The US Food and Drug Administration (FDA) has approved use of onabotulinumtoxinA (Botox Cosmetic, Allergan) for temporary improvement in the appearance of moderate to severe lateral canthal lines, also known as crow’s feet, in adults. Botox Cosmetic is currently the only FDA-approved drug treatment option for lateral canthal lines, the FDA said today.
The agency approved Botox Cosmetic in 2002 for the temporary improvement of glabellar lines (frown lines) in adults. Botox Cosmetic works by keeping muscles from tightening, so wrinkles are less prominent.
Botox Cosmetic is administered via intramuscular injections. Treatment for both frown lines and crow’s feet can be given at the same time, the FDA said.
Boxed Warnings
The approval of Botox Cosmetic for treating lateral canthal lines was based on 2 clinical efficacy and safety studies involving 833 adults with moderate to severe lateral canthal lines who were randomly assigned to receive either Botox Cosmetic or placebo.
The results showed that those treated with Botox Cosmetic had greater improvement compared with placebo in the appearance of lateral canthal lines, the FDA said.
BOTOX® is a prescription medicine that is injected into muscles and also used for the following:

  • to treat overactive bladder symptoms such as a strong need to urinate with leaking or wetting accidents (urge urinary incontinence), a strong need to urinate right away (urgency), and urinating often (frequency) in adults 18 years and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken.
  • to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older
  • to treat increased muscle stiffness in elbow, wrist, and finger muscles in people 18 years and older with upper limb spasticity
  • to treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in people 16 years and older
  • to treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years and older
  • to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older
This news is brought to you courtesy of Dr. Mark Bishara and The Paragon Med Spa
Dr. Mark Bishara provides a wide range of cosmetic procedures, including Botox and fillers, to help patients look and feel their best. All injections are performed by Dr. Bishara in our office. Please call our office to schedule an appointment at (817) 473-2120.
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Fall in love with your skin all over again! Join us in September and October for Fall Skin Rejuvenation. Until October 31, 2013 we are running the following special:
VI Peel for $199 (Value of $250)
VI Peel is a facial peel for ALL complexions.  It helps improve the appearance of acne, unwanted pigmentation and melasma.  It is the only peel of its kind to contain synergistic blend of TCA, Retin-A, Salicylic Acid, Phenol, and Vitamin C.  It gives great results in as little as one treatment.
The VI Peel contains a synergistic blend of powerful ingredients suitable for all skin types. This peel provides dramatic results with virtually no pain, no skin preparation and little downtime. Why wait weeks or months for results? Enjoy radiant, younger looking skin in about a week with the VI Peel.
The VI Peel will improve the tone, texture and clarity of the skin; reduce or eliminate age spots, freckles, and hyper-pigmentation, including melasma; soften lines and wrinkles; clear acne skin conditions; reduce or eliminate acne scars; and stimulate the production of collagen, for firmer, more youthful skin. Vi Peel also works well in conjunction with lasers, injectables and post procedure.
At the office of Dr. Mark Bishara and The Paragon Mede Spa, we offer many cosmetic and med spa services to help patients look and feel their best.  Please Call 817-473-2120 today to make an appointment.
 
 
 

Good Skin Care in Your 20’s, 30’s and 40+

20’s: The Issue- Dullness

In-Office Fixes: Microdermabrasion and Chemical Peels
When you’re young skin cells turn over, exfoliating every 28 days.  But as you move into your mid to late 20’s, that process starts to slow, and a natural decrease in skins sloughing ability. You’re left with a layer of dead skin that doesn’t evenly reflect light. Lunchtime procedures like microdermabrasion and chemical peels take less than and hour and leave behind only mild redness. During a microdermabrasion treatment, an aesthetician buffs away the top layer of skin.  For maximum results, consider a series of 3 treatments, spaced apart- followed by a chemical peel. Microdermabrasion removes any build up and then the chemical peel makes skin look brighter and more toned evening out skin discoloration and tightening pores.


30’s: The Issues- Fine Lines, Redness and Sun Spots

In-Office Fixes for Fine Lines: Injectables such as Botox
Those little lines that used to disappear as soon as you stopped smiling or frowning are suddenly here to stay.  Movements that cause skin to repeatedly crease in the same place eventually wear down the underlying collagen, creating lines that remain after muscles relax. Injectable muscle relaxers containing botulinum toxin A, such as BotoxDysport and Xeomin, temporarily paralyze muscles so you can’t make those wrinkle-causing movements. Expect smoother skin 72 hours post-injection and results last 3-4 months on average.  If you have no lines to speak of yet, these injections can be used as a preventative measure.  Small doses can prevent muscle action so you’ll never get the creases to begin with.
**6.1 million people had Botox treatments performed in 2012**


In-Office Fixes for Redness and Sun Spots: Laser Procedures
A rosy glow can be a sign of good health, but a constant ruddy complexion is a red flag. For some it’s a sign of sun damage. Excessive UV exposure weakens blood vessels until they no longer constrict after dilating.  For others redness stems for rosacea, a condition marked by flushing, broken blood vessels and acne-like bumps. Other issues like brown spots are a sign of chronic sun damage triggered by overexposure of UV rays. Unlike freckles these marks don’t fade after reduced sun exposure- but they will get darker with even more.
An IPL-Fotofacial will target and treat unwanted discoloration, pigmentation, broken capillaries, age spots and sun damage.  It also lessens the appearance of rosacea, fine lines and wrinkles. At The Paragon Med Spa our medical microdermabrasion also includes a chemical peel. Our Laser 360 treatment offer 3 technologies in 1 visit.  The Laser 360 is meant to be done in a series of 3 treatments and produces optimal results.  During this treatment a fotofacial, skin tightening and laser skin resurfacing are combined to offer the most comprehensive correction and rejuvenation.  Bonus:  Your skin will look tighter and feel smoother.

40+: The Issues- Sagging, Deep Creases and Hollowed Cheeks

Genetics and the effects of sun damage really start to show in this decade, as skin’s elasticity takes a nosedive.  Sagging skin and crow’s feet that showed up in your 30s are probably more pronounced now. And due to natural volume loss, you may be noticing new wrinkles especially around the lips and in between the nose and corners of your mouth. With age, skin loses fat, exposing folds and creases.
In-Office Fixes for Sagging and Deep Creases
Fillers such as Juvederm instantly plump indentations.  JUVÉDERM® Ultra Plus is used to treat deeper and more severe wrinkles and folds, and provides results that last up to one year. Injections take about 15 minutes to administer and do not require any anesthesia. Patients should avoid strenuous exercise and excessive sun exposure for the first 24 hours after treatment, but can otherwise resume normal activities right away.
In-Office Fixes for Hollowed Cheeks
Injectables such as Radiesse, reign supreme here too.  Thicker fillers are ideal for filling out hollowed cheeks. Radiesse is a stiff material, so it’s good for replacing volume as well as lifting the skin.  Radiesse provides an immediate fill plus long-term collagen stimulation for 18 months to two years.
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 to schedule an appointment at (817) 473-2120 or click on the button below.

 

Laser 360 Treatment FAQ’s

At the office of Dr. Mark Bishara and The Paragon Med Spa, we encourage everyone to get the facts about any laser treatment or procedure they’re considering.  Here are some Frequently Asked Questions about Laser360iQ. Please discuss your goals with a member of our aesthetic staff.

Is the Laser360iQ laser treatment safe?
Yes. Laser360iQ has been used on thousands of patients across the globe with beautiful results.
How long will a treatment take?
An exact treatment regimen differs with each patient and will depend on the condition of your skin and your aesthetic goals. One laser treatment may take a few minutes and another may take longer. You may have treatments that involve more than one of the Laser360iQ technologies. Typically, a Laser 360 treatment lasts for an estimated 2 hours.
Do I need to plan for time off for the treatments?
Laser360iQ requires no extended recovery time. We recommend our patients 3-5 days of “social down time”.
What alternatives to Laser360iQ are available?
Anti-aging creams and lotions can be used at home, but usually provide only a slight benefit and must be used indefinitely to maintain even modest results.
Other laser and light-based devices work well, but they typically focus on just one aspect of skin your skin’s condition. Most important, other laser and light-based devices may not be suitable for your skin’s condition or your skin’s type.
How long will my results last?
Laser360iQ is the ideal procedure to eliminate the discoloration, textural irregularities and other signs of aging that make your skin look older. After the procedure you will continue to age and to be affected by the sun and elements. You may choose to return to your provider periodically for touch-up treatments to maintain the healthy glow that Laser360iQ can bring.
Please visit Dr. Mark Bishara and The Paragon Med Spa and take action today.  Please contact our office at (817) 473-2120

 

Laser360iQ Is Not Your Typical Skin Laser

Laser360 is a revolutionary skin treatment which is a perfect match for anyone who refuses the idea those fine lines, wrinkles, skin discoloration, or other imperfections of the face, neck and chest are just a part of getting old. Laser360 can give you glowing youthful skin again. Many lasers designed for skin treatments concentrate on only one aspect of aging skin.
Laser360 is also a great tool for people who do not want to go “under the knife.” In just 60 days the technologies of Laser360 can take your whole countenance from tired and sagging to young and fresh. At the office of Dr. Mark Bishara and The Paragon Med Spa, we offer Laser 360 to our patients.
Laser 360 deals with the issues of aging that our patients are left with such as:

  • Skin discoloration – sun exposure can leave reddish or brown spots on the face, hands, arms, legs and even on our chest and back.
  • Rough texture – The older we get, we tend to lose a lot of our skin’s youthful smooth texture. Our skin can be appear dried out or hardened in places that can’t be covered up.
  • Increased laxity – Once collagen production slows down, our skin loses volume and starts to sag. People can develop bags under their eyes and even a slight set of jowls, which can make a person appear worn out.
  • Fine Lines or Wrinkles – Fine lines and wrinkles that accompany aging can become quite alarming. Some might notice that their wrinkles seem to deepen and lengthen almost overnight.

The signs of aging are complex and not every skin laser is right for all conditions. The best laser skin treatment is one that takes into account all of the conditions listed above. Furthermore, each laser skin treatment should be tailored according to the patient’s goals and performed by professionals trained on the device. The answer is Laser360iQ and its 4 breakthrough technologies:

  1. NIR – Deep dermal heating helps regain a healthy, youthful appearance
  2. AFT – Pulses of light even out skin color and reduce the appearance of damaged or broken blood vessels. It also helps to erase other color irregularities in your skin.
  3. Pixel Er:YAG – Precision laser technology creates thousands of microscopic perforations and stimulates new collagen to improve your skin’s texture and tone and smooth out fine lines and wrinkles.
Please visit Dr. Mark Bishara and The Paragon Med Spa and take action today. Stay tuned for our next blog on Laser 360 treatment FAQ’s.   Please contact our office at (817) 473-2120