An article in The New York Times

The deep horizontal lines across his forehead and the yawning crevices between his brows bothered Michael Ross. In younger days, he said, he had baked too often in the sun, using a double record album covered in aluminum foil as a reflector.
”I take care of my body,” said Mr. Ross, now 42 and a middle school teacher. ”In a tank top and shorts, I look younger than the average 40-year-old. I was concerned that, from the neck up, I didn’t.”
That is why Mr. Ross, who lives in Briarcliff Manor, N.Y., was on the examining table one recent afternoon in the Great Neck office of Dr. Lyle S. Leipziger, chief of plastic surgery at North Shore University Hospital-Long Island Jewish Medical Center. He was there for a procedure that has rejuvenated many a female face of his acquaintance: a Botox tuneup.
”Smile for me, nice and big,” Dr. Leipziger instructed, and the wrinkles needing reduction stood out. The doctor stuck a slim needle into the crow’s feet around Mr. Ross’s eyes and injected them with botulinum toxin (Botox).
On an island where women already jam plastic surgeons’ offices, Dr. Leipziger and others have also been seeing a rise in the number of men who want to look fresher or who think that success in the workplace demands a more youthful appearance.
”Men now look in the mirror just as much as women,” Dr. Leipziger said. ”The desire to look good transcends the sexes.”
More men seem to be adding a stop at the plastic surgeon’s office to maintenance regimes that go far beyond a daily shave. Affluent suburban men are pampering themselves at day spas and salons with facials, manicures and pedicures, following trails well worn by women.
Though his thrice-yearly Botox treatments are still not a topic he’s very likely to bring up on the golf course, Mr. Ross says male friends frequently comment on how relaxed his face looks, even if they can’t quite figure out why.

Men still account for only about one-eighth of the 10 million cosmetic surgery procedures performed nationwide in 2005, according to the American Society of Plastic Surgeons, but their share has risen by 44 percent in the last five years.
”Men have become much more comfortable seeking plastic surgery,” Dr. Leipziger said.
More than 313,000 Botox injections, the most popular minimally invasive procedure, were given to men last year. Ranking next in popularity were laser hair removal, microdermabrasion and Restylane injections to plump sagging facial folds.
Because men’s muscles tend to be thicker than women’s, Dr. Leipziger said, more Botox is needed to achieve the same result. He told Mr. Ross that it would be two weeks before full results were visible.

Men are choosing more-permanent procedures as well. The most popular last year, according to the American Society for Aesthetic Plastic Surgery, were liposuction, nose reshaping (or rhinoplasty), blepharoplasty to remove bags and tighten the eyelids, breast reduction and face-lifts.
Dr. Michael Setzen, chief of rhinology at North Shore University Hospital in Manhasset, said that he had seen a 25 percent jump in men wanting nose jobs. Typically, he said, they come to his Manhasset office complaining of nasal congestion or sinusitis and then slip in remarks about disliking the bumps on their noses. He uses computer images to show what surgery could do for them.
”Men are very concerned how they will look afterward,” Dr. Setzen said. ”They don’t want to look feminine, they want to look very much like they do look, but they want the bump corrected.” Women, on the other hand, usually want a clear change, and may come in asking for a Nicole Kidman nose, he said.
Chin augmentations are also popular with men. ”Men are interested in a strong chin — that is a male dominant feature,” Dr. Setzen said.
South of the face, male patients often want help ridding themselves of persistent love handles or may be embarrassed by enlarged breasts, a condition known as gynecomastia.
Last month, Philip Shenassa, 46, a businessman from Kings Point, underwent breast reduction surgery.
”It bothered me for a long time,” Mr. Shenassa said. ”I was sensitive and constantly aware of it.”
He said that the surgery to firm up his chest, done by Dr. Leipziger, had made his looks much more professional.
”If you can improve your appearance and your self-confidence, what is wrong with it?” Mr. Shenassa said. ”If you know what you want from life, you should go for it and do it.”
Dr. Leipziger, who at 46 has naturally boyish good looks, said he hadn’t had any cosmetic surgery himself.
”But if I needed it, I would,” he added.
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 ARTAS System with Dr. Bishara- Consultation Appointments Now Available in Dallas at 5956 Sherry Lane, Suite 100, Dallas 75255 in addition to our offices in Mansfield and Southlake. Call to schedule your consultation appointment at (817) 473-2120

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Approximately 50 percent of all men experience some degree of hair loss. Prescription remedies can offer some benefits to existing hair, but hair restoration is the only permanent solution for hair loss. For the very latest technology in hair restoration, Dr. Mark Bishara is now using the ARTAS System. This interactive, computer assisted equipment employs image guidance to enhance the quality of hair follicle harvesting. ARTAS is the first hair transplant robot to improve the most challenging aspects of Follicular Unit Extraction (FUE).
This system enables the harvesting of hair follicles during hair restoration procedures. It offers numerous beneficial features, including an image-guided robotic arm, special imaging technologies, small dermal punches and a computer interface. The ARTAS System is capable of identifying and harvesting individual follicular units to implement the FUE technique. The device, guided by cameras and 3-D imaging software, can perform the dissection of hair follicles individually at a rate of up to 1,000 per hour.
Follicular Unit Extraction (FUE) offers less discomfort and a faster return to normal daily activities than traditional, more invasive methods of hair restoration. Performed in Dr. Bishara’s Mansfield or Southlake office, FUE with ARTAS moves healthy, functioning follicles to the areas of the patient’s scalp most impacted by baldness for more dramatic results. The implanted hairs develop their own blood supply, begin to grow and new hairs are seen a few months after the procedure has taken place. New hair continues to grow over the course of a full year, making the change in the patient’s appearance gradually noticeable to others. Healing time is short, and there is no resultant linear scar as happens with other methods of hair restoration. The only evidence is tiny, white scars left in the donor area, which are the same as those produced by manual FUE.
Robotic FUE with ARTAS increases the accuracy of harvesting grafts to minimize damage to the follicles. It also reduces harvesting time and improves the chances of graft survival. The FUE procedure involves removing hair directly from the donor region of the scalp in individual, naturally-occurring groups of one to four hairs. Dr. Bishara begins the procedure by separating the follicular units from the surrounding skin. The follicular units are then extracted from the scalp. Once a recipient site has been created, Dr. Bishara will implant the follicular unit grafts into the area to take root.
The use of the ARTAS System has significantly increased the accuracy and usefulness of the FUE procedure, and Bishara Cosmetic Surgery is the first hair restoration center in Texas to use the new robotic device for FUE.

Benefits of the ARTAS System- Technology Makes a Difference

The ARTAS System for FUE employs an image-guided robotic arm to separate follicular units from the surrounding tissue for subsequent extraction. The image-guided system allows this step to be accomplished with great precision. The procedure is performed under local anesthesia which makes it painless.
From the efficiency of the ARTAS System in extracting follicular unit grafts to the quality of the grafts to patient safety, the benefits are many. You can receive a high quality hair transplant with a less intensive time commitment, less anesthesia needed to numb the area, improved hair growth rates and a better overall FUE hair transplant experience.
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If you have any questions or would like to speak to a member of our team about the ARTAS® Robotic System, please call us at (817) 473-2120.
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The popularity of plastic surgery among Moroccan men has reached unprecedented levels unprecedented levels, says surgeons and cosmetic experts.According to the Moroccan Association of Plastic, Reconstructive and Cosmetic Surgery, the percentage of men frequenting cosmetic clinics and seeking plastic surgeries has risen from 5% to 25% over the past few years.
Men seek liposuction, nose jobs, facelifts, and several procedures that ensure the disappearance of wrinkles from the face and far from the body.
Studies also show that almost half the clients who request facelifts, and rhinoplasty are men, yet the difference is that men are usually very discreet about these surgeries, while women are more open about surgery and always notify their families before going through the procedures.
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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Plastic surgery advertisement is mostly directed towards women because 87% of all surgical and noninvasive cosmetic procedures in the United States are women. However plastic surgery for men is on the rise, by the latest statistics on male plastic surgery, men pick surgery to hide their faults while women use it to enhance their assets. Statistically, men preferred surgical solutions rather than repeated nonsurgical treatments. Although more men are undergoing noninvasive procedures, the number of surgical procedures for men are growing at a faster pace. Male facelifts has increased by 14% from 2009 to 2010, the fastest growing procedure. Also male rhinoplasty is still the most popular procedure done most often. These trends highlight the primary differences between what women want and what men what from cosmetic surgery. The most popular surgery for women is breast augmentation which helps gain self-esteem. Men, on the other hand, tend to favor more acute procedures that remove their faults, thus attaining self-esteem through subtraction. Men want procedures that come with hidden incision points, minimal scarring, and results that elicit a response of: “Have you lost some weight?” rather than: “Did you get a nose job.” Men’s desire for acute procedures that it has led plastic surgeons to come up with variation on common procedures. For example, a male’s facelift is handed quite differently from a female’s, for more subtle and masculine results. Cosmetic surgery for men continues to grow and gain acceptance. As long as plastic surgery solutions remain safe, affordable, and effective, men will continue to undergo cosmetic procedures
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.
Please also visit our Facebook page at Paragon Plastic Surgery and Medspa

We serve clients from the Dallas Fort Worth Metroplex:
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