“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.

In the quest for youth—or at least a more youthful appearance—women and men are seeking treatments to minimize laugh lines, crow’s feet, and forehead furrows. A popular treatment involves injecting cosmetic wrinkle fillers into the face.  At Dr. Mark Bishara’s office in Mansfield and Southlake- we offer injectables for our patients.
Injectable cosmetic wrinkle fillers are soft tissue fillers approved as medical devices by the Food and Drug Administration (FDA). These devices are injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. Most of these wrinkle fillers are temporary because they are eventually absorbed by the body.
Some people may need more than one injection to achieve the wrinkle-smoothing effect. The effect lasts for about six months or longer.
Successful results depend on:

  • health of the skin
  • skill of the doctor
  • type of filler used


FDA has approved absorbable injectable cosmetic wrinkle fillers for correcting soft tissue contour defects, such as moderate and severe wrinkles and folds. Some absorbable fillers are approved for restoring or correcting the signs of facial fat loss in people with human immunodeficiency virus (HIV).
FDA has also approved two absorbable injectable wrinkle fillers for lip augmentation in patients over the age of 21.
The only non-absorbable FDA-approved injectable cosmetic wrinkle filler is for correcting facial tissue around the mouth.
FDA-approved cosmetic wrinkle fillers should not be used for

  • increasing breast size (breast augmentation)
  • implanting into bone, tendon, ligament, or muscle
  • implanting into blood vessels

Filler Materials

Wrinkle fillers are made of various types of materials, and some include a combination of products. Some products also contain lidocaine, which numbs the skin at the injection site.
The materials used in injectable cosmetic wrinkle fillers include
Temporary (absorbable) fillers

  • Collagen injections are made of highly purified cow or human collagen. Collagen is a natural protein that is a major component of skin and other tissues in the body.
  • Hyaluronic acid gel is a protective lubricating gel, produced naturally by the body, that binds with water to plump the skin.
  • Calcium hydroxylapatite is a mineral that is a major component of bone. Calcium hydroxylapatite is a well-matched (biocompatible) material that dissolves in the body (biodegradable) and is implanted in the form of a gel.
  • Poly-L-lactic acid (PLLA) is a biodegradable, biocompatible, synthetic material from the alpha-hydroxy-acid family that has been widely used for many years in dissolvable stitches and bone screws.

Permanent (non-absorbable) filler

  • Polymethylmethacrylate beads (PMMA microspheres) are tiny round, smooth plastic particles that have been tested to be biocompatible. They are not absorbed by the body.


Getting injected with cosmetic wrinkle fillers is an elective procedure. As with any medical procedure, it poses risks. Most side effects occur shortly after injection and go away within seven days.
You should not use cosmetic wrinkle fillers if any of the following applies to you:

  • severe allergies marked by a history of anaphylactic shock
  • allergy to cow collagen or eggs
  • allergy to lidocaine
  • inflamed or infected skin
  • prone to form excessive scarring (keloid) or thick scarring (hypertrophic scars)
  • bleeding disorder
  • active inflammatory condition (cysts, pimples, rashes or hives) or infection; you should postpone treatment until the condition is controlled.

Tips for Consumers

Before deciding to get injected with a cosmetic wrinkle filler:

  • Be aware that the safety of these products is unknown for use in pregnant or breastfeeding women or in patients under 18 years of age.
  • Be aware that the safety is unknown when these products are used with Botox or other wrinkle therapies.
  • Be aware that the safety of these fillers has only been studied when used in the face.
  • Know the type of product that will be injected and all of its possible side effects.
  • Discuss fillers with a doctor who can refer you to a specialist in the fields of dermatology and aesthetic plastic surgery.
  • Select a doctor who is trained to do the procedure.
  • Have realistic expectations about the benefits you want to achieve and discuss them with your doctor.

What About Botox?

Botox Cosmetic is an injectable drug, but it is not a wrinkle filler. Instead of filling the wrinkle, it keeps muscles from tightening so the wrinkles don’t show as much. FDA has approved Botox Cosmetic only to treat wrinkles between the eyebrows.
At the office of Dr. Bishara and The Paragon Med Spa we offer both injectables, such as Botox, as well as fillers.  Dr. Bishara is a cosmetic surgeon and also performs the injections for all patients.  Please call our office to schedule an appointment at (817) 473-2120.

Not so long ago, when a person went in for a cosmetic procedure, the entire procedure was kept under wraps as much as possible.  Though people speculated about whether or not someone they knew had had “work done”, rarely were such things discussed openly in public or even in privacy with friends.
But cosmetic procedures have changed a lot over the years. There are more technologically advanced procedures available today that require a lot less of a financial commitment and significantly less recovery time. The advent of Botox and other injectables and a variety of non-invasive liposuction options have made cosmetic procedures much more accessible and much more appealing to a wider range of people. As a result, more and more people are having cosmetic procedures performed and more and more people are also talking about their procedures more openly. at. Dr. Mark Bishara’s office we strive to help patients feel confident about their cosmetic procedures.

Though more people are admitting to having some sort of work done to cosmetically enhance their appearance, it is generally considered rude to ask another person about cosmetic procedures point-blank.  Many people will talk about their cosmetic procedures if they feel comfortable about it, but asking about it considered to be a social faux pas.  These days, patients are aiming to create natural looking cosmetic changes and when people notice the work that’s been done (and come right out and say it), this can be perceived as an insult.  And what if your friend or coworker hasn’t had any cosmetic procedures performed? Asking could make the person in question feel good about the way they look, or it could make them wonder if they need to consider a cosmetic procedure. Either way, you run the risk of putting your foot in your mouth.
One of the reasons why people change the way they look is because changing one’s appearance alters people’s reaction to their appearance.  It’s considered extremely rude to ask a person about whether or not they’ve had cosmetic procedures performed. It is best to let them confess to the procedure by their own volition.
If you suspect someone has had cosmetic enhancements, give them a compliment about their appearance. If that person wants to tell you about their cosmetic procedure, they’ll find an appropriate time or place to do so. Otherwise, you’ll just have to wonder. Remember, cosmetic surgery is not what it used to be and many people do end up spilling the beans. The whole point of cosmetic surgery is to make noticeable changes in one’s appearance and since approximately 9 million people in the United States underwent some kind of cosmetic procedure in 2011, many people feel like it’s counterproductive to keep their procedure a secret.  Rather than be secretive, many patients opt to clear the air and take pride in their renovated appearance. After all, who isn’t having work done these days?
To learn more about the minimally invasive and surgical cosmetic procedures that Dr. Bishara’s office offers, please call out office at (817) 473-2120 or click on the button below.

Liposuction is one of the most popular cosmetic surgery procedures in the US, and sculpts the body by removing undesirable areas of fat that have not responded to diet and exercise. This procedure may be used on the abdomen, waist, hips, buttocks, thighs, chin, cheeks, arms and more, and helps contour the body for an overall slimmer appearance.  Dr. Mark Bishara provides a wide range of cosmetic procedures, including liposuction, and body contouring and tummy tucks- as well as many others.

What is Liposuction?

The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body’s contour by removing excess fat from deposits located between the skin and muscle. Liposuction involves the use of a small stainless steel tube, called a cannula (from the Latin word for reed, tube, cane). The cannula is connected to a powerful suction pump and inserted into the fat through small incisions in the skin. Fat removal is accomplished as the suction cannula creates tiny tunnels through the fatty layers. After surgery, these tiny tunnels collapse and thus result in an improved body contour.
Have you looked at your figure and wondered whether you could benefit from liposuction? Here are a few things to think about when considering liposuction.

Fine-Tuning, Not a Complete Overhaul

Liposuction is not a weight loss solution. Before getting liposuction, you should be at or close to your ideal weight. Liposuction is for those who exercise, eat a balanced diet, and are in good overall health but need help eliminating deposits of stubborn fat in specific areas.

Does Liposuction Produce Permanent Results?

After liposuction, the new body’s shape is more or less permanent. If a patient does gain a moderate amount of weight after liposuction, then the figure will simply be a larger version of the new body shape. Fat cells that are removed by liposuction do not grow back. If the patient does not gain excessive amounts of weight, then the new more pleasing silhouette is permanent. Of course after liposuction, the clock keeps ticking, and advancing age will produce the usual changes in the shape of the body associated with the aging process. Nevertheless, the benefits of liposuction will always be apparent.
If you have excessive amounts of fat and loose skin in these areas, you may require a more comprehensive procedures such as a tummy tuck or other body contouring procedure.

What Happens if I Gain Weight After Liposuction?

The more weight a patient gains after liposuction, the less dramatic the results of liposuction will be. Ideally a patient should weigh less after liposuction by an amount equal to the weight of the removed fat. Thus, after 150 pound woman has two liposuction surgeries, where each surgery removes 4 pounds of fat (total of 8 pounds, equal one gallon), she should ideally keep her weight at or below 142 pounds. However, if she gains 8 pounds and thus weighs 150 pounds six months after liposuction, then the cosmetic results will still be pleasing but not optimal. And if she were to weigh 160 pounds after liposuction, then she would still look better than if she had not had liposuction, and her clothes might fit better, but her results would be less than ideal.

If I Do Not Gain Weight, Does Fat Come Back in the Treated Areas?

If a patient does not gain weight after liposuction, then fat does not come back in the treated areas. However liposuction does not stop the aging process. It is natural for the size and location of the body’s fat deposits to change gradually with increasing age. Despite expected changes with aging, the results of a successful liposuction should always be apparent.
Dr. Mark 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.  To schedule an appointment with Dr. Bishara, please contact our office directly at (817) 473-2120.

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