Breast Augmentation Fort Worth

Women considering breast implants travel to Fort Worth from throughout Texas and the U.S. to have their breast augmentation performed by Dr. Louis Strock. Dr. Strock is a board-certified plastic surgeon and is nationally and internationally recognized for his skill and artistry in this procedure, and in particular, his mastery of the transaxillary approach to breast augmentation. The transaxillary approach to breast augmentation allows for your breast implants to be placed using a small incision in the top of the armpit which has the advantage of leaving no scars on your breasts. Alternately, you are free to select inframammary (base of the breast) or periaerolar (along the lower edge of the nipple) incisions if you prefer. At Dr. Strock’s practice, any of the 3 incision approaches is available to you regardless of the implant type you choose. Dr. Strock explains all of your choices in detail during your consultation. He will listen to your goals, and will customize a surgical plan that works for your personal needs.

If you want to discuss your breast augmentation choices with Dr. Strock, please feel free to request a consultationrequest a consultation online or call our office at (817) 335-1616 to schedule an appointment.

See For Yourself

Dr. Strock’s gallery of before-and-after photos shows real patients and is a testament to the quality of results he gets. You can see additional breast augmentation patients in our photo gallery.


  • This 43-year-old woman wanted to avoid incisions on her breasts. She selected high profile, smooth silicone gel implants placed beneath the pectoral muscle using an armpit incision (transaxillary approach).


  • This patient is a 24 year-old woman who presented for breast augmentation. She requested that silicone gel breast implants be placed with no incisions on her breasts if possible. Following a discussion of treatment options, she elected to have her implants (325 cc high profile smooth wall silicone gel) placed using an incision in the top of her armpit (transaxillary approach). This approach allowed for her implants to be placed with no incisions on her breasts.


  • This patient is a 26 year-old woman who presented for evaluation for breast enhancement. She elected to have 420 cc high-profile saline implants placed beneath the pectoral muscle using a one-inch transaxillary incision (armpit incision). This approach allowed for her implants to be placed with no incisions on her breasts.


  • This patient is a 32 year old woman who presented for breast augmentation after having several children. Following a thorough evaluation and discussion of treatment options, she elected to pursue placement of 350 cc high profile silicone gel implants placed behind the pectoral muscle using a short incision in the armpit on each side. Her implants were placed with no incisions on her breasts.


  • This patient is a 21 year old woman who requested breast augmentation. The patient requested a natural appearing result, with no incisions on her breasts, if possible. Following a though discussion of treatment options, the patient elected to have 330 cc high profile saline implants placed beneath the pectoral muscle using a transaxillary, or armpit incision. This allowed her implants to be placed with no incisions on her breasts.


  • This patient is a 23 year old woman who presented for breast enlargement. She requested augmentation from an A to C cup. She elected to undergo placement of 300 cc high profile smooth round silicone gel implants placed behind the pectoral muscle using a transaxillary endoscopic approach. This approach allowed for her to have no incisions on her breasts.


  • This patient is a 34 year old woman who presented for breast augmentation after having several children. She requested a 1.5 to 2 cupsize increase. Following a thorough evaluation and discussion of treatment options, she elected to undergo placement of 350 cc moderate plus profile smooth wall silicone gel implants using a transaxillary approach. This approach allowed her to have her implants placed with no incisions on her breasts.


  • This patient is a 48 year old woman who presented for breast augmentation. She requested to increase her breast size 2 cup sizes if possible, and sought to avoid incisions on her breasts. After thorough evaluation and discussion of treatment options, she elected to pursue placement of 330 cc high profile saline implants placed behind the muscle using the transaxillary endoscopic approach. This approach allowed for her implants to be placed using one inch incisions in the top of each armpit, allowing for her implants to be placed with no incisions on her breasts.


  • This patient is a 34 year old woman who presented for breast augmentation after multiple pregnancies. She requested that her cupsize be increased to a small C cup and that her nipples be reduced in size. She elected to undergo placement of moderate plus profile smooth wall silicone gel implants ( 325cc) placed using an incision in the top of the armpit (transaxillary approach). She also underwent nipple reduction at the time of breast implant placement.


  • This patient is a 25 year old woman who presented for breast augmentation. She requested augmentation to a C cup and preferred to avoid incisions on her breasts. Following a thorough evaluation and discussion of treatment options, she elected to pursue placement of 350 cc high profile silicone gel implants placed behind the pectoralis major muscle using an armpit incision. An endoscope was used to provide technical control in creation of the tissue pocket, allowing for the implants to be placed with no incisions on her breasts.

View More Before & After Cases

“I have been impressed by Dr. Strock, as well as his office staff. He came highly recommended by my friend who had her breast augmentation with Dr. Strock. He is one of the few doctors that is extremely comfortable with the transaxillary (underarm) incision. When I went to my consultation he had just returned from training other doctors on this approach.”

ThatTXgirl, RealSelf.com user

Customizing Your Procedure

Dr. Strock is dedicated to educating you about all of the choices involved in creating your ideal breasts. Those choices include all breast implant options, the location of incisions, and whether to place implants behind or in front of the pectoral muscles. Your aesthetic goals, your lifestyle, and your body’s physical characteristics are all factors that influence the choices you and Dr. Strock will make together to customize your procedure.

Breast Implant Options

Silicone gel breast implants are by far the most popular implants used for breast augmentation today. In addition to smooth round gel implants used for many years, the teardrop shaped highly-cohesive gel implants, nicknamed “gummy bear implants,” are increasing in popularity due to their added strength, their natural look and feel they produce, and their reduced rate of device-related complications. Dr. Strock also offers saline breast implants for those who prefer this option.

Dr. Strock’s experience using the “gummy bear” implants dates back to 2001, when he became one of a select group of plastic surgeons in the U.S. who was invited to participate in early clinical trials of the devices made by the two main U.S breast implant manufacturers (Mentor CPG/ Memory Shape and Allergan/Natrelle Style 410). You can choose shaped or round silicone gel implants, even with the underarm (transaxillary) incision. This is something that sets Dr. Strock apart from most breast enhancement surgeons, who typically only offer the transaxillary approach only with saline implants, if they offer the transaxillary approach at all.

You can learn more about the different breast implants on our breast implant options page.

Incision Locations

The choice of where Dr. Strock makes the incision for your breast augmentation procedure depends on personal preference. Many of his patients prefer not to have scars on their breasts and opt for the transaxillary approach, which involves making incision a small incision in the natural skin creases of the armpit instead of on the breast itself, significantly reducing visible scarring after breast augmentation.

Breast Augmentation Without Scars on the Breast

The underarm incision for breast augmentation is a technique that is often misunderstood, even by some plastic surgeons. The transaxillary approach isn’t offered by most surgeons and even those who do often tell patients that it limits their choice of implants.

Dr. Strock is internationally known for refining the transaxillary endoscopic breast augmentation technique. The endoscope provides Dr. Strock the ability to create an implant pocket with precise technical control. This approach eliminates incisions on your breasts, and can be used with round or shaped cohesive silicone gel or highly cohesive silicone gel implants, in addition to saline implants. This approach allows you to avoid visible incisions on the breast, making it inconspicuous in swimsuits or without clothing. This approach is the breast augmentation technique that is least invasive to the breast, and therefore maximizes the chance that you will be able to breast feed after your implants are placed.

Dr. Strock also offers you the option of having the incisions made in 2 other locations:

Inframammary — Implants are inserted through an incision made along the base of the breast. The incisions are covered by many swimsuit styles but can be visible without clothing.

Periareolar — This incision is made along the lower edge of the areola (the darker skin surrounding the nipple). Generally, but not always, the resulting scar is fairly well camouflaged as it blends into the darker skin of the areola. This incision location, however, may affect your ability to breast-feed if you’re still planning to have children. This approach has also been associated with a higher risk of capsular contracture (abnormal device firmness) than other incision locations.

Implant Placement

Dr. Strock typically prefers breast implant placement beneath the muscle – called a partial subpectoral or “dual plane” pocket. This approach maintains maximal tissue cover over the upper areas of your breast implants and can make your mammograms easier to read because of the muscle layer between your breast tissue and the implant in most areas. These issues can be particularly important if you have thin or little existing breast tissue. Placement above the muscle, known as a subfascial pocket, may be a good option if you have a moderate amount of existing breast tissue, are concerned about altering your chest muscles, or are concerned about implant animation (where certain muscle movements may distort the implant). Dr. Strock is very comfortable with all these options and will discuss this in detail during your consultation.

Breast Implant Placement

Breast Before Augmentation

Breast After Subfascial Augmentation

Breast After Dual-plane Augmentation

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Recovery

Breast enhancement is usually performed under general anesthesia on the outpatient basis. Dr. Strock and his team will provide you with detailed postoperative instructions that, if followed, will help you to a quick and comfortable recovery and return to your normal activity. Routine follow-up visits with Dr. Strock and his team will be scheduled to help you with your recovery. You will also receive specific instructions to help you to safely resume your exercise routines for both cardio and any weight lifting as needed. Included in these instructions will be specific guidance on optimal bra support to help stabilize your implants.

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