The holiday season with all its parties, family gatherings, and New Year’s resolutions can be stressful for men and women of all ages because this is typically a special time when they want to look and feel their best despite all the stress frequently associated with holiday events.
Dr. Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Medspa can help each individual man or woman look and feel their best for all holiday events coming up. Dr. Bishara takes the time to cultivate individual relationships with his patients in order to assure that they receive their desired look. He uses the term “patient” because he says, “I feel the term patient is a more personal and appropriate term because I am working with people in personal ways.”
In his new state-of-the art facility completed in 2014, he offers the full gamut of cosmetic procedures such as robotic hair restoration, breast augmentation, tummy tuck and a variety of laser procedures. The calming music and soothing décor of his new facility create an atmosphere to ease the nerves of any anxious patient. “Sometimes patients come in extremely nervous, and my goal is to provide a calming, relaxing environment to reduce their anticipated anxiety,” he said. Additionally, Dr. Bishara takes the time to listen, discuss and explain all treatment options before outlining an appropriate treatment plan.
In his Paragon office in Mansfield, Dr. Mark A. Bishara, M.D. P.A. offers “Wrinkle-Free Wednesday.” Patients can come in for Botox and Xeomin treatments at discounted rates. It’s easy to see why this is the most popular and busiest day of the week for Dr. Mark A. Bishara, M.D. P.A. and his staff. He treats hundreds of patients seeking these non-invasive, preventive procedures from 8am until 8pm. “We go through enough Botox to remove every single wrinkle from an elephant’s skin,” he grinned, “but my goal is for them to still look like themselves,” he explained.
Also, as an AAAHC certified facility and dual trained surgeon, he can provide acute care as well as cosmetic surgical services. His goal is to make sure that every patient’s needs are satisfactorily and effectively met. In the spirit of giving this holiday season, Dr. Mark A. Bishara, M.D. P.A. plans to open a combined clinic that will offer reduced rates for general surgical procedures including lumpectomy, advanced laparoscopic hernia and gallbladder procedures, and varicose vein ablation.
“The current medical system in this country is not sustainable. Hospitals and surgery centers charging $11,000 for a 15-minute procedure is simply not feasible when it could be offered at a more reasonable price,” he said. These large centers are sometimes bound to hold pricing high due their contracted rates with insurance companies. As a responsible physician, he wants to provide clinical services that promote and foster a medical system that is sustainable and affordable. That is why he has announced the addition of four advanced laparoscopic surgeons to the staff at the Paragon Surgery Center in Mansfield. Surgical procedures are now being offered to all patients state-wide for a cash price that is often less than some deductible plans. Although this system is intended to be cash based, some patients will still be able to submit the charges for reimbursement through their out of network benefits.
As his services continue to grow and expand, Dr. Mark A. Bishara, M.D. P.A. has two other locations for the convenience of his patients; Southlake and North Park.
As the holiday season and the new year approach, let Dr. Bishara and his staff help you look and feel your best. Call one of his three convenient locations at 817-473-2120 or email appointments@markbisharamd.com to make an appointment and ensure that you enjoy the holidays knowing that you truly look your best!
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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
Uses
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.
Risks
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 Botox, Dysport 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.
People always seem to be seeking treatment to reduce or eliminate the signs of aging on their face, hands and body. Minimally invasive procedures offer patients the results they desire without the hassle and lengthy downtime often associated with cosmetic surgery procedures. 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. Mark Bishara is proud to offer a wide range of dermal fillers and other enhancing, minimally invasive procedures in his Mansfield and Southlake offices.
Out of all minimally invasive procedures, BOTOX® Cosmetic is still the No. 1 non-surgical treatment performed in the U.S. after so many years. Why is this……because BOTOX works.
In our offices, patients are getting BOTOX treatments in record numbers. They want to look younger, healthier, and more vibrant. BOTOX can help patients achieve this at a reasonable price. These treatments work on patients of any age and with any skin type and have no downtime after treatment.
BOTOX can be used to relax the muscles of the face, temporarily erasing wrinkles on the forehead, between the brows, and around the lips, as well as laugh lines around the eyes. What’s more, studies show that when BOTOX is administered to younger patients, lines and wrinkles in those areas may be prevented altogether. There is definetely a trend of more BOTOX patients coming in their early and mid-20s.
The bottom line? New and improved treatments may come and go, but only a few will stand the test of time.
Sticking to a Schedule
It is important to stick to a schedule if patients want to get the most out of their Botox treatments. BOTOX can be great for quick rejuvenation if you decide that’s all you want, but its effects can also last longer if you maintain them.
There are many misconceptions regarding the most effective use of this injectable treatment. BOTOX is a great solution for women and men who may not be ready for facial cosmetic surgery and just want a little natural freshening. Even people who do proceed with actual cosmetic surgery benefit by BOTOX treatments afterwards to maintain the great results they got and make them last longer. At Dr. Bishara’s office you will receive a treatment plan based on your exact needs.
On average, the results of BOTOX appear within the first few days of treatment and last 3 to 4 months. The key to maximizing your results is planning in advance for your treatment sessions to occur every 3 to 4 months, just as the results are beginning to dissipate.
Injectable dermal filler treatments are also helpful as part of a patients’ personalized rejuvenation plans. Options such as JUVÉDERM® and RADIESSE® can enhance facial volume in key areas where we lose it with age, and thus restore youthful contours for a year, and they complement the results achieved with BOTOX.
We offer Botox weekly specials:
Wrinkle-FREE Wednesdays in our Mansfield office from 9am-5pm- Botox $10/unit
Wrinkle-FREE Rush Hour Thursdays in Southlake from 12pm-7pm- Botox $10/unit
At the offices of Dr. Mark Bishara and The Paragon Med Spa we would love to answer any questions you have regarding Botox and other fillers. To schedule an appointment with Dr. Bishara, please contact our office directly at (817) 473-2120.
Millions of young women are desperate to ward off the signs of aging before they even start. Are you thinking about going under the needle just like many of these other young women are? Dr. Mark Bishara offers minimally invasive procedures that gives patients the results they desire without the hassle and lengthy downtime often associated with cosmetic surgery procedures. 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.
Many people want to know if minimally invasive procedures, such as Botox and Fillers, are safe. Botox is generally viewed as a procedure used by the 30+ demographic in order to freeze aging in its tracks. However, it turns out women in their twenties make up 30% of Botox fans. Even crazier, the number of teenagers springing for Botox has risen 800% in the past three years alone!
Botox babies. When did this phenomena start?
In recent years, an increasing number of young women have been turning to Botox injections. These young women are called “Botox Babies” because they are trying to treat signs of aging that haven’t appeared yet. However, it seems they are increasingly going under the needle for the same reason they use sunscreen – to minimize damage and aging while it’s still manageable.
Is it healthy to engage in preventative skincare treatments before the aging process starts to show?
Many argue that starting Botox injections early is a great way to help prevent wrinkles from forming. The older you get, Botox will be treating wrinkles that already exist, but the younger you are, the more you’re preventing wrinkles from occurring.
What’s the right age to start getting Botox? Why?
Believe it or not, if one wants to prevent wrinkles and deep lines, mid to late twenties is a good time to start Botox treatments. Starting Botox in your twenties helps to prevent wrinkles, and also means you will be doing treatments much less frequently than others in the future.
Are there any adverse affects to starting the process early?
As long as the treatments are done in moderation and only as a preventative method, there are no adverse affects.
Is Botox the best option in terms of fillers? Are there any other alternatives?
The best option is different based on each patient. Botox, Restalyne, and Juvederm are probably the three most popular fillers. Dr. Bishara offers Botox, Restalyne and Juvederm as well as Xeomin and Radiesse. Sometimes two will be used together to produce optimal results, while certain patients will be better suited for only one of these products.
What celebs do women want to model their skin after most often?
Nicole Kidman, Halle Berry, and Jennifer Lopez are the most popular celeb requests.
How long does Botox last? Any long-term risks?
Botox normally lasts up to 3 to 6 months.
Any additional recommendations?
Preventative skincare is the most important, so if you are below the age of 25 the best thing to do for your skin is to apply SPF sunblock daily, drink plenty of water, moisturize, use topical retinoids, antioxidants, alpha-hydroxy acids, have occasional chemical peels or microdermabrasions and eat a healthy diet. Otherwise, starting Botox sooner but in moderation is the best solution to preventing the formation of deep-set lines and wrinkles.
Dr. Bishara is proud to offer a wide range of dermal fillers and other enhancing, minimally invasive procedures such as chemical peels and laser procedures. Our office has special pricing on Botox and Fillers in both our Mansfield and Southlake office locations. We offer Wrinkle Free Wednesdays in Mansfield from 9am-5pm and Wrinkle Free Thursdays in Southlake from noon to 7 with Botox being $10/unit. Please contact our office at (817) 473-2120.
Cosmetic Surgeon Dr. Mark A. Bishara, M.D., serving Fort Worth, Arlington, and the surrounding area.
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