When it comes to tackling the signs of aging, you have to look at the problems that exist—loose skin, a loss of volume and textural changes. Fillers and injectables and surgery are not substitutes for one another. If the skin needs to be redraped, you need surgery. A filler can do a lot of things but it can’t ever get rid of loose skin. It’s important to be educated on the rejuvenating modalities available. Recovery, risks and expenses need to be considered. When comparing fillers, lasers and surgery, the price tag associated with each can be quite different, ranging froma few hundred to a few thousand dollars, if not more. Fillers and injectables are the most affordable option; lasers fall between fillers and surgery; surgery is the most expensive option.
Choose skin tightening treatments if you have minimal looseness in the neck area: Different from a true laser but often labeled as such, skin-tightening devices (relies on radio-frequency energy) to tighten loose skin by stimulating collagen at the dermal layer.They don’t resurface the texture of the skin but instead cause new collagen to be created by deeply heating the underlying layers of the skin with energy like ultrasound or radio frequency. The existing collagen is injured and reorganizes itself as part of the healing process. As it does this it tightens the skin to some degree.
What it can’t do: Correct textural issues; give the same end result as what can be accomplished with a facelift or necklift
What it can do: Create new collagen, which, in turn, lends a smoothing and tightening effect; can also be used to correct slight looseness in the cheeks and eyelids
Choose a necklift if you have moderate to extreme laxity and sagging in the neck area: A smooth, long neck is a quintessential characteristic of femininity. But with time, the neck loses its elastic support and the muscles become lax. If we are concerned as to how the neck line is defined, surgery may be the best option to correct it. During the procedure, neck muscles are tightened up and extra skin is trimmed away. If extra fat is also a problem, it can be removed.
What it can’t do: Improve skin quality
What it can do: Restore definition to the lower part of the face; reduce banding in the neck
Combination therapies, in which doctors use a mix-and-match approach to rejuvenation, are important. You almost always have to use lasers, skin care, neurotoxins, fillers and surgery together for the best results. For total rejuvenation it’s often recommended that several different procedures be done. While you can get good results with just surgery, a laser or fillers alone, using them in tandem may create better results. Surgery works to first rebuild the structure and foundation of the face so you know how much filler needs to be added to restore the lost volume. A good ongoing skin-care program is the true icing on the cake.
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Cuando se trata de la lucha contra los signos del envejecimiento, hay que mirar a los problemas que existen, suelta la piel, pérdida de volumen y cambios de textura. Las cargas y los inyectables y la cirugía no son sustitutos de los unos a los otros. Si la piel tiene que recubre, necesita cirugía. Un relleno puede hacer un montón de cosas pero no puede nunca deshacerse de la piel floja. Es importante ser educados sobre las modalidades de rejuvenecimiento disponibles. Recuperación, riesgos y gastos deben ser considerados. Al comparar las cargas, los rayos láser y la cirugía, la etiqueta de precio asociado a cada puede ser muy diferente, que van froma pocos cientos a unos miles de dólares, si no más. Las cargas y los inyectables son la opción más asequible; láser se clasifican entre las cargas y la cirugía; la cirugía es la opción más cara.
Elija apretar los tratamientos de la piel si tiene holgura mínima en el área del cuello: A diferencia de un verdadero láser pero a menudo etiquetados como tales dispositivos, tensión de la piel (depende de la energía de radio-frecuencia) para tensar la piel floja estimulando el colágeno en la dermis layer.They no recubrir la textura de la piel, sino que causan nuevo colágeno que se creará mediante el calentamiento profundamente las capas subyacentes de la piel con energía como ultrasonido o frecuencia de radio. El colágeno existente se lesiona y se reorganiza como parte del proceso de curación. Como se hace esto se tensa la piel hasta cierto grado.
Lo que no puede hacer: cuestiones de textura correctos; dar el mismo resultado final como lo que puede lograrse con un estiramiento facial o lifting de cuello
Lo que puede hacer: Crear nuevo colágeno, lo que, a su vez, se presta un alisado y efecto tensor; también se puede utilizar para corregir ligera holgura en las mejillas y los párpadosElegir un lifting de cuello si tiene de moderada a extrema laxitud y flacidez en el cuello: A, largo cuello suave es una característica por excelencia de la feminidad. Pero con el tiempo, el cuello pierde su soporte elástico y los músculos se vuelva flácida. Si estamos preocupados en cuanto a cómo se define la línea del cuello, la cirugía puede ser la mejor opción para corregirlo. Durante el procedimiento, los músculos del cuello se tensan y piel sobrante se recorta. Si la grasa extra es también un problema, que se puede quitar.
Lo que no puede hacer: Mejorar la calidad de la piel
Lo que puede hacer: Restaurar definición a la parte inferior de la cara; reducir las bandas en el cuello
Las terapias de combinación, en la que los médicos utilizan un enfoque mix-and-match para el rejuvenecimiento, son importantes. Casi siempre se tiene que utilizar el láser, cuidado de la piel, neurotoxinas, cargas y cirugía juntos para los mejores resultados. Para el rejuvenecimiento total a menudo se recomienda que se realicen diferentes tipos de procedimientos. Mientras que usted puede conseguir buenos resultados con la cirugía sólo, un láser o rellenos solo, usarlos en conjunto pueden crear mejores resultados. Cirugía trabaja para reconstruir primero la estructura y fundamento de la cara para que sepa cómo necesita mucho de relleno que se añade a restaurar el volumen perdido. Un buen programa de cuidado de la piel en curso es la verdadera guinda del pastel.
Esta información es traído a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med Spa

The first official day of summer is only eight weeks away, which means you have just enough time to whip your skin-and the rest of your body-into shape. Whether you need to tighten up, nourish or just get your good habits back on track, here are four excellent ways to treat your skin now so you’ll be ready to glow this summer:
Add antioxidants
Consuming and applying certain antioxidants, especially vitamin C, will actually boost your skin’s strength against the sun’s damaging rays. Grab a high-quality vitamin C serum to add to your daily skin-care regimen, and eat plenty of berries, beans, nuts, citrus and green veggies to add protection from the inside out.
Nourish dry skin
If you naturally have dry skin, the hot summer months can make it even worse. A great way to boost your hydration levels is with an oxygen-based facial that deeply delivers moisture to the lower layers of skin. You’ll notice a difference right away in the way your skin looks and feels. Day-to-day, use a toner to activate your skin’s natural oils, which will improve dry skin over time.
Tighten up your skin
You have just enough time to schedule a series of skin-tightening procedures that use near infrared, which is used to tighten the stomach, love handles and arms. You’ll need four to six once-a-week sessions to see results.
Start good habits
Eight weeks is plenty of time to see a real difference in your body through good diet and exercise, especially when paired with good sleep and a stringently followed skin-care plan. Cut back on simple carbs, especially sugar, and fit in five cardio sessions a week, plus two strength-training workouts.
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Noninvasive and doctor-administered, skin tighteners are machines that employ one of two types of energy, radiofrequency or infrared light, to tighten the skin by heating the dermis. This causes inflammation and a small injury, which makes existing collagen contract and new collagen to be produced.
Historically, plastic surgeons and dermatologists observed that ablative lasers tightened the skin. From there, a whole crop of nonablative skin-tightening machines hit the market. CO2 lasers were found to tighten the skin to some degree, but potential scarring, increased thermal damage and a prolonged healing period made them an undesirable option for the body.
Most modern-day devices are targeted strictly at tightening without damage to the outer layer of skin, with no downtime. Other current devices make small wounds in the skin, leaving the surrounding skin intact, with longer healing.
Keep in mind, not all lasers are tightening lasers. Some address acne, hair removal or hyperpigmentation; so if you’re undergoing one of these treatments, you shouldn’t expect tighter skin as an extra benefit.
Please call our office for more information at (817) 473-2120. We offer laser facial treatments, laser hair removal, laser skin tightening and laser tattoo removal.  Please visit our website at
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Many patients seek skin tightening treatments to combat the loose and sagging skin that givess an aged, tired or sickly appearance. Tightening loose skin using technological advancements can be an appropriate treatment for a number of reasons.

Tightening Loose and Sagging Skin

As we age our bodies produce collagen at a slower rate than when we’re young. Collagen makes up a large portion of the connective tissue in our skin and provides the framework that gives us a taut and youthful appearance. The loss of collagen allows skin to sag around our jaw line and cheeks. In many of these cases laser skin tightening can often help a person reclaim the taut-skinned, healthy appearance of their youth.

Weakened Elastin – and Aging Skin

Elastin is another important component of the skin’s biological framework. Elastin gives our skin its ability to stretch, expand and recoil to maintain a vibrant, tight look. As we lose elastin this ability diminishes. So sagging skin can appear in many different areas. Likewise, weight loss can bring about loose skin in areas that don’t recover well. Again, skin tightening treatments can be an effective solution in many of these cases.

Photoaging – and Loose Skin

Most already know that sun exposure is the skin’s natural enemy. UV rays can trigger pigmented lesions and a host of other problems and seem to speed up the aging process dramatically. The Alma Laser product line is poised to treat the effects of accumulated sun damage not only on the surface level but in the sub dermal layers where it counts.

Near infrared technology is used to penetrate deep heat to the deepest layers of tissue. This stimulates collagen production and tightens lax skin. Nearly any patient seeking fuller, tighter skin can benefit from laser skin tightening as a safe, noninvasive and effective procedure. The laser skin tightening procedure can be fully customized to help each patient receive the best possible results, depending on the skin condition, size and location of the targeted area and the strength of the laser exposure. Treatments should be performed once every two weeks for a total of 6, followed by quarterly maintenance.
Please call the office of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa at (817) 473-2120 for more information or visit our website at
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