“Oops! … I did it again.”

As Summer comes to a close everyone is thinking of this 90’s hit.  The suns’ alluring yet harmful rays have left you yet again with nothing but a fading tan, wrinkles and discoloration.

Fortunately, Mark A. Bishara, M.D. P.A. and our team of aestheticians at the Paragon Plastic Surgery and Med Spa are fully equipped to not only treat but reverse signs of aging due to sun damage.

The Paragon Plastic Surgery and Med Spa offer injections and our Laser 360 Treatment to help turn back the inevitable signs of aging due to sun damage. Mark A. Bishara, M.D. P.A. personally injects and tailors a treatment plan for every injectable patient of ours at the Paragon Plastic Surgery and Med Spa. We offer a variety of injections to treat signs of aging such as Botox, Xeomin, Radiesse, Juvéderm Ultra Plus, Juvéderm Voluma XC and Boletero.

Our non-invasive Laser 360 Treatment consists of 3 powerful treatments: IPL Photofacial, Skin Tightening and Ablative Skin Resurfacing. These 3 agents treat skin color, tone, texture and tightening. Our talented aestheticians administer the Laser 360 Treatment regularly and are extremely knowledgeable about our skin care lines which battle further sun damage and treat signs of aging daily.



BOTOX® and XEOMIN® injections reduce the appearance of facial wrinkles. These are injected into areas surrounding the eyes, forehead and mouth. Made from a purified protein, BOTOX® and XEOMIN® relax wrinkles and give the face a rejuvenated look for up to six months.
RADIESSE® filler reduces moderate to severe wrinkles, folds and creases around the nose and mouth by stimulating the natural production of collagen in the skin.
JUVÉDERM® Ultra Plus is used to treat deep and more severe wrinkles and folds. Provide results that last up to one year.
JUVÉDERM VOLUMA™ XC filler instantly adds volume to the cheek area. It gives you a subtle lift, helping to restore and contour a more youthful profile for up to 2 years.
BELOTERO BALANCE® is a filler that is approved to temporarily smooth out and fill in moderate-to-severe nasolabial folds. This injection specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips.


AFT Intense Pulsed Light evens out skin color, reduces tiny broken blood vessels and other color irregularities. Near-Infrared Light helps firm up any loose skin so you regain a youthful contoured appearance. Lastly, the precise laser creates thousands of microscopic perforations which stimulates new collagen to produce. Collagen improves skin texture and tone to smooth fine lines and wrinkles.

We all play in the sun, please allow us to correct the damage done!

Take a look at our website: for more information on the following treatments or give us a call at 817-473-2120 to schedule a personal consultation to discuss your options with Dr. Mark A. Bishara.

Some people are going to ‘unusual’ lengths to stop summer sweating. They’re putting needles full of toxins straight into their armpits.
Jim Lawson is a guy who sweats a lot in the summer. It doesn’t bother him when he’s out on his bike–he’s an avid rider–but when he’s at work giving a presentation or trying to lure new clients, it’s a different story.
“I get pretty nervous when I’m in a meeting with several people, and it always bothered me that I’d get all sweaty,” said the Dallas insurance salesman.
So every few months, he gets Botox injections in his armpits.
“It definitely helps. I don’t sweat so much,” he said “This just gives me a bit more confidence, I know I’m not going to get sweaty, my shirt won’t look wet.”
It’s a growing trend in Dallas.
People expect to sweat when they’re working out, but they don’t want to sweat in a professional environment. When they’re giving a presentation or have a big meeting at work.
Many male clients don’t call it Botox…they call it Brotox.
Botox is a toxin, and it must be kept cool. It works by blocking the nerve transmitters that cause sweating. A treatment is effective for up to six months.
Botox in the underarm area isn’t a new thing. Doctors have been using this as a tool against excessive sweating for a long time, actually,” said The Dallas Morning News medical expert Dr. Seema Yasmin.
“For some people it can cause swelling, redness, severe itching in the underarm area. And also because Botox paralyzes muscles, it can weaken the muscles in the underarm area,” she said.
Lawson says it’s worth every penny. And after two dozen tiny needle-pricks, he’s as confident closing new clients as he is riding around town.
En Espanol
Algunas personas van a longitudes ‘inusuales’ para detener la sudoración verano. Están poniendo agujas llenas de toxinas directamente en sus axilas.
Jim Lawson es un tipo que suda mucho en el verano. No le molesta cuando sale en su bicicleta – él es un piloto ávido – pero cuando está en el trabajo de dar una presentación o tratar de atraer a nuevos clientes, es una historia diferente.
“Me pongo muy nervioso cuando estoy en una reunión con varias personas, y siempre me molestó que me ponía todo sudado”, dijo el vendedor de seguros de Dallas.
Así que cada pocos meses, se pone las inyecciones de Botox en las axilas.
“Definitivamente ayuda. Yo no sudo mucho”, dijo “Esto me da un poco más de confianza, sé que no voy a conseguir sudoroso, mi camisa no se verá mojado.”
Es una tendencia creciente en Dallas.
La gente espera a sudar cuando están trabajando, pero que no quieren a sudar en un ambiente profesional. Cuando le están dando una presentación o tener una gran reunión en el trabajo.
Muchos clientes masculinos no lo llaman Botox … lo llaman Brotox.
Botox es una toxina, y debe mantenerse fresco. Funciona mediante el bloqueo de los transmisores nerviosos que causan sudoración. Un tratamiento es efectivo hasta por seis meses.
“Botox en el área de la axila no es una cosa nueva. Los médicos han estado usando esto como una herramienta contra la sudoración excesiva durante mucho tiempo, en realidad”, dijo el experto médico Dallas Morning News el Dr. Seema Yasmin.
“Para algunas personas puede causar hinchazón, enrojecimiento, picazón severa en el área de la axila. Y también porque Botox paraliza los músculos, puede debilitar los músculos en el área de la axila,” dijo ella.
Lawson dice que vale la pena cada centavo. Y después de dos docenas de pequeños piquetes de agujas, que es tan seguro de cerrar nuevos clientes como él está montando alrededor de la ciudad.

Ladies, you may be surprised to know what men talk about on “guy’s night out,” besides women and sports — “Brotox,” also commonly known to the rest of us as Botox (botulinum toxin A). The long-time cosmetic enhancement procedure, often linked to women, has now reached a wide group of men who desire to appear more youthful. According to the American Society of Plastic Surgeons, the number of men undergoing Brotox has gone up 10 percent from last year, but why? Amid fear of competition with younger folk in the workplace and in their personal lives.
“Any man’s afraid he’s gonna get bumped by somebody younger in business or personal life too. I think once he gets over the stigma of it being something feminine, I could see more men being drawn to it,” said an unidentified man to CBS Atlanta. Male patients express concern about their “employment and how it affects them in their job with their co-workers and with clients and people they meet.”
A multitude of men are currently making more appointments to “freeze” time and hold onto their eternal youth through this age defying treatment, but does the “freezing” effect work? Botox injections contain the bacterium Clostridium botulinum that can block signals from the nerves to the muscles so the muscle can no longer contract, preventing the onset of wrinkles when injected, says the Mayo Clinic. The treatment is used on forehead lines, crow’s feet, or lines around the eye, and frown lines.
The Botox procedure takes about a few minutes, with no anesthesia required. Patients will start to see results anywhere from three to seven days when the procedure begins to take effect. It is advised to avoid alcohol at least one week before treatment, and to stop aspirin and anti-inflammatory medications two weeks before treatment in order to reduce bruising associated with Botox.

Men have begun to adopt a more open attitude toward cosmetic procedures and have become more aware of the treatments available to them, as the age range of men being treated has widened. The BRO culture has fostered recent trends like the Hipster beard transplant, and now Brotox. The desire to climb the career ladder and keep up with the “younger-looking” has become the crucial reason why men opt for Botox — it’s surgery-free. Now, both men and women, vie to be the youngest and most desired of them all.

This News is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

What are they?
Denevervating agents (onabotulinumtoxina), available as Botox and Xeomin work by temporarily reducing muscle activity to inhibit wrinkle formation, specifically between-brow lines that resemble the number 11. By decreasing forehead furrowing, they eliminate wrinkles and fine lines that currently exist and also prevent new ones from forming, making them favorites of patients of all ages.
In addition to cosmetic applications, many of which are considered off-label (see below), Botox is also FDA-approved for hyperhidrosis (excessive sweating). Xeomin is approved to treat abnormal spasms of the eyelids (blepharospasm) in adults who have had prior treatment with Botox. Xeomin is considered a more purified version of botulinum toxin type A than Botox because it does not have any protein additives. Some say this may help lower the risk of allergy to the product, as they believe the allergy risk is associated with these proteins. Xeomin is also the first denervating agent that does not need to be refrigerated before use.
Denervating agents have played a major part in the age of injectables, and doctors continue to find new and novel uses for them, as well as innovative ways to use them in conjunction with fillers.

  • Eliminating wrinkles and lines caused by movement
  • Excessive sweating (hyperhidrosis)
  • Creating wider-looking eyes *
  • Fixing scars *
  • Reducing pore size *
  • Lifting the top of the nose *
  • Lessening a gummy smile *
  • Treating migraines and TMJ *
  • Eliminating neck bands and cleavage wrinkles *
  • Temporarily improving the appearance of frown lines and crow’s-feet
  • Treating chronic migraines, defined as 15 or more headache days a month, each lasting 4 or more hours
(*indicates an off-label use)
Treatments and ResultsJust like injectable fillers, a topical anesthetic may be applied to make treatment more comfortable. Then, over roughly 10 minutes (depending on how many areas are being treated), your doctor will strategically place several injections. 
Although the overall experience is the same as with Botox and Xeomin, the main difference is that Dysport kicks in quicker—the results can usually be seen in a day or two, whereas Botox and Xeomin typically take three to five days. The results of both are believed to last about the same amount of time: on average, three months. However, after a series of injections, Dysport may last up to six months.
Side Effects and RisksYou may be red or bruised at the injection site for up to a few days, and in rare instances, patients have reported mild flu-like symptoms after treatment. 
Please call The Paragon Plastic Surgery and Med Spa for more information on Botox and Xeomin at (817) 473-2120


If you want to stop wrinkles, Botox injections are a great, temporary solution. But if you are a little apprehensive, you’re not alone. That’s why we asked three NewBeauty readers to give Botox a try with Los Angeles dermatologist Rebecca Fitzgerald, MD. Watch to see their results and reactions to this trendy procedure.

This News is Brought to You Courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
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