Hair Loss News:
A man with a rare autoimmune disease that left him hairless was able to grow hair after treatment with an arthritis drug, Medical News Today reported.
The 25-year-old man has alopecia universalis, a rare autoimmune disease that causes hair loss over the entire body when the immune system mistakenly attacks hair follicles. Doctors at Yale University tried an unusual treatment using an FDA-approved drug, tofacitinib citrate, which is designed to treat the autoimmune disease rheumatoid arthritis. The patient was able to regrow a full head of hair, eyebrows and eyelashes, facial, groin and other hair.
The drug had been shown to successfully treat a less extreme form of alopecia in lab rats and this is the first reported case of success in a person.
“There are no good options for long-term treatment of alopecia universalis,” Prof. King explains, “The best available science suggested this might work, and it has,” senior author Brett A. King, an assistant professor of dermatology at Yale University School of Medicine, said.
The patient also had been diagnosed with plaque psoriasis, a condition that causes scaly red patches to develop on the skin. Prior to treatment, the only hair he had on his body were on the psoriasis plaques on his head.
After eight months of tofacitinib treatment, the patient has regrown all his hair and has not reported any side effects. Prior to treatment, he did not have any hair on his scalp or face for seven years.
Researchers suggested that the drug works by stopping the immune system from attacking hair follicles. King has proposed a trial using a cream form of the medicine as a treatment for alopecia areata.
There are 2.5 million Americans with alopecia areata, according to the National Organization for Rare Disorders. Symptoms typically surface during childhood.
This News is brought t you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa
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Pérdida del cabello Noticias:
Un hombre con una enfermedad autoinmune poco frecuente que lo dejó sin pelo era capaz de hacer crecer el cabello después del tratamiento con un medicamento para la artritis, informó Medical News Today.
El hombre de 25 años de edad tiene alopecia universal, una enfermedad autoinmune poco común que causa la pérdida de cabello en todo el cuerpo cuando el sistema inmunológico ataca equivocadamente los folículos pilosos. Los médicos de la Universidad de Yale intentaron un tratamiento inusual uso de un medicamento aprobado por la FDA, tofacitinib citrato, que está diseñado para el tratamiento de la artritis reumatoide enfermedad autoinmune. El paciente fue capaz de regenerar una cabeza llena de cabello, cejas, pestañas, cara, la ingle y el otro pelo.
La droga había sido demostrado con éxito para tratar una forma menos extrema de la alopecia en ratas de laboratorio y este es el primer caso de éxito de una persona.
“No hay buenas opciones para el tratamiento a largo plazo de alopecia universal,” Prof. Rey explica, “la mejor ciencia disponible sugiere que esto podría funcionar, y tiene” el autor principal Brett A. King, profesor asistente de dermatología en la Universidad de Yale Escuela Universitaria de Medicina, dijo.
El paciente también había sido diagnosticada con psoriasis en placas, una condición que causa manchas rojas escamosas de desarrollar en la piel. Antes del tratamiento, el único pelo que tenía en su cuerpo estaban en las placas de psoriasis en la cabeza.
Después de ocho meses de tratamiento tofacitinib, el paciente ha vuelto a crecer todo su pelo y no se ha reportado ningún efecto secundario. Antes del tratamiento, él no tenía ningún pelo en el cuero cabelludo o la cara durante siete años.
Los investigadores sugirieron que el medicamento actúa deteniendo el sistema inmunitario ataque los folículos pilosos. King ha propuesto un ensayo mediante un formulario crema de la medicina como un tratamiento para la alopecia a reata.
Hay 2,5 millones de estadounidenses con alopecia areata, de acuerdo con la Organización Nacional de Enfermedades Raras. Generalmente, los síntomas superficiales durante la infancia.
Esta noticia es llevado t usted por cortesía del Dr. Mark Bishara y La Cirugía Plástica y Paragon Med Spa

In an article in the Prime Dermatology journal, authored by Dr. Chang Jun Huhen, titled “Robotics, Artificial Intelligence, and the Future of Hair Transplantation”, Dr. Huh reviews the evolution of hair restoration surgical options and contrasts that to technological advancements and unique benefits offered by the ARTAS Robotic Procedure.


Over the past 10 years, robotic procedures have enhanced surgical care that doctors give their patients.  Robotic systems help surgeons improve the outcome for patients and help reduce manual and repetitive movements, which ensures more accuracy and precision.  The use of robots has paved the future for surgeries and will help patients have better experiences. The advantages of minimally robotic procedures appeals to doctors and patients, because of decreased pain and increased recovery time.
Restoration Robotics was founded by physicians and engineers to help develop a solution for hair restoration patients.  Robotic technology plays a role in Follicular Unit Extraction (FUE) because it gives patients consistent and safe results, with no visible scarring or long recovery time.  The ARTAS Robotic System enables surgeons to give their patients natural-looking outcomes with fast recovery time.
In the past, hair restoration involved Follicular Unit Transplantation (FUT), where a strip of scalp is surgically removed and individual hair grafts are generated by manual dissection.  This has been common practice FUT method since the early 90’s.  Soon after, manual FUE started, by using small dermal punches to remove single hair grafts directly from donor sites and implant them in the balding scalp area.  This was the beginning of a less invasive technique with faster healing time.
The ARTAS Robotic System is a FDA approved, physician controlled, interactive computer-assisted system that enables harvesting of hair follicles during hair restoration.  It is the first and only technology that allows physician-controlled, image-guided, robotic assisted FUE.  The robot is programmed to be able to do with great precision what physicians can do only with extensive experience.  The robot can harvest follicular units in a random pattern, or as a percentage of the total number of follicular units in a designated area.  The physician can make changes to dissection depths and angles during the process.  Because the robot is making the repetitive actions, it makes the process go much faster.
Benefits of ARTAS Robotic Hair Transplants:

  • Robotically precise and consistent
  • Reduced treatment time
  • Decreased discomfort
  • Faster recovery time
  • No linear scar
  • Undetectable donor area

The robotic system dissect grafts accurately and consistently, thousands of times with acceptably low transection rates of between 4.9%-8%.  The ARTAS system will also soon be able to use sophisticated 3D patient modeling and design to help create recipient sites at the rate of 2,000 per hour.  The addition of the ARTAS system attracts many patients that would be hesitant to try traditional transplant procedure, and allows physicians to take hair restoration to the next level and produce high patient satisfaction.
Please see the attached article for a more in-depth view of the ARTAS System.


Although platelet-rich plasma (PRP) has been used for many years in other medical specialties, including orthopedics,  it has only recently become one of the latest techniques with hair restoration.  PRP is used for all Hair Restoration/Hair Loss patients, including patients who have Robotic Hair Transplants. PRP is an exciting non-surgical therapeutic treatment for patients who require stimulation of hair growth for hair loss conditions. The use of PRP for the treatment of alopecia areata and androgenetic alopecia (hereditary male or female hair loss) is available from Dr. Mark Bishara’s office.
While PRP is in the early stages of scientific research in hair restoration, PRP is not meant to replace current FDA approved therapies such as DHT blockers and Minoxidil. but it is a promising non-surgical therapeutic option for those patients with hair loss.
What is PRP – Platelet Rich Plasma?
PRP Platelet Rich Plasma is the use of a person’s own blood platelets to enhance hair growth as a stand-alone treatment or to improve the recovery and results of hair transplant surgery. In the field of cell therapy and tissue regeneration, research is continuing to progress regarding the use of PRP’s ability to stimulate stem cells, improve wound healing, and rejuvenate skin and hair follicles. PRP is done in 3 month intervals
Growth Factors
The human growth hormone (hGH), insulin-like growth factor-1 (IGF-1), insulin-like growth factor binding protein-3 (IGFBP-3), basic fibroblast growth factor (bFGF or FGF-2), vascular endothelial growth factor (VEGF), and platelet-derived growth factor-BB (PDGF-BB)- levels are significantly elevated after PRP injection, supporting a possible ergogenic effect of PRP.
What is LLLT (Low Level Laser Therapy)
The LaserCap® using Low Level Laser Technology (LLLT) can help men and women of all ages who suffer from hair loss by emitting pulses of laser light energy to the scalp to stimulate the hair follicles and improve blood circulation in the area, encouraging hair growth once again. Men and women being treated for hair loss sit comfortably under the lasers as it gently delivers the phototherapy to the scalp. Most of our patients read a magazine during treatments. There is no pain or discomfort from the therapy–some patients do report some “scalp-tingling.”  The laser cap is much more successful and effective in hair restoration then hand held devices that are available on the market.   The usual treatments occur 2-3 times per week.  The laser cap is available to have treatments done in our office, or can be purchased and take home with you.
For more information on PRP, LLLT and other hair restoration treatments, please call our office at (817) 473-2120.  Please come in and get evaluated with an endocrine testing panel, that tests your thyroid, testosterone, iron, and serotonin levels, to name a few. We also refer out for scalp biopsies for female patients, to determine the causes of hair loss.
You can also visit us as www.MarkBisharaMD.com and our Facebook page at The Paragon Plastic Surgery and Medspa
 

For many people with thinning scalp hair, proven medical therapies and hair restoration surgical procedures are widely available and good options to restore hair loss and slow future hair loss. We receive many calls to our office, asking if we do eyebrow transplants, and we do.  Eyebrows are an important part of our appearance and is important to our facial symmetry. Thanks to great strides in hair restoration surgery, we are now able to restore all or part of the eyebrow.

Eyebrow Transplant

The most important aspect of transplanting eyebrows is to follow the natural hair direction very closely. Aangle changes are important to recreate the fan-like splay of hair at the medial aspect of the brow and the converging hair direction as one moves laterally along the brow. The recipient sites for the hairs are be made with a very fine-gauge needle that literally slides along the surface of the skin as the sites are being made, as this will insure that the hair will lie as flat as possible on the surface of the skin as it grows.
Single hair micrografts, placed into recipient sites that have been created at very acute angles to the skin surface, require a considerable about of skill and experience. In addition, when the patient’s hair is waved or curly, it is particularly important to rotate the hair so that curve of the hair shaft follows the natural curve of the eyebrow.

Please call our office at (817) 473-2120 for more information or visit our website at www.MarkBisharaMD.com

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How Long Does it Take to Heal from a hair transplant?

There is some redness and dryness after the procedure. Some patients experience swelling during the first week after surgery. Hair transplants are usually undetectable after 10 days. Follicular unit grafts are permanent in the scalp after 10 days.
Recovery time with the ARTAS Robot Assisted FUE System Procedure is much less and much more comfortable as compared to a traditional linear strip method of hair restoration.  As there is no linear incision required with an ARTAS Procedure, healing time is short, and you can usually go back to your daily activities after a day or two.  It takes approximately three days for the transplanted hair to “take” and for growth cells to be transferred from the follicles to the scalp.  You will be using the medical-grade saline salt solution that we provide on your procedure day along with a spray bottle to keep the newly implanted hair moist with the saline solution.  Don’t worry, all the post-procedure instructions are provided to you in writing and by email if you choose.  Also, our staff is always available to answer questions about your post-procedure care.  By about Days 7-10, the crusting will largely have subsided, leaving little evidence that any procedure has taken place at all.
Please visit the website of Dr. Bishara, who specializes in Hair RestorationRobotic Hair Transplants and Plastic Surgery at www.MarkBisharaMD.com or call our office at (817) 473-2120.