“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.

There you are, living your life and so proud that you’ve gotten into the habit of using daily sunscreen, when one day you look down and, What? Are those sun spots on my feet?
Sorry, but yeah, probably. It’s so easy to consistently miss spots either accidentally or because you don’t think they get enough sun exposure to warrant sunscreen application. And since sun damage is cumulative (five minutes here, 10 there, over the course of a lifetime really adds up), it’s super important to take extra care to cover neglected skin as to keep your entire face and body looking young and fresh for as long as possible.
We’ve zeroed in on three body parts where sun damage commonly sneaks up. If you already see damage there, you can take steps to undo it, and if you don’t, then there’s no time like the present to take a proactive approach.
Spotty Chest
Why: V-necks, sheer fabric and itty bitty bikinis leave the vulnerable skin on your chest exposed to regular UV assault. Even sporadic exposure from the car or walking in and out of buildings contributes to this damage and discoloration.
What to do: Targeted products with brightening ingredients such as kojic acid, licorice extract, soy or niacinamide can help. Follow your normal skincare routine, but bring it down to the chest, and daily sunscreen is key to keep the spots from getting darker. For even more prevention, cover up with a scarf while dining outside or at sporting events.
Discolored Hairline
Why: So, you have a mysterious brown headband up at the top of your forehead? This is a common issue because the top of the forehead gets a lot of sun exposure, but people don’t like putting sunscreen there because it makes the hair greasy.
What to do: The best way to prevent this is with a hat, but at the very least, be sure to blend your sunscreen all the way up to your hairline. Matte or cream-to-powder formulas won’t gunk up your hair. To fade discoloration, the same ingredients that work on your chest (see above) work here, and additionally, chemical peels and IPL treatments in a derm’s office can help. Severe cases could benefit from a prescription retinoid or hydroquinone.
Old Feet
Why: Anyone who loves the freedom of wearing flip flops is prone to haggard feet, and the skin there is thinner than on the legs. Sun damage here can range from rough texture and fine lines to pigment changes.
What to do: Apply sunscreen and let it dry before slipping into sandals. Sunscreen formulated for active lifestyles and sports stays put longer, and handy sprays make it easy to coat your legs and feet. At night, wash and scrub your feet thoroughly and apply foot cream to keep skin soft and young.
This Information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa
Please also visit our Facebook page at the Paragon Plastic Surgery and Medspa for more information and news.

As summer is soon approaching, and we are out in the sun more and more, we want to educate patients on sun-safe behaviors and the selection and use of sunscreen for maximum protection.
Here are three important points to remember when shopping for and using sunscreen this summer.
1. Make sure your sunscreen is labeled “BROAD SPECTRUM” meaning it protects against both ultraviolet A (UVA) and ultraviolet B (UVB) rays. Both UVA and UVB radiation contribute to the sun’s damaging effects, which include sunburn, skin cancer, and premature skin aging.  The best sunscreen offers protection from ALL UV light.
2. Choose an SPF or 15 or higher — only broad spectrum sunscreens with an SPF of 15 or higher can state that they reduce the risk of skin cancer and early skin aging (when used as directed).
3. Use sunscreen early and often. Apply a good sunscreen liberally, and reapply after swimming or excessive sweating. There is no such thing as “waterproof” sunscreen. That term is no longer allowed on labels. Any claims of water resistance must indicate whether the sunscreen remains effective for 40 minutes or 80 minutes while swimming or sweating, based on standard testing.
But wait, there’s more! While knowing how to select and use the proper sunscreen is an important part of protecting your skin from the sun, these additional sun safety measures should be part of your routine this summer.

  • Avoid sun burns, intentional tanning, and use of tanning beds
  • Wear sun-protective clothing, a wide-brimmed hat and UV-blocking sunglasses
  • Seek the shade, especially between 10 AM and 4 PM
  • Use extra caution near water, snow and sand
  • Get vitamin D safely through food and supplements.

Enjoy your summer, but don’t let it damage or prematurely age your beautiful skin!
This information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa staff.
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While sun damage doesn’t happen overnight, it can seem like it visibly affects the skin in a rather short period of time. The more the skin is exposed to the sun, the more the collagen and elastin in the deeper layers is broken down, giving less support to the underlying muscles and the skin’s surface. As a response mechanism, the skin tries to protect itself from the damage, in turn thickening as a means of regeneration.

Treat sun-damaged skin at home:
Peptides and vitamin A need to be used consistently to help strengthen the skin and improve its texture. Retinol is key since it sheds the top layer of skin and strengthens it from inside out.  Use a Retinol regularly, because it keeps the skin in repair mode, creating new collagen and exfoliating the surface.
Free radical-fighting ingredients like green tea and vitamins C and E will help safeguard the skin from future damage.
Protection and maintenance are vital-once sun-damaged skin has been transformed, you don’t want it to regress. It is recommended to wear a sunscreen with ingredients that contain either physical or chemical blockers and broad-spectrum products, which provide protection from all UV rays. Also use antioxidants and a moisturizer.

Treat sun-damaged skin professionally:
Laser and light-based treatments, like Intense Pulsed Light (IPL) and both ablative and nonablative resurfacing procedures, work to reinstate the skin. IPL can help eliminate brown and red spots on the face and body. A downtime-free treatment, although several sessions are required, IPL helps to rejuvenate the skin so that it looks younger and fresher.
Treatments that tackle sun-damaged skin, including chemical peels, can improve the skin, too. But, if not done properly, they can cause more harm than good. Acid-based peels buffer the skin, making it more sensitive to the sun.
Fractional lasers, like Fraxel, get rid of discoloration while improving the skin’s texture. Instead of employing light, fractional resurfacing lasers create microscopic wounds in the skin-as the skin heals, the sun-damaged areas scab and flake off, and collagen is purportedly increased.
Interval treatments will be needed over time, because nothing lasts forever- not even the results of lasers.  Re-treatments every now and then will help maintain the longevity of your results for healthier skin. Please call our office at (817) 473-2120 for more information and questions on laser treatments and skin care.  You can also visit our website at  Dr. Bishara and The Paragon Med Spa provide a wide range of cosmetic procedures to help patients look and feel their best.