An article in The New York Times

The deep horizontal lines across his forehead and the yawning crevices between his brows bothered Michael Ross. In younger days, he said, he had baked too often in the sun, using a double record album covered in aluminum foil as a reflector.
”I take care of my body,” said Mr. Ross, now 42 and a middle school teacher. ”In a tank top and shorts, I look younger than the average 40-year-old. I was concerned that, from the neck up, I didn’t.”
That is why Mr. Ross, who lives in Briarcliff Manor, N.Y., was on the examining table one recent afternoon in the Great Neck office of Dr. Lyle S. Leipziger, chief of plastic surgery at North Shore University Hospital-Long Island Jewish Medical Center. He was there for a procedure that has rejuvenated many a female face of his acquaintance: a Botox tuneup.
”Smile for me, nice and big,” Dr. Leipziger instructed, and the wrinkles needing reduction stood out. The doctor stuck a slim needle into the crow’s feet around Mr. Ross’s eyes and injected them with botulinum toxin (Botox).
On an island where women already jam plastic surgeons’ offices, Dr. Leipziger and others have also been seeing a rise in the number of men who want to look fresher or who think that success in the workplace demands a more youthful appearance.
”Men now look in the mirror just as much as women,” Dr. Leipziger said. ”The desire to look good transcends the sexes.”
More men seem to be adding a stop at the plastic surgeon’s office to maintenance regimes that go far beyond a daily shave. Affluent suburban men are pampering themselves at day spas and salons with facials, manicures and pedicures, following trails well worn by women.
Though his thrice-yearly Botox treatments are still not a topic he’s very likely to bring up on the golf course, Mr. Ross says male friends frequently comment on how relaxed his face looks, even if they can’t quite figure out why.

Men still account for only about one-eighth of the 10 million cosmetic surgery procedures performed nationwide in 2005, according to the American Society of Plastic Surgeons, but their share has risen by 44 percent in the last five years.
”Men have become much more comfortable seeking plastic surgery,” Dr. Leipziger said.
More than 313,000 Botox injections, the most popular minimally invasive procedure, were given to men last year. Ranking next in popularity were laser hair removal, microdermabrasion and Restylane injections to plump sagging facial folds.
Because men’s muscles tend to be thicker than women’s, Dr. Leipziger said, more Botox is needed to achieve the same result. He told Mr. Ross that it would be two weeks before full results were visible.

Men are choosing more-permanent procedures as well. The most popular last year, according to the American Society for Aesthetic Plastic Surgery, were liposuction, nose reshaping (or rhinoplasty), blepharoplasty to remove bags and tighten the eyelids, breast reduction and face-lifts.
Dr. Michael Setzen, chief of rhinology at North Shore University Hospital in Manhasset, said that he had seen a 25 percent jump in men wanting nose jobs. Typically, he said, they come to his Manhasset office complaining of nasal congestion or sinusitis and then slip in remarks about disliking the bumps on their noses. He uses computer images to show what surgery could do for them.
”Men are very concerned how they will look afterward,” Dr. Setzen said. ”They don’t want to look feminine, they want to look very much like they do look, but they want the bump corrected.” Women, on the other hand, usually want a clear change, and may come in asking for a Nicole Kidman nose, he said.
Chin augmentations are also popular with men. ”Men are interested in a strong chin — that is a male dominant feature,” Dr. Setzen said.
South of the face, male patients often want help ridding themselves of persistent love handles or may be embarrassed by enlarged breasts, a condition known as gynecomastia.
Last month, Philip Shenassa, 46, a businessman from Kings Point, underwent breast reduction surgery.
”It bothered me for a long time,” Mr. Shenassa said. ”I was sensitive and constantly aware of it.”
He said that the surgery to firm up his chest, done by Dr. Leipziger, had made his looks much more professional.
”If you can improve your appearance and your self-confidence, what is wrong with it?” Mr. Shenassa said. ”If you know what you want from life, you should go for it and do it.”
Dr. Leipziger, who at 46 has naturally boyish good looks, said he hadn’t had any cosmetic surgery himself.
”But if I needed it, I would,” he added.
This News is Brought to you Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

 


Plastic surgeons are seeing more patients who wish to undergo facial surgery, suggesting social media-posted selfies may be inspiring more Americans to consider plastic surgery.
The growing trend of taking selfies – a type of self-portrait photograph, typically taken at arm’s length with a hand-held digital camera or camera phone – and posting them on Facebook, Twitter,  Snapchat, and Instagram, has been attributed to the increase in nose jobs and other reconstructive facial procedures.
Dr. Edward Farrior, President of the AAFPRS who conducted the research that posed these assertions, states in CBS News:

“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. 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.”

According to an annual survey conducted by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) of a select group of the organization’s 2,700 members revealed one in three plastic surgeons reported seeing an increase in requests for facial procedures by patients who wanted to look better online.

Between 2012 and 2013 they saw a 10 percent rise in nose jobs, a seven percent rise in hair transplants and a six percent rise in eyelid surgery, says the NY Daily News. In addition, 58 percent of the doctors surveyed noted having a growing number of patients under 30 seeking out services – in part because of social media images like selfies.
Nose jobs (rhinoplasty) are the most popular elective surgical procedure conducted among those in the under 35 crowd – accounting for 90 percent of women, and 86 percent of men respectfully. And while women account for nearly 80 percent of plastic surgeries for face and eye lifts, men are becoming more determined to keep their hair and combat wrinkles.
This information 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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Your body goes through a ton of changes and to top it all off, fine lines are starting to appear right alongside those pesky pimples that you thought would have gone away after high school.
You’re not alone. According to a report published in the Journal of the American Academy of Dermatology, more than 35 percent of women ages 30-39 and more than 25 percent of women ages 40-49 reported suffering from acne.
So what’s a girl to do? Here are some simple solutions to banish this—stat!
Cleanse
Use a mild foaming or cream cleanser daily. Since your cleanser is on your skin for the shortest amount of time of any other product you use, it’s the least important step in your beauty regimen. If your skin is oily, look for a cleanser that has salicylic acid or glycolic acid which exfoliate to unclog pores and help to stimulate the skin to prevent wrinkles.
Protect
Wearing sunscreen every day is one of the best ways to prevent wrinkles. Even small amounts of sun exposure through windows in your home or in your car add up.  Look for products that have an SPF 30 or more and zinc oxide of at least 5 percent.
Prevent
Antioxidants are your second line of defense against damage from the sun, smoke, and pollutants in the air. These power houses work like sponges to soak up free radicals that do damage to your skin. Look for moisturizers and serums that have vitamins E, C, green tea, or grape seed extract.
For wrinkles around the eyes- it’s important to wear sunglasses anytime you’re outside. You really have to maintain your collagen as much as possible because it’s not an area that’s easy to treat with lasers or anything else.
Exfoliate
Prescription Retin-A and over-the-counter retinol products are the best way to treat both wrinkles and acne because they work to reduce oil secretion, unclog pores and eliminate old, damaged cells.
Superficial chemical peels that contain both salicylic and glycolic acid are also great options because they allow oxygen to get into the pores and prevent bacteria from growing. Professional microdermabrasion is also effective for treating fine lines and large and clogged pores.
Avoid abrasive scrubs that are granular or have beads because they can be too harsh. Instead, look for products that contain both salicylic acid and retinol together. Be sure to check labels—if retinol is listed as one of the first few ingredients, it’s likely to have a higher concentration. For some women, retinols are too harsh, so alpha hydroxy acids can work.
Treat
Sometimes a little professional Rx is needed in the form of topical solutions, prescription medications, or a variety of in-office procedures. It’s best to speak with your dermatologist who can devise a plan that works for your skin type and the type of acne and wrinkles you have.

Where to go for professional wrinkle and acne treatments:

Sona Med Spa offers patients help with sun damage, skin resurfacing, and microdermabrasion to name a few.  Locations in Dallas, Grapevine and Frisco https://www.sonamedspa.com
M-Pulse Modern SkinCare can help patients with acne therapy, skin rejuvenation and skin care for both men and women. Locations in DFW- Plano, Dallas, Fort Worth https://www.m-pulse.com
For more information on treating fine lines, wrinkles, and acne please visit a skin care professional that is trained in skin care health.  Dermatologists and Plastic Surgeons offices are also great places to visit.
The Paragon Plastic Surgery & Med Spa offers patients treatment with fine lines, wrinkles, acne therapy, as well as many surgical and non-surgical cosmetic procedures. We are proud to serve the Mansfield and Southlake and surrounding areas.  Please call our office at (817) 473-2120 for more information on our services or visit our website at www.MarkBisharaMD.com.

This information is brought to you courtesy of Dr.Mark Bishara and The Paaragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

 

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