CoolSculpting is an FDA-approved procedure from Zeltiq that delivers controlled cooling energy to freeze fat cells via a process called cryolipolysis. A suction-based applicator draws both the skin and underlying subcutaneous (fat) tissue into the handpiece, delivering cooling energy which over the course of the treatment freezes and crystallizes the fat cells. Since suction is used to draw the adipose tissue into the applicator, you must have pinchable fat in order to benefit from the treatment. Someone with a very small problem area may not be a candidate for this procedure.

Following treatment, which takes approximately 1 hour per area, the applicator is removed, leaving what is often referred to as a  “stick of butter” as the area has taken the shape of the applicator. The area is then massaged to break and fragment the crystallized fat cells. The damaged fat cells are filtered and eliminated from the body over the course of the following few months. Many people ask us how CoolSculpting is able to freeze the fat cells and without damaging the skin? This is because fat is more sensitive to temperature than skin, so the fat cells freeze before the skin freezes. CoolSculpting is a non-invasive procedure that offers permanent results.
There is some mild discomfort associated with this procedure. Patients have reported discomfort with the suction applicator and during the freezing process, but most report that the area becomes numb a few minutes into the treatment. After the procedure has been completed, it is common to have soreness and bruising. You may also experience tingling or a burning sensation in the area once the nerves in the treated area awaken. Recovery really depends on the person, but it is marketed as a no down-time procedure. The need for several treatments is common with most non-invasive fat reduction procedures, including CoolSculpting. It is important to remember that results are not instant and it can take weeks or even months to see any change.
Cynosure’s SculpSure is an FDA-approved non-invasive, laser lipolysis treatment to reduce fat. It is the latest and most advanced non-invasive fat reduction method available in the United States. This technology uses precise hyperthermic energy, or in layman’s terms- heat-  to target and eliminate fat cells using a 1060nm Diode laser. Once heated, the injured fat cells are ejected from the adipose tissue. These ejected and damaged fat cells are filtered out by the body over the course of several weeks and months. During treatment, the skin is cooled for protection and comfort.
The fact that fat heats up faster than it freezes allows the SculpSure treatment to take a fraction of the time than that of CoolSculpting. The SculpSure device has four laser applicators that lay flat on the skin, so there is no uncomfortable suction involved.

Additionally, because the applicators lay flat on the skin, SculpSure can treat smaller problem areas (you don’t have to have pinchable fat to be treated). These applicators can also treat a larger surface area. It takes twenty-five minutes, versus 45 minutes to an hour, to utilize the four applicators. The number of applicators needed will depend on the areas you are having treated. Patients have reported feeling sensations of warmth, tingling or mild cramping during treatment. Overall, the SculpSure procedure is well tolerated by patients and the abbreviated treatment time is significant.
Following SculpSure treatment you may have some mild tenderness in the area, but no pain or bruising has been reported. You are able to return to normal activity immediately. Several treatments may be necessary to achieve the best results. Similar to CoolSculpting, results with SculpSure are not instant and it does take weeks or even months to see a reduction in the treated area. The results are permanent. Cynosure’s SculpSure reports up to a 24% fat reduction in the treatment area per treatment. In addition, a benefit of SculpSure is that it boasts skin tightening as an added bonus, which is unique to laser therapies and cannot be achieved via cryolipolysis or CoolSculpting.
Both treatments are considered to be viable options for non-invasive fat reduction, offering significant, long-term effects. It is always recommended for you to research the available treatment option in order to choose which procedure is right for you. If you’re truly interested in a non-invasive procedure to help reduce fat, choose Paragon Plastic Surgery and Med Spa in Mansfield, TX as a partner in reaching your body contouring goals.
To request a personal consultation with Dr. Mark Bishara, call us at Paragon Plastic Surgery & Medspa at (817) 473-2120 or complete our online contact form today.

If you are looking to tighten the skin on your neck, under your chin, or around the eyebrow, but surgery is too extreme of an option for you, look no further than Ultherapy! This non-invasive procedure is the only one that is FDA-cleared to lift and tighten the skin naturally- without surgery or downtime- in addition to improving the appearance of lines and wrinkles on the décolletage. From your brow to your chest, Ultherapy can help you achieve a fresher, more youthful look!

Harnessing the power of ultrasound energy, Ultherapy transforms problem areas with sagging skin by stimulating collagen production. It does this by delivering focused ultrasound energy to the skin’s foundational layer typically addressed in cosmetic surgery- without cutting or disrupting the surface of the skin. In addition to the ultrasound therapy, which delivers it’s collagen-boosting treatment, Ultherapy incorporates ultrasound imaging, which allows practitioners to see the layers of tissue they are treating, ensuring the treatment energy is delivered to where it will be most beneficial.
Here at Paragon Plastic Surgery & Med Spa, we are excited to offer this treatment to people who want to see incredible transformations to the elasticity and tightness of their skin but are not ready to do something as extreme as go under the knife. During a consultation with Dr. Mark Bishara at either our office in Mansfield or our office in Southlake, you will discuss your concerns, have your skin assessed, and the two of you will be able to determine if you are a candidate for this treatment. There are no special preparations or skin regimens that are required prior to your treatment and although the length of time for Ultherapy varies, a face and neck procedure usually takes 60-90 minutes, while a chest treatment takes approximately 30 minutes.This quick and easy procedure is done by one of our skilled aestheticians in-office. After cleansing the skin and identifying the specific areas to be treated, your aesthetician will apply the ultrasound gel and place the smooth treatment applicator against your skin. Next, she will use Ultherapy’s ultrasound imaging to first see deep within the skin to determine optimal placement of the treatment energy, and then deliver the focused ultrasound energy beneath the skin’s surface. During the treatment, you will feel tiny amounts of energy being deposited to precise depths, indicating that the collagen-building process has been initiated.
The great thing about Ultherapy is that there is no downtime! You can immediately return to your normal activities after your procedure without any post-treatment restrictions or requirements. Although your skin may appear slightly flushed at first, the redness should disappear within a few hours. You may see some initial effect, but the ultimate results will take place over 2-3 months, as your body naturally regenerates collagen. This incredibly effective treatment is only one consultation away! We’d love to help your skincare dreams come true with Ultherapy so call us now to schedule an appointment!

To request a personal consultation with Dr. Mark Bishara, call us at Paragon Plastic Surgery & Medspa at (817) 473-2120 or complete our online contact form today.

Geneveve by Viveve – Feel Sensational!

A Simple Treatment for Vaginal Laxity that Can Impact Overall Well-being is here. Geneveve  is a new way to rejuvenate your vaginal tissue and reawaken sexual sensation without surgery. Just like skin, vaginal tissue relies on collagen for support. With the normal aging or childbearing, the tissue can become stretched and weakened. It causes vaginal looseness, which can lead to loss physical sensation during intercourse and also urinary incontinence.

What Is Vaginal Laxity?

Vaginal tissue is made up of collagen fibers. Over time or with trauma the collagen can lose its strength and shape, creating a feeling of looseness, especially around the vaginal opening. Common causes of vaginal laxity include childbirth, other physical stress on the tissue and aging. If you experience vaginal laxity, you may also notice a difference in sensation and satisfaction during intercourse.

WHAT IS URINARY INCONTINENCE?

Urinary incontinence, or loss of bladder control, is a frustrating problem for millions. Never knowing when and where you might have an accident can affect everything from work to exercise to your social life. It happens to both men and women, but it’s more common in women. Studies show that at least half of older women may have some form of incontinence. The main symptom is peeing unexpectedly. If you leak a bit when you laugh, cough, sneeze, jog, or lift something heavy, you may have stress incontinence. This is the most common bladder control problem in younger women. Stress incontinence happens when the muscles and tissues around the opening of the bladder are weak. When there’s more pressure against the bladder and this opening doesn’t stay closed, leakage happens. Pressure from coughing or laughing may be all it takes for you to leak. There are a few reasons why these muscles can lose strength: They may be stretched by weight gain, a sports injury, or pregnancies and vaginal childbirths.

WHAT ARE THE BENEFITS OF THE GENEVEVE TREATMENT?

Clinical studies have shown statistically improvement in vaginal tightening, to pre-childbirth levels, at 1 to 12 months following a single, treatment. At 12 months, improved and sustained tightening was shown in 90% of the women as well as improvement in sexual satisfaction. A third clinical study showed that women who received the Geneveve treatment showed more vaginal tightening at 6 months than women who did not receive the treatment.

IS THE GENEVEVE TREATMENT SAFE?

Absolutely! Geneveve is proven to be safe and effective!
 
TO LEARN MORE ABOUT OUR GENEVEVE TREATMENT, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.
   


 
 

Ultherapy
Do you need a lift? Are you looking in to doing something for the loose skin on your neck or jowls but are not ready to go under the knife? Ultherapy might be the treatment for you! Ultherapy is the only non-invasive treatment that is FDA-cleared to lift the skin on the neck and under the chin and the eyebrow. It is also newly approved to treat the lines and wrinkles on the décolletage. Here at Paragon Plastic Surgery and Med Spa, Dr. Mark A. Bishara and his staff along with Ultherapy can give you a more youthful, natural looking you!
How does it work?
Ultherapy uses safe, time-tested ultrasound energy to stimulate collagen production. The energy is specifically delivered to the same layer treated during a face lift without cutting or harming the surface of the skin. The ultrasound energy heats the layer between 60-70 degrees centigrade that triggers Neo-collagenesis.
What to expect?
Depending on the area being treated, the treatment may take 60-90 minutes to perform. Your skin will be cleansed and marked appropriately for the area to be treated. As the ultrasound energy is delivered you may feel some mild to moderate discomfort. It is recommended to take some over the counter pain relievers before your treatment and comfort levels vary from patient to patient but the sensation only lasts while the energy is being delivered. You may have some slight redness and swelling that dissipates within a few hours. Some patients may experience  tenderness and bruising that may last a few days.
How many treatments do I need?
Most patients only need one treatment. However, depending on the degree of laxity and collagen-building process, some may benefit from additional treatments. Since the aging process never stops annual touch up treatments can prolong their results.
Is there any downtime?
There is no downtime with Ultherapy. You are able to resume all your normal activities and skin care regimen at home.
When will I see results?
You may see some initial effects from the treatment right away but generally the ultimate results will take place over 2-3 months and up to 6-9 months.
TO LEARN MORE ABOUT OUR Ultherapy , PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.
   


 

Have you ever considered treatments for loose skin? There are many non-surgical options out there for mild skin laxity. Here at Paragon Plastic Surgery and Med Spa, Dr. Mark A. Bishara and his staff stand behind the technology of Near Infrared Skin Tightening.

What is Near Infrared Skin Tightening?

Near Infrared is a wavelength that emits light in the 780-1000nm where the optical window is necessary for direct sub-dermal heating of the connective tissue. The light helps to heat up the water content of your skin which stimulates collagen to contract and tighten. Your body’s natural healing process will start to produce new collagen to firm and tighten the appearance of your skin.
Who is Near Infrared Skin Tightening for?
Here at Paragon Plastic Surgery and Med Spa we believe the best candidate for skin tightening are typically younger patients who are not candidates for surgery. Or, they may be older and experience mild to moderate skin laxity and do not want to undergo surgery. Another reason one might choose Near Infrared Skin Tightening over surgery is cost.
How long does it take?
The treatment can take 20-45 minutes depending on the size of the area being treated.
How many treatments does it take?
Here at Paragon Plastic Surgery and Med Spa for best results a series of 6 treatments done every 2-3 weeks is recommended for smoother, tighter skin.
Is there downtime?
There is no downtime after Near Infrared Skin Tightening. You will experience some warmth and redness that will fade within a few hours. Generally you may resume all regular activities after your treatment.
When will I see results?
You may see some immediate results with gradual improvement over a period of 4-8 weeks as new collagen is formed. Results can be maintained with one or two treatments a year.
If you are considering Near Infrared Skin Tightening or are curious if it is right for you, come see us at Paragon Plastic Surgery and Med Spa and let Dr. Mark A. Bishara and his staff recommend the treatment that is best for you and your needs.
TO LEARN MORE ABOUT OUR NON SURGICAL SKIN TIGHTENING TREATMENTS, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.