selfie couple
Plastic surgeons are seeing more patients who wish to undergo facial surgery, suggesting social media-posted selfies may be inspiring more Americans to consider plastic surgery.
The growing trend of taking selfies – a type of self-portrait photograph, typically taken at arm’s length with a hand-held digital camera or camera phone – and posting them on Facebook, Twitter,  Snapchat, and Instagram, has been attributed to the increase in nose jobs and other reconstructive facial procedures.
Dr. Edward Farrior, President of the AAFPRS who conducted the research that posed these assertions, states in CBS News:

“Social platforms like Instagram, Snapchat and the iPhone app Selfie.im, which are solely image based, force patients to hold a microscope up to their own image and often look at it with more self-critical eye than ever before. These images are often the first impressions young people put out there to prospective friends, romantic interests and employers, and our patients want to put their best face forward.”

According to an annual survey conducted by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) of a select group of the organization’s 2,700 members revealed one in three plastic surgeons reported seeing an increase in requests for facial procedures by patients who wanted to look better online.
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Between 2012 and 2013 they saw a 10 percent rise in nose jobs, a seven percent rise in hair transplants and a six percent rise in eyelid surgery, says the NY Daily News. In addition, 58 percent of the doctors surveyed noted having a growing number of patients under 30 seeking out services – in part because of social media images like selfies.
Nose jobs (rhinoplasty) are the most popular elective surgical procedure conducted among those in the under 35 crowd – accounting for 90 percent of women, and 86 percent of men respectfully. And while women account for nearly 80 percent of plastic surgeries for face and eye lifts, men are becoming more determined to keep their hair and combat wrinkles.
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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girl face

Spring is just around the corner, and we will help you get your skin looking its best as you get ready to bare a lot more of it!
From the latest laser procedures and dermal fillers you can find at our office, to our extensive line of SkinCeuticals products, we’ve got the stuff you need.
We’re stuck in that crazy phase where winter is almost over, but it’s not quite spring. It’s kind of like when Britney Spears was not a girl, not yet a woman. One day it’s sunny, and the next day it’s snowing. One week it’s 60 degrees, the next week it’s polar vortex status, and the frequent changes absolutely wreak havoc on our skin. Sigh.
skincare
Reasons why Your Skin Needs Help!!:
If your skin is dry and dull: No matter how much the temperature drops, your skin still needs a boost in cell turnover.
Rule #1: Don’t stop resurfacing. I don’t mean abrasive scrubs—the appropriate and consistent “resurfacing” products will keep your skin looking dewy, hydrated, smooth, and glowing without creating microscopic tears and abrasions. Think retinoids and acid combinations such as glycolic, salicylic, and azaleic acids. If the weather is really cold, then dial down on frequency or strength, but do not stop resurfacing. I also recommend using a proteolytic enzyme once or twice weekly. Proteolytic enzymes are “smart exfoliators” since they only digest dead or diseased cells and cannot disturb healthy, newer cells. Even very sensitive skin types can tolerate proteolytic enzymes.
Rule #2: Adjust your hydration. Oftentimes, individuals simply trade up from a lighter moisturizer to one that is heavier. Think layers—when you layer clothing, instead of just one heavy outer garment, you stay warmer because more heat is trapped between the layers.  Likewise, when you layer hydrators you trap more moisture, prevent moisture loss, and provide a more effective barrier against the elements. Try a lighter serum or cream that is packed with peptides and anti-inflammatories under a heavier barrier cream, topped by sunscreen.
If your skin is oily: The typical conundrum here is that the skin is oily, but actually looks dull and surface dry, primarily due to wind and colder temperatures.  You’re not necessarily producing less oil, but it’s getting trapped in the dead surface layer and your skin appears duller and even your pores are more noticeable.
Rule #1: Exfoliate. Here again, the key is resurfacing. A resurfacing product, with the right combination of acids, will remove the dead surface skin without abrasion and keep your pores unblocked and looking smaller and more refined.
Rule #2: Do not abandon your acne meds. If you have breakouts, select a product that is non-drying and treats acne and aging at the same time. Once or twice a week an enzyme mask or a Retinol mask will provide further skin refinement and help make skin look dewy and luminous instead of simply oily.
If your skin has redness: Stop aggravating, start soothing!
Rule #1: Anti-inflame. Skin that has persistent periods of redness and little red capillaries may be experiencing mild to moderate rosacea. The causative factors in rosacea are varied and complex. However, it is believed that individuals with this tendency produce more of a type of inflammatory protein. The key here is to use products with lots of anti-inflammatory properties such as green tea, red tea, and ascorbyl palmitate.
Rule #2: Be gentle. Your skin also needs lots of barrier protection to prevent moisture loss and enable your skin to more effectively defend itself from transitional elements. Select products according to how dry or oily your skin is. Remember to lay lighter serums under more protective creams.
Rule #3: Sunscreen is an absolute must! The sun’s rays can still penetrate, even on the gloomiest day and UV rays equal inflammation, which sets up conditions that cause and exacerbate rosacea type tendencies.

This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

Have you ever wondered why some people get wrinkles at a young age and others don’t? There are many answers to this question – smoking can cause wrinkles to form sooner, and if you don’t wear sunscreen when you’re young, you can expect signs of aging to surface earlier rather than later. But a new study finds another potential cause of early facial lines – the genes we get from our mothers.
What your mama gave you
For some time now, it’s been known that the mitochondria, often referred to as the “powerhouses” of the cells that make up our bodies, have a lot to do with aging. As these mitochondria sustain damage, they mutate and lose their ability to produce energy, resulting in the breakdown of the cells that leads to signs of aging.
The new study, published in the journal Nature, finds that the mitochondrial DNA passed down to us from our mothers also influences our own rate of aging. In other words, if your mother had wrinkles at a young age, you might be more likely to see fine lines on your own face in your early years. On the flip side, if your mother had smooth, blemish-free skin well into her 40s or 50s, you could be in for the same luck.
Looking to the future
This study focused solely on cell aging and genetics, but researchers hope that it may help future development of therapeutic interventions that could focus on mitochondrial function, thus slowing the aging process. Unfortunately, such developments probably won’t be available for some time until more research can be conducted.
However, there are certain cosmetic procedures available today that can help people who show signs of premature aging. No matter whether you want long-term results that target deep facial lines or something less invasive that treats fine lines, you can likely benefit from a visit to a board-certified plastic surgeon’s office.
For example, Botox injections, which have become immensely popular over the past few years, offer results that last for several months. This means you won’t have to make a big commitment like you would if you chose to undergo facelift surgery, but on the downside, you’ll need to continue to get injections of the substance to keep wrinkles at bay.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

JUVÉDERM VOLUMA™ XC injectable gel is available in the office of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

voluma
JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved for deep injection in the cheek area to correct age-related volume loss. JUVÉDERM VOLUMA™ XC is for patients over the age of 21.
JUVÉDERM VOLUMA XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. Juvederm Voluma is the Juvederm specialty product for volumizing. It is designed for injection in the deep dermis to treat age-related facial volume loss. Voluma has the optimal thickness of a volumizer while still retaining the smooth nature of the Juvederm family.
It gives you a subtle lift, helping to restore contour and for a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA XC, however, adds volume to the cheek area.
before and after voluma2
Dr. Mark Bishara offers minimally invasive procedures for patients, that are designed to provide subtle enhancements to improve your targeted problem areas, while allowing you to return to work and your regular activities the very same day. Dr. Bishara is proud to offer a wide range of enhancing, minimally invasive procedures such as Botox, Xeomin, Juvederm Ultra Plus XC and Radiesse.  Juvederm Voluma XC is now also available. Call our office for more information at (817) 473-2120.
Find out More about the Brilliant Distinctions Rewards Program:
Dr. Bishara and The Paragon Med Spa are proud to offer the Brilliant Distinctions Program for our patients. All you have to do is earn points for your purchase from our participating providers, including Botoxand Juvederm.  Then start saving by redeeming points per treatment for instant savings off your next purchase.  Ask us how to set up an account when you visit our office.
For example:  For 1 Botox/Juvederm cosmetic treatment you earn 200 points (a $20 Value).  For more information on participating in this program visit https://www.brilliantdistinctionsprogram.com


 

lady in mirror
We all have varying degrees of fat in our faces and a multitude of factors can cause changes to these fatty compartments. Volume loss occurs because of gradual changes in the appearance of the fat. There is a loss both superficially and at a deeper level that comes along with aging.
shifting facevolume loss face
1. Yo-Yo Dieting And Extreme Exercising
Keeping fat off your body is no easy task since the body can’t be told where to lose weight from and where to keep it. So even if you want to “spot-treat” a specific part of the body, you may end up reducing the amount of fat in your face as well. The ups and downs of recurrent dieting cause a stretching of the ligaments that support the tissues of the face. This can result in a loss of elasticity and volume, which promotes an aging effect.
2. Excessive Sun Exposure
Although fat loss is not directly dependent on UV rays, it is important to protect your skin from the sun. If you don’t wear SPF daily, the sun will accelerate the breakdown of collagen and elastin in the skin. When collagen and elastin levels are of poor quality, the condition of the skin is affected and the loss of fat can be accentuated.
3. Hormonal Changes
Female hormones, especially estrogen, are partially responsible for changes in the amount and quality of fat. As hormone levels begin to dip, fat can start to thin out.
4. Too Thin Of A Frame
It is possible to be too skinny. When that’s the case, the aging process will become even more of your enemy than your friend. The reason: A naturally thin face has little natural fat to begin with and over time the inherent amounts of fat begin to diminish, causing an extremely haggard look.
5. Receding Bones
With age, we naturally lose bone mass in the face. The muscles also begin to atrophy to some degree. These changes alter the underlying structure of the face and can cause the cheekbones and midface to look collapsed (the effects usually don’t take hold until later in life). It’s noticeable in the 70- to 80-year-old patient and while it’s highly variable, the majority of resorption happens around the nose and in the central face.
At the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa we provide a wide range of cosmetic procedures to help patients look and feel their best, including injectables and fillers. These procedures are designed to improve the appearance of volume loss through minimally invasive techniques. Minimally invasive procedures offer patients the results they desire without the hassle and lengthy downtime often associated with cosmetic surgery procedures. We offer patients Botox, Xeomin, Radiesse, Juvederm Ultra Plus XC and the NEW Juvederm Voluma to help reduce or eliminate the signs of aging on their face.  Please call our office to see which product would be best for you at (817) 473-2120 or visit our website at www.MarkBisharaMD.com for more information on these.