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Game over. Injectables, like Botox and Juvéderm, have officially come out of the closet. Gone are the days of celebrities treating injectables like a dirty little secret for younger-looking skin. Botox is everywhere in Hollywood. And why shouldn’t it be? It’s an easy way to erase wrinkles and lines in minutes—in some cases.
When injectables are done successfully, you get a natural, younger face that still looks like “you” with little to no downtime. Just ask former 90210 star Jenny Garth—she admits that she’s been a fan of Botox since 2008, among many an A-lister who also gets injected. Vanessa Williams says she uses Botox, but sparingly. Jenny McCarthy has been quoted saying she gets Botox injections in her forehead every two months. Singer Kylie Minogue has admitted to using Botox in the past, but recently has been quiet about injections. Kim Cattrall has been quoted saying she uses Botox to get rid of a wrinkles in her forehead. Full House favorite, Lori Loughlin, says the results of Botox are incredible and likens the results to looking like you just got back from vacation. Virginia Madsen is so impressed with how injectables have helped her fight off the signs of aging, she has actually appeared in commercials for Botox and Juvéderm. Daisy Fuentes has been quoted saying that as long as you don’t go overboard with it, Botox has a place, in your face, as you age. Courtney Thorne-Smith, another Botox brand celebrity representative, says she likes it, it works, and it’s just that simple. She’s been a fan of injections for the last 10 years. Lisa Rinna says she uses Botox every three months to ward off the hereditary scowl marks that run in her family.
And remember, if you’re considering injectables, make sure you are seeking treatment from a reputable and experienced board-certified dermatologist or plastic surgeon that uses FDA-approved fillers.
At the office of Dr. Mark Bishara, with offices in Mansfield and Southlake, TX- we offer FDA approved fillers such as Botox and Juvederm.  Our procedures help patients look and feel their best and are designed to improve your appearance. Please call our office to schedule an appointment for Botox or Juvederm at (817) 473-2120 or visit our website at www.MarkBisharaMD.com.
 

 

Botox could ease arthritis and cancer without side effects: Single injection could offer pain relief for months
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Botox, best known for smoothing out wrinkles, could also help soothe the pain of cancer, arthritis and migraines – without any side effects.
Sufferers of chronic back pain and women who have given birth by Caesarean section could also benefit from the ‘super-Botox’ jab.
A single injection could provide pain relief for months – removing the need for patients to take several daily doses of powerful tablets – and it could be injected into any part of the body.
Charities said the drug, invented by a researcher at Sheffield University, could revolutionise the treatment of pain.
The main ingredient of the Botox used to prevent wrinkles is a bacterial poison known as botulinum.
It works by preventing nerve cells from talking to muscles, which in turn stops muscles moving and wrinkles developing.
It can also stop pain signals from being transmitted for months at a time. The tetanus toxin ferries the pain-reliever to the spinal cord, where it stops pain signals being sent to the brain.
This News is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

Botox gives chronic migraine relief

Lady receiving Botox injectable treatment to the forehead 
Statistics show that 70,000 people in Scotland regularly suffer chronic migraines. For Gillian Patterson, Botox has provided her with much-needed relief.
Since being a university student, Gillian has suffered from excruciating migraines which meant she was forced to lay in bed for two or three days with the curtains closed, the lights off, paralysed by pain. The migraines also meant she was unable to hold a conversation or even think.
Speaking about those experiences, Gillian says: “Lots of things go through your head at times like that, such as ‘I’ve had enough. I can’t take any more.’ But most of the time it was like a mental paralysis.”
Gillian, now 40 from Jordanhill in Glasgow was first diagnosed when she was 20, forcing her to give up her hopes of graduating in French and business computing.
Her first migraine struck after a kidney transplant operation. The World Health Organisation lists migraines as one of the world’s 20 most disabling conditions.
Gillian has now been given fresh hope from Botox. Usually associated with anti ageing- the treatment is now being offered as a cure to migraines. Tests showed that patients who suffered from 19.1 days of migraines a month, suffered 8.2 less following Botox treatment.
Gillians first treatment included 33 injections to the head, neck and shoulders, paralysing the muscles so pain signals can’t pass to the brain.
Since then, the amount of drugs she needs to control the migraines has been halved and has now undergone her second treatment. Gillian is safe to have three treatments per year.
 
This News is Brought to You Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

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The history of BOTOX®

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BOTOX® (onabotulinumtoxinA) is a type of medicine that is used to treat patients with certain neuromuscular conditions. One of the most researched medicines in the world, BOTOX® treatment is approved for medical uses across the world.
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Since its FDA approval for aesthetic treatment in April 2002, the neurotoxin Botox has gone from a somewhat controversial treatment to a celebrity-endorsed wrinkle remedy. Injectables have become the new norm in cosmetic treatment. According to the American Academy of Facial Plastic and Reconstructive Surgery, the most common nonsurgical procedures last year were Botox and hyaluronic acid fillers.
It’s come a long way from its origins as an FDA approved treatment for two rare eye muscle disorders (strabismus and blepharospasm). The original name, Oculinum, doesn’t exactly roll off the tongue, but shortly after Allergan secured that first FDA approval in 1989, the product was rebranded Botox. Once physicians realized that Botox could treat wrinkles, the rest was history.
Botox reached nearly $1.6 billion in sales last year, attributing 51 percent to therapeutic uses and 49 percent to aesthetic uses. It became so successful that it gained its first FDA-approved wrinkle-reducing competitor in 2009-the sincerest form of flattery in the business world. However, Botox continues to evolve as new uses for the product are discovered. Used off-label, it treats a host of concerns such as crow’s-feet, down-turned corners of the mouth and bands on the neck. You may be surprised to learn that it has also been used, off label, to aesthetically treat enlarged pores, droopy eyebrows, a pointy chin and a droopy nose tip. Additionally, it’s an FDA-approved treatment for medical conditions ranging from chronic migraine to excessive sweating. Next up: the company is seeking FDA approval for the treatment of crow’s-feet.
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1950s- Scientists discover that botulinum toxin can reduce muscle spasms.
1960s/1970s- Studies explore botulinum toxin as a treatment for strabismus (crossed eyes).
1988- Allergan researches other medical uses of botulinum toxin.
1989- Allergan introduces BOTOX®, the first botulinum toxin approved by the FDA to treat blepharospasm (eyelid spasms) and strabismus.
2000- FDA approves BOTOX® therapy for cervical dystonia to reduce the severity of abnormal head position and neck pain.
2002- FDA approves BOTOX® Cosmetic (onabotulinumtoxinA), the same formulation as BOTOX®, with dosing specific to moderate to severe frown lines between the brow.
2004- FDA approves BOTOX® for severe underarm sweating when topical medicines don’t work well enough.
2009- 20-year anniversary of BOTOX®
2010- FDA approves BOTOX® therapy for increased muscle stiffness in elbow, wrist, and finger muscles with upper limb spasticity.

2011- FDA approves Botox for detrusor overactivity associated with neurologic condition
2013- FDA approves to improve symptoms of overactive bladder in adults
BOTOX® is the first medicine to be studied and then approved by the FDA specifically for the prevention of headaches in adults with Chronic Migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older.
Compared to other cosmetic procedures, BOTOX® offers patients many benefits with its convenience, effectiveness and affordability. The entire procedure takes about ten minutes to perform, and patients can go home and return to regular activities immediately after. The results of BOTOX® injections are visible within the next few days.
At Dr. Bishara’s office we have weekly Botox specials in our Mansfield and Southlake office locations.  Please call our office at (817) 473-2120 to find out more about our weekly Botox specials or visit our website at www.MarkBisharaMD.com.
Current Specials

In the quest for youth—or at least a more youthful appearance—women and men are seeking treatments to minimize laugh lines, crow’s feet, and forehead furrows. A popular treatment involves injecting cosmetic wrinkle fillers into the face.  At Dr. Mark Bishara’s office in Mansfield and Southlake- we offer injectables for our patients.
Injectable cosmetic wrinkle fillers are soft tissue fillers approved as medical devices by the Food and Drug Administration (FDA). These devices are injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. Most of these wrinkle fillers are temporary because they are eventually absorbed by the body.
Some people may need more than one injection to achieve the wrinkle-smoothing effect. The effect lasts for about six months or longer.
Successful results depend on:

  • health of the skin
  • skill of the doctor
  • type of filler used

Uses

FDA has approved absorbable injectable cosmetic wrinkle fillers for correcting soft tissue contour defects, such as moderate and severe wrinkles and folds. Some absorbable fillers are approved for restoring or correcting the signs of facial fat loss in people with human immunodeficiency virus (HIV).
FDA has also approved two absorbable injectable wrinkle fillers for lip augmentation in patients over the age of 21.
The only non-absorbable FDA-approved injectable cosmetic wrinkle filler is for correcting facial tissue around the mouth.
FDA-approved cosmetic wrinkle fillers should not be used for

  • increasing breast size (breast augmentation)
  • implanting into bone, tendon, ligament, or muscle
  • implanting into blood vessels

Filler Materials

Wrinkle fillers are made of various types of materials, and some include a combination of products. Some products also contain lidocaine, which numbs the skin at the injection site.
The materials used in injectable cosmetic wrinkle fillers include
Temporary (absorbable) fillers

  • Collagen injections are made of highly purified cow or human collagen. Collagen is a natural protein that is a major component of skin and other tissues in the body.
  • Hyaluronic acid gel is a protective lubricating gel, produced naturally by the body, that binds with water to plump the skin.
  • Calcium hydroxylapatite is a mineral that is a major component of bone. Calcium hydroxylapatite is a well-matched (biocompatible) material that dissolves in the body (biodegradable) and is implanted in the form of a gel.
  • Poly-L-lactic acid (PLLA) is a biodegradable, biocompatible, synthetic material from the alpha-hydroxy-acid family that has been widely used for many years in dissolvable stitches and bone screws.

Permanent (non-absorbable) filler

  • Polymethylmethacrylate beads (PMMA microspheres) are tiny round, smooth plastic particles that have been tested to be biocompatible. They are not absorbed by the body.

Risks

Getting injected with cosmetic wrinkle fillers is an elective procedure. As with any medical procedure, it poses risks. Most side effects occur shortly after injection and go away within seven days.
You should not use cosmetic wrinkle fillers if any of the following applies to you:

  • severe allergies marked by a history of anaphylactic shock
  • allergy to cow collagen or eggs
  • allergy to lidocaine
  • inflamed or infected skin
  • prone to form excessive scarring (keloid) or thick scarring (hypertrophic scars)
  • bleeding disorder
  • active inflammatory condition (cysts, pimples, rashes or hives) or infection; you should postpone treatment until the condition is controlled.

Tips for Consumers

Before deciding to get injected with a cosmetic wrinkle filler:

  • Be aware that the safety of these products is unknown for use in pregnant or breastfeeding women or in patients under 18 years of age.
  • Be aware that the safety is unknown when these products are used with Botox or other wrinkle therapies.
  • Be aware that the safety of these fillers has only been studied when used in the face.
  • Know the type of product that will be injected and all of its possible side effects.
  • Discuss fillers with a doctor who can refer you to a specialist in the fields of dermatology and aesthetic plastic surgery.
  • Select a doctor who is trained to do the procedure.
  • Have realistic expectations about the benefits you want to achieve and discuss them with your doctor.

What About Botox?

Botox Cosmetic is an injectable drug, but it is not a wrinkle filler. Instead of filling the wrinkle, it keeps muscles from tightening so the wrinkles don’t show as much. FDA has approved Botox Cosmetic only to treat wrinkles between the eyebrows.
At the office of Dr. Bishara and The Paragon Med Spa we offer both injectables, such as Botox, as well as fillers.  Dr. Bishara is a cosmetic surgeon and also performs the injections for all patients.  Please call our office to schedule an appointment at (817) 473-2120.