“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.

Good Skin Care in Your 20’s, 30’s and 40+

20’s: The Issue- Dullness

In-Office Fixes: Microdermabrasion and Chemical Peels
When you’re young skin cells turn over, exfoliating every 28 days.  But as you move into your mid to late 20’s, that process starts to slow, and a natural decrease in skins sloughing ability. You’re left with a layer of dead skin that doesn’t evenly reflect light. Lunchtime procedures like microdermabrasion and chemical peels take less than and hour and leave behind only mild redness. During a microdermabrasion treatment, an aesthetician buffs away the top layer of skin.  For maximum results, consider a series of 3 treatments, spaced apart- followed by a chemical peel. Microdermabrasion removes any build up and then the chemical peel makes skin look brighter and more toned evening out skin discoloration and tightening pores.

30’s: The Issues- Fine Lines, Redness and Sun Spots

In-Office Fixes for Fine Lines: Injectables such as Botox
Those little lines that used to disappear as soon as you stopped smiling or frowning are suddenly here to stay.  Movements that cause skin to repeatedly crease in the same place eventually wear down the underlying collagen, creating lines that remain after muscles relax. Injectable muscle relaxers containing botulinum toxin A, such as BotoxDysport and Xeomin, temporarily paralyze muscles so you can’t make those wrinkle-causing movements. Expect smoother skin 72 hours post-injection and results last 3-4 months on average.  If you have no lines to speak of yet, these injections can be used as a preventative measure.  Small doses can prevent muscle action so you’ll never get the creases to begin with.
**6.1 million people had Botox treatments performed in 2012**

In-Office Fixes for Redness and Sun Spots: Laser Procedures
A rosy glow can be a sign of good health, but a constant ruddy complexion is a red flag. For some it’s a sign of sun damage. Excessive UV exposure weakens blood vessels until they no longer constrict after dilating.  For others redness stems for rosacea, a condition marked by flushing, broken blood vessels and acne-like bumps. Other issues like brown spots are a sign of chronic sun damage triggered by overexposure of UV rays. Unlike freckles these marks don’t fade after reduced sun exposure- but they will get darker with even more.
An IPL-Fotofacial will target and treat unwanted discoloration, pigmentation, broken capillaries, age spots and sun damage.  It also lessens the appearance of rosacea, fine lines and wrinkles. At The Paragon Med Spa our medical microdermabrasion also includes a chemical peel. Our Laser 360 treatment offer 3 technologies in 1 visit.  The Laser 360 is meant to be done in a series of 3 treatments and produces optimal results.  During this treatment a fotofacial, skin tightening and laser skin resurfacing are combined to offer the most comprehensive correction and rejuvenation.  Bonus:  Your skin will look tighter and feel smoother.

40+: The Issues- Sagging, Deep Creases and Hollowed Cheeks

Genetics and the effects of sun damage really start to show in this decade, as skin’s elasticity takes a nosedive.  Sagging skin and crow’s feet that showed up in your 30s are probably more pronounced now. And due to natural volume loss, you may be noticing new wrinkles especially around the lips and in between the nose and corners of your mouth. With age, skin loses fat, exposing folds and creases.
In-Office Fixes for Sagging and Deep Creases
Fillers such as Juvederm instantly plump indentations.  JUVÉDERM® Ultra Plus is used to treat deeper and more severe wrinkles and folds, and provides results that last up to one year. Injections take about 15 minutes to administer and do not require any anesthesia. Patients should avoid strenuous exercise and excessive sun exposure for the first 24 hours after treatment, but can otherwise resume normal activities right away.
In-Office Fixes for Hollowed Cheeks
Injectables such as Radiesse, reign supreme here too.  Thicker fillers are ideal for filling out hollowed cheeks. Radiesse is a stiff material, so it’s good for replacing volume as well as lifting the skin.  Radiesse provides an immediate fill plus long-term collagen stimulation for 18 months to two years.
Dr. Bishara provides a wide range of cosmetic procedures to help patients look and feel their best. These procedures are designed to improve the appearance of the face and body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. Please call our office to schedule an appointment at (817) 473-2120 or click on the button below.


Laser 360 Treatment FAQ’s

At the office of Dr. Mark Bishara and The Paragon Med Spa, we encourage everyone to get the facts about any laser treatment or procedure they’re considering.  Here are some Frequently Asked Questions about Laser360iQ. Please discuss your goals with a member of our aesthetic staff.

Is the Laser360iQ laser treatment safe?
Yes. Laser360iQ has been used on thousands of patients across the globe with beautiful results.
How long will a treatment take?
An exact treatment regimen differs with each patient and will depend on the condition of your skin and your aesthetic goals. One laser treatment may take a few minutes and another may take longer. You may have treatments that involve more than one of the Laser360iQ technologies. Typically, a Laser 360 treatment lasts for an estimated 2 hours.
Do I need to plan for time off for the treatments?
Laser360iQ requires no extended recovery time. We recommend our patients 3-5 days of “social down time”.
What alternatives to Laser360iQ are available?
Anti-aging creams and lotions can be used at home, but usually provide only a slight benefit and must be used indefinitely to maintain even modest results.
Other laser and light-based devices work well, but they typically focus on just one aspect of skin your skin’s condition. Most important, other laser and light-based devices may not be suitable for your skin’s condition or your skin’s type.
How long will my results last?
Laser360iQ is the ideal procedure to eliminate the discoloration, textural irregularities and other signs of aging that make your skin look older. After the procedure you will continue to age and to be affected by the sun and elements. You may choose to return to your provider periodically for touch-up treatments to maintain the healthy glow that Laser360iQ can bring.
Please visit Dr. Mark Bishara and The Paragon Med Spa and take action today.  Please contact our office at (817) 473-2120


Laser360iQ Is Not Your Typical Skin Laser

Laser360 is a revolutionary skin treatment which is a perfect match for anyone who refuses the idea those fine lines, wrinkles, skin discoloration, or other imperfections of the face, neck and chest are just a part of getting old. Laser360 can give you glowing youthful skin again. Many lasers designed for skin treatments concentrate on only one aspect of aging skin.
Laser360 is also a great tool for people who do not want to go “under the knife.” In just 60 days the technologies of Laser360 can take your whole countenance from tired and sagging to young and fresh. At the office of Dr. Mark Bishara and The Paragon Med Spa, we offer Laser 360 to our patients.
Laser 360 deals with the issues of aging that our patients are left with such as:

  • Skin discoloration – sun exposure can leave reddish or brown spots on the face, hands, arms, legs and even on our chest and back.
  • Rough texture – The older we get, we tend to lose a lot of our skin’s youthful smooth texture. Our skin can be appear dried out or hardened in places that can’t be covered up.
  • Increased laxity – Once collagen production slows down, our skin loses volume and starts to sag. People can develop bags under their eyes and even a slight set of jowls, which can make a person appear worn out.
  • Fine Lines or Wrinkles – Fine lines and wrinkles that accompany aging can become quite alarming. Some might notice that their wrinkles seem to deepen and lengthen almost overnight.

The signs of aging are complex and not every skin laser is right for all conditions. The best laser skin treatment is one that takes into account all of the conditions listed above. Furthermore, each laser skin treatment should be tailored according to the patient’s goals and performed by professionals trained on the device. The answer is Laser360iQ and its 4 breakthrough technologies:

  1. NIR – Deep dermal heating helps regain a healthy, youthful appearance
  2. AFT – Pulses of light even out skin color and reduce the appearance of damaged or broken blood vessels. It also helps to erase other color irregularities in your skin.
  3. Pixel Er:YAG – Precision laser technology creates thousands of microscopic perforations and stimulates new collagen to improve your skin’s texture and tone and smooth out fine lines and wrinkles.
Please visit Dr. Mark Bishara and The Paragon Med Spa and take action today. Stay tuned for our next blog on Laser 360 treatment FAQ’s.   Please contact our office at (817) 473-2120


If your face has been plagued with things like lines, wrinkles, dry skin, uneven skin tone, lack of collagen or elastin you know what that means. If you have large pores, broken blood vessels, sagging cheeks, droopy eyelids, broken blood vessels in the face, or chicken neck you know what a challenge that can be. Did you know there is a solution to these problems?
Laser Skin Resurfacing & Rejuvenation is something which has become an essential component for people dealing with any of these problems. Ideal for anyone who is motivated and excited to revitalize their look; they should investigate further the laser skin tightening procedures from Laser360.
Laser360™ is a skin treatment for anyone who would like to revitalize their look without invasive procedures or injections. You no longer have to accept fine lines and wrinkles or skin discoloration as an inevitable part of the aging process.  At Dr. Mark Bishara’s office and The Paragon Med Spa, we love helping patients restore or achieve their ideal appearance in order to feel confident about the way they look.
Laser360iQ™ combines 3 leading edge technologies over 60 days to reveal brighter, younger and healthier-looking skin. You can smooth away fine lines and wrinkles, reverse skin discoloration and revitalize your appearance.
Before and After pictures of some of our patients who have done a Laser 360:

It’s important to ask questions about any skin treatment and cosmetic laser procedures are no exception. Consider these questions:
1.)  Do you look in the mirror and look older than you feel?
2.)  Are you spending too much money on topical creams that don’t seem to help?
3.)  Does your skin appear saggy in places where it used to be firm?
4.)  Are you noticing more fine lines and wrinkles than you used to?
5.)  Do you see more signs of aging on your forehead, cheeks, around your eyes, upper lip or neck?
6.)  Do you notice sun damage, age spots or other unsightly discoloration?
7.)  Do you want to revitalize your appearance without having surgery?
If you have answered yes to more than one of the above questions, our Laser360 can help you regain your youghful glow. It may seem like any skin treatment or any laser procedure is the right course of action. This is not the case.
Topical solutions like anti-wrinkle creams require no expertise and may be applied at home. Creams and topicals, however, must be used continually and may provide only a tiny benefit. In some cases the improvement might not be noticeable.
Other light-based and laser treatments usually concentrate on only one aspect of aging skin. Laser360iQ is tailored to meet multiple signs of aging so that you get the most from your skin treatments:

  • Laser360iQ combines technologies to address all aspects of aging .
  • Laser360iQ is non invasive and requires minimal treatment downtime.
  • Laser360iQ can meet of needs of patients with all skin types.
You can take action today by visiting Dr. Mark Bishara and The Paragon Med Spa. Stay tuned for our next blog on Laser 360 and how it’s better than other skin treatments.  Please contact our office at (817) 473-2120 for more information