Is a facelift too invasive for you but you would still like to experience dramatic results that you thought only a fountain of youth could acheive? Here at The Paragon Plastic Surgery & Medspa, you can receive a combination of Ultherapy and injectable wrinkle/filler treatments, such as Botox, Radiesse, or Juvederm, to create a fresh, vibrant new you. These treatments all offer a different course of action in providing a more youthful look for our patients, but when combined, they work synergistically to create a harmonious result that both works on a soft tissue and muscular level.

Before and After Botox & Juvederm Voluma


Botox, for example, combats wrinkles on a muscular level by minimizing muscle contraction and relaxing hyperactive muscles. Alternately, filler is used to add volume to designated areas on the face while Ultherapy works on a tissue-level to stimulate collagen, lifting and tightening the skin as a result. As you can see, this combination of preventing the muscle contraction that causes wrinkles with Botox, adding volume with Filler, and tightening the skin with Ultherapy, have the power to create a balanced and complete look that would not be achieved from just doing one treatment by itself.

Ultherapy - Face


How long you should wait in between each treatment, and in what order they should be done, is an opinion that varies from doctor to doctor. At our own Paragon Plastic Surgery & Medspa, Dr. Mark Bishara recommends waiting about two weeks after Ultherapy to receive any injections. This short wait time will give any swelling that may happen as a result of Ultherapy time to settle so that how much filler/Botox needs to be used can be determined. This incredible combination of treatments yields fabulous results that can be yours! Call us now to schedule a consultation with Dr. Mark Bishara to discuss this as an option for you.

Before & After Ultherapy


 
 
 
 
To request a personal consultation with Dr. Mark Bishara, call us at Paragon Plastic Surgery & Medspa at (817) 473-2120 or complete our online contact form today.

come to us for your first botox experience!

Botox newbies: I know you’ve probably heard about it. And I know you may already have an impression of what Botox can do- and how it can sometimes backfire, turning an otherwise expressive face into a plastic mannequin that screams I JUST GOT BOTOX. This is not among the results that are achieved here at Paragon Plastic Surgery. When you come to us, you are not coming to simply get Botox. You can get Botox just about anywhere, after all. You are coming to us so that a highly skilled doctor, our own Dr. Mark Bishara, can examine your face, have an in-depth conversation with you about your desired results, and use a gentle touch and sense of artistry to create a more youthful, tighter look that you thought was impossible to achieve without a time machine! In other words, you are coming to us because here we have a doctor who sees it as much more than an injectable. Dr. Bishara sees it as an opportunity to give people a new sense of confidence and retain the youth that we know is inside of us, even when our bodies show otherwise.
Follow-up picture taken 1 week post-injections
When you come to us for your first Botox appointment, we will take your photographs on our very own on-site VECTRA 3D imaging machine. This will allow Dr. Bishara to examine your face through our special software and make any adjustments to your face that you may be interested in so that you can preview how it will look before getting it done. Once you and Dr. Bishara agree on a plan of action, we will take you back into one of our spa-like procedure rooms where we will clean your face, begin numbing you with ice or numbing cream, and begin your injections. It is a quick and easy process and you will feel at ease and comfortable in our care. After coming back for a follow-up appointment so that you and Dr. Bishara can go over your results, you will be able to come to us on a consistent basis for any touch-ups or other procedures you may want.
Follow-up picture taken 1 week post-injections
Here at Paragon Plastic Surgery & Medspa, we not only offer a vast array of cosmetic procedures and treatments, but we offer an experience where you are recognized as a unique individual. No two people have the same “Botox” experience, and where you receive your injections, how many units are administered, and which kinds of injections/fillers are used is saved into our advanced filing system after every single appointment. This provides a procedural roadmap that is tailored to your specific needs so that we can recreate, adjust, and fine-tune your treatment to give you the results you dream of! At our clinic, your experience will be remembered, taken into consideration, and will help us maintain an ongoing relationship with you where your wants and desires are consistently being met.

To request a personal consultation with Dr. Mark Bishara, call us at Paragon Plastic Surgery & Medspa at (817) 473-2120 or complete our online contact form today.


 
We all know that botox works for wrinkles but did you know it can work for breasts? Botulinum toxin type A can now play a role in inhibiting one of the most serious breast surgery complications-  capsular contracture.
Capsular contracture is an immune system response to foreign materials in the body. It mostly occurs from complications from breast implants and artificial joint prosthetics. It is followed by the formation of capsules of tightly woven collagen fibers tightening and compressing to the implant. It can occur in different grades and become very discomforting and painful to the touch.
Now researchers have found that botox can reduce the capsule thickness by injecting 0.5 mL into implant pockets and found it had also decreased inflammatory cells. Once validated in a clinical setting, this may be another use for the neurotoxin. In a published article in 2015 in the Archives of Plastic Surgery authors wrote about botox’s role and suggesting it may be effective in reducing keloid scarring, which is similar to implant capsules.
Current uses for Botox include treating facial wrinkles, hyperhydrosis, blepharospasm and migraines. This could be just another beneficial use for the neurotoxin after performing more patient research.
TO LEARN MORE ABOUT OUR BREAST SURGERY AND BOTOX SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.
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Botox, xeomin, dysport


Decisions, decisions! As if deciding whether to get help with fine lines and wrinkles wasn’t bad enough. You also have to make a decision on which product to go with. Botox, Xeomin, Dysport which one is best? Is there a difference?
Botox, Xeomin, and Dysport are all used to temporarily treat the frown lines between the eyebrows. So is there really something that makes them any different?
Botox is used to paralyze the muscles under the skin that cause those fine lines and wrinkles. Once injected botox prevents the muscles from releasing acetylcholine which is what causes the muscles to contract then causing those wrinkles. Botox lasts anywhere from three to six months.
Xeomin as botox and dysport is used to help smooth out those frown lines that tend to appear between the brows. It is used to block the nerve activity making a temporary minimization in muscle activity. Xeomin has no additives and the effect after being injected appear after a week. It is similar to botox  dysport when it comes to duration on results. It can last from 3 to 6 months.
If you are looking for more of a natural look Dysport would be a great option as mentioned on  dysportusa.com Dysport is to give you more of a smooth natural look rather than a frozen look. There are five different points to where one injection of Dysport is used. Once injected the injection will temporarily stop the muscles between the brows to contract.
So as we see all three products are used for the same purpose. They are all used to help minimize and smooth out the appearance of those fine lines and wrinkles. Still unsure? Dr. Mark A. Bishara at The Paragon Plastic Surgery and Med Spa can help. Dr. Mark A. Bishara treats a large amount of patients weekly. So if in doubt come see Dr. Bishara he would be more than happy to help you make the best decision.
 
TO LEARN MORE ABOUT OUR BOTOX SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.
   


 

Xeomin is taking on the Botox world with being the new neoromodultor out on the market today.   Xeomin is FDA approved in treatment for the glabellar lines, it is consider the next generation of neurotoxin.  Here at Paragon Plastic Surgery we off both Botox and Xeomin to our patients.
Getting down to knowing what exactly Xeomin and Botox consist of:
Xeomin has the same parent molecule as Botox which is the oncobotulinum toxin A, but Xeomin is manufacture in a way that the product is more purified. Unlike Botox, Xeomin does not have a preservative protein. Once Botox is injected, the botulinum molecule beginning freeing itself from the preservative protein before its free to bond with the muscles. Once bonded the muscle begins to relax then causing the wrinkle to fade away. Xeomin does not have preservative protein making it immediately available to the muscle receptors, binding immediately with reducing wrinkles at a steady and fast pace.
Botox and Xeomin have been reported to have a different feeling to each other. Xeomin has a much lighter feel and more natural than botox. Xeomin you can still maintain a little bit of motion in the facial features and eyebrows. Botox can be a bit stronger sometimes causing the frozen look, limiting muscle movement to a greater degree.
At Paragon Plastic Surgery and Med spa, Dr. Mark A Bishara has options to fit anyone desired results!   For patients that would like a little to no movement we would recommend Botox. It will have a feeling of a heavy sensation that some patients desired.  If you want a more natural movement with facial function with limiting the facial lines than Xeomin will be a great choice!
Botox and Xeomin both a safe for the face area, commonly utilized in the forehead, crows fee, around the mouth and additional around the next. Bruising usually doesn’t happen but we do provide arnica for the swelling and bruising if it does occur.
TO LEARN MORE ABOUT OUR BOTOX AND XEOMIN, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.