As we get older, the edge of the lips becomes less shapely. Collagen and elastin, which give lips their pouty shape, break down over time, and lines around the lips settle in. Once these lines become etched into the skin, there’s less definition.
To recreate a youthful, heart-shaped outline, Botox, used off-label, can be injected along the edges of the upper and lower lip line, temporarily relaxing the muscles that can cause wrinkling. The procedure requires no anesthesia and takes only 10 minutes.
To further enhance the contours of a thin, wrinkled lip line, your dermatogist or plastic surgeon may also suggest a hyaluronic acid filler like Restylane, Juvederm or Perlane for increased volume. The results are immediate and can last up to a year, depending on which product is used.
Fillers do not damage the existing tissue; they simply add volume by allowing the material injected to be interspersed among the fibers and cells already there. As fillers gradually disappear, lip volume returns to its previous condition.
Dr. Bishara is proud to offer a wide range of dermal fillers and other enhancing, minimally invasive procedures, in both our Mansfield and Southlake office locations.  Please call our office to schedule an appointment at (817) 473-2120 or visit our website at www.MarkBisharaMD.com for more information.
 

Game over. Injectables, like Botox and Juvéderm, have officially come out of the closet. Gone are the days of celebrities treating injectables like a dirty little secret for younger-looking skin. Botox is everywhere in Hollywood. And why shouldn’t it be? It’s an easy way to erase wrinkles and lines in minutes—in some cases.
When injectables are done successfully, you get a natural, younger face that still looks like “you” with little to no downtime. Just ask former 90210 star Jenny Garth—she admits that she’s been a fan of Botox since 2008, among many an A-lister who also gets injected. Vanessa Williams says she uses Botox, but sparingly. Jenny McCarthy has been quoted saying she gets Botox injections in her forehead every two months. Singer Kylie Minogue has admitted to using Botox in the past, but recently has been quiet about injections. Kim Cattrall has been quoted saying she uses Botox to get rid of a wrinkles in her forehead. Full House favorite, Lori Loughlin, says the results of Botox are incredible and likens the results to looking like you just got back from vacation. Virginia Madsen is so impressed with how injectables have helped her fight off the signs of aging, she has actually appeared in commercials for Botox and Juvéderm. Daisy Fuentes has been quoted saying that as long as you don’t go overboard with it, Botox has a place, in your face, as you age. Courtney Thorne-Smith, another Botox brand celebrity representative, says she likes it, it works, and it’s just that simple. She’s been a fan of injections for the last 10 years. Lisa Rinna says she uses Botox every three months to ward off the hereditary scowl marks that run in her family.
And remember, if you’re considering injectables, make sure you are seeking treatment from a reputable and experienced board-certified dermatologist or plastic surgeon that uses FDA-approved fillers.
At the office of Dr. Mark Bishara, with offices in Mansfield and Southlake, TX- we offer FDA approved fillers such as Botox and Juvederm.  Our procedures help patients look and feel their best and are designed to improve your appearance. Please call our office to schedule an appointment for Botox or Juvederm at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.
 

 


Hyaluronic acid occurs naturally in the body, so Dr. Bishara overwhelmingly recommends hyaluronic acid fillers-such as Restylane or Juvederm-to augment the lips.
In addition to augmenting your lips, if you want to reduce facial wrinkles and lines, hyaluronic acid may be a good choice as a dermal filler because of its compatibility with the human body. In fact, this substance is found in almost every single living thing. In humans, it acts as a network that transfers essential nutrients from the bloodstream to skin cells.
When this gel is injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple.
Studies have also revealed that these fillers may stimulate surrounding collagen cells to produce even more collagen, resulting in a longer-lasting fill.
After your Juvederm treatment, expect your lips to feel full and a little tight. Your improved pout will feel different for the first few days. Swelling, redness or bruising should dissipate within a week.
Please visit our website at www.MarkBisharaMD.com for more information on Botox injections, and fillers such as Juvederm Ultra Plus XC and the NEW FDA approved Juvederm Voluma.  You can also call our office at (817) 473-2120 for questions regarding hyaluronic acid fillers.

We lose a teaspoon of collagen from our faces every year after age 30

There are only a few proven ways to significantly increase collagen in the face to tighten the skin. These methods include laser resurfacing of the face, use of a retinol cream, collagen injections, and hyaluronic acid injections (Juvederm).

Juvéderm® Ultra Plus XC

Juvederm is designed to replenish what natural aging takes away, for a fresher, rejuvenated look. Replenish what’s been lost over time: sun exposure, hormonal changes and aging can all have an impact on your skin’s appearance. Over time, your skin begins to lose hyaluronic acid and collagen, resulting in fine lines, wrinkles and a loss of fullness and elasticity. We can now reverse these signs of aging by correcting the wrinkles and folds and adding volume to sunken skin. Juvéderm is a soft, injectable gel filler that your doctor uses to help replenish and refresh your appearance. It uses hyaluronic acid (a naturally occurring sugar found in your body), which combines with the water in your skin to instantly restore lost volume and reduce lines and wrinkles. Hyaluronic injections have also been shown to stimulate collagen production. Not only that, Juvéderm works to enhance and define lips, cheeks and jaw line.

Juvéderm® Voluma™

JUVÉDERM VOLUMA, the newest facial filler available in the Juvederm family of hyaluronic acid fillers. The first of its kind, JUVÉDERM VOLUMA is a hyaluronic acid facial filler specifically made to restore age-related volume loss in the mid-face (the cheeks, cheekbones and around the chin). JUVÉDERM VOLUMA uses hyaluronic acid, a sugar that occurs naturally in your skin, to instantly restore lost facial volume in the cheeks and contour the chin. JUVÉDERM VOLUMA also combines with collagen and elastin to improve skin structure and elasticity, and create a smooth natural look. The results are instant, natural looking and can last up to 18 months.1 Plus there’s no downtime – most people resume normal activities immediately.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

1. Retinoid creams

A host of over-the-counter products claim to help fight wrinkles. One option: topical retinoid (derived from vitamin A) creams; look for retinol in the ingredient list. The SkinCeuticals line has products with retinol in them to help fight existing wrinkles . 

2. Over-the-counter peptide creams

Creams containing peptides—short snippets of linked amino acids—can be useful for reducing the appearance of wrinkles and fine lines, but they haven’t been shown to work as well as retinoids. As skin ages, it loses collagen and becomes wrinkled and thin; creams containing peptides are supposed to encourage the skin to make new collagen. Peptides are found in a variety of products, from the inexpensive to the very expensive. There are many SkinCeuticals product that can help.

3. Microdermabrasion

Microdermabrasion uses tiny, fine particles or a very hard diamond-tipped wand to slough off cells from the top layer of the skin and encourage new skin growth. The procedure is usually not painful, though it can be uncomfortable, and it doesn’t require an anesthetic or recovery period; skin heals quickly. But you may require multiple procedures spaced a few weeks apart.

4. Laser skin resurfacing

Laser resurfacing uses high-intensity light to zap and improve the look of wrinkles and scars by tightening loose skin. The effect of your treatment and recovery time vary. There are lasers that can be superficial or intermediate and deep. You may see redness from one day to two weeks, depending on how aggressive the treatment is. 

5. Chemical peels

Used to address mild acne scars, age spots, dull skin texture, skin discoloration, or wrinkles around the eyes or mouth, chemical peels remove the outer layers of the skin and encourage the growth of new, smoother, more evenly colored skin. Depending on the peel’s intensity—which can range from superficial to medium to deep—it may cause reddening and peeling that can last up to several weeks.

6. Botox

Injections of Botox —which also contains botulism toxin and  is approved by the FDA, can paralyze tiny facial muscles, smoothing out the appearance of lines or wrinkles. The cost of Botox will vary depending on location and doctor. The effects of injections may last three to six months, depending on whether you’re a repeat customer.

7. Filler injections

Injections of fillers containing hyaluronic acid can fill in lines and wrinkles and add volume to skin. Hyaluronic acid is a “naturally occurring sugar that gets lost when you age,” and injecting it into wrinkles effectively plumps them up. Juvederm Ultra Plus XC and Juvederm Voluma are the newest and best.

8. Cosmetic surgery

Lifting the skin on the face, neck, eyelids, and forehead can give a tighter appearance. What were once traditionally open procedures—with larger incisions—can now often be done endoscopically, with smaller incisions strategically placed in difficult-to-detect areas, such as under the hairline. The effects of cosmetic surgery are somewhat permanent. 

9. Try prevention

If all this sounds extreme, remember that you can start immediately to prevent any further damage: Start wearing sunscreen every day. Lifetime exposure to the sun can wreak serious havoc. When people were younger…they didn’t think the sun caused any bad signs, but now they’re really feeling the effects of it 30 years later.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX