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

People always seem to be seeking treatment to reduce or eliminate the signs of aging on their face, hands and body. Minimally invasive procedures offer patients the results they desire without the hassle and lengthy downtime often associated with cosmetic surgery procedures. These treatments are designed to provide subtle enhancements that can improve your targeted problem areas, while allowing you to return to work and your regular activities the very same day.

Dr. Mark Bishara is proud to offer a wide range of dermal fillers and other enhancing, minimally invasive procedures in his Mansfield and Southlake offices.
Out of all minimally invasive procedures, BOTOX® Cosmetic is still the No. 1 non-surgical treatment performed in the U.S. after so many years. Why is this……because BOTOX works.
In our offices, patients are getting BOTOX treatments in record numbers. They want to look younger, healthier, and more vibrant. BOTOX can help patients achieve this at a reasonable price. These treatments work on patients of any age and with any skin type and have no downtime after treatment.
BOTOX can be used to relax the muscles of the face, temporarily erasing wrinkles on the forehead, between the brows, and around the lips, as well as laugh lines around the eyes. What’s more, studies show that when BOTOX is administered to younger patients, lines and wrinkles in those areas may be prevented altogether. There is definetely a trend of more BOTOX patients coming in their early and mid-20s.
The bottom line? New and improved treatments may come and go, but only a few will stand the test of time.

Sticking to a Schedule

It is important to stick to a schedule if patients want to get the most out of their Botox treatments. BOTOX can be great for quick rejuvenation if you decide that’s all you want, but its effects can also last longer if you maintain them.
There are many misconceptions regarding the most effective use of this injectable treatment. BOTOX is a great solution for women and men who may not be ready for facial cosmetic surgery and just want a little natural freshening. Even people who do proceed with actual cosmetic surgery benefit by BOTOX treatments afterwards to maintain the great results they got and make them last longer. At Dr. Bishara’s office you will receive a treatment plan based on your exact needs.
On average, the results of BOTOX appear within the first few days of treatment and last 3 to 4 months. The key to maximizing your results is planning in advance for your treatment sessions to occur every 3 to 4 months, just as the results are beginning to dissipate.
Injectable dermal filler treatments are also helpful as part of a patients’ personalized rejuvenation plans. Options such as JUVÉDERM® and RADIESSE® can enhance facial volume in key areas where we lose it with age, and thus restore youthful contours for a year, and they complement the results achieved with BOTOX.

We offer Botox weekly specials:

Wrinkle-FREE Wednesdays in our Mansfield office from 9am-5pm- Botox $10/unit
Wrinkle-FREE Rush Hour Thursdays in Southlake from 12pm-7pm- Botox $10/unit
At the offices of Dr. Mark Bishara and The Paragon Med Spa we would love to answer any questions you have regarding Botox and other fillers.  To schedule an appointment with Dr. Bishara, please contact our office directly at (817) 473-2120.

How To Defeat Aging!!

We are all struggling against the effects of aging. The more weapons we have to fight the monster of aging the better. Here are some weapons everyone should keep in her anti-aging arsenal. At the office Dr. Mark Bishara and The Paragon Med Spa- our main focus is to help patients restore or achieve their ideal appearance in order to feel confident about the way they look. Dr. Bishara and his staff are ecstatic to welcome you personally to our office and look forward to helping you very soon!

Our Paragon Med Spa has many different procedures that we offer which can be done as quickly over a lunch time with little or no down time such as our Lunch-Hour Facelifts, Fotofacial, skin tightening, and small areas for laser hair removal. Our aesthetician also offers many other services that can be done over a longer scheduled amount of time such as a Laser 360, tattoo removals, and bigger laser hair removal areas (legs, brazilian, back, etc.) Through the many options that are offered from our Paragon Med Spa we always have a solution for what you are wanting to achieve.
Please contact a member of our staff to see how we can help you fight aging signs with the following treatments:
  • Combine Botox and Fillers: Most of us have tried Botox. You don’t have to stop there, add some fillers too. Botox will soften dynamic wrinkles that occur as a result of continual muscular contraction. Fillers will restore volume and support. The combination is dramatic!
  • Invest in some laser treatments: The laser 360 is your best option. It combines three treatments in one procedure. The first step, Fotofacial, will remove unwanted skin discolorations such as pigmentation and blood vessels. The second step, NIR Skin Tightening will stimulate the production of brand new collagen and elastin. The final step is iPixel Laser Resurfacing restoring smooth texture All parts and layers of the skin are treated. The results are unmatched.
  • Stop the Abuse: Smoking, drinking alcohol, caffeine and drugs are not good for your skin or your body. They all accelerate the aging process. Stop!
  • Use skincare at home: Your at home skincare routine will help you maintain your skin as well as any treatments you may invest in. In addition to the basics (cleanser and moisturizer) everyone should be using an antioxidant, an exfoliant and an eye cream.
  • Wear sunscreen every single day: We know UV radiation causes cancer. It doesn’t stop there. When UV radiation is absorbed by the skin, it activates the body’s own natural substance MMP-1. This substance digests collagen. This means that when you are in the sun unprotected, you are digesting your own collagen! This is very bad!
  • Use Mineral Based Makeups: Try to find 100% quality mineral based make-up- especially after a LASER 360 or a chemical peel. Your skin has to breath for proper healing to take place, and most foundations and powders coat the skin, and trap oxygen from getting in. This can lead to many problems, if fact if you have tiny bumps under your skin, its probably do to your daily make-up routine. One ingredient to avoid is Talc, which clogs the pores, and irritants sensitive skin.
Dr. Bishara and The Paragon Med Spa’s unique treatments offer patients effective results through the most minimally invasive techniques. For more information about Dr. Bishara and his practice, feel free to explore our website at, or call the office today at 817.473.2120 to schedule a consultation with Dr. Bishara.


Some aesthetic surgery procedures carry hefty recovery times. While some people may be able to schedule a vacation to accommodate the time they’ll need recovering from a facelift, others simply can’t fit several weeks of recovery into their schedule. For these folks, “lunch hour “plastic surgery” can be a godsend.
What is lunch hour plastic surgery?
Lunch hour plastic surgery is a less invasive, non-surgical procedure that can help reduce or prevent wrinkles around the eyes, mouth and forehead. Most often, individuals visit a plastic surgeons or dermatologist’s office for an injection of Botox or soft tissue fillers.  Botox works by paralyzing certain muscles in the face that cause wrinkling, while soft tissue fillers can fill in wrinkles or add volume to facial features. What makes these procedures special is that they can be performed in just about an hour – on a lunch break, for example.
Is it worth it?
Some people may be discouraged by the idea of Botox and other non-surgical procedures, likely because of rumors that claim injections don’t offer real, long-lasting results. However, the American Society for Aesthetic Plastic Surgery (ASAPS) states that results from Botox can last for several months, and the procedure is not only a way to reduce wrinkles that have already formed but also prevent new ones from appearing on the face. For these reasons, Botox was once again the most popular non-surgical procedure in 2012, with ASAPS doctors performing more than 4 million injections. Those who are looking for true lifetime results may be more enticed by a full facelift. All of these services and may more are offered at Dr. Mark Bishara’s office.  Please call us for questions and more information at (817) 473-2120.

Sign up for a Consultation or Ask Dr Bishara a Question?
Dosage of Neurotoxins such as Botox and Dysport vary patient to patient. Patient muscle mass, gender and desired effect are all factors.  In general, men need more than women, and stronger muscle activity requires high doses.” Some doctors use a set amount for a specific are.  Dr. Mark Bishara, on average uses 25 units of Botox per area, such as 12.5 per side to treat Crow’s Feet, and 60 units for Dysport. Dysport has a more rapid onset than Botox, but takes a higher dosage. Manufacturer’s suggest that 10 units of Botox is equivalent to 25 units of Dysport, however overall results are injector dependent.
Mark A Bishara, M.D., P.A. Medical Director
This Information is Brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery and Med Spa in Mansfield and Southlake.
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