What is JUVÉDERM VOLUMA™ XC injectable gel?

JUVÉDERM VOLUMA XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area.Juvederm Voluma is the Juvederm specialty product for volumizing. It is designed for injection in the deep dermis to treat age-related facial volume loss. Voluma has the optimal thickness of a volumizer while still retaining the smooth nature of the Juvederm family.
It gives you a subtle lift, helping to restore contour and for 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.
What else should you know about JUVÉDERM VOLUMA XC?

  • First and only Hyaluronic Acid (HA) filler FDA-approved to instantly add volume to the cheek area, resulting in a subtle lift
  • Clinically proven to last up to 2 years with optimal treatment
  • JUVÉDERM VOLUMA XC is from the makers of the #1 family of fillers
  • After 24 hours, you should be able to resume your normal activities
  • Side effects are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

Hyaluronic Acid (HA) is a naturally occurring, hydrating substance found in your skin. As you age, you start to lose HA, which causes the skin to lose structure and volume.
Dr. Mark Bishara offers minimally invasive procedures for patients. These treatments are designed to provide subtle enhancements that can improve your targeted problem areas, while allowing you to return to work and your regular activities the very same day. Dr. Bishara is proud to offer a wide range of enhancing, minimally invasive procedures such as Botox, Xeomin, Juvederm Ultra Plus XC and Radiesse.  Juvederm Voluma XC will be available soon. We will keep you updated or call our office for more information at (817) 473-2120.
Rewards Program:
Dr. Bishara and The Paragon Med Spa are proud to offer the Brilliant Distinctions Program for our patients. All you have to do is earn points for your purchase from our particiapting providers, including Botox and Juvederm.  Then start saving by redeeming points per treatment for instant savings off your next purchase.
For example:  For 1 Botox/Juvederm cosmetic treatment you earn 200 points (a $20 Value)
For more information on participating in this program visit https://www.brilliantdistinctionsprogram.com

Shopping malls and airports aren’t the only places that see more action around the holidays. This is also the time of year that merry-makers crowd the offices of plastic surgeons everywhere. Whether it’s because people can take extra time off for recovery, or because they want to be in top form for parties, plastic surgeons struggle to keep up with demand in November and December. However, there’s a few things you should keep in mind before booking your pre-holiday procedure.  At the office of Dr. Mark Bishara- we want you to take time to think about any procedure, whether it is during the holiday season or any other time of year.

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Party Perfect
Holiday parties and family gatherings, while fun, can be pretty stressful. You often see people you haven’t seen in a long time or those you’d like to impress. You splurge on new clothes, get your hair done and dissect your appearance in the mirror, your eye immediately drawn to what you don’t like. We’ve all been there. This added pressure leads many to take a proactive approach and seek cosmetic surgery.
It’s common for those considering cosmetic procedures to be motivated by the opinions of others. Though this is an understandable desire, we encourage patients to think about their own perceptions of themselves above all else. Showing up your snobby cousin over Christmas dinner or attracting a cute colleague at the holiday work party might not be the right reason to undergo major surgery. The decision should be about self-perception, with the understanding that a change to one’s appearance is not life-changing in itself.
Realistic Recovery
Another reason many choose this time of year for their surgery is the fact that it may be easier to take time off from work to recover. However, patients should be realistic about recovery times when considering having a procedure done during such a busy period. Though many surgeries only require a few days of rest, it’s important to err on the side of caution when it comes to recuperating in time for important events.
Though you can recover from a breast augmentation or liposuction over a long weekend, it’s normal for patients to experience some soreness for a few weeks after these procedures. On the other hand, recovering from more invasive procedures, like tummy tucks, can take up to a month.
What may normally seem like effortless tasks could become challenging or even painful when you’re recovering from surgery. Patients may be determined to have a procedure done in time for holiday fun, but they should be realistic about how the surgery will impact their everyday lives for a little while. The last thing you want is to be restricted by a surgery that was meant to increase your enjoyment of the season.
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Good options for those who want a beauty boost without the recovery are Botox and dermal fillers. At the office of Dr. Bishara & The Paragon Med Spa we offer, Botox, Xeomin, Juvederm Ultra Plus XC, Radiesse…..and soon the new Juvederm Voluma XC. These in-office, non-invasive procedures won’t put you out of commission for important holiday events. Dermal fillers are great for giving a bit of extra volume to lips, minimizing the appearance of wrinkles and enhancing contours. And Botox can be the perfect solution to wrinkles, crows feet and those pesky frown lines. Both procedures have immediate payoff and zero downtime, which may make them a better choice for those with packed calendars.
Other great options for short or no recovery time for the holidays are laser services, including laser hair removal, IPL fotofacials, VI Peel, skin resurfacing, skin tightening and skin remodeling.  You can also do a quick microdermabrasion or facial treatment during your lunch hour to look refereshed for your holiday events.
We all know that the holiday season ends in a new year, full of resolutions. This time causes many to seek change, both inside and out…which can result in packed plastic surgery waiting rooms. It can be tempting to try to squeeze in a procedure in time for that Caribbean cruise or the return to work, but make sure that whatever you decide allows you to enjoy the season to the fullest.
Please call our office at (817) 473-2120 if you would like to speak with someone about scheduling an appointment so you can look refreshed for the holidays.

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Juvederm Voluma is the newest hyaluronic acid soft tissue filler to the Juvéderm family. As the name suggests, it is used to replace volume to the tissues of the face. Replacing the volume that has been lost through aging can help to restore a more youthful appearance.
Many times, we focus on superficial wrinkles and skin texture. While important, these issues are only part of the effects of aging. Bringing back the contours of the cheeks and chin that start to flatten as we age can do wonders for the overall appearance of the face. Along with treating wrinkles and skin texture, replacing volume creates a foundation beneath the surface to support the skin and diminishes the look of the lines and wrinkles that come with aging.

Frequently Asked Questions:

1. What is Juvederm Voluma? Juvederm Voluma is the Juvederm specialty product for volumizing. It is designed for injection in the deep dermis to treat age-related facial volume loss.
2. How is Juvederm Voluma different from the rest of the family? it is a thick, robust product ideal for injection in the deep dermis to treat age-related facial loss. This product produces an extremely optimal lift that is still smooth and cohesive.
3. Where is Juvederm Voluma intended to be used? Juvederm Voluma is indicated for volumizing of the cheeks, cheekbones, and chin.
4. Can Juvederm Voluma be injected into the lips? No. Because it is such a thick, viscous product, Juvederm Voluma is not appropriate for injection into the lips. Other products in the Juvederm family (such as Ultra or Ultra Plus) are optimally suited for treatment of the lips.
5. Is Juvederm Voluma injected the same as other Juvederm products? Voluma can be injected through either a needle or a cannula; both are supplied with the product. Regardless of physician choice (needle or cannula), careful training and experience are recommended to become familiar with injecting Voluma.
6. How long does Juvederm Voluma last? Clinical trials show the volumizing results of Voluma to last up to 18-24 months.
7. What are the adverse reactions with Juvederm Voluma? The types of adverse events Voluma demonstrates are consistent with other volumizers, but in very low rates.
8. Who is the appropriate patient for Voluma? Patients who can benefit from Voluma are patients with age-related facial volume loss, which may have resulted in a sunken look or facial asymmetry. (One thing to note is that patients with sagging skin are not good candidates for Voluma-these patients may be better served by surgery.)
12. Why should I use Voluma for volumizing as opposed to another Juvederm product? Voluma is specially designed for true volumizing, with deep dermis injections of the product to volumize cheeks, cheekbones, and chin.
This news is brough to you courtesy of Dr. Mark Bishara and The Paragon Med Spa in Mansfield and Southlake. (817) 473-2120


Start the Season Off as You…Only Better!

winter plastic surgery specialsIf you’re considering invasive or minimally invasive cosmetic surgery this fall or winter, getting it done during this time of year offers several benefits. There are often specials to take advantage of, and if you get your procedures done now you’ll be ready when summer comes.
Timing cosmetic surgery procedures towards the end of the year or earlier in the year allows for plenty of recovery time so that once it’s swimsuit season you’re ready to show off the results of your liposuction or breast augmentation.
This is also a great time of year for men to give the gift of a cosmetic procedure to their wives or girlfriends who want to start off the New Year with a new look for their face or body.
It’s the same reason health clubs are busy in January. They get up their resolve and they say this is the year they want to do it, and, of course, they want it done right away.
Dr. Mark Bishara offers cosmetic surgery for the breastbody and face, as well as a variety of non-surgical procedures, including robotic hair transplantsinjectables and laser procedures.
Dr. Bishara and The Paragon Med Spa are currently running several specials through the end of December. Please call our office at (817) 473-2120 for more details.
December Holiday Specials:
* Buy 1 Laser 360 treatment and get 20 units of Botox for FREE
* Buy 1 Laser Hair Removal session and get 2nd session FREE
* Buy $100 or more of Botox, get a microdermabrasion treatment for free (Value of $85)
Specials Expire December 31, 2013


The Food and Drug Administration has approved the cosmetic filler Juvéderm Voluma XC (hyaluronic acid/HA, Allergan).
The HA filler is the first and only filler to be approved for the temporary correction of age-related volume loss in adult patients ages 21 and older, according to a news release. The product is expected very soon, Allergan states.
Juvéderm Voluma XC, uses Allergan’s Vycross technology that results in a smooth gel. It also contains lidocaine to help numb the area during an injection procedure, the company states.
The new Juvederm Voluma XC has a long life, it has reversibility, and it is a product that really is geared to robustly treat the cheek in an efficient way.
The filler is designed to lift. What makes it different is that it uses a lower molecular weight hyaluronic acid that allows for increased cross-linking that gives the product an ideal lift capacity for the midface.
The approval follows the results of a single blinded controlled clinical trial conducted at 15 U.S. and two Canadian sites, which demonstrated efficacy and safety.
Results demonstrated that almost 50 percent of patients were maintaining optimal correction at two years. Similarly, patients demonstrated clinically significant results after almost three years.
Patients received touch-up treatment after 30 days as necessary and were followed up at one month, three months and then quarterly for up to two years, according to the study. Response was determined by two blinded investigators’ assessments at six months based on whether the patient had improved by one point or more on a validated six-month Mid-Face Volume Deficit Scale (MFVDS).
Dermatologists and plastic surgeons are going to be most concerned about patient satisfaction. 90 percent of patients reported feeling that they appeared, on average, five years younger at six months based on analysis of patient diaries. As far out as two years, patient satisfaction was at 76 percent.
The most common adverse effects seen during the clinical trial were injection site tenderness, bruising, redness, discoloration, swelling, lumps/bumps, firmness, itching, and pain that lasted approximately two to four weeks.
This news is brought to you courtesy of Dr. Mark Bishara and The Paragon Med Spa (817) 473-2120