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What is Kybella?

Kybella or deoxycholic acid is an injection used to minimize the appearance of fat below
the chin, also known as a double chin.

How does Kybella work?

Kybella is known to be similar to what our body makes called deoxycholic acid which is
what helps us absorb fat according to the FDA. When injected Kybella will fat cells and
keep them from accumulating or storing fat.

Is Kybella  one time treatment?

No, when consulting with Dr. Mark Bishara he will determine how many treatments you will
need based on the amount of fat under the chin.

Is Kybella FDA Approved?

Yes, on April 29th 2015 the FDA approved Kybella for the sole purpose of treatment of
moderate to severe fat under the chin.

Can my medications interfere with Kybella?

As with any treatment, we advise that you inform your consulting doctor about any
medications. Inform your doctor if you are taking or have stopped any blood thinners.

What can i expect after the first treatment?

After the first kybella treatment there can be some swelling, but you are able to resume
daily activities. Cold packs or topical anesthetic will be used to help with any
discomfort.

Where can I get Kybella?

Dr. Mark Bishara at The Paragon Plastic Surgery and Med Spa is proud to offer Kybella
treatments at his office.
 
TO LEARN MORE ABOUT OUR KYBELLA  SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL [email protected] TO SCHEDULE AN  APPOINTMENT.
 
   


 

Kybella (Deoxycholic Acid) Injection is an injectable treatment for both men and women with moderate to severe fat below the chin. Mark A. Bishara, M.D. P.A. administers this rather simple yet life changing treatment at all three of our Paragon Plastic Surgery & Med Spa locations. Fat can accumulate beneath the chin due to aging, genetics and weight gain. Kybella proactively targets stubborn fat below the chin (submental fullness) that can be resistant to diet and exercise alone. An active ingredient in Kybella is deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that helps breakdown and absorb fat. When Kybella is injected into the fatty tissue it starts going to work and destroying fat cells immediately. Once the fat cells are destroyed they will no longer be able to store or accumulate fat. Up to 6 treatments may be administered by Mark A. Bishara, M.D. P.A. at the Paragon Plastic Surgery & Med Spa with each treatment being one month apart. Together, you and Mark A. Bishara M.D. P.A., decide how many treatments will best suite your desired results.  Dr Bishara offers this Kybella injections in Mansfield, Texas every Wednesday.  Dr Bishara also offers Kybella injections in Southlake, Texas,  and Dallas, Texas throughout the week.

Sex: F   Age: 35       Photos taken Before and After 4 treatment sessions with Kybella432bc361588d7e0739c72b1d96a9fd6e35e299769fe52ff8d614618039245197b4394704959ceb76da8a1646dc83651a4b4c8d4e4ac97077a4246ca849096257

Sex: M   Age: 34     Photos taken Before and After 5 treatment sessions with Kybellad7209a0ed5df1705e76eec935e2745d74ffb86703a0f727286aaab13aa7bd9a635d78b2877c935b1b8e97fece64c61632210d359532108890ec84d27f8de9cb0

Sex: F   Age: 55      Photos taken Before and After 5 treatment sessions with Kybella45dba7c37be19e0b67f580e27e3524a10c6ed2a1541dc54f367820ad69a40bf724427cfe83f2fb2b05a2a8a26776d712bcd32c86a31df68d55526703b2633236

 

 

The goal of almost any elective plastic surgery procedure is to achieve a more youthful look. But just how many years can you actually drop? Nine. That’s according to a recent study in the Archives of Plastic Surgery. Of course it depends on which surgery you have done and how many treatments you choose to do too.
At the University of Toronto, 40 volunteer medical students studied the photographs of 60 plastic surgery patients aged 45 to 72. In their “before” photos, the volunteers guessed near the correct age, assuming the patients were about 1.7 years younger than their actually age. Then the volunteers studied photos of the patients after they received either facelifts and necklifts; facelifts, necklifts and eyelid surgery; or eyelid surgery plus lifts to the face, neck and forehead.
The first group (facelifts and necklifts) were guessed to be 5.7 years younger. The second group (facelifts, neck lifts, and eyelids) were perceived to be 7.5 years younger. And the last group that had the most surgeries (facelifts, necklifts, forehead lifts and eyelid surgery) were guessed to be 8.5 years younger than their true age.
Some people may not want to undergo a full facelift and if so, there are alternatives:
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ISOLATED COSMETIC SURGERIES

For people with less facial aging, a neck liftforehead lift, mid-face lift, eyelid surgery, or chin surgery can minimize the effects of aging and offer a fresher, more youthful look.

WHAT ARE THE OTHER OPTIONS FOR A SAGGING FACE?

There are a number of surgical and non-surgical options that can improve one’s cosmetic appearance: fillerslaser skin-tightening procedureslasersfat contouringIPL Fotofacial and Botox. Each has benefits and drawbacks. Mini procedures do not produce the long lasting maximum improvement that is achieved with a natural appearing artistically performed lift performed by an expert experienced plastic surgeon. The best result is achieved by a combination of elevating the sagging tissues, removing the excess skin, contouring the fat, and adding micro-fat grafts or fillers where there is a deficiency.
Besides a facelift, Juvederm Voluma also helps volume loss in cheeks.  JuvedermTM VolumaTM is the latest of the Juvederm range of hyaluronic acid fillers specifically designed to restore volume in areas of volume loss. Common areas include the cheeks, cheekbones, and chin. Additionally, due to its versatility it is also suitable for adding definition to the jaw line.

 
Please contact the office of Dr. Mark Bishara to find out what we can do to help you reduce or eliminate the signs of aging.  You can call our office at (817) 473-2120 or visit our website for more information at www.MarkBisharaMD.com.
 

Necklift [ Platysmaplasty ]

What Is A Necklift
Depending on your individual concerns, there are a different types of necklift procedures to choose from that can help improve the appearance of your neck:

It is common to combine a necklift procedure with other cosmetic surgery such as a facelift, chin lift or any procedure that improves the jawline, jowls and cheek area, which might involve liposuction.
During a necklift, one-inch incisions are strategically placed under the chin and/or behind the ears to tighten up neck muscles that have become loose over the years. Patients with greater laxity may require a longer incision behind the ears.
The procedure, usually performed under local anesthesia with IV sedation, first releases the muscle from the skin before the neck muscles are pulled tight. After the skin is tightened, excess skin is eliminated through additional incisions around the ear. This can provide a very dramatic improvement to the neck, and it’s frequently performed as part of a facelift.
A cheek lift and necklift—in which lax muscles are tightened and elevated to a more youthful position—combined with liposuction along the jawline can permanently restore definition to the lower face.
Excess neck skin removal (called cervicoplasty) is performed by making an incision under your chin and behind the ears. The surgeon will then cut back and lift the skin, which will be secured with permanent sutures or a special type of permanent adhesive glue.
Another necklift procedure, platysmaplasty, is performed to reduce the banded appearance of the neck. During the procedure, incisions will be made under the chin or behind the ears, or both. The surgeon will then insert a tiny instrument to either remove a portion of specific neck muscles or realign them, which will tighten the middle area of the neck. As with a cervicoplasty, your doctor will suture areas of the muscles in order to clasp them in the best position.

This Information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX.
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What to Expect From a Neck Lift

 
A Neck Lift is a set of procedures to enhance the appearance of your neck. Procedures can include:

  • Removing excess skin
  • Removing or altering neck muscles
  • Liposuction to remove excess fat
  • Botox injections to address problems with fullness or “bands”

doctor checking patient
Know Your Goals
You must be in good health to get a neck lift. You’ll consult with your surgeon in advance. For that meeting, have your goals in mind for what you want to change.
Here are some of the most common concerns that are addressed with a neck lift:

  • Turkey wattle neck
  • Excess fat
  • Too much skin

Your Consultation
During your consultation, you should go over your goals and learn about the options:

  • Turkey Wattle: Your surgeon may recommend surgery, which involves making cuts under your chin or behind your ears or both to access a neck muscle called the platysma. Sometimes, that may even mean removing some muscle. Instead of surgery or in addition to it, Botox injections can relax parts of the platysma that are responsible for the “band” appearance or look of fullness.
  • Liposuction:  During liposuction, your surgeon will make a small cut below your chin and remove excess fat. If you are also getting other procedures, it is very common for cosmetic surgeons to begin with liposuction. You will be able to determine this with your doctor during your consultation.
  • Too Much Skin on Your Neck: Your surgeon will trim parts of the skin and lift it into place, securing it with tissue glue or stitches.

 

This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
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