Are sun spots on your skin becoming unwelcome reminders of aging? Today there are treatments available that can help you get rid of them.

Sun spots usually start appearing after the age of 30 and are common in people with light skin. They start spreading more once you cross 50. Long hours or days spent in the sun during your early years are one of the most likely causes of sun spots.
While sunspots are medically harmless, many people seek to hide sun spots for cosmetic reasons.
Sun spots can occur both in males and females, but women are more likely to opt for a treatment to get rid of them. Today, a wide variety of remedies, including peels and laser therapy, are available to treat sun spots.
Laser treatments are one of the most effective. After the treatment it’s necessary to avoid the sun by wearing protective clothing and using sunscreens in order to prevent these spots from reappearing.
At the office of Dr. Mark Bishara and The Paragon Med Spa we want to teach patients about proper skincare and help them regain the healthy skin tone that they desire.
Join us this Fall and Winter for Skin Rejuvenation

  • For those who want the best possible results before the holidays, purchase our Ultimate Laser 360 treatment; a combination of Fotofacial, skin tightening and laser resurfacing. $3,000 for 3 treatments or $1,100 for 1 treatment.
  • For the time honored effective treatment for sun spots and discolorations, with the added benefit of eliminating broken capillaries, buy a package of 4 IPL Fotofacial treatments and get 2 FREE.
  • To help you achieve that perfect glow try out our SkinCeuticals Chemical Peels. Prices range from $100-$250 depending on exact treatment
  • Our VI Peel is a facial peel for ALL complexions.  It helps improve the appearance of acne, unwanted pigmentation and melasma.  It is the only peel of its kind to contain synergistic blend of TCA, Retin-A, Salicylic Acid, Phenol, and Vitamin C.  It gives great results in as little as one treatment.
  • For people who want skin rejuvination with no downtime, smoother and softer skin and a reduction of fine lines tryMicrodermabrasion treatments. Buy 4 for $255

Call 817-473-2120 today to make an appointment

In the quest for youth—or at least a more youthful appearance—women and men are seeking treatments to minimize laugh lines, crow’s feet, and forehead furrows. A popular treatment involves injecting cosmetic wrinkle fillers into the face.  At Dr. Mark Bishara’s office in Mansfield and Southlake- we offer injectables for our patients.
Injectable cosmetic wrinkle fillers are soft tissue fillers approved as medical devices by the Food and Drug Administration (FDA). These devices are injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. Most of these wrinkle fillers are temporary because they are eventually absorbed by the body.
Some people may need more than one injection to achieve the wrinkle-smoothing effect. The effect lasts for about six months or longer.
Successful results depend on:

  • health of the skin
  • skill of the doctor
  • type of filler used


FDA has approved absorbable injectable cosmetic wrinkle fillers for correcting soft tissue contour defects, such as moderate and severe wrinkles and folds. Some absorbable fillers are approved for restoring or correcting the signs of facial fat loss in people with human immunodeficiency virus (HIV).
FDA has also approved two absorbable injectable wrinkle fillers for lip augmentation in patients over the age of 21.
The only non-absorbable FDA-approved injectable cosmetic wrinkle filler is for correcting facial tissue around the mouth.
FDA-approved cosmetic wrinkle fillers should not be used for

  • increasing breast size (breast augmentation)
  • implanting into bone, tendon, ligament, or muscle
  • implanting into blood vessels

Filler Materials

Wrinkle fillers are made of various types of materials, and some include a combination of products. Some products also contain lidocaine, which numbs the skin at the injection site.
The materials used in injectable cosmetic wrinkle fillers include
Temporary (absorbable) fillers

  • Collagen injections are made of highly purified cow or human collagen. Collagen is a natural protein that is a major component of skin and other tissues in the body.
  • Hyaluronic acid gel is a protective lubricating gel, produced naturally by the body, that binds with water to plump the skin.
  • Calcium hydroxylapatite is a mineral that is a major component of bone. Calcium hydroxylapatite is a well-matched (biocompatible) material that dissolves in the body (biodegradable) and is implanted in the form of a gel.
  • Poly-L-lactic acid (PLLA) is a biodegradable, biocompatible, synthetic material from the alpha-hydroxy-acid family that has been widely used for many years in dissolvable stitches and bone screws.

Permanent (non-absorbable) filler

  • Polymethylmethacrylate beads (PMMA microspheres) are tiny round, smooth plastic particles that have been tested to be biocompatible. They are not absorbed by the body.


Getting injected with cosmetic wrinkle fillers is an elective procedure. As with any medical procedure, it poses risks. Most side effects occur shortly after injection and go away within seven days.
You should not use cosmetic wrinkle fillers if any of the following applies to you:

  • severe allergies marked by a history of anaphylactic shock
  • allergy to cow collagen or eggs
  • allergy to lidocaine
  • inflamed or infected skin
  • prone to form excessive scarring (keloid) or thick scarring (hypertrophic scars)
  • bleeding disorder
  • active inflammatory condition (cysts, pimples, rashes or hives) or infection; you should postpone treatment until the condition is controlled.

Tips for Consumers

Before deciding to get injected with a cosmetic wrinkle filler:

  • Be aware that the safety of these products is unknown for use in pregnant or breastfeeding women or in patients under 18 years of age.
  • Be aware that the safety is unknown when these products are used with Botox or other wrinkle therapies.
  • Be aware that the safety of these fillers has only been studied when used in the face.
  • Know the type of product that will be injected and all of its possible side effects.
  • Discuss fillers with a doctor who can refer you to a specialist in the fields of dermatology and aesthetic plastic surgery.
  • Select a doctor who is trained to do the procedure.
  • Have realistic expectations about the benefits you want to achieve and discuss them with your doctor.

What About Botox?

Botox Cosmetic is an injectable drug, but it is not a wrinkle filler. Instead of filling the wrinkle, it keeps muscles from tightening so the wrinkles don’t show as much. FDA has approved Botox Cosmetic only to treat wrinkles between the eyebrows.
At the office of Dr. Bishara and The Paragon Med Spa we offer both injectables, such as Botox, as well as fillers.  Dr. Bishara is a cosmetic surgeon and also performs the injections for all patients.  Please call our office to schedule an appointment at (817) 473-2120.

Good Skin Care in Your 20’s, 30’s and 40+

20’s: The Issue- Dullness

In-Office Fixes: Microdermabrasion and Chemical Peels
When you’re young skin cells turn over, exfoliating every 28 days.  But as you move into your mid to late 20’s, that process starts to slow, and a natural decrease in skins sloughing ability. You’re left with a layer of dead skin that doesn’t evenly reflect light. Lunchtime procedures like microdermabrasion and chemical peels take less than and hour and leave behind only mild redness. During a microdermabrasion treatment, an aesthetician buffs away the top layer of skin.  For maximum results, consider a series of 3 treatments, spaced apart- followed by a chemical peel. Microdermabrasion removes any build up and then the chemical peel makes skin look brighter and more toned evening out skin discoloration and tightening pores.

30’s: The Issues- Fine Lines, Redness and Sun Spots

In-Office Fixes for Fine Lines: Injectables such as Botox
Those little lines that used to disappear as soon as you stopped smiling or frowning are suddenly here to stay.  Movements that cause skin to repeatedly crease in the same place eventually wear down the underlying collagen, creating lines that remain after muscles relax. Injectable muscle relaxers containing botulinum toxin A, such as BotoxDysport and Xeomin, temporarily paralyze muscles so you can’t make those wrinkle-causing movements. Expect smoother skin 72 hours post-injection and results last 3-4 months on average.  If you have no lines to speak of yet, these injections can be used as a preventative measure.  Small doses can prevent muscle action so you’ll never get the creases to begin with.
**6.1 million people had Botox treatments performed in 2012**

In-Office Fixes for Redness and Sun Spots: Laser Procedures
A rosy glow can be a sign of good health, but a constant ruddy complexion is a red flag. For some it’s a sign of sun damage. Excessive UV exposure weakens blood vessels until they no longer constrict after dilating.  For others redness stems for rosacea, a condition marked by flushing, broken blood vessels and acne-like bumps. Other issues like brown spots are a sign of chronic sun damage triggered by overexposure of UV rays. Unlike freckles these marks don’t fade after reduced sun exposure- but they will get darker with even more.
An IPL-Fotofacial will target and treat unwanted discoloration, pigmentation, broken capillaries, age spots and sun damage.  It also lessens the appearance of rosacea, fine lines and wrinkles. At The Paragon Med Spa our medical microdermabrasion also includes a chemical peel. Our Laser 360 treatment offer 3 technologies in 1 visit.  The Laser 360 is meant to be done in a series of 3 treatments and produces optimal results.  During this treatment a fotofacial, skin tightening and laser skin resurfacing are combined to offer the most comprehensive correction and rejuvenation.  Bonus:  Your skin will look tighter and feel smoother.

40+: The Issues- Sagging, Deep Creases and Hollowed Cheeks

Genetics and the effects of sun damage really start to show in this decade, as skin’s elasticity takes a nosedive.  Sagging skin and crow’s feet that showed up in your 30s are probably more pronounced now. And due to natural volume loss, you may be noticing new wrinkles especially around the lips and in between the nose and corners of your mouth. With age, skin loses fat, exposing folds and creases.
In-Office Fixes for Sagging and Deep Creases
Fillers such as Juvederm instantly plump indentations.  JUVÉDERM® Ultra Plus is used to treat deeper and more severe wrinkles and folds, and provides results that last up to one year. Injections take about 15 minutes to administer and do not require any anesthesia. Patients should avoid strenuous exercise and excessive sun exposure for the first 24 hours after treatment, but can otherwise resume normal activities right away.
In-Office Fixes for Hollowed Cheeks
Injectables such as Radiesse, reign supreme here too.  Thicker fillers are ideal for filling out hollowed cheeks. Radiesse is a stiff material, so it’s good for replacing volume as well as lifting the skin.  Radiesse provides an immediate fill plus long-term collagen stimulation for 18 months to two years.
Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office to schedule an appointment at (817) 473-2120 or click on the button below.


So many women and men have thought of plastic surgery, but decide not to go through with it because aesthetic surgery procedures have a longer recovery time. While some people may be able to schedule a vacation to accommodate the time they’ll need recovering from a facelift, others simply can’t fit several weeks of recovery into their schedule. For these folks, “lunch hour “plastic surgery” can be a godsend.  Dr. Mark Bishara and The Paragon Med Spa offer effective cosmetic procedures to help patients restore or achieve their ideal appearance, in order to feel confident about the way they look.
For anyone who is wanting to defy the aging process, Dr. Bishara offers a new procedure- The Lunch-Hour Facelift. This new high-tech procedure erases wrinkles in 60 minutes with lasers and injections, rather than a surgeon knife.

Traditional Facelift VS. Lunch-Hour Facelift

The conventional facelift is a surgical operation that requires an incision(s), that are placed along the hairline. Next, the surgeon may redistribute fatty tissue, modify the underlying musculature, and re-drape the skin. Lunch-hour facelifts are less invasive and involve several small nonsurgical procedures. These may include Botox injections, laser skin resurfacing, and dermal filler injections. The procedure can also be performed in under an hour with no down time.
Most often, individuals visit a plastic surgeons or dermatologist’s office for an injection of Botox or soft tissue fillers.  Botox works by paralyzing certain muscles in the face that cause wrinkling, while soft tissue fillers can fill in wrinkles or add volume to facial features. What makes these procedures special is that they can be performed in just about an hour – on a lunch break, for example.

Ideal candidate for this procedure:

Traditional surgical facelift are usually more suited for people in their mid-forties and older, but the lunch-hour facelift procedures are targeting men and women in their 30s and above.  The desire is to address and treat the first signs of fine lines and wrinkles as soon as they appear. Dr. Bishara’s unique treatments offer patients effective results through the most minimally invasive techniques.

Is this procedure worth it?

Some people may be discouraged by the idea of Botox, fillers and laser treatments, likely because of rumors that claim injections don’t offer real, long-lasting results. However, the American Society for Aesthetic Plastic Surgery (ASAPS) states that results from Botox and fillers can last for several months, and the procedure is not only a way to reduce wrinkles that have already formed but also prevent new ones from appearing on the face. For these reasons, Botox was once again the most popular non-surgical procedure in 2012, with doctors performing more than 4 million injections. Laser skin treatments also help improve the appearance of fine lines, wrinkles, scars and various other texture concerns.
The lunch-time facelift is effective because it encourages new collagen growth, fills in fine lines and wrinkles, and gives the skin a more youthful look that is still subtle and natural.  Patients fine lines and wrinkles will begin to disappear and their skin will be tighter. The lunch-hour facelift does not completely erase deep wrinkles.  A traditional facelift would correct that.

The lunch-time facelift has been growing in popularity due to patients opting for less invasive procedures that are also cheaper and less intense. While the days of traditional facelifts are far from over, increasingly more patients have been opting for this non-invasive feature that fits easily into their busy lives. Whether your looking for a lunch-time facelift or traditional facelift, we can help.  Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Please call us for questions and more information at (817) 473-2120.

As if looking old wasn’t bad enough, a new study found that people find it difficult to read the emotions of individuals who have wrinkly faces. Researchers at Penn State University asked a group of study participants to examine 64 faces and rate them based on the emotions they perceived in the images. On average, pictures depicting older adults were rated as more angry or sad compared to the photos of younger people, despite the fact that every face photographed showed neutral emotions.
At Dr. Mark Bishara‘s office we provide a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face through minimally invasive techniques that provide highly effective results.
Why the Long Face?
The issue may be due to the fact that creases around the mouth and forehead may cause people to look as though they’re frowning or upset. There needs to be more research conducted to verify their findings, but they believe the results of the study are not due to stereotypes people may have about the emotional well-being of older adults.
This is not the first study to examine the link between wrinkles and emotional perception. A previous study conducted by researchers at Humboldt University in Berlin found that younger people had a hard time judging the faces of older adults, and often perceived them to have more “mixed emotions” than similar images of younger people.
An Argument for Plastic Surgery
This study goes to show that people who seek out plastic surgery procedures such as facelifts or Botox injections and facial fillers, aren’t doing so simply out of vanity. There are real issues associated with early signs of aging. Researchers pointed out that the issue underscored in this most recent study could put older adults at a disadvantage at the doctor’s office, for instance, as medical practitioners may falsely assume that seniors are experiencing sadness or depression.
Fortunately, there are many treatments that Dr. Bishara offers that can help treat wrinkles on the face and neck. Many of these procedures can be combined in order to achieve your desired appearance. While facelifts may be the most well-known, others may choose to target the skin hanging down under the chin by undergoing a neck lift. Also, Botox injections can treat wrinkles before they begin to form, while facial fillers can add volume and fill in deep creases around the eyes, mouth and forehead.  Our Paragon Skin Clinic offers many other skin treatments that can fight the signs of aging and help skin show a more youthful apperance, including fotofacials, Laser 360 and laser skin resurfacing.
IPL/Fotofacial- Before and After Picture:

Laser 360 Before and After:

To schedule an appointment with Dr. Bishara, you can contact our office directly at (817) 473-2120. For more information about our services, click on the Email Us button or visit us at