, but they are permanent.

For several months after the surgery, the scars may appear red and lumpy before they begin to fade away into thin white lines. The patient should avoid smoking before and after the surgery for several weeks to minimize the risk of higher scarring.

For more information about the cosmetic surgery treatments and procedures performed by Houston | Katy TX Plastic Surgeon Dr. Paul F. Fortes please click here or call 713-489-7996.

Plastic Surgery is Surging in America | Houston TexasOver the last 20 years, the popularity of cosmetic surgery procedures has risen consistently on a year on year basis. Less invasive surgical techniques, innovative technologies, and improved safety protocols have led to more women and men seeking aesthetic procedures than ever before.

Recovery in case of most cosmetic procedures has become faster, simpler, and safer. Therefore, working people and busy moms are now encouraged to seek procedures due to shortened downtime. Board certified plastic surgeon Dr. Paul Fortes provides state of the art aesthetic procedures to patients in Houston, Texas, TX, and surrounding locations.


Growing Prevalence of Plastic Surgery

The perception that plastic surgery procedures are suited only for the celebrities and movie stars has undergone a complete change over the years. The procedures are now within the reach of the average American in terms of both affordability and accessibility.

The figures released by the American Society of Plastic Surgeons (ASPS) show that over 15.9 million cosmetic procedures were performed in the United States in 2015. This comes to about one procedure for every 16 adults in the country. Dr. Fortes is an experienced cosmetic surgeon who receives patients from Houston, Texas, TX, and nearby areas.


Industry Insights

The ASPS data provides several insights about the proliferation of the plastic surgery industry over the decades.


Demand Grew Two-fold

In 2000, a little over 7.4 million cosmetic surgical and non-surgical procedures were performed in the country. This number has grown more than twice to 15.9 million in 2015, representing a jump of 115 percent over the entire period.


Popular Minimally Invasive Procedures

The growth has been the strongest in the area of non-surgical cosmetic procedures, particularly in the last few years. Cutting edge non-surgical techniques for anti-aging, fat reduction and aesthetic enhancement have been widely embraced by the people. The five most popular minimally invasive procedures in 2015 included the following:

  • Botox: 6.7 million
  • Dermal Fillers: 2.4 million
  • Chemical Peels: 1.3 million
  • Laser Hair Removal: 1.1 million
  • Microdermabrasion: 0.8 million


Major Cosmetic Surgery Procedures

While liposuction ranked as the number one popular procedure over the last few years in the US, in 2015 it was surpassed by breast augmentation, which made it to the top of the list. The top five procedures in 2015 were as follows:

  • Breast Augmentation: 279,143
  • Liposuction: 222,051
  • Nose Reshaping: 217,919
  • Eyelid Surgery: 203,934
  • Tummy Tuck: 127,967


Growth in Buttock Augmentation

The highest year on year growth in 2015 was registered in buttock augmentation surgery. Looking back to 2000 data, it shows that buttock augmentation was not even a part of the statistical records. In 2015, as many as 2,540 butt implant surgeries were carried out in the US, which was a significant increase over 2014 when only 1,863 procedures were performed.


Variety of Procedures

When plastic surgery was in its early stages of evolution, it was almost synonymous with procedures such as facelift and breast implants. However, by 2016, the diversity in procedures has increased in a big way. Here are some numbers to illustrate this point:

  • Breast Lift: 99,614
  • Buttock Lift: 4,767
  • Lower Body Lift: 8,431
  • Upper Arm Lift: 4,959

Another trend in 2016 has been the growth of male procedures such as breast reduction and jaw refinement surgery.

For more information about the cosmetic surgery treatments and procedures performed by Houston | Katy TX Plastic Surgeon Dr. Paul F. Fortes please click here or call 713-489-7996.

Plastic Surgery and Beauty Trends of 2016 | Houston TXBeauty trends continue to change with the passage of time, and often influenced by trend-setters such as models and celebrities. Cosmetic surgery procedures will typically evolve in line with the changing beauty trends. Several interesting beauty and cosmetic surgery trends have developed in 2016.

Dr. Paul Fortes is a board certified plastic surgeon providing state of the art surgical and non-surgical cosmetic procedures. Dr. Fortes stays updated with the latest developments and innovations in the field of aesthetic surgery. He provides various cutting edge procedures to patients in Houston, Texas, TX, and surrounding locations.


Smaller Breast Implants

Breast augmentation plastic surgery currently rules as the number one cosmetic surgical procedure in the US. Saline and silicone implants are available in sizes ranging from 120 cc to 960 cc. While the goal of a woman through this procedure is to increase her breast size, a lot of women are now seeking only a moderate increase in breast size. Women commonly cite examples of smaller chested celebrities such as Kate Hudson, Gwen Stefani and Rihanna during their breast implant surgery consultations in 2016.


Breast Reduction Gains Popularity

Apart from many women wanting smaller sized breast implants, the number of women seeking breast reduction surgery is also on the rise. The demand for this procedure has gone up among younger women, and many teenagers are also evincing interest in this surgery. The 17-year old Modern Family star, Ariel Winter, who garnered media spotlight for her speculated breast reduction surgery, is one of the reasons for the growing demand for this procedure.


Lip Augmentation in Demand

Lip augmentation has been a traditionally popular procedure, but of late, cosmetic surgeons have been reporting a noticeable increase in demand for this procedure. Women quote the examples of Angelina Jolie and Kylie Jenner who are believed to have received lip enhancement surgeries. Dr. Fortes receives patients from Houston, Texas, TX, and nearby areas for lip augmentation.


Vaginal Rejuvenation

This is one of the strongest areas of growth in plastic surgery in 2016. Women are increasingly inclined to voice their intrinsic desire to enhance their vaginal and labial appearance and feel good about their body. Introduction of innovative non-surgical vaginal rejuvenation procedures has been highlighted in the media, and has contributed to the increase in popularity of these surgeries.


Neck and Chin Enhancement

Liposuction and lift procedures related to the neck and chin in order to achieve a more chiseled facial profile have grown rapidly in 2016. While surgery continues to be in demand to achieve neck and chin enhancement, a number of minimally invasive procedures to reduce double chin have now emerged. The FDA’s clearance to innovative procedures such as Kybella and CoolMini has added to the growth in demand for these treatments.


Male Cosmetic Surgery

In the last one year, there has been a dramatic rise in the number of men wanting to receive double chin reduction. Of the total breast reduction procedures performed in the US in 2015, as many as 40 percent were performed on men.


For more information about the cosmetic surgery treatments and procedures performed by Houston | Katy TX Plastic Surgeon Dr. Paul F. Fortes please click here or call 713-489-7996.