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.


Juvederm VALENTINE’S DAY SPECIALS – Pick the perfect treatment for the one you love!  Juvederm for $475/syringe and ClearLift for $388
Please don’t forget to use your Brilliant Distinctions membership for  Botox and Juvederm in the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa. You will be looking great and saving money before Valentine’s Day! Be good to yourself — give yourself a special Valentine gift!  New lips……a rejuvenated face!
If you are already a Brilliant Distinctions member, you know that it is the only program that rewards you with points to redeem toward instant savings on your Botox and Juvederm treatments.   Start earning your points to start saving on your next Botox or Juvederm treatments. If you are not a Brilliant Distinctions member, visit their website,www.brilliantdistinctionsprogram.com, to sign up and take advantage of savings, or a member of our staff can help you sign up at your next office visit.

Please also don’t forget to “LIKE” us on Facebook and get useful information on current topics, news, treatment information and upcoming events.  Please visit us at the Paragon Plastic Surgery and Medspa Facebook page. Join our email mailing list & be the first one to find out about our monthly specials.
View our website, CLICK HERE, to read more about the office, procedures offered, and to learn more about Dr. Mark Bishara. If are you considering plastic surgery, contact the office at (817) 473-2120 to schedule a consultation with Dr. Bishara.
 
 

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

The history of BOTOX®


BOTOX® (onabotulinumtoxinA) is a type of medicine that is used to treat patients with certain neuromuscular conditions. One of the most researched medicines in the world, BOTOX® treatment is approved for medical uses across the world.

Since its FDA approval for aesthetic treatment in April 2002, the neurotoxin Botox has gone from a somewhat controversial treatment to a celebrity-endorsed wrinkle remedy. Injectables have become the new norm in cosmetic treatment. According to the American Academy of Facial Plastic and Reconstructive Surgery, the most common nonsurgical procedures last year were Botox and hyaluronic acid fillers.
It’s come a long way from its origins as an FDA approved treatment for two rare eye muscle disorders (strabismus and blepharospasm). The original name, Oculinum, doesn’t exactly roll off the tongue, but shortly after Allergan secured that first FDA approval in 1989, the product was rebranded Botox. Once physicians realized that Botox could treat wrinkles, the rest was history.
Botox reached nearly $1.6 billion in sales last year, attributing 51 percent to therapeutic uses and 49 percent to aesthetic uses. It became so successful that it gained its first FDA-approved wrinkle-reducing competitor in 2009-the sincerest form of flattery in the business world. However, Botox continues to evolve as new uses for the product are discovered. Used off-label, it treats a host of concerns such as crow’s-feet, down-turned corners of the mouth and bands on the neck. You may be surprised to learn that it has also been used, off label, to aesthetically treat enlarged pores, droopy eyebrows, a pointy chin and a droopy nose tip. Additionally, it’s an FDA-approved treatment for medical conditions ranging from chronic migraine to excessive sweating. Next up: the company is seeking FDA approval for the treatment of crow’s-feet.

1950s- Scientists discover that botulinum toxin can reduce muscle spasms.
1960s/1970s- Studies explore botulinum toxin as a treatment for strabismus (crossed eyes).
1988- Allergan researches other medical uses of botulinum toxin.
1989- Allergan introduces BOTOX®, the first botulinum toxin approved by the FDA to treat blepharospasm (eyelid spasms) and strabismus.
2000- FDA approves BOTOX® therapy for cervical dystonia to reduce the severity of abnormal head position and neck pain.
2002- FDA approves BOTOX® Cosmetic (onabotulinumtoxinA), the same formulation as BOTOX®, with dosing specific to moderate to severe frown lines between the brow.
2004- FDA approves BOTOX® for severe underarm sweating when topical medicines don’t work well enough.
2009- 20-year anniversary of BOTOX®
2010- FDA approves BOTOX® therapy for increased muscle stiffness in elbow, wrist, and finger muscles with upper limb spasticity.

2011- FDA approves Botox for detrusor overactivity associated with neurologic condition
2013- FDA approves to improve symptoms of overactive bladder in adults
BOTOX® is the first medicine to be studied and then approved by the FDA specifically for the prevention of 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.
Compared to other cosmetic procedures, BOTOX® offers patients many benefits with its convenience, effectiveness and affordability. The entire procedure takes about ten minutes to perform, and patients can go home and return to regular activities immediately after. The results of BOTOX® injections are visible within the next few days.
At Dr. Bishara’s office we have weekly Botox specials in our Mansfield and Southlake office locations.  Please call our office at (817) 473-2120 to find out more about our weekly Botox specials or visit our website at www.MarkBisharaMD.com.