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.

Do you need a lift? Are you looking in to doing something for the loose skin on your neck or jowls but are not ready to go under the knife? Ultherapy might be the treatment for you! Ultherapy is the only non-invasive treatment that is FDA-cleared to lift the skin on the neck and under the chin and the eyebrow. It is also newly approved to treat the lines and wrinkles on the décolletage. Here at Paragon Plastic Surgery and Med Spa, Dr. Mark A. Bishara and his staff along with Ultherapy can give you a more youthful, natural looking you!
How does it work?
Ultherapy uses safe, time-tested ultrasound energy to stimulate collagen production. The energy is specifically delivered to the same layer treated during a face lift without cutting or harming the surface of the skin. The ultrasound energy heats the layer between 60-70 degrees centigrade that triggers Neo-collagenesis.
What to expect?
Depending on the area being treated, the treatment may take 60-90 minutes to perform. Your skin will be cleansed and marked appropriately for the area to be treated. As the ultrasound energy is delivered you may feel some mild to moderate discomfort. It is recommended to take some over the counter pain relievers before your treatment and comfort levels vary from patient to patient but the sensation only lasts while the energy is being delivered. You may have some slight redness and swelling that dissipates within a few hours. Some patients may experience  tenderness and bruising that may last a few days.
How many treatments do I need?
Most patients only need one treatment. However, depending on the degree of laxity and collagen-building process, some may benefit from additional treatments. Since the aging process never stops annual touch up treatments can prolong their results.
Is there any downtime?
There is no downtime with Ultherapy. You are able to resume all your normal activities and skin care regimen at home.
When will I see results?
You may see some initial effects from the treatment right away but generally the ultimate results will take place over 2-3 months and up to 6-9 months.



Say Goodbye for Good!

Say goodbye to your double chin, PERMANENTLY! There may be many different kind of treatments out there that say it will get rid of your double chin. Truth is Kybella is the only FDA approved treatment that gets rid of the fat cells under the chin and Dr. Mark A. Bishara offers it at the Paragon Plastic Surgery and MedSpa!
Kybella is formed of deoxycholic acid and is the only prescription medicine that will help you get rid of that stubborn fat under the chin. As mentioned on the “deoxycholic acid is a natural occurring molecule in the body that aids in breakdown and absorption of dietary fat.” Yes that means that after being injected with Kybella the medication will start killing fat cells and killing them for good!
When considering Kybella the best way to get all of your questions answered is by coming in for a consultation with Dr. Mark A. Bishara. On your consultation Dr. Mark A. Bishara will evaluate you and be able to determine how many treatments with Kybella will be needed. Each treatment is done by getting a series of tiny injections below the chin. Results are amazing! Most patients can notice a difference after the 2nd treatment. Treatments can be scheduled as soon as 1 month apart from each other. Why wait schedule your a appointment with Dr. Mark A Bishara and say goodbye to the double chin for good!


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

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.