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.


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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Have you ever considered treatments for loose skin? There are many non-surgical options out there for mild skin laxity. Here at Paragon Plastic Surgery and Med Spa, Dr. Mark A. Bishara and his staff stand behind the technology of Near Infrared Skin Tightening.

What is Near Infrared Skin Tightening?

Near Infrared is a wavelength that emits light in the 780-1000nm where the optical window is necessary for direct sub-dermal heating of the connective tissue. The light helps to heat up the water content of your skin which stimulates collagen to contract and tighten. Your body’s natural healing process will start to produce new collagen to firm and tighten the appearance of your skin.
Who is Near Infrared Skin Tightening for?
Here at Paragon Plastic Surgery and Med Spa we believe the best candidate for skin tightening are typically younger patients who are not candidates for surgery. Or, they may be older and experience mild to moderate skin laxity and do not want to undergo surgery. Another reason one might choose Near Infrared Skin Tightening over surgery is cost.
How long does it take?
The treatment can take 20-45 minutes depending on the size of the area being treated.
How many treatments does it take?
Here at Paragon Plastic Surgery and Med Spa for best results a series of 6 treatments done every 2-3 weeks is recommended for smoother, tighter skin.
Is there downtime?
There is no downtime after Near Infrared Skin Tightening. You will experience some warmth and redness that will fade within a few hours. Generally you may resume all regular activities after your treatment.
When will I see results?
You may see some immediate results with gradual improvement over a period of 4-8 weeks as new collagen is formed. Results can be maintained with one or two treatments a year.
If you are considering Near Infrared Skin Tightening or are curious if it is right for you, come see us at Paragon Plastic Surgery and Med Spa and let Dr. Mark A. Bishara and his staff recommend the treatment that is best for you and your needs.



What is Ultherapy?

Ultherapy is a non-surgical procedure that gives your collagen a jumpstart and puts it to work helping you to get rid of those aging fine lines and wrinkles. It treats areas such as your neck, eyes, chin and chest!

Are Ultherapy treatments safe?

Absolutely! Ultherapy is an FDA cleared treatment and it has safely been used for over 50 years!

How long do treatments take?

Ultherapy treatments typically can take anywhere from 30 to 90 minutes depending on the area that is being worked on.

How long before i see results?

Most people notice a slight difference right after their treatment.The true results will be visibly seen by the 2nd and 3rd month after the treatment.

Are Ultherapy treatments and  face lifts the same?

The purpose of Ultherapy is to treats the same layer of skin that is addressed when having a face lift. Ultherapy is a great alternative for patients who are a little bit more nervous of having a surgical procedure done.

How soon can i resume regular activities?

There is no downtime after your treatment. You may resume all normal activities immediately after your treatment as there are specific restrictions after the treatment and no social downtime.