2013 Awards: Youth Preservers

The Best Supercharged Antioxidant-Based Line is SkinCeuticals.  And Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa offer the SkinCeuticals line in both of our office locations.

What does an antioxidant do for my skin?

Antioxidants provide protection from free radicals that cause damage deep within the skin. Unlike sunscreens that protect skin from UV rays, antioxidants prevent skin damage caused by other environmental aggressors such as infrared radiation, pollution, cigarette smoke, alcohol, and more. SkinCeuticals antioxidants have also been proven to reverse skin damage, including fine lines, wrinkles, and hyperpigmentation.

Why are SkinCeuticals products different?

SkinCeuticals products are backed by science from the first stages of their development through the packaging of the final formulations. Extensive medical-grade clinical testing that proves our products’ efficacy sets SkinCeuticals apart from other cosmeceutical brands on the market. One of the first lines to employ antioxidants, the premise of this science-heavy brand is to prevent, protect and correct from the 
outside in.
Please call our office at (817) 473-2120 and set up a skin care consultation with one of our aestheticians.  They can tell you which SkinCeuticals products will be best for your skin.

What’s your morning routine?
I wake up between 5 and 6 a.m. and the first thing I do is drink a bottle of water with chlorophyll drops in it. I eat a pint of organic raspberries and blueberries then make a smoothie with spinach, celery, cucumber, ginger, cinnamon, flax, apple and banana. Depending on where I have to be and how I have to look, it can take me anywhere from five minutes (brushing my teeth and putting on sunscreen) to 20 minutes to get out the door.
Which products do reach for while getting ready?
I use Dr. Bronner’s Magic Soap and Yes to Blueberries Body Wash and then use coconut oil as a moisturizer as soon as I get out of the shower. I never leave the house without my Elta MD Skincare Broad Spectrum SPF 45!
What’s a day at work like?
I drive to a private gym and train one to two clients and then drive to the studios to train clients in between shoots. I drive to the gym for myself and then pop home to shower, let the dogs out and answer emails. Then I drive to a particular client’s home to train, and finally to Barry’s Bootcamp to teach my master class. I drive a lot!
What do you eat for lunch and dinner? Do you ever snack?
I eat anytime between 12 and 1 p.m. and snack before and after, too, which usually consists of red peppers, almonds or flax crackers with avocado. I always have water on me at all times and my lunch is usually a giant kale or mixed green salad with salmon or quinoa. For dinner, I always have a salad to start and then vegetables like brussel sprouts, cauliflower or sweet potatoes with either chicken or steak, depending on my mood.
What do you do when you’re out of work?
I love my job but when I get off I’m exhausted! I usually just come home and prepare for the next day. I’ll eat dinner, and then watch some TV with lights out by 10p.m. Beauty sleep is required!
Any new products you’re excited about?
One of my best friends is an aesthetician who has created the most amazing, handmade face oil called Dew Skin Oil. I’m pretty obsessed with it and use it in place of my moisturizer and then put it on top of my serums at night, or sometimes alone to soothe my skin.
Are there any surprising steps in your beauty routine?
There’s nothing too crazy, but as soon as I’m done working out, I use pads to remove dirt and sweat. Also, before a photo shoot, I rub an ice cube all over my face to help de-puff and tighten my skin!
What’s something we would be surprised to know about you?
In high school, I couldn’t run the one-mile gym class requirement around the soccer field and had absolutely zero endurance—now I love to run!
This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
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In a recent article on RTTNews.com – it announces that The U.S. Food and Drug Administration said that it approved the VenaSeal closure system to permanently treat varicose veins of the legs by sealing the affected superficial veins using an adhesive agent. The VenaSeal Closure system is manufactured by Covidien LLC, based in Morrisville, North Carolina.

Varicose veins often cause no symptoms but some patients may experience mild to moderate pain, blood clots, skin ulcers or other problems, according to the National Heart, Lung, and Blood Institute at the National Institutes of Health. If these issues occur, health care professionals may recommend treatment such as compression stockings or medical procedures to remove or close the affected veins.
The VenaSeal system is intended for patients with superficial varicose veins of the legs that cause symptoms. The sterile kit is made up of an adhesive, a specially formulated n-butyl-2-cyanoacrylate, and delivery system components that include a catheter, guidewire, dispenser gun, dispenser tips, and syringes.
The FDA noted that the device must be used as a system and differs from procedures that use drugs, laser, radio waves or cuts in the skin to close or remove veins. A trained healthcare professional inserts the catheter through the skin into the diseased vein to allow injection of the VenaSeal adhesive, a clear liquid that polymerizes into solid material. The healthcare professional monitors proper placement of the catheter using ultrasound imaging during delivery of the adhesive into the diseased vein to seal it.
The FDA warned that the VenaSeal system should not be used in patients who have a known hypersensitivity to the VenaSeal adhesive, acute inflammation of the veins due to blood clots or acute whole-body infection. Adverse events observed in the trial and generally associated with treatments of this condition included vein inflammation (phlebitis) and burning or tingling (paresthesia) in the treatment zone.
This News is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

BluePrint to the Aesthetic Consult


Today’s aesthetic patient does not want to look good . . . they expect to look fantastic! These patients have high treatment expectations and are willing to pay for great results even in a difficult economic climate. Let me echo that again: patients are willing to pay for great results. But, the results and the experience must be extraordinary. This all begins with the critical aesthetic consult. I believe that the consult is the single differentiating factor between thriving practices and those that struggle.  I continue to be amazed (and disappointed) in the lack of time and effort, many practices dedicate to the consult.  
Understanding a patient’s cosmetic goals goes a long way to achieving complete patient satisfaction and long term loyalty. The main purpose of all aesthetic consults is to find the “Real Reason” why your patient wants to look better —it almost always has very little to do with the initial stated reason. When in fact you find this reason, it yields a raw emotional response from the patient.  If you can evoke that emotional response, you are on the threshold creating a loyal patient for life, but this takes time, effort, and good listening skills.  As I’ve said many times, it’s about paying attention to the details.
Always try to avoid the temptation to prejudge the patient. It is important to understand that it’s not their hormone level or the size of their wallet. It’s the wiring of their DNA; some patients are just wired for aesthetics.  Those that are, will seek your services and if satisfied beyond their own expectations, will pay happily for them.
In every patient consult, first ask the patient to identify their facial features that they like. Tastefully point out what you see as their positive features and congratulate them on these great genetics. Then, with their permission, honestly and carefully show them the issues that need to be addressed.  I call it “Face Whispering.”
Patients often have a specific cosmetic concern but rarely see other areas in need of treatment. I call this mono- or selective focus. To fully engage the patient in a successful discussion on full face reflation that will yield the best result, you must first convince the patient to look beyond their single concern and describe the face in a three-dimensional way.

As part of my blueprint to the consult I also find that showing patients their baseline photographs is very effective in gaining their confidence.  I have a dedicated camera room and take many pictures daily. I show patients their baseline photos from all views so they can see the whole face.  In addition, I give patients an assignment to bring in a youthful picture of themselves, say in their early twenties.  By comparing this youthful photo with their baseline, I’m able to discuss harmony, balance and symmetry, and identify for them areas that require attention. It is important to tell patients that the goal is not to make them look “20 again,” rather to restore some of their natural features to look great for their age. This whole exercise helps patients understand why we look at and treat the whole face.
Simply put, the consult is integral to the success of your practice.  If you truly want to take your practice to the next level, improve your patient consultation style; dedicate more focused time to your patient in order to understand his/her expectations and desires; carefully transition them to focus on the whole face; and finally, incorporate the most innovative products and techniques into practice.  Earn their trust and the right to treat them, create an extraordinary result and watch the barrier of price disappear.
Article by B. Kent Remington, MD, FRCP
Co-Founder, The Aesthetic BluePrint

This Article is brought to you Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa


The U.S. Food and Drug Administration said on Wednesday it has approved a new device to treat obesity, the first since 2007, sending shares of its maker, EnteroMedics Inc, up as much as 74 percent.
Known as the Maestro Rechargeable System, the device controls hunger and feelings of fullness by targeting the nerve pathway between the brain and the stomach.
It is implanted surgically into the abdomen and works by sending electrical pulses that interfere with the activity of the vagus nerve, which signals to the brain that the stomach is empty.
The device can be recharged by the patient and healthcare professionals can adjust its settings using external controllers.
A 12-month clinical study showed that patients implanted with the device lost 8.5 percent more weight than the control group.
That did not meet the main goal of the clinical trial, which was to show weight loss of 10 percent or more. But an FDA advisory panel considered additional data and concluded that the benefits of the device outweighed the risks for certain patients.
The device is approved to treat patients aged 18 and older who have not been able to lose weight with a weight-loss program, who have a body mass index of 35 to 45 and have at least one other obesity-related condition, such as Type II diabetes. A person with a BMI of 30 or more is considered obese.
Despite the approval, the prospects for the device will depend on insurers being willing to pay for it, a process that could take up to two years, analysts estimate.
As part of the approval, the company must conduct a five-year study that will follow at least 100 patients and collect additional safety and effectiveness data.
Serious side effects reported in the clinical study included nausea, pain, vomiting and surgical complications.
More than a third of U.S. adults are obese, according to the Centers for Disease Control and Prevention, placing them at greater risk of heart disease, stroke, diabetes and cancer.
Other surgical treatments for obesity include gastric banding systems that limit the amount of food that can be eaten at one time.
The company’s shares were 23 percent higher at $1.45 in mid-morning trading on Nasdaq from a close of $1.18. Earlier in the day they rose as high as $2.05.
This News is Brought to You Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa