Have you ever wondered why some people get wrinkles at a young age and others don’t? There are many answers to this question – smoking can cause wrinkles to form sooner, and if you don’t wear sunscreen when you’re young, you can expect signs of aging to surface earlier rather than later. But a new study finds another potential cause of early facial lines – the genes we get from our mothers.
What your mama gave you
For some time now, it’s been known that the mitochondria, often referred to as the “powerhouses” of the cells that make up our bodies, have a lot to do with aging. As these mitochondria sustain damage, they mutate and lose their ability to produce energy, resulting in the breakdown of the cells that leads to signs of aging.
The new study, published in the journal Nature, finds that the mitochondrial DNA passed down to us from our mothers also influences our own rate of aging. In other words, if your mother had wrinkles at a young age, you might be more likely to see fine lines on your own face in your early years. On the flip side, if your mother had smooth, blemish-free skin well into her 40s or 50s, you could be in for the same luck.
Looking to the future
This study focused solely on cell aging and genetics, but researchers hope that it may help future development of therapeutic interventions that could focus on mitochondrial function, thus slowing the aging process. Unfortunately, such developments probably won’t be available for some time until more research can be conducted.
However, there are certain cosmetic procedures available today that can help people who show signs of premature aging. No matter whether you want long-term results that target deep facial lines or something less invasive that treats fine lines, you can likely benefit from a visit to a board-certified plastic surgeon’s office.
For example, Botox injections, which have become immensely popular over the past few years, offer results that last for several months. This means you won’t have to make a big commitment like you would if you chose to undergo facelift surgery, but on the downside, you’ll need to continue to get injections of the substance to keep wrinkles at bay.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX


As gravity takes its toll (plus a loosening of the muscles and tissue, as well as changes in the amount and positioning of fat), the face and certain areas of it can take on a saggy appearance. Collagen and elastin are essential for firm skin but they both break down over the years. As this happens and fat is lost, there is a weakening of the internal support structure that keeps skin where it needs to be.
Get Rid of A Saggy Neck With A Necklift
Many women simply forget to treat the area below the chin, but nothing screams your age like a saggy neck with wrinkles and bands. Neurotoxins can soften the bands, but the only way to get rid of the turkey wattle is with a necklift. During the procedure, the weak muscles of the neck are tightened up and loose skin is excised. Tightening the neck muscles and skin is key when fixing a saggy neck.
Tighten Lax Skin With A facelift
The only permanent way to fully correct skin laxity in the neck and face is with surgical excision. As we age, the soft tissue of the face deflates and descends creating an aged appearance. Because the fibrous attachments between the skin and the deeper structures are looser in some areas more than others, some parts of the face, like the lower cheeks, midface and neck, may experience more drooping—this accounts for the classic signs of aging: jowls, loose skin on the neck and deep smile lines.  A facelift re-elevates and repositions the skin, reclaiming the position it once had. With most facelift surgeries, but not all, volume needs to be restored to the areas where it has been lost from to create a fully rejuvenated look. The face becomes hollow with age and if we just the skin in just tightened and volume isn’t replaced, you can actually look older.

Minimize Loose Skin With Skin Tightening Treatments
Near infrared technology is used to penetrate deep heat to the deepest layers of tissue. This stimulates collagen production and tightens lax skin. Nearly any patient seeking fuller, tighter skin can benefit from laser skin tightening as a safe, noninvasive and effective procedure. The laser skin tightening procedure can be fully customized to help each patient receive the best possible results, depending on the skin condition, size and location of the targeted area and the strength of the laser exposure. Treatments should be performed once every two weeks for a total of 6, followed by quarterly maintenance.
This information brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa

JUVÉDERM VOLUMA™ XC injectable gel is available in the office of Dr. Bishara and The Paragon Plastic Surgery & Med Spa


JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved for deep injection in the cheek area to correct age-related volume loss. JUVÉDERM VOLUMA™ XC is for patients over the age of 21.
JUVÉDERM VOLUMA XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. Juvederm Voluma is the Juvederm specialty product for volumizing. It is designed for injection in the deep dermis to treat age-related facial volume loss. Voluma has the optimal thickness of a volumizer while still retaining the smooth nature of the Juvederm family.
It gives you a subtle lift, helping to restore contour and for a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA XC, however, adds volume to the cheek area.

Dr. Mark Bishara offers minimally invasive procedures for patients, that are designed to provide subtle enhancements to improve your targeted problem areas, while allowing you to return to work and your regular activities the very same day. Dr. Bishara is proud to offer a wide range of enhancing, minimally invasive procedures such as Botox, Xeomin, Juvederm Ultra Plus XC and Radiesse.  Juvederm Voluma XC is now also available. Call our office for more information at (817) 473-2120.
Find out More about the Brilliant Distinctions Rewards Program:
Dr. Bishara and The Paragon Med Spa are proud to offer the Brilliant Distinctions Program for our patients. All you have to do is earn points for your purchase from our participating providers, including Botoxand Juvederm.  Then start saving by redeeming points per treatment for instant savings off your next purchase.  Ask us how to set up an account when you visit our office.
For example:  For 1 Botox/Juvederm cosmetic treatment you earn 200 points (a $20 Value).  For more information on participating in this program visit https://www.brilliantdistinctionsprogram.com


 


We all have varying degrees of fat in our faces and a multitude of factors can cause changes to these fatty compartments. Volume loss occurs because of gradual changes in the appearance of the fat. There is a loss both superficially and at a deeper level that comes along with aging.

1. Yo-Yo Dieting And Extreme Exercising
Keeping fat off your body is no easy task since the body can’t be told where to lose weight from and where to keep it. So even if you want to “spot-treat” a specific part of the body, you may end up reducing the amount of fat in your face as well. The ups and downs of recurrent dieting cause a stretching of the ligaments that support the tissues of the face. This can result in a loss of elasticity and volume, which promotes an aging effect.
2. Excessive Sun Exposure
Although fat loss is not directly dependent on UV rays, it is important to protect your skin from the sun. If you don’t wear SPF daily, the sun will accelerate the breakdown of collagen and elastin in the skin. When collagen and elastin levels are of poor quality, the condition of the skin is affected and the loss of fat can be accentuated.
3. Hormonal Changes
Female hormones, especially estrogen, are partially responsible for changes in the amount and quality of fat. As hormone levels begin to dip, fat can start to thin out.
4. Too Thin Of A Frame
It is possible to be too skinny. When that’s the case, the aging process will become even more of your enemy than your friend. The reason: A naturally thin face has little natural fat to begin with and over time the inherent amounts of fat begin to diminish, causing an extremely haggard look.
5. Receding Bones
With age, we naturally lose bone mass in the face. The muscles also begin to atrophy to some degree. These changes alter the underlying structure of the face and can cause the cheekbones and midface to look collapsed (the effects usually don’t take hold until later in life). It’s noticeable in the 70- to 80-year-old patient and while it’s highly variable, the majority of resorption happens around the nose and in the central face.
At the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa we provide a wide range of cosmetic procedures to help patients look and feel their best, including injectables and fillers. These procedures are designed to improve the appearance of volume loss through minimally invasive techniques. Minimally invasive procedures offer patients the results they desire without the hassle and lengthy downtime often associated with cosmetic surgery procedures. We offer patients Botox, Xeomin, Radiesse, Juvederm Ultra Plus XC and the NEW Juvederm Voluma to help reduce or eliminate the signs of aging on their face.  Please call our office to see which product would be best for you at (817) 473-2120 or visit our website at www.MarkBisharaMD.com for more information on these.

JUVEDERM ULTRA PLUS – INJECTABLE FILLER TREATMENTS


What is Juvederm Ultra Plus?
Juvederm Ultra Plus is hyaluronic acid which is a complex sugar that is identical to the hyaluronic acid your body makes. Because the Juvederm Ultra Plus is identical to the hyaluronic acid in your own body, it breaks down naturally.
How does Juvederm Ultra Plus work?
When Juvederm Ultra Plus is injected into or below the skin it lifts wrinkles, depressions, or scars, so that they are level to the surrounding skin.
Where is Juvederm Ultra Plus used?
Juvederm Ultra Plus can be used anywhere in the face (except for the hollows under the eyes (tear troughs), but it is best suited for deep wrinkles and to replace the facial volume lost due to the aging process. The ideal locations for Juvederm Ultra Plus are the smile lines or parentheses lines (nasolabial or melolabial folds), the marionette lines, to hide the jowls by replacing the volume lost just in front of the jowl (prejowl depression) and for lip augmentation (plumper lips).
Are there different types of hyaluronic acid?
Currently, there are two companies that make injectable hyaluronic acid. Medicis makes Restylane and Perlane, and Allergan makes Juvederm Ultra, Juvederm Ultra Plus and Juvederm Voluma XC.
Does Juvederm Ultra Plus work instantly?
Juvederm Ultra Plus works instantly to lift wrinkles, depressions, scars, and to restore the volume lost during the aging process.
How long does Juvederm Ultra Plus last?
The duration of Juvederm Ultra Plus varies from person to person, from injection site to injection site, and from visit to visit. There are three general rules with Juvederm Ultra Plus: 1. The closer you inject Juvederm Ultra Plus to the mouth, the faster the Juvederm Ultra Plus breaks down. 2. The more superficial you inject Juvederm Ultra Plus the longer it lasts. 3. There are no guarantees of duration when it comes to Juvederm Ultra Plus.
How many visits are there for a Juvederm Ultra Plus injection?
Unless you have had injectable fillers before, and know exactly what you want, there is usually a consultation to discuss your concerns and to educate you about your treatment options. Once the appropriate injectable filler has been determined for your concern we can do treatment at the time of the consultation.
Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best, including Botox and Juvederm. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office at (817) 473-2120 to schedule your Juvederm appointment and ask about our weekly Botox specials.  Please also visit our website at www.MarkBisharaMD.com and “LIKE” us on our Facebook Page- Paragon Plastic Surgery and Med Spa.