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Now is the Time to get your body Summer Ready

Summer will be hear before we know it, and with the warm weather also comes a change in wardrobe. People will soon be abandoning their pants and jackets for cooler shorts, tank tops, and dresses. Some can’t wait to soak up the sun and enjoy the activities of summer, while others are more reluctant to be seen in a bikini or swim trunks at the beach or local pool. Especially with the hot days we have here in Texas, covering up during the summer is almost out of the question and definitely out of the comfort zone. If you’re hesitant to embrace the more revealing attire of summer because you’re unhappy with the appearance of your body, now is the time to make a change so that you’ll be ready to strut your stuff when the warm weather arrives.

If diet and exercise have failed to achieve the results you desire, the Dr. Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake can get your body summer-ready. We offer the following body contouring procedures:

Please contact our office at (817) 473-2120, for more information on getting bikini or swimsuit ready or visit our website at www.MarkBisharaMD.com
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Hair Restoration FAQs- Age and Gender


By Age and Gender

  •   In 2012, 86.3% of all hair restoration surgical patients worldwide were male
  •   In 2012, 13.7% of all hair restoration surgical patients worldwide were female


* Since 2004, the proportion of female surgical hair restoration patients worldwide increased 20% — from 11.4% in 2004 to 13.7% in 2012

  •   In 2012, 66.8% of all non-surgical hair restoration patients worldwide were male
  •   In 2012, 33.2% of all non-surgical hair restoration patients worldwide were female
  •   In 2012, more than half of both male and female surgical patients worldwide fell between the ages of 30 to 49 years old, 59.6% and 55.9% respectively

This Information is Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery and Med Spa in Mansfield and Southlake.
Get our Free Guide on Robotic Hair Restoration
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Hair Restoration Surgery (ISHRS) 2013 Practice Census Facts and Figures


International Society of Hair Restoration Surgery (ISHRS) 2013 Practice Census Facts and Figures
Extrapolated Number of Hair Restoration Procedures Worldwide-
 An estimated 310,624 surgical hair restoration procedures were performed worldwide in 2012 (a 10% increase from 2010)
o In the United States, 88,304 hair restoration procedures were performed
o In Canada, 10,758 hair restoration procedures were performed o In Mexico/Central & South America, 15,611 hair restoration procedures were performed
o In Europe, 54,343 hair restoration procedures were performed o In Asia, 102,702 hair restoration procedures were performed o In Australia, 3,820 hair restoration procedures were performed o In the Middle East, 35,086 hair restoration procedures were performed

Estimated Hair Restoration Worldwide Market Size
Based on the estimated number of 310,624 hair restoration procedures performed in 2012, multiplied by the average fee* charged to patients for a procedure, the estimated worldwide market for hair restoration was calculated as follows (expressed here in various currencies):

  •   $1,931,599,813 USD (U.S. Dollars)
  •   € 1,493,706,135 (Euros)
  •   $ 1,997,428,734 CAD (Canadian Dollars)
  •   $ 2,005,638,034 AUD (Australian Dollars)
  •   ₩ 236,827,271,928 KWN (Korean Won)
  •   $ 86,574,303,610 HKD (Hong Kong Dollars)
  •   ¥ 14,995,975,147 JPY (Japanese Yen)
  •   107,343,869,229 INR (Indian Rupees)
  •   SR 7,243,827,670 SAR (Saudi Riyal)
  •   $ 24,063,928,416 MXN (Mexican Peso)
  •   R$ 3,970,229,571 BRL (Brazil Real)*The “average fee” charged for a procedure reported by survey participants and used in this calculation represents the overall average fee charged to all patients treated. Since the cost of procedures performed on individual patients may vary depending on the number of grafts and several other factors, the “average fee” as it related to this survey did not represent what all patients would expect to pay for a procedure, and should not be construed as a typical price for a hair restoration procedure.Extrapolated Number of Hair Restoration Surgical & Non-Surgical Patients Worldwide
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Don’t Worry, Get Botox

FEELING a little down? Smile and put on a happy face.

A recent article in The New York Times, suggests that it is possible to treat depression by paralyzing key facial muscles with Botox, which prevents patients from frowning.

In a study forthcoming in the Journal of Psychiatric Research, they randomly assigned a group of 74 patients with major depression to receive either Botox or saline injections in the forehead muscles. Six weeks after the injection, 52 percent of the subjects who got Botox showed relief from depression, compared with only 15 percent of those who received the saline placebo.
(You might think that patients would easily be able to tell whether they got the placebo or Botox. Actually, it wasn’t so obvious: Only about half of the subjects getting Botox guessed correctly. More important, knowing which treatment was received had no significant effect on treatment response.)

Other studies over the past several years have found similar effects of Botox on mood. Non-depressed patients receiving Botox injection above the eyes frowned less and felt better than those who did not receive this injection. Other studies have found that a Botox injection was superior to a placebo in a group of depressed patients.
The Botox studies, by contrast, suggest a circuit between the brain and the muscles of facial expression in which the brain monitors the emotional valence of the face and responds by generating the appropriate feeling. (Obviously, information flows in both directions, as you can think yourself into practically any emotional state and then have the face to match it.)
There are other treatments for depression that appear to use facial feedback in a similar way. Light therapy stimulates the retina and excites the optic nerve, which sends signals directly to the brain and effectively treats seasonal depression. And direct electrical stimulation of the brain’s vagal nerve has antidepressant effects.
Botox for depression is part of a long tradition of “outside-in” somatic therapies — many of dubious efficacy — that manipulate the body with the aim of altering the brain and mind, for instance by using cold wet sheet packs to treat severe agitation or acupuncture for anxiety.
In a broad sense, these Botox studies underscore one of the biggest challenges in treating people with depression. They might think that the reason they are depressed is that they have little interest in the world or their friends — a mistaken notion that is the result, not the cause, of their depression. They insist that only once they feel better will it make sense for them to rejoin the world, socialize and start smiling. Their therapists would be well advised to challenge their inverted sense of causality and insist that they will start feeling better after they re-engage with the world.

Whether Botox will prove to be an effective and useful antidepressant is as yet unclear. If it does prove effective, however, it will raise the intriguing epidemiological question of whether in administering Botox to vast numbers of people for cosmetic reasons, we might have serendipitously treated or prevented depression in a large number of them.
This Information is Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery and Med Spa in Mansfield and Southlake.
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Should Women Consider Taking Testosterone?


A number of studies show considerable proven and potential benefits for testosterone treatment in women.
Testosterone is widely and misleadingly understood to be the “male” hormone. Men produce 10 times more testosterone than women, but in their early reproductive years women have 10 times more testosterone than estrogen coursing through their bodies. And many experts now believe that it’s the loss of testosterone, and not estrogen, that causes women in midlife to tend to gain weight, feel fatigue and lose mental focus, bone density and muscle tone — as well as their libido. Testosterone is our most abundant biologically active hormone. Adequate levels of testosterone are necessary for physical and mental health in both sexes.
Benefits for Women
Women, before, during and past menopause, and sometimes as early as in their mid-30s, invariably have low testosterone levels,” Glaser says. Not all of them will experience its wide variety of symptoms, like low libido, hot flashes, fatigue, mental fogginess and weight gain. For those who do, and who seek to avoid taking synthetic oral hormones (shown by National Institutes of Health findings to pose an increased risk for breast cancer, heart attack, stroke, blood clots and dementia), bioidentical testosterone (whose molecular structure is the same as natural testosterone) has been shown to be safe and effective.
Some testosterone is converted by the body into estrogen — which partly explains why it is useful in treating menopausal symptoms. For those at high risk for breast cancer, or who have had it, that conversion can be prevented by combining testosterone with anastrozole — an aromatase inhibitor that prevents conversion to estrogen. Nonetheless, testosterone has been shown to beneficial for patients with breast cancer. Preliminary data presented at the American Society of Clinical Oncology have shown that, in combination with anastrozole, testosterone was effective in treating symptoms of hormone deficiency in breast cancer survivors, without an increased risk of blood clots, strokes or other side effects of the more widely used oral estrogen-receptor modulators tamoxifen and raloxifene.
With a growing recognition of testosterone’s benefits for women, those numbers may increase, but it may still be a while before the therapy reaches the mainstream. Advocates say that the very idea requires a rethinking of long-held notions about hormones. And many women have a knee-jerk suspicion that any hormone treatment can increase their risk of breast cancer. However, clinical studies show that testosterone not only does not increase a woman’s risk of breast cancer, it may play a key role in warding off the disease.
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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