2013 Awards: Youth Preservers


The Best Supercharged Antioxidant-Based Line is SkinCeuticals.  And Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa offer the SkinCeuticals line in both of our office locations.








What does an antioxidant do for my skin?







Antioxidants provide protection from free radicals that cause damage deep within the skin. Unlike sunscreens that protect skin from UV rays, antioxidants prevent skin damage caused by other environmental aggressors such as infrared radiation, pollution, cigarette smoke, alcohol, and more. SkinCeuticals antioxidants have also been proven to reverse skin damage, including fine lines, wrinkles, and hyperpigmentation.

Why are SkinCeuticals products different?

SkinCeuticals products are backed by science from the first stages of their development through the packaging of the final formulations. Extensive medical-grade clinical testing that proves our products’ efficacy sets SkinCeuticals apart from other cosmeceutical brands on the market. One of the first lines to employ antioxidants, the premise of this science-heavy brand is to prevent, protect and correct from the 
outside in.
Please call our office at (817) 473-2120 and set up a skin care consultation with one of our aestheticians.  They can tell you which SkinCeuticals products will be best for your skin.


While some learn to love those tiny brown spots on the tip of the nose, cheeks and shoulders, others look for anything to fade freckled skin. Thankfully, you can lighten unwanted freckles and spots instead of just covering them up with makeup. And, obtaining brighter, smoother, spot-free skin may be easier than you think.  At the office of Dr. Mark Bishara we want to educate our patients about proper skin care and help them improve the health and appearance of their skin.
Protect and Prevent
With a medical name like ephelides, it’s no surprise that freckles get a bad rap. While “simple freckles,” the tiny brown spots on your skin you have had since birth, are harmless, lentigines, or “sunburn freckles,” need to be taken more seriously. Usually larger in size, more red in color and with an irregular border, these spots are sure signs of sun damage. No matter how old you were when you first noticed your freckles, sun exposure can only make them darker and greater in number. The easiest way to prevent freckles from forming is by using sunscreen. “I recommend applying sunscreen with at least an SPF of 30,” says New York and Miami dermatologist Fredric S. Brandt, MD. “No product will effectively lighten skin without the use of sunscreen on a daily basis.”

On the Bright Side
Over-the-counter brighteners can help to even out freckles and spots for more evenly toned skin. The SkinCeuticals line of skin care products offers 3 different product categories to: Prevent, Protect and Correct.  Many of their products help to reduce the appearance of spots, leaving the skin looking luminous and glowing. For more information on the SkinCeuticals products and to find out the right skin care regimen for your skin type and skin condition please visit their website at www.SkinCeuticals.com.  Our office offers the SkinCeuticals skin care line and can also help you choose the right product for you.
Zap Away
For serious long-term freckle fading, laser resurfacing lightens and retexturizes. Unlike chemical peels and microdermabrasion, which just exfoliate, pigment-specific lasers, like the Alma laser systems, specifically destroy pigment in the epidermis and dermis to eliminate discoloration with minimal side effects. Fractional resurfacing lasers poke tiny holes into the skin to deliver a dose of controlled heat to the deeper layers, eliminating freckles from the inside out. Not a laser, but similar in terms of results, Intense Pulsed Light (IPL) uses broadband light to diminish freckles. Not all lasers are alike, so it’s important to diagnose your skin accurately prior to treatment.
Please visit our website at www.MarkBisharaMD.com or call us at (817) 473-2120 for more information.

1. Retinoid creams

A host of over-the-counter products claim to help fight wrinkles. One option: topical retinoid (derived from vitamin A) creams; look for retinol in the ingredient list. The SkinCeuticals line has products with retinol in them to help fight existing wrinkles . 

2. Over-the-counter peptide creams

Creams containing peptides—short snippets of linked amino acids—can be useful for reducing the appearance of wrinkles and fine lines, but they haven’t been shown to work as well as retinoids. As skin ages, it loses collagen and becomes wrinkled and thin; creams containing peptides are supposed to encourage the skin to make new collagen. Peptides are found in a variety of products, from the inexpensive to the very expensive. There are many SkinCeuticals product that can help.

3. Microdermabrasion

Microdermabrasion uses tiny, fine particles or a very hard diamond-tipped wand to slough off cells from the top layer of the skin and encourage new skin growth. The procedure is usually not painful, though it can be uncomfortable, and it doesn’t require an anesthetic or recovery period; skin heals quickly. But you may require multiple procedures spaced a few weeks apart.

4. Laser skin resurfacing

Laser resurfacing uses high-intensity light to zap and improve the look of wrinkles and scars by tightening loose skin. The effect of your treatment and recovery time vary. There are lasers that can be superficial or intermediate and deep. You may see redness from one day to two weeks, depending on how aggressive the treatment is. 

5. Chemical peels

Used to address mild acne scars, age spots, dull skin texture, skin discoloration, or wrinkles around the eyes or mouth, chemical peels remove the outer layers of the skin and encourage the growth of new, smoother, more evenly colored skin. Depending on the peel’s intensity—which can range from superficial to medium to deep—it may cause reddening and peeling that can last up to several weeks.

6. Botox

Injections of Botox —which also contains botulism toxin and  is approved by the FDA, can paralyze tiny facial muscles, smoothing out the appearance of lines or wrinkles. The cost of Botox will vary depending on location and doctor. The effects of injections may last three to six months, depending on whether you’re a repeat customer.

7. Filler injections

Injections of fillers containing hyaluronic acid can fill in lines and wrinkles and add volume to skin. Hyaluronic acid is a “naturally occurring sugar that gets lost when you age,” and injecting it into wrinkles effectively plumps them up. Juvederm Ultra Plus XC and Juvederm Voluma are the newest and best.

8. Cosmetic surgery

Lifting the skin on the face, neck, eyelids, and forehead can give a tighter appearance. What were once traditionally open procedures—with larger incisions—can now often be done endoscopically, with smaller incisions strategically placed in difficult-to-detect areas, such as under the hairline. The effects of cosmetic surgery are somewhat permanent. 

9. Try prevention

If all this sounds extreme, remember that you can start immediately to prevent any further damage: Start wearing sunscreen every day. Lifetime exposure to the sun can wreak serious havoc. When people were younger…they didn’t think the sun caused any bad signs, but now they’re really feeling the effects of it 30 years later.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX


As winter is upon us, you have probably noticed that you skin is getting dryer. This is common and we see changes in our skin throughout the seasons of the year. And, your skin will require different care and treatment depending upon the season of the year. So what should you be doing differently? Glad you asked.
With the cold, you skin needs better protection. And many times this means preserving the natural oils that protect our skin, or adding to them. So, here are some tips for you.
Ease up exfoliants
Many cleansers and other skin care products we use contain chemicals such as the alpha hydroxyl acids (think glycolic acid) which will help with exfoliation or skin cell turn over. These are great for making your skin look fresher, but they also can dry out your skin. So, you may want to tone it down during the winter months. If there is a product like this that you use every day, back off to using it every other day, or once or twice a week.
You may also need to change your facial cleanser, or change other products. Since you skin’s needs are different with the seasons, you may need to change your products with the seasons as well. Consider moving from your glycolic cleanser to a gentler one, or one which also moisturizes or hydrates. Or add a hydrating product to your antioxidant products. And play around with things. If you head to Colorado to ski, know that it may be colder and more arid than you home. So, alter your skin care plan as you need to.
Moisturize, Moisturize, Moisturize
You really need to moisturize, but then I may already have said this. And, everyone will tell you that it is best to apply our moisturizer while your skin is still a little damp. This applies to your face, your hands, and the rest of your body. In addition to keeping in your body’s own oils, the moisturizer will also help to protect you skin as a barrier to the cold.
The hands actually take a bigger hit with the cold than anywhere else on your body. So, keep a good hand moisturizer around and use if often, especially if you wash your hands a lot during the days. And gloves. When it’s cold outside, be nice your hands and protect them from the wind and cold.
Long hot shower are not good for you
When you’ve been outside and need to warm up, many of use hop in the shower and turn up the heat. We may even stay there until the hot water heater gives out. But, this is not good for us. The hotter the water, the more it removes you skin natural oils and barriers. And, the longer you are in the shower, the more this happens. So, go with warm water not scalding hot. And leave some hot water for everyone else in the house!
Give you skin a treat
While long hot showers are out, a soak in a warm tub can be great especially if you add something to the bath water. If you have a lot of irritation, try an oatmeal bath. Baking soda can also work. And if you are looking for some added moisture, add a couple tablespoons of olive oil. You can even use olive oil and oatmeal together (but I would leave out the balsamic vinegar…just saying).
Continue to protect
You still need your sunscreen! Even though the days are shorter and we are all looking for sun to cure our affective seasonal disorder, those beneficial rays can still burn. So continue to use your sunscreen. One of the easiest ways to do this is to use a skin care product, or makeup with sunscreen in it. And, if you heading up to the mountains to ski, or down to the Caribbean to escape the cold, get some high test sun screen, and reapply it often.
It doesn’t take too much to take care of your skin during the winter, but a little goes a long way. Just remember that your body’s natural oils are your friend, and what you do for your skin in the summer is not what your skin will need in the winter.

At Dr. Mark Bishara’s office we help educate our patients about proper skin care.  We have many laser procedures that help revitalize and rejuvenate your skin.  We also have an extensive line of SkinCeuticals products and our aestheticians can help tell you which products will prevent, protect and correct any skins damage.  Please call our office for more information at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.

SkinCeuticals Skincare- The Perfect Stocking Stuffer for your loved one!

As we age, we lose the natural vitamin C in our skin. Luckily, we can put Vitamin C back into our skin to unlock and help turn back the clock in three ways:
1. Age Spots
Vitamin C helps gradually fade the spots and help even your skin tone.
2. Wrinkles and Fine Lines
Wrinkles form on the parts of your face that move the most. Underneath your top layer of skin, you have collagen – a connecting tissue that keeps your skin layers together. As you get older, you start to lose some collagen, which causes the skin to sink and create wrinkles. To fight wrinkles, try adding a healthy dose of vitamin C into your diet.
In addition to your skincare, eat foods rich in vitamin C: lemons, strawberries, papaya and pineapple. With the help of these delicious snacks, your body will create more collagen, helping to prevent pesky wrinkles.
3. Sagging Skin
Using vitamin C on your skin helps boost your collagen, which will bring elasticity back to your skin and can prevent sagging in as little as two weeks.

Skinceuticals Skincare

*C E Ferulic® is a revolutionary antioxidant combination that delivers advanced protection against photoaging by neutralizing free radicals, boosting collagen synthesis, and providing unmatched antioxidant protection. More protection means more youthful looking skin and better defense against environmental aging.
*Phloretin CF is a broad-spectrum treatment provides advanced environmental protection to defend skin against the reactive molecules (including free radicals) that are known to cause cellular damage. In addition to its superior antioxidant capabilities, it has been proven to correct existing damage from the inside out.
*C + AHA– This two-in-one antioxidant treatment features 15% pure vitamin C to neutralize free radicals and 10% hydroxy acids to exfoliate and smooth the skin. Skin is protected from environmental damage and more youthful skin is revealed.

Vitamin C Masque– Formulated with vitamin C and amino acids, this masque exfoliates skin and protects cells from free-radical damage while tightening, detoxifying, and restoring a firm, youthful, radiant complexion.

Please contact our office at (817) 473-2120 to ask about our SkinCeuticals products.  We have many more, to prevent, protect and correct your skin- and have in stock in our office.