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

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


Michelle Obama, who turned 50 over the weekend, isn’t ruling out using plastic surgery or Botox in the future.
“Women should have the freedom to do whatever they need to do to feel good about themselves,” the first lady told People magazine in an interview hitting newsstands Friday, her birthday. “Right now, I don’t imagine that I would go that route, but I’ve also learned to never say never.”
Her message to women is to be healthy. Mrs. Obama says she has never missed a health checkup, including mammograms and Pap smears. She’s also had a colonoscopy.
“I don’t obsess about what I eat, but I do make sure that I’m eating vegetables and fruit,” added Mrs. Obama. “And as everyone knows, I do exercise.” Her “Let’s Move” campaign to reduce childhood obesity rates through the combination of exercise and healthier eating enters its fifth year next month.
Her workouts have also evolved from weight-bearing and cardio exercises to include things like yoga that she says will help keep her flexible.
Asked whether she has peaked at 50, Mrs. Obama joked that being first lady is “pretty high up.” She said she’s always felt that her life is “ever-evolving” and she doesn’t have the right to “just sit on my talents or blessings.”
“I’ve got to keep figuring out ways to have an impact, whether as a mother or as a professional or as a mentor to other kids,” the first lady said, noting that daughter Malia, now 15, will be in college when she and President Barack Obama leave the White House in January 2017. Daughter Sasha, 12, won’t be far behind.
“At that point in life, whoa, the sky is the limit,” Mrs. Obama said.
Despite her nonchalance about her upcoming milestone, Mrs. Obama noted that some things can still make her feel older. “Well, there are those times when your staff tell you they were born the year you were graduating from college. It’s like, really? Really? That hurts,” she said, laughing. “But I don’t feel that much differently than I did when I was younger.”
President Obama told People that he’s “always in awe” of his wife as she approaches her 50th birthday.
“Michelle is actually more beautiful now than when I met her,” he said. “And I think she’s wiser.”
Beyonce and Stevie Wonder rocked the White House at a star-studded, late-night dance party celebrating first lady Michelle Obama’s 50th birthday, which was planned by Barack Obama.
At 50, she’s got some of the most envied arms, a killer wardrobe, and quite the social life.  Happy 50th Birthday, Michelle Obama!
This News is Brought to You Courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

The emergence of new formulations of botulinum toxin and other neuromodulators in the pipeline awaiting approval by the Food and Drug Administration signal a need for clinicians to stay abreast of the various uses and potential adverse events.
Since the start of its therapeutic use in the medical arena decades ago, the utilities for botulinum toxin have been expanding for clinical as well as cosmetic indications.
“Botulinum toxin has shown to be a very useful therapeutic tool in medicine employed for the treatment of varying indications including eye disorders, pain and neuromuscular disorders, but perhaps its most popular applications are seen in the field of aesthetic medicine for the treatment of frown lines,” says Alastair Carruthers, M.D., clinical professor, department of dermatology and skin science, Vancouver, British Columbia. “Despite its extensive use for numerous medical and aesthetic indications, I believe that we have only scratched the surface of its potential.”
Currently, four botulinum toxin serotype A (BoNTA) and B (BoNTB) formulations are approved by the FDA, namely onabotulinumtoxinA (Botox, Allergan), abobotulinumtoxinA (Dysport, Medicis), incobotulinumtoxinA (Xeomin, Merz) and rimabotulinumtoxinB (Myobloc, Solstice Neurosciences). Of these, the BoNTA preparations are the most widely used worldwide and the only ones FDA-approved for aesthetic use.
Bright future
The future of botulinum toxin therapies is very exciting, as new and innovative toxin delivery modalities are developed, such as the topical RT001 cream (Revance Therapeutics), which has yet to be approved by the FDA. This uncomplexed BoNTA topical product has been shown to traverse intact skin and achieve a result, Dr. Carruthers says, that could open doors for novel clinical applications, such as the reduction of redness, oiliness and sweating after a brief application of the neurotoxin.
“A topical neurotoxin that can target the sweat glands, sebaceous glands and vasculature could help to treat numerous dermatologic conditions. Although I don’t think that this is going to significantly impact the injectable market, such a topical modality may expand the market dramatically,” Dr. Carruthers says.
Injectable neurotoxins have been shown to be effective in the treatment of headaches and migraines, and topical neurotoxin products such as Revance have also been shown to improve this condition, representing a novel treatment option for patients.
Other evolving indications for neurotoxin therapy in medicine could be the treatment of depression. According to Dr. Carruthers, there is an increasing number of studies being reported demonstrating that the use of botulinum toxin in frown lines can help improve depression in many affected individuals. Other changes being made to the botulinum toxin molecule could result in radical changes in the treatment of pain syndromes in the future. Novel neurotoxin formulations in the works could significantly help alleviate the pain typically associated with those syndromes, he says.
“I have had experience with all of the available neurotoxins and though there are fine differences among them, I find them all to be effective. As we get to know these products better and learn from personal experiences and future studies, we may begin to distinguish areas for which one may be more suitable than the other for a given indication,” Dr. Carruthers says.
This news is brought to you courtesy of Dr. Mark Bishara and The Paragon Surgery & Med Spa