Going beyond the surface!

The mechanism of RADIESSE:  Radiesse Volumizing Filler is comprised of Calcium Hydroxyapatite microspheres suspended in an aqueous gel carrier. Stimulating the bodies natural collagen to continue working after first treatment, providing immediate volume and correction once injected. The gel will absorbed overtime with the body metabolizing the CaHA microspheres leaving your own natural collagen behind. Radiesse is FDA-approved for correction of moderate to severe facial wrinkles, nasolabial folds and hands.
Why you should try RADIESSE!

  • Immediately replenishes volume lost and stimulating your own natural collagen, results lasting a year or more.
  • Providing great results for high patient satisfaction.
  • Lasting a year or more in many patients has been clinically proven.
  • Approved by the FDA to mix with lidocaine, an anesthetic, reducing injection-related pain.
  • Helps in providing long-lasting natural look while smoothing wrinkles.

Radiesse can be used in the area of: nasolabial folds(smile lines), Marionette lines(run downward from the corners of mouth), Pre-jowl fold(area on either side of the chin), and Chin wrinkles(horizontal lines form on your chin).
What to expect after treatment?  Most patients experience volume correction or wrinkle resolution directly proportionate to the amount of filler used.
No special care needed following a Radiesse procedure.  Icing the areas injected are good measures to minimize swelling.  No increasing your heart rate or blood pressure through rigorous exercise for 4-6 hours afterwards.   Side effects may include some swelling or potential bruising which can be easily managed with over the counter painkillers, arnica montana (mountain daisy extract), and ice. The risk of bruising can be reduced through avoiding blood thinning medications.



Dear Friends,
As we age our skin tends to lose natural support structures that keep our skin supple and youthful. Collagen and elastin deplete within the skin, which causes unwanted wrinkles and creases. Lets talk a little bit about Radiesse, Radiesse is a wrinkle filler used to plump the skin. Radiesse filler is injected under the skin adding volume immediately. One great benefit of Radiesse is that it continues to stimulate your body’s own natural collagen over time. Results when using Radiesse have shown to last a year or more in many patients.  As with any injection while doing a Radiesse treatment, the injections can be a bit uncomfortable. Luckily, Radiesse is FDA approved to be mixed lidocaine to help reduce any discomfort. Radiesse also provides results with high patient satisfaction. When opting to use Radiesse the patient should inform Dr. Bishara about all medications they are taking. Blood thinners such as aspirin or any other medication that can interfere with the clotting of the blood can make it more likely to bruise or have more bleeding at the injection site. Radiesse is a viable option to help provide a long lasting natural look while smoothing wrinkles immediately.
Respectfully yours,
Mark A Bishara, M.D., P.A. Medical Director
    Spring, Texas Sugar Land, Texas Temple Texarkana, Texas Texas City, Texas The Colony, Texas The Woodlands Tyler, Texas University Park Victoria, Texas Waco, Texas Watauga,


What is Radiesse?
Radiesse is a synthetic gel wrinkle filler used to plump up your skin. Using a small insulin size needle Radiesse is injected under the skin.
Should I use Radiesse?
Radiesse is not intended if for you if you are allergic to any ingredient of Radiesse. Radiesse is not for you, if you desire only a short term augmentation.

How does Radiesse work?
Once injected under the skin, the works by adding volume under the skin. With time Radiesse has the benefit of continuing to stimulate your own body’s collagen.
Do Radiesse injections hurt?
As with any injection, Radiesse injections may hurt. Radiesse is injected with a very small fine needle and the doctor uses topical or local anesthetic to ease any discomfort.
How long does Radiesse last?
Radiesse effect differs in every person, but results have shown to last up to one year or more in each patient.
How many treatments are required?
During consultation your doctor will decide the number of treatment sessions and the amount of Radiesse you will need each session. Although significant augmentation may be achieved in the first treatment, a touch up may be required to get optimal results. Periodic future touch up treatment may be needed as well.

How often are Radiesse treatments given?
Depending on the desires and volume of treatment required the doctor will decide how often the Radiesse treatments will be needed.
What are possible side effect with Radiesse?
The most common side effect after treatment are redness, bruising, and occasionally some swelling. The effects are mild and tend to last for a short time. An ice pack may be used to help reduce any bruising or swelling.
Can i go back to work after a Radiesse injections?
Yes, in fact most patients feel comfortable to return to normal activities right after Radiesse treatment.
Could my current medication interfere Radiesse injections?
You should definitely inform your doctor about any prescription or over the counter medications you are taking. If you are taking any blood thinners such as aspirin or any medications that interfere with blood clotting, you are more likely to have bruising or bleeding at the injection site.


The holiday season with all its parties, family gatherings, and New Year’s resolutions can be stressful for men and women of all ages because this is typically a special time when they want to look and feel their best despite all the stress frequently associated with holiday events.
Dr. Mark A. Bishara, M.D. P.A. and his staff at The Paragon Plastic Surgery and Medspa can help each individual man or woman look and feel their best for all holiday events coming up.  Dr. Bishara takes the time to cultivate individual relationships with his patients in order to assure that they receive their desired look.  He uses the term “patient” because he says, “I feel the term patient is a more personal and appropriate term because I am working with people in personal ways.”
In his new state-of-the art facility completed in 2014, he offers the full gamut of cosmetic procedures such as robotic hair restoration, breast augmentation, tummy tuck and a variety of laser procedures. The calming music and soothing décor of his new facility create an atmosphere to ease the nerves of any anxious patient.  “Sometimes patients come in extremely nervous, and my goal is to provide a calming, relaxing environment to reduce their anticipated anxiety,” he said.  Additionally, Dr. Bishara takes the time to listen, discuss and explain all treatment options before outlining an appropriate treatment plan.
In his Paragon office in Mansfield, Dr. Mark A. Bishara, M.D. P.A. offers “Wrinkle-Free Wednesday.”  Patients can come in for Botox and Xeomin treatments at discounted rates.  It’s easy to see why this is the most popular and busiest day of the week for Dr. Mark A. Bishara, M.D. P.A. and his staff.  He treats hundreds of patients seeking these non-invasive, preventive procedures from 8am until 8pm.  “We go through enough Botox to remove every single wrinkle from an elephant’s skin,” he grinned, “but my goal is for them to still look like themselves,” he explained.
Also, as an AAAHC certified facility and dual trained surgeon, he can provide acute care as well as cosmetic surgical services.  His goal is to make sure that every patient’s needs are satisfactorily and effectively met.  In the spirit of giving this holiday season, Dr. Mark A. Bishara, M.D. P.A. plans to open a combined clinic that will offer reduced rates for general surgical procedures including lumpectomy, advanced laparoscopic hernia and gallbladder procedures, and varicose vein ablation.
“The current medical system in this country is not sustainable.  Hospitals and surgery centers charging $11,000 for a 15-minute procedure is simply not feasible when it could be offered at a more reasonable price,” he said.  These large centers are sometimes bound to hold pricing high due their contracted rates with insurance companies.  As a responsible physician, he wants to provide clinical services that promote and foster a medical system that is sustainable and affordable.  That is why he has announced the addition of four advanced laparoscopic surgeons to the staff at the Paragon Surgery Center in Mansfield.  Surgical procedures are now being offered to all patients state-wide for a cash price that is often less than some deductible plans.  Although this system is intended to be cash based, some patients will still be able to submit the charges for reimbursement through their out of network benefits.
As his services continue to grow and expand, Dr. Mark A. Bishara, M.D. P.A. has two other locations for the convenience of his patients; Southlake and North Park.
As the holiday season and the new year approach, let Dr. Bishara and his staff help you look and feel your best.  Call one of his three convenient locations at 817-473-2120 or email appointments@markbisharamd.com to make an appointment and ensure that you enjoy the holidays knowing that you truly look your best!

PLASTIC SURGERY & AESTHETIC MEDICINE- FDA Approves First Dermal Filler to Treat Acne Scarring
The U.S. Food and Drug Administration has approved the first dermal filler to treat pitted scarring of the cheek caused by acne, the most common skin disorder in the United States afflicting 40-50 million people.
Bellafill, developed by privately held Suneva Medical Inc, is made primarily of bovine collagen. When injected, it is designed to lift and smoothen scars to the level of the surrounding skin, in patients over the age of 21.
A cure for acne has long eluded drug developers. And despite treatments ranging from topical gels to lasers, nothing so far has satisfactorily treated scarring that affects up to 95 percent of acne sufferers.
A study testing Bellafill against a placebo in 150 acne patients showed a significant improvement in those receiving Suneva’s treatment that continued for up to a year, Suneva said on Tuesday.
“Until now, multiple laser treatments or other injectables have been used but are limited both in terms of efficacy and longevity and are hampered by potential side effects.
Approved in 2006 to smoothen “smile lines”, demand for Bellafill has grown more that 30 percent a year for the last several years, Suneva CEO Nicholas Teti said in an interview.
Pricing of the acne treatment is likely to be similar to that of the wrinkle treatment. Dosages would depend on the severity of the scarring.
San Diego-based Suneva, which was formed in 2009 out of the assets of Artes Medical, a publicly traded company that filed for bankruptcy the previous year, plans to launch Bellafill for scarring toward the end of January.
Sanford C. Bernstein analyst Aaron Gal, who covers Botox-maker Allergan Inc, termed Bellafill a “niche” product.
For these reasons, he said it was unlikely Bellafill would become “a big drug” such as Allergan’s Juvederm and Valeant Pharmaceutical International Inc’s Restylane.
Both are based on hyaluronic acid, a substance occurring naturally in the body but not approved to treat acne scarring.
This News Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa