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Fillers, Fat or Surgery: Which One should you choose?

Each option has its place when correcting the eyes.  Base your decision on what bothers you, your budget and the result you are looking to achieve.
Choose Fillers: to fix hollowing in the tear troughs if there is no loose skin.  Ideal patients are those who have a depression like a tear through in their lower lids, had too much fat removed during surgery, or are hollow under the eyes.  Fillers are reversible and no overcorrection is required.
Choose Fat: for longer lasting results.  Your plastic surgeon will remove fat from elsewhere on your body, clean it and then inject it under the eyes for volumizing effect.  Fat also blends the area between the lower lid and the cheeks.
Choose Surgery (Blepharoplasty): to correct loose skin or excessive muscle and/or fat in the lids.  Removing some of this volume and distributing the contours equally restores the look of the eyes.
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Rellenos, grasa o cirugía: ¿cuál debería elegir?
Cada opción tiene su lugar cuando la corrección de los ojos. Base su decisión en lo que te molesta, su presupuesto y el resultado que se busca alcanzar.
Elija Rellenos: fijar vaciamiento en los valles de lágrimas si no hay piel suelta. Pacientes ideales son aquellos que tienen una depresión como una lágrima a través de sus párpados inferiores, había eliminado el exceso de grasa durante la cirugía, o son huecos debajo de los ojos. Los rellenos son reversibles y no se requiere corrección excesiva.
Elija grasa: para obtener resultados más duraderos. Su cirujano plástico eliminar la grasa de otras partes de su cuerpo, limpiarlo y luego inyectarlo bajo los ojos por efecto de volumen. La grasa también combina el área entre el párpado inferior y las mejillas.
Elija Cirugía (Blefaroplastia): para corregir la piel floja o muscular excesivo y / o grasa en los párpados. Extracción de algunos de este volumen y la distribución de los contornos igualmente restaura el aspecto de los ojos.


We all have varying degrees of fat in our faces and a multitude of factors can cause changes to these fatty compartments. Volume loss occurs because of gradual changes in the appearance of the fat. There is a loss both superficially and at a deeper level that comes along with aging.

1. Yo-Yo Dieting And Extreme Exercising
Keeping fat off your body is no easy task since the body can’t be told where to lose weight from and where to keep it. So even if you want to “spot-treat” a specific part of the body, you may end up reducing the amount of fat in your face as well. The ups and downs of recurrent dieting cause a stretching of the ligaments that support the tissues of the face. This can result in a loss of elasticity and volume, which promotes an aging effect.
2. Excessive Sun Exposure
Although fat loss is not directly dependent on UV rays, it is important to protect your skin from the sun. If you don’t wear SPF daily, the sun will accelerate the breakdown of collagen and elastin in the skin. When collagen and elastin levels are of poor quality, the condition of the skin is affected and the loss of fat can be accentuated.
3. Hormonal Changes
Female hormones, especially estrogen, are partially responsible for changes in the amount and quality of fat. As hormone levels begin to dip, fat can start to thin out.
4. Too Thin Of A Frame
It is possible to be too skinny. When that’s the case, the aging process will become even more of your enemy than your friend. The reason: A naturally thin face has little natural fat to begin with and over time the inherent amounts of fat begin to diminish, causing an extremely haggard look.
5. Receding Bones
With age, we naturally lose bone mass in the face. The muscles also begin to atrophy to some degree. These changes alter the underlying structure of the face and can cause the cheekbones and midface to look collapsed (the effects usually don’t take hold until later in life). It’s noticeable in the 70- to 80-year-old patient and while it’s highly variable, the majority of resorption happens around the nose and in the central face.
At the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa we provide a wide range of cosmetic procedures to help patients look and feel their best, including injectables and fillers. These procedures are designed to improve the appearance of volume loss through minimally invasive techniques. Minimally invasive procedures offer patients the results they desire without the hassle and lengthy downtime often associated with cosmetic surgery procedures. We offer patients Botox, Xeomin, Radiesse, Juvederm Ultra Plus XC and the NEW Juvederm Voluma to help reduce or eliminate the signs of aging on their face.  Please call our office to see which product would be best for you at (817) 473-2120 or visit our website at www.MarkBisharaMD.com for more information on these.


As we get older, the edge of the lips becomes less shapely. Collagen and elastin, which give lips their pouty shape, break down over time, and lines around the lips settle in. Once these lines become etched into the skin, there’s less definition.
To recreate a youthful, heart-shaped outline, Botox, used off-label, can be injected along the edges of the upper and lower lip line, temporarily relaxing the muscles that can cause wrinkling. The procedure requires no anesthesia and takes only 10 minutes.
To further enhance the contours of a thin, wrinkled lip line, your dermatogist or plastic surgeon may also suggest a hyaluronic acid filler like Restylane, Juvederm or Perlane for increased volume. The results are immediate and can last up to a year, depending on which product is used.
Fillers do not damage the existing tissue; they simply add volume by allowing the material injected to be interspersed among the fibers and cells already there. As fillers gradually disappear, lip volume returns to its previous condition.
Dr. Bishara is proud to offer a wide range of dermal fillers and other enhancing, minimally invasive procedures, in both our Mansfield and Southlake office locations.  Please call our office to schedule an appointment at (817) 473-2120 or visit our website at www.MarkBisharaMD.com for more information.
 


Hyaluronic acid occurs naturally in the body, so Dr. Bishara overwhelmingly recommends hyaluronic acid fillers-such as Restylane or Juvederm-to augment the lips.
In addition to augmenting your lips, if you want to reduce facial wrinkles and lines, hyaluronic acid may be a good choice as a dermal filler because of its compatibility with the human body. In fact, this substance is found in almost every single living thing. In humans, it acts as a network that transfers essential nutrients from the bloodstream to skin cells.
When this gel is injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple.
Studies have also revealed that these fillers may stimulate surrounding collagen cells to produce even more collagen, resulting in a longer-lasting fill.
After your Juvederm treatment, expect your lips to feel full and a little tight. Your improved pout will feel different for the first few days. Swelling, redness or bruising should dissipate within a week.
Please visit our website at www.MarkBisharaMD.com for more information on Botox injections, and fillers such as Juvederm Ultra Plus XC and the NEW FDA approved Juvederm Voluma.  You can also call our office at (817) 473-2120 for questions regarding hyaluronic acid fillers.