When it comes to tackling the signs of aging, you have to look at the problems that exist—loose skin, a loss of volume and textural changes. Fillers and injectables and surgery are not substitutes for one another. If the skin needs to be redraped, you need surgery. A filler can do a lot of things but it can’t ever get rid of loose skin. It’s important to be educated on the rejuvenating modalities available. Recovery, risks and expenses need to be considered. When comparing fillers, lasers and surgery, the price tag associated with each can be quite different, ranging froma few hundred to a few thousand dollars, if not more. Fillers and injectables are the most affordable option; lasers fall between fillers and surgery; surgery is the most expensive option.
Choose skin tightening treatments if you have minimal looseness in the neck area: Different from a true laser but often labeled as such, skin-tightening devices (relies on radio-frequency energy) to tighten loose skin by stimulating collagen at the dermal layer.They don’t resurface the texture of the skin but instead cause new collagen to be created by deeply heating the underlying layers of the skin with energy like ultrasound or radio frequency. The existing collagen is injured and reorganizes itself as part of the healing process. As it does this it tightens the skin to some degree.
What it can’t do: Correct textural issues; give the same end result as what can be accomplished with a facelift or necklift
What it can do: Create new collagen, which, in turn, lends a smoothing and tightening effect; can also be used to correct slight looseness in the cheeks and eyelids
Choose a necklift if you have moderate to extreme laxity and sagging in the neck area: A smooth, long neck is a quintessential characteristic of femininity. But with time, the neck loses its elastic support and the muscles become lax. If we are concerned as to how the neck line is defined, surgery may be the best option to correct it. During the procedure, neck muscles are tightened up and extra skin is trimmed away. If extra fat is also a problem, it can be removed.
What it can’t do: Improve skin quality
What it can do: Restore definition to the lower part of the face; reduce banding in the neck
Combination therapies, in which doctors use a mix-and-match approach to rejuvenation, are important. You almost always have to use lasers, skin care, neurotoxins, fillers and surgery together for the best results. For total rejuvenation it’s often recommended that several different procedures be done. While you can get good results with just surgery, a laser or fillers alone, using them in tandem may create better results. Surgery works to first rebuild the structure and foundation of the face so you know how much filler needs to be added to restore the lost volume. A good ongoing skin-care program is the true icing on the cake.
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En Espanol
Cuando se trata de la lucha contra los signos del envejecimiento, hay que mirar a los problemas que existen, suelta la piel, pérdida de volumen y cambios de textura. Las cargas y los inyectables y la cirugía no son sustitutos de los unos a los otros. Si la piel tiene que recubre, necesita cirugía. Un relleno puede hacer un montón de cosas pero no puede nunca deshacerse de la piel floja. Es importante ser educados sobre las modalidades de rejuvenecimiento disponibles. Recuperación, riesgos y gastos deben ser considerados. Al comparar las cargas, los rayos láser y la cirugía, la etiqueta de precio asociado a cada puede ser muy diferente, que van froma pocos cientos a unos miles de dólares, si no más. Las cargas y los inyectables son la opción más asequible; láser se clasifican entre las cargas y la cirugía; la cirugía es la opción más cara.
Elija apretar los tratamientos de la piel si tiene holgura mínima en el área del cuello: A diferencia de un verdadero láser pero a menudo etiquetados como tales dispositivos, tensión de la piel (depende de la energía de radio-frecuencia) para tensar la piel floja estimulando el colágeno en la dermis layer.They no recubrir la textura de la piel, sino que causan nuevo colágeno que se creará mediante el calentamiento profundamente las capas subyacentes de la piel con energía como ultrasonido o frecuencia de radio. El colágeno existente se lesiona y se reorganiza como parte del proceso de curación. Como se hace esto se tensa la piel hasta cierto grado.
Lo que no puede hacer: cuestiones de textura correctos; dar el mismo resultado final como lo que puede lograrse con un estiramiento facial o lifting de cuello
Lo que puede hacer: Crear nuevo colágeno, lo que, a su vez, se presta un alisado y efecto tensor; también se puede utilizar para corregir ligera holgura en las mejillas y los párpadosElegir un lifting de cuello si tiene de moderada a extrema laxitud y flacidez en el cuello: A, largo cuello suave es una característica por excelencia de la feminidad. Pero con el tiempo, el cuello pierde su soporte elástico y los músculos se vuelva flácida. Si estamos preocupados en cuanto a cómo se define la línea del cuello, la cirugía puede ser la mejor opción para corregirlo. Durante el procedimiento, los músculos del cuello se tensan y piel sobrante se recorta. Si la grasa extra es también un problema, que se puede quitar.
Lo que no puede hacer: Mejorar la calidad de la piel
Lo que puede hacer: Restaurar definición a la parte inferior de la cara; reducir las bandas en el cuello
Las terapias de combinación, en la que los médicos utilizan un enfoque mix-and-match para el rejuvenecimiento, son importantes. Casi siempre se tiene que utilizar el láser, cuidado de la piel, neurotoxinas, cargas y cirugía juntos para los mejores resultados. Para el rejuvenecimiento total a menudo se recomienda que se realicen diferentes tipos de procedimientos. Mientras que usted puede conseguir buenos resultados con la cirugía sólo, un láser o rellenos solo, usarlos en conjunto pueden crear mejores resultados. Cirugía trabaja para reconstruir primero la estructura y fundamento de la cara para que sepa cómo necesita mucho de relleno que se añade a restaurar el volumen perdido. Un buen programa de cuidado de la piel en curso es la verdadera guinda del pastel.
Esta información es traído a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med Spa

2013 was a good year for butt augmentation and neck lifts

The American Society of Plastic Surgeons released their annual results on plastic surgery procedures in the U.S., reporting 15.1 million cosmetic procedures in 2013, a 3% increase from 2012.
Some of the findings were expected. For instance, breast implants remain the top cosmetic surgical procedure and Botox remained the top minimally invasive procedure. Interestingly, the procedures that are gaining popularity are buttock augmentation and neck lifts. Below are some of the most popular procedures Americans are going under the knife for.




This Information is Brought to You Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa


Eyelid surgery and facelifts are up. So are butt augmentations and neck lifts, according to new figures from the American Society of Plastic Surgeons that show a steady increase in cosmetic and reconstructive surgery procedures in the United States.
This was the fourth consecutive year of growth, the society reported, noting more than 15 million cosmetic surgeries and minimally invasive procedures were performed in 2013, an increase of 3 percent from the year before.
Nose jobs, liposuction and laser hair removal missed the boom, however. These procedures declined from the previous year, the report said.
Meanwhile, reconstructive surgeries increased by 2 percent, the society reported.
Better technology and new products, including a facial filler that uses hyaluronic acid (Juvederm Voluma) to treat mid-face volume loss as well as two types of silicone gel breast implants recently approved by the U.S. Food and Drug Administration, are likely the reason behind the upward trend, the society noted.
“The demand for plastic surgery remains strong, with our statistics showing increases in both cosmetic surgical and minimally invasive procedures,” said society president Dr. Robert Murphy.
“Facial rejuvenation procedures were especially robust last year, with more Americans opting for facelifts, forehead lifts, eyelid surgery, fillers and peels,” Murphy said in a society news release. “With new devices and products hitting the market each year, there are more options and choices available to consumers wanting to refresh their look or [undergo] a little nip and tuck.”
Of the 13.4 million minimally invasive procedures performed in 2013, the most common included:

  • Botox injections: 6.3 million injections, up 3 percent
  • Soft tissue fillers: 2.2 million procedures, up 13 percent
  • Chemical peels: 1.2 million procedures, up 3 percent

With more people taking steps to smooth out their wrinkles and folds, the report noted that Botox injections jumped 700 percent since 2000. And hyaluronic acid facial fillers have increased 18 percent since 2012.
There were also 1.7 million cosmetic surgeries in 2013, up 1 percent from a year ago. Among the most common procedures:

  • Breast augmentation: 290,000 procedures, up 1 percent
  • Nose jobs: 221,000 procedures, down 9 percent
  • Eyelid surgery: 216,000 procedures, up 6 percent
  • Liposuction: 200,000 procedures, down 1 percent
  • Facelifts: 133,000 procedures, up 6 percent

Silicone implants were used in 72 percent of all breast augmentations, while saline implants were chosen for 28 percent of these surgeries. The experts noted new technology offers women more natural looking and feeling results.
Butt augmentation with fat grafting and neck lifts are two new procedures also on the rise in the United States, according to the report.
There were 10,000 butt augmentation procedures performed in 2013, up 16 percent from 2012. More than 55,000 neck lifts were also performed last year, up 6 percent from the year before.
Reconstructive plastic surgery to improve both the appearance and function of abnormalities also increased 2 percent in 2013. The top reconstructive procedures performed last year include: tumor removal, up 5 percent from 2012; laceration repair, with 254,000 procedures; and scar revision.
Breast reconstruction, with 96,000 procedures, was up 4 percent last year.
“It’s promising to see breast reconstruction rates rising,” noted Murphy. “Less than 20 percent of breast cancer patients undergo breast reconstruction because they are not always informed of their options, although studies show that reconstruction greatly improves quality of life.”
This News Brought to You Courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
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While the new year will see many attempt to turn over a new leaf, it seems certain old habits die much harder than others – especially when it comes to beauty.
According to Transform, cosmetic and non-surgical cosmetic procedures will still be very much en trend in the UK in 2014.
“There is a growing awareness of the different types of surgery available to people, coupled with the increasing desire to look and feel at your best,” says Shami Thomas from Transform. “Patients come to us as they want to feel good about their bodies and surgery can help them, and ultimately improve their self-confidence.
“Whilst surgical procedures are still very popular, it’s the non-surgical procedures that are proving to be a key theme and this trend is set to continue into 2014 and beyond.”
Here are Transform’s predictions for the hottest cosmetic surgery trends for 2014:
Breast Surgery
Responsible for over 80,000 breast augmentations, Transform shines the spotlight firmly on society’s fascination with women’s twin peaks and suggests that the allure of boobs – whether to have them bigger, smaller or more pert – will continue to be one of the most popular cosmetic procedures in the UK. Welcome news for a country that is united in its love for all things boobilicous.
Chin Implants
Women will continue to aspire to capture Hollywood glamour and opt to have chin implants – a procedure revealed in 2013 to have been undertaken by movie starlet, Marilyn Monroe. The procedure adds definition and balances facial features, producing instant and significant changes in the profile of patients – serving to inject a new bout of confidence into those with a weak or receding chin.
Enquiries for chin implants have doubled since 2010, with 60% of queries coming from women wishing to alter the silhouette of their faces and Transform expects the desire for a striking and defined chin to continue far into 2014.
Tummy Tucks
For those who’ve been left with excess skin after losing weight or following having a baby, a tummy tuck or abdominoplasty is fast becoming the solution for many unconfident Brits. For those left hanging with stretched skin, and weakened muscles, this is fast becoming one of the most popular procedures as it takes away loose skin and tightens up the muscles. And 2014 is sure to see a continued rise in people wanting to fold up their saggy skin and opt for a slimmer, more toned tummy.
Brachioplasty or ‘Bingo Wing’ Surgery
Brachioplasty is the removal of excess, aging skin from the upper arms – often referred to as ‘bingo wings’ and gives tighter, more toned and youthful arms. An ever increasingly popular treatment among mature ladies who feel self-conscious about their ‘flappy’ upper arms or for those who have lost significant amounts of weight and want to tighten up the skin.
Vaginoplasty
The quest for a ‘designer vagina’ has intensified, with labiaplasty and vaginoplasty amongst the UK’s fastest growing cosmetic surgery procedures.
Labiaplasty is a surgical procedure to reduce the size of, or reshape, the labia minora – either for medical or aesthetic reasons – while vaginoplasty ‘tightens’ the vagina, a procedure that is particularly popular among women who have given birth.
Transform reports that enquiries for the procedures have grown from 2,400 in 2010 to over 3,500 in 2013. Such results suggest that more and more women will feel empowered to undergo a vaginoplasty procedure in the coming year – and this is certainly set to be the surgery on everyone’s lips in 2014.
Non-surgical
2013 saw a whole host of celebrities under the spotlight as having undergone non-surgical treatments from Kim Kardashian to Coleen Rooney and Sharon Osbourne. With non-surgical procedures accounting for 75% of the cosmetic industry*, these treatments are the ones to watch.
The Non-Surgical Face-Lift
Anti-ageing treatments such as dermal fillers, Botox and chemical facial peels are fast becoming a must on beauty-lovers’ lists.
And combined, they provide the ideal ‘face-lift’ that is seen to be taking over the surgical face-lift; they restore the contour of the face without the need for any surgery.
A combination of wrinkle and line smoothing treatments, and dermal fillers result in a more refreshed, and line-free look that plumps up skin, minimises marionette lines and gives a rejuvenated look that is proving ideal for today’s youth-seekers. An increasing number of women want to stop the signs of ageing without surgery – and with such glowing results and minimal recovery time after these procedures, we’ll see the trend for non-surgical facelifts continue for years to come.
Laser Hair Removal
A treatment used for the removal of excess or unwanted hair, laser hair removal works by destroying the base of the hair follicle that is the source of new hair growth. Used on a variety of skin types, with minimum fuss and maintenance, it’s becoming the number one choice for those on the go wanting smooth, hair-free body zones.
This News is Brought to you Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX
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I hate my selfie! New survey finds that 1 in 3 plastic surgeons have patients under 30 asking for facial procedures ‘so they can look better online’

  • Doctors reported seeing a 10 per cent rise in nose jobs, a 7 per cent rise in hair transplants, and a 6 per cent rise in eyelid surgery in young people wanting to look better online
  • Fifty-eight per cent of doctors surveyed said that they saw the increase in desire for plastic surgery in much younger patients due to social media
  • Women are more likely to ask for face and eye lifts whereas men want to keep their hair and fight wrinkles

Plastic surgeons claim that more and more young clients are coming to them for plastic surgery because they want to look good in selfies on their various social media accounts. In a world where people sign into their Instagram, Facebook and Snapchat as routinely as they brush their teeth, there comes a growing concern for the way they appear online.
A survey conducted by the American Academy of Facial Plastic and Reconstructive Surgery found that one in three plastic surgeons saw an increase in people wanting facial procedures so they could look better online. ‘Social platforms like Instagram, Snapchat and the iPhone app Selfie.im, which are solely image based, force patients to hold a microscope up to their own image and often look at it with more self-critical eye than ever before,’ said Dr. Edward Farrior, President of the academy.
‘These images are often the first impressions young people put out there to prospective friends, romantic interests and employers, and our patients want to put their best face forward.
CBS writes that doctors reported seeing a 10 per cent rise in nose jobs, a 7 per cent rise in hair transplants, and a 6 per cent rise in eyelid surgery.
Fifty-eight per cent of doctors surveyed said that they saw the increase in desire for plastic surgery earlier in life do to social media. Of the young plastic surgery seeking crowd, mostly young females sought out plastic surgery or injections so they could have better selfies or photos for various dating profiles. Women account for 81 per cent of all cosmetic procedures although some men are also looking to go under the knife.
CBS reports that women ask for face and eye lifts whereas men want to keep their hair and fight wrinkles.
In the under 35 group of plastic surgery patients, the nose job was is still the most popular procedure and accounts for 90 per cent of procedures for women and 86 per cent in men.

Some young people believe that selfies are empowering whereas a growing number of youths are dissatisfied with their appearance online and are willing to pay out the nose to change it.


This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX.  Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office for more information at (817) 473-2120.