What exactly is a liquid facelift? Well, it’s not a facelift, but a non-surgical reshaping and smoothing of the face using injectable facial, or dermal fillers. Injectable fillers have come a long way and products such as Juvéderm® Ultra Plus, Juvéderm® Voluma®, and Radiesse®, can be used alone or in combination to achieve real results without surgery. They are sometimes also used with a cosmetic toxin such as BOTOX® or Xeomin®. Together, we can help to reduce lines and wrinkles, restore plumpness, and even reshape areas — without surgery. 
By using a combination of injectable fillers and/or muscle immobilizing products such as Botox, lines can be minimized or erased, and sagging skin lifted and filled out.
With injectable products, you can dramatically improve appearances without the downtime of surgery. Ppeople who have mild jowls, volume loss, vertical lip lines, crow’s feet, lines along the side of the nose and chin — sometimes called marionette lines — can benefit greatly. Also, injectable products can correct asymmetries and even those bands in the neck below the chin that become prominent with age.

How drastic are the effects?

No one should be able to tell that you had a liquid facelift or any cosmetic work, essentially. You should simply enjoy comments from people such as, ‘Wow, you look fantastic, what did you do different?

Which product is right for you?

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Some of the new fillers with hyaluronic acid — such as Juvederm — are popular and well-tolerated because the hyaluronic acid is a natural substance in the body, thus less likely to have allergy issues. Those fillers tend to be more expensive than a filler such as Radiesse, but both last eight to 10 months. Each product has a unique set of factors that might make one a better choice for you than another, so a consultation will determine which is the perfect option for you.
Is a liquid facelift for you? Call our offices in Mansfield and Southlake at (817) 473-2120.  You can also visit our website and www.MarkBisharaMD.com.

 


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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Laser Skin Resurfacing and Filler Juvederm Voluma

Using a laser skin resurfacing treatment like our Laser 360 and combining this with the new Juvederm Voluma; these are two of the best options to combat the signs of aging. You would want to start with a skin resurfacing laser treatment(s), such as the Laser 360. This would help erase wrinkles, tighten the skin, even out your skin tone, and also stimulate collagen. After your laser treatment we would then inject the filler of choice, and a great choice would be the Juvederm Voluma for adding volume to the cheek area.
Laser 360:
Laser360™ is a skin treatment for anyone who would like to revitalize their look without invasive procedures or injections. You no longer have to accept fine lines and wrinkles or skin discoloration as an inevitable part of the aging process.
Juvederm Voluma:
JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA™ XC, however, adds volume to the cheek area.
Please contact our office at (817) 473-2120 for more information on combing these treatments and you can also visit our website at www.MarkBisharaMD.com.
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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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Spring is just around the corner, and we will help you get your skin looking its best as you get ready to bare a lot more of it!
From the latest laser procedures and dermal fillers you can find at our office, to our extensive line of SkinCeuticals products, we’ve got the stuff you need.
We’re stuck in that crazy phase where winter is almost over, but it’s not quite spring. It’s kind of like when Britney Spears was not a girl, not yet a woman. One day it’s sunny, and the next day it’s snowing. One week it’s 60 degrees, the next week it’s polar vortex status, and the frequent changes absolutely wreak havoc on our skin. Sigh.

Reasons why Your Skin Needs Help!!:
If your skin is dry and dull: No matter how much the temperature drops, your skin still needs a boost in cell turnover.
Rule #1: Don’t stop resurfacing. I don’t mean abrasive scrubs—the appropriate and consistent “resurfacing” products will keep your skin looking dewy, hydrated, smooth, and glowing without creating microscopic tears and abrasions. Think retinoids and acid combinations such as glycolic, salicylic, and azaleic acids. If the weather is really cold, then dial down on frequency or strength, but do not stop resurfacing. I also recommend using a proteolytic enzyme once or twice weekly. Proteolytic enzymes are “smart exfoliators” since they only digest dead or diseased cells and cannot disturb healthy, newer cells. Even very sensitive skin types can tolerate proteolytic enzymes.
Rule #2: Adjust your hydration. Oftentimes, individuals simply trade up from a lighter moisturizer to one that is heavier. Think layers—when you layer clothing, instead of just one heavy outer garment, you stay warmer because more heat is trapped between the layers.  Likewise, when you layer hydrators you trap more moisture, prevent moisture loss, and provide a more effective barrier against the elements. Try a lighter serum or cream that is packed with peptides and anti-inflammatories under a heavier barrier cream, topped by sunscreen.
If your skin is oily: The typical conundrum here is that the skin is oily, but actually looks dull and surface dry, primarily due to wind and colder temperatures.  You’re not necessarily producing less oil, but it’s getting trapped in the dead surface layer and your skin appears duller and even your pores are more noticeable.
Rule #1: Exfoliate. Here again, the key is resurfacing. A resurfacing product, with the right combination of acids, will remove the dead surface skin without abrasion and keep your pores unblocked and looking smaller and more refined.
Rule #2: Do not abandon your acne meds. If you have breakouts, select a product that is non-drying and treats acne and aging at the same time. Once or twice a week an enzyme mask or a Retinol mask will provide further skin refinement and help make skin look dewy and luminous instead of simply oily.
If your skin has redness: Stop aggravating, start soothing!
Rule #1: Anti-inflame. Skin that has persistent periods of redness and little red capillaries may be experiencing mild to moderate rosacea. The causative factors in rosacea are varied and complex. However, it is believed that individuals with this tendency produce more of a type of inflammatory protein. The key here is to use products with lots of anti-inflammatory properties such as green tea, red tea, and ascorbyl palmitate.
Rule #2: Be gentle. Your skin also needs lots of barrier protection to prevent moisture loss and enable your skin to more effectively defend itself from transitional elements. Select products according to how dry or oily your skin is. Remember to lay lighter serums under more protective creams.
Rule #3: Sunscreen is an absolute must! The sun’s rays can still penetrate, even on the gloomiest day and UV rays equal inflammation, which sets up conditions that cause and exacerbate rosacea type tendencies.

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