Changes in the skin are among the most visible signs of aging. Evidence that we are getting older can be seen in the fine lines, wrinkles and sagging skin on the neck, arms and breast areas among others. There was a time not too long ago where the only real solution to this problem was surgery that removed some parts of the loose skin. In 2019, we now have some state of the art skin remodeling solutions that work wonders by removing fat, tightening skin and improving overall appearance without surgery.

In our practice we are now using radiofrequency-assisted lipolysis (RFAL), a relatively new concept in energy-assisted body contouring techniques. People who want to contour, lift, and tone their abdominal area, breasts, face, neck, arms, thighs and/or knee areas can now do so with a small incision point, no scarring or stitches. These devices uses precise radiofrequency energy to firm the tissues and tighten the skin. This also has the effect of stimulating the body’s own collagen production, helping with overall elasticity and smoothness. Traditional liposuction can also be performed in conjunction with these procedures if more body contouring is needed.

The RFAL tools we use in our practice are BodyTite and FaceTite by InMode. FaceTite is a minimally-invasive contouring solution for the face as well as smaller areas of the body. This procedure is safe and effective treatment that provides patients with significant aesthetic changes. If you’ve considered a facelift this is the next best thing toa facelift. Built-in safeguards, including real-time measurements of your skin and fat temperature help ensure patient safety and the RFAL technology creates three-dimensional remodeling of the tissue. FaceTite provides unprecedented skin contraction, up to 36% as shown in peer-reviewed clinical studies. The procedure also addresses loose skin typically remaining in the treatment area that other treatments cannot target. The result is nicely contoured skin.

BodyTite is the latest advancement in body contouring techniques. This is a procedure that is performed to treat loose skin or sagging body parts such as the breast and underneath the arms. The device uses precise radiofrequency energy to firm the tissues and tighten the skin. It also stimulates the body’s own collagen production. Traditional liposuction can leave skin loose and sagging in some cases. For this reason, BodyTite is often performed in conjunction with liposuction to provide an optimal result for the patient. Like FaceTite, this procedure is minimally invasive, with essentially no scarring and no stitches required.

For both of these new treatments, results can be seen immediately, with best results noticeable after 6 months, and continuing up to 12 months. Depending on the treatment area, downtime can be as little as just a day! If you would like to find our more about these and other treatment options, call us at Paragon Plastic Surgery & Medspa at (817) 473-2120 or via our web form.

Is a facelift too invasive for you but you would still like to experience dramatic results that you thought only a fountain of youth could acheive? Here at The Paragon Plastic Surgery & Medspa, you can receive a combination of Ultherapy and injectable wrinkle/filler treatments, such as Botox, Radiesse, or Juvederm, to create a fresh, vibrant new you. These treatments all offer a different course of action in providing a more youthful look for our patients, but when combined, they work synergistically to create a harmonious result that both works on a soft tissue and muscular level.

Before and After Botox & Juvederm Voluma

Botox, for example, combats wrinkles on a muscular level by minimizing muscle contraction and relaxing hyperactive muscles. Alternately, filler is used to add volume to designated areas on the face while Ultherapy works on a tissue-level to stimulate collagen, lifting and tightening the skin as a result. As you can see, this combination of preventing the muscle contraction that causes wrinkles with Botox, adding volume with Filler, and tightening the skin with Ultherapy, have the power to create a balanced and complete look that would not be achieved from just doing one treatment by itself.

Ultherapy - Face

How long you should wait in between each treatment, and in what order they should be done, is an opinion that varies from doctor to doctor. At our own Paragon Plastic Surgery & Medspa, Dr. Mark Bishara recommends waiting about two weeks after Ultherapy to receive any injections. This short wait time will give any swelling that may happen as a result of Ultherapy time to settle so that how much filler/Botox needs to be used can be determined. This incredible combination of treatments yields fabulous results that can be yours! Call us now to schedule a consultation with Dr. Mark Bishara to discuss this as an option for you.

Before & After Ultherapy

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.


Rejuvenate, Rehydrate, Refresh



Refresh and rejuvenate your skin! HydraFacials have become quite popular here at The Paragon Plastic Surgery and Med Spa. Are they to blame though? HydraFacials are so relaxing, and why not relax while getting your skin looking good and refreshed.

HydraFacials have 4 steps to the treatment but here at The Paragon Plastic Surgery and Med Spa we like to offer a little more for our patients. A basic HydraFacial boosts hydration and helps assign the signs of aging and protect the skin from environmental damage. Aside from the basic HydraFacial the Paragon Plastic Surgery and Med Spa offers add on’s that include the following:

-15% Glysal which is a combination of an aggressive exfoliation and chemical peel all in one step to help resurface.
-30% Glysal gives you double the benefits from the 15% glysal.
-Britenol Spot Corrector is used tho brighten and balance skin tone leaving your skin refreshed and glowing!
-DermaBuilder is a combination of peptides that are designed to recharge skin and diminish the appearance of fine lines and wrinkles!
-CTGF  Growth factors are sealed into this solution and it is used to soothe and renew your skin giving you a radiant and even complexion.
-Lymphatic Drainage Face consist of moving toxins out of the lymph nodes and boosting your immune system and blood circulation.
-Lymphatic Drainage Body is a treatment used to move toxins out of the lymph nodes and target your lymphatic system to detoxify your body.
-Lymphatic plus LED combines the lymphatic treatment with LED lighting to help reduce the appearance of fine lines and smooth out your skin.
No matter what time of the year, come in and get your skin looking better than ever! The Paragon Plastic Surgery and Med Spa estheticians are waiting to help get your skin refreshed and rejuvenated!