PLASTIC SURGERY & AESTHETIC MEDICINE- FDA Approves First Dermal Filler to Treat Acne Scarring
The U.S. Food and Drug Administration has approved the first dermal filler to treat pitted scarring of the cheek caused by acne, the most common skin disorder in the United States afflicting 40-50 million people.
Bellafill, developed by privately held Suneva Medical Inc, is made primarily of bovine collagen. When injected, it is designed to lift and smoothen scars to the level of the surrounding skin, in patients over the age of 21.
A cure for acne has long eluded drug developers. And despite treatments ranging from topical gels to lasers, nothing so far has satisfactorily treated scarring that affects up to 95 percent of acne sufferers.
A study testing Bellafill against a placebo in 150 acne patients showed a significant improvement in those receiving Suneva’s treatment that continued for up to a year, Suneva said on Tuesday.
“Until now, multiple laser treatments or other injectables have been used but are limited both in terms of efficacy and longevity and are hampered by potential side effects.
Approved in 2006 to smoothen “smile lines”, demand for Bellafill has grown more that 30 percent a year for the last several years, Suneva CEO Nicholas Teti said in an interview.
Pricing of the acne treatment is likely to be similar to that of the wrinkle treatment. Dosages would depend on the severity of the scarring.
San Diego-based Suneva, which was formed in 2009 out of the assets of Artes Medical, a publicly traded company that filed for bankruptcy the previous year, plans to launch Bellafill for scarring toward the end of January.
Sanford C. Bernstein analyst Aaron Gal, who covers Botox-maker Allergan Inc, termed Bellafill a “niche” product.
For these reasons, he said it was unlikely Bellafill would become “a big drug” such as Allergan’s Juvederm and Valeant Pharmaceutical International Inc’s Restylane.
Both are based on hyaluronic acid, a substance occurring naturally in the body but not approved to treat acne scarring.
This News Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa

Rejuvenate dead, irritated skin and even out wrinkles with this skin secret.

If wrinkles, dry skin and acne are transforming you into someone you don’t recognize, this secret to rejuvenating skin could help fix your biggest skin problems and help you look younger, fast. While it may sound harsh at first, the right acids can actually help eliminate rough skin, soothe blemishes, plump up skin cells and smooth away fine lines. Learn which three acids can help you turn back time and renew your skin with this anti-aging acid guide.
Glycolic acid
: Wrinkles
How it works
: This wrinkle-fighting acid is an exfoliator that safely removes the outer layer of dead skin cells so that plump new cells can rise to the surface. Glycolic acid helps stimulate the growth of collagen, which is responsible for skin’s elasticity and which breaks down with aging. Glycolic acid can help smooth out fine lines and diminish the appearance of wrinkles.
Lactic acid
: Dry skin 
How it works
: This acid helps skin look younger in two ways. First, lactic acid helps to slough away surface dry skin. Second, it acts a humectant, which means it pulls water into the skin and holds it there, making skin look fresh and young.
Salicylic acid
: Acne
How it works
: This acid reduces shedding of cells inside follicles and helps to loosen dry, scaly skin. This helps break down thick layers of dead skin cells that can block follicles and lead to acne. When salicylic acid is used alongside other topical medicines, it also allows them to penetrate more deeply.
These ingredients can be found in many skincare products, including the SkinCeuticals skin care line – just check the labels and get on your way to younger-looking skin. Also be sure to check labels for any warnings or side effects, since some of these may temporarily make your skin more sensitive or likely to sunburn. If you experience irritation, stop using the new product and ask your doctor about a gentler alternative.
Please call today and ask one of our aestheticians which SkinCeuticals product would be best for you and your skin type.  You can reach The Paragon Plastic Surgery & Med Spa at (817) 473-2120 or visit our website at


Your skin goes through a lot during the day. We unknowingly touch it with our fingers constantly and leave behind dirt, oil and bacteria. On top of that, it’s exposed to the sun, pollution and other factors that can cause damage. All of these combined are a perfect recipe for breakouts and signs of aging like wrinkles. That’s why the break your skin gets while you sleep is so important.
Follow these tips to make sure you wake up with gorgeous skin every day.
1. Get enough sleep
This one seems like a no-brainer, but there are still so many that don’t get enough shut-eye. Sleep is especially important because it gives your skin time to recharge. If you don’t get enough sleep, there are both short and long-term consequences. Short term effects are seen immediately [with] under eye bags, dark circles and sensitive skin. These usually go away when the appropriate number of hours of sleep hass been met. If someone is constantly not getting enough sleep, it can lead to inflammation and acceleration in aging, resulting in the appearance of wrinkles and even acne.
2. Avoid salty food three to four hours before bedtime
Foods that have high sodium content lead to dehydration, which is what you want to avoid for your skin while asleep. Salty foods can cause puffy eyes because of the extra fluid retained.
3. Sleep on your back
Sleeping with your face directly touching your pillow often leads to lines and creases in the skin, which can become permanent.  Sleeping on your back is best because it prevents neck and back pain, reduces acid reflux, minimizes wrinkles, and maintains perky breasts.
4. Give your skin a final wipe after you cleanse
Cleansing is an absolute must, but to avoid having a little bit of makeup left over, do the following: After you rinse off your cleanser, do a final swipe over the skin with a wipe or soft, damp washcloth. “The physical sweep over the skin makes sure that makeup is off. This will give your skin a clean slate to absorb the reparative ingredients that you’re going to use.
5. Use a good moisturizer for your skin type
Many forgo moisturizer at night because they want to let their skin “breathe,” but that’s actually a misconception. The concept of your skin breathing is actually incorrect, there are no respiratory systems in your skin. Your skin is like a fish and needs water to live. Without enough moisture, the skin cells dehydrate and skin produces extra oil to compensate causing wrinkles and acne.
When looking for a moisturizer, choose one that doesn’t contain sunscreen. The main goal of sunscreen is to protect skin from UV light, but non-sunscreen moisturizers will typically have a higher concentration of skin-benefitting ingredients, which is best for nighttime.
6. Use an eye cream
If there’s any time of day when you absolutely should wear an eye cream, it’s at night. They work better at night because you’re not wearing makeup. That said, be careful not to put them too close to your lash line because your lashes can pick it up and deposit it into the eye, which causes puffiness.
This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
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En Espanol
Su piel pasa por muchos durante el día. Nosotros, sin saberlo, tocamos con los dedos constantemente y dejamos atrás la suciedad, el aceite y las bacterias. Además de eso, está expuesta al sol, la contaminación y otros factores que pueden causar daños. Todos estos combinados son una receta perfecta para sesiones individuales y los signos de envejecimiento como las arrugas. Es por eso que es tan importante el descanso su piel se pone mientras duerme.
Siga estos consejos para asegurarse de que usted se despierta con una piel hermosa todos los días.
1. Duerma lo suficiente
Éste parece una obviedad, pero todavía hay muchos que no reciben suficiente cerrar los ojos. El sueño es especialmente importante, ya que da tiempo a su piel para recargar. Si no duerme lo suficiente, hay consecuencias tanto a corto como a largo plazo. Los efectos a corto plazo se observan de inmediato [con] bolsas bajo los ojos, las ojeras y la piel sensible. Estos por lo general desaparecen cuando se reunió con el número adecuado de horas de sueño hass. Si alguien está en constante no dormir lo suficiente, puede conducir a la inflamación y la aceleración en el envejecimiento, lo que resulta en la aparición de arrugas e incluso acné.
2. Evite los alimentos salados tres a cuatro horas antes de acostarse
Los alimentos que tienen alto contenido de sodio conducen a la deshidratación, que es lo que quiere evitar para su piel mientras está dormido. Los alimentos salados pueden causar ojos hinchados debido al exceso de líquido retenido.
3. Dormir boca arriba
Dormir con la cara tocando directamente su almohada a menudo conduce a las líneas y arrugas en la piel, que pueden llegar a ser permanente. Dormir boca arriba es mejor, ya que evita el cuello y dolor de espalda, reduce el reflujo ácido, minimiza las arrugas y mantiene pechos turgentes.
4. Dale a tu piel una limpieza final después de limpiar
La limpieza es una necesidad absoluta, pero para evitar tener un poco de maquillaje sobra, haga lo siguiente: Después de enjuagar el limpiador, hacer un golpe final sobre la piel con un trapo o una toalla suave y húmedo. “El barrido físico sobre la piel se asegura de que el maquillaje está apagado. Esto le dará a su piel un borrón y cuenta nueva para absorber los ingredientes reparadores que vas a utilizar.
5. Utilice una buena crema hidratante para tu tipo de piel
Muchos renuncian crema hidratante por la noche porque quieren dejar que su piel “respire”, pero que en realidad es un concepto erróneo. El concepto de la respiración de la piel es realmente incorrecto, no hay sistemas respiratorios en su piel. Su piel es como un pez y necesita agua para vivir. Sin suficiente humedad, las células de la piel se deshidrata y la piel produce aceite extra para compensar que causan las arrugas y el acné.
Al buscar una crema hidratante, elija uno que no contenga protector solar. El objetivo principal del protector solar es proteger la piel de los rayos ultravioleta, pero las cremas hidratantes no protección solar suele tener una mayor concentración de los ingredientes que se beneficie de la piel, lo que es mejor para la noche.
6. Use una crema para los ojos
Si hay cualquier hora del día en que usted absolutamente debe usar una crema de ojos, es por la noche. Ellos trabajan mejor por la noche porque no llevas maquillaje. Dicho esto, tenga cuidado de no poner demasiado cerca de su línea de las pestañas porque las pestañas pueden recogerlo y depositarlo en el ojo, lo que provoca la hinchazón.
Esta información es traído a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med Spa
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Your body goes through a ton of changes and to top it all off, fine lines are starting to appear right alongside those pesky pimples that you thought would have gone away after high school.
You’re not alone. According to a report published in the Journal of the American Academy of Dermatology, more than 35 percent of women ages 30-39 and more than 25 percent of women ages 40-49 reported suffering from acne.
So what’s a girl to do? Here are some simple solutions to banish this—stat!
Use a mild foaming or cream cleanser daily. Since your cleanser is on your skin for the shortest amount of time of any other product you use, it’s the least important step in your beauty regimen. If your skin is oily, look for a cleanser that has salicylic acid or glycolic acid which exfoliate to unclog pores and help to stimulate the skin to prevent wrinkles.
Wearing sunscreen every day is one of the best ways to prevent wrinkles. Even small amounts of sun exposure through windows in your home or in your car add up.  Look for products that have an SPF 30 or more and zinc oxide of at least 5 percent.
Antioxidants are your second line of defense against damage from the sun, smoke, and pollutants in the air. These power houses work like sponges to soak up free radicals that do damage to your skin. Look for moisturizers and serums that have vitamins E, C, green tea, or grape seed extract.
For wrinkles around the eyes- it’s important to wear sunglasses anytime you’re outside. You really have to maintain your collagen as much as possible because it’s not an area that’s easy to treat with lasers or anything else.
Prescription Retin-A and over-the-counter retinol products are the best way to treat both wrinkles and acne because they work to reduce oil secretion, unclog pores and eliminate old, damaged cells.
Superficial chemical peels that contain both salicylic and glycolic acid are also great options because they allow oxygen to get into the pores and prevent bacteria from growing. Professional microdermabrasion is also effective for treating fine lines and large and clogged pores.
Avoid abrasive scrubs that are granular or have beads because they can be too harsh. Instead, look for products that contain both salicylic acid and retinol together. Be sure to check labels—if retinol is listed as one of the first few ingredients, it’s likely to have a higher concentration. For some women, retinols are too harsh, so alpha hydroxy acids can work.
Sometimes a little professional Rx is needed in the form of topical solutions, prescription medications, or a variety of in-office procedures. It’s best to speak with your dermatologist who can devise a plan that works for your skin type and the type of acne and wrinkles you have.

Where to go for professional wrinkle and acne treatments:

Sona Med Spa offers patients help with sun damage, skin resurfacing, and microdermabrasion to name a few.  Locations in Dallas, Grapevine and Frisco
M-Pulse Modern SkinCare can help patients with acne therapy, skin rejuvenation and skin care for both men and women. Locations in DFW- Plano, Dallas, Fort Worth
For more information on treating fine lines, wrinkles, and acne please visit a skin care professional that is trained in skin care health.  Dermatologists and Plastic Surgeons offices are also great places to visit.
The Paragon Plastic Surgery & Med Spa offers patients treatment with fine lines, wrinkles, acne therapy, as well as many surgical and non-surgical cosmetic procedures. We are proud to serve the Mansfield and Southlake and surrounding areas.  Please call our office at (817) 473-2120 for more information on our services or visit our website at

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


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