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Physicians use botulinum toxin injections to optimize, if not replace surgical procedures. Blepharoplasty and Read more

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The standard technique of five injection points with Botox or Xeomin in Mansfield TX isn’t as effective as a Read more

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Often times patients who return and complain that their Botox “didn’t work” are saying so because they are looking for a much more extreme result. As Pearlman states, “The most difficult situation is someone who wants no lines at all and no movement but doesn’t want to risk dropping their brows.” A thorough consult with before and after pictures is necessary to prepare patients for what to expect post injectoin. Although it is a rare occassion when Botox is inffective it does occasionally happen. A as one surgeon, Shumway, responded with the simplest solution of all: “Try, try again. It always works if performed correctly, 99% of the time.”
Mark A Bishara, M.D., P.A. Medical Director
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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Dosage of Neurotoxins such as Botox and Dysport vary patient to patient. Patient muscle mass, gender and desired effect are all factors.  In general, men need more than women, and stronger muscle activity requires high doses.” Some doctors use a set amount for a specific are.  Dr. Mark Bishara, on average uses 25 units of Botox per area, such as 12.5 per side to treat Crow’s Feet, and 60 units for Dysport. Dysport has a more rapid onset than Botox, but takes a higher dosage. Manufacturer’s suggest that 10 units of Botox is equivalent to 25 units of Dysport, however overall results are injector dependent.
Mark A Bishara, M.D., P.A. Medical Director
This Information is Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery and Med Spa in Mansfield and Southlake.
Please also visit our Facebook page at Paragon Plastic Surgery and Medspa
We serve clients from the Dallas Fort Worth Metroplex:
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The most recent phase two studies on a topically delivered botulinum toxin type A lend clinical support to an investigational product that doctors might use one day to essentially wipe away crow’s feet wrinkles around the eyes. Dr. Michael Kane, MD, a cosmetic surgeon in private practice in New York City, emphasized the standards that were observed in two randomized trails that tested a gel known as RT001, which employs a novel macromolecule delivery system to relax muscles in the sensitive periorbital area.
Throughout phase two they had 11 clinical trials, and over 550 patients have been treated with the drug. They’ve had no treatment related serious adverse events, and had a 115 dat duration of effect. RT001was well tolerated in a double-blind placebo-controlled study of 90 patients and in a study of 180 patients that compared the compound’s individual components.
This product in now scheduled for its end-of-phase two review. In the gel there is a peptide carrier that penetrates skin to relax the orbicular oculi muscles.
Although, the gel is topically applied, RT001 wont be sold over the counter and requires the assistance of a doctors approval. If approved, it will be marketed as a painless alternative for people who would otherwise be treated with injectable botulinum toxin A also known as Botox, Dysport, or Xeomin.

Mark A Bishara, M.D., P.A. Medical Director

This Information is Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery and Med Spa in Mansfield and Southlake.
Please also visit our Facebook page at Paragon Plastic Surgery and Medspa

We serve clients from the Dallas Fort Worth Metroplex:

,    , , Tyler