Robotic Technology Is the Future of Hair Restoration Surgery


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With all the press surrounding health care reimbursements and related topics, it’s easy to forget that there are still new and exciting procedures you can offer patients for the benefit of both your patients and your practice.
Robot-assisted hair restoration is one such procedure. The ARTAS System enables physicians to offer their patients a minimally invasive procedure that leverages image guided robotics to deliver permanent, natural looking results. Demand for a less invasive hair restoration solution has seen a very substantial increase over the past few years and patients are willing to pay a premium price for the benefits.
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When balding becomes an issue that affects your self-esteem you may decide to do research on ways to treat your situation. You may be enticed by commercials to use spray on hair, or gels and creams that promise you a miracle. When you are the one suffering and looking for answers it is easy to be taken in by these empty promises.
 
If you are in this position you should look for a real solution. One that gives you real results. During your research you may have heard about hair transplants. This is one of the best solutions that has been used by many men with the same issues as you. And it has been very successful.
 
When you consider hair transplants you will learn about a couple different procedures.  You will learn about FUT which stands for follicular unit transplantation and FUE which stands for follicular unit extraction. FUT has been a very popular technique that has helped many men regain hair growth in areas of hair loss. With this procedure a strip of skin from the scalp is removed and follicular units are microscopically dissected to be transplanted in the area where hair is missing.
 
With FUE surgeons have refined a surgical procedure harvesting bald resistant hair follicles by using a punch which extracts the donor hair follicles which are then transplanted into areas where the hair is missing using a small incision. Follicular unit extraction is being used by many more men due to the fact that the procedure is much less invasive than FUT with quicker healing time at the donor sites than the site where the donor strip of skin is taken during the FUT procedure.
 
When you have done your due diligence and choose follicular unit extraction you will be very satisfied with your decision. You will enjoy a  quicker recovery time, less pain in donor areas, no noticeable scarring and results that will give you back the self-esteem you have been missing.
 
When comparing the procedures please note that follicular unit extraction does take more physician time which makes this technique more expensive than FUT. The decision is yours. Only you know your personal circumstances and your financial limitations. This can be a life changing decision giving you back that missing self-esteem, so making the choice to go with follicular unit extraction seems like the right one.
 
The next step for you at this point is to make an appointment to see Dr Bishara who will go over the details with you and get you scheduled for your procedure. Don’t let baldness put a cramp in your personal life. Get yourself an appointment today.
 
 
Mark A Bishara, M.D., P.A. Medical Director
Bishara Cosmetic Surgery and Hair Restoration
Bishara Cosmetic Surgery and The Paragon Med Spa 76063 serves clients from the Dallas Fort Worth Metroplex:
,    , , Tyler


 




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As many as 50 percent of men will experience some hair loss by the age of 50, and many women also suffer from a genetic predisposition to permanent hair loss. There exist a variety of medications and treatments to halt the progress of hair loss, and a multitude of products designed to conceal or disguise thinning or lost hair, but only a hair transplant can restore hair that has already been lost. As such, many people seeking to regain the appearance and feel of their own hair consider hair transplants. Transplanted hair is in all ways real and natural, because it comes from areas of the patient’s own scalp that are not affected by hair loss; the back and sides of the head of not susceptible to genetic pattern balding. Within a few months of the procedure, the transplanted hair will grow as normal, requiring no special attention or treatment beyond normal hair care. The technology of hair restoration has progressed in recent years, offering patients the precision and ease of a robot hair transplant.
A robot hair transplant is very similar, in principle, to a manual FUE (Follicular Unit Extraction) transplant procedure, in which naturally-occurring units of one to four hair follicles are extracted from the donor area of the scalp under local anesthetic. Each follicular unit, about a millimeter in diameter, is then grafted into the areas of the scalp affected by balding. In contrast with other procedures, in which a strip of skin containing follicles is harvested from the scalp whole, and then cut into follicular units, FUE is more precise in its follicle harvesting. Rather than leaving a long, linear scar where the donor tissue was removed, FUE creates much less scarring at the harvest site and less discomfort for the patient, and requires a shorter healing time. However, FUE is a more labor-intensive harvesting process, requiring hours of repetitive labor, keen perception, and careful judgment.
Using the ARTAS System, a robot hair transplant removes the guesswork and potential for human error from the harvesting procedure. Under the control of a physician, the ARTAS System uses cameras and 3-D imaging computer software to guide the robotic arm to perform the graft extraction. The imaging system can recognize individual hair follicles, and the computer uses an algorithm to determine the optimal angle at which to extract them to prevent damage to the follicles as they are removed. Even the most experienced human physician will have an average rate of transection, or cutting through the follicle, of 20-30 percent; the robot hair transplant system reduces the transection rate to an average of 8 percent, resulting in more intact follicles and a more efficient harvesting. The ARTAS System harvests follicular units at a much faster rate than can be done by hand, reducing the length of the procedure, the amount of anesthesia that must be used, and the patient’s discomfort, while shortening the time that the harvested follicular units must be stored before they are transplanted manually by the physician. This ensures that as many follicles as possible survive to take root and grow in the treatment site.
The ARTAS System received clearance from the FDA in 2011, and every physician who operates the system receives special training in its use. Use of the ARTAS robot hair transplant system guarantees a patient the most precise, least invasive, least uncomfortable hair transplant procedure available today by removing human error from the follicle harvesting process. If you are considering a hair restoration procedure, a robot hair transplant can offer you the precision, efficiency, and quick recovery time that your life demands.Mark A Bishara, M.D., P.A. Medical Director
The Paragon Plastic Surgery and Med Spa




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Research trials are being conducted in the clinic of Dr. Mark A. Bishara.
Documenting the FDA approved research on Follicular Unit Extraction (FUE), Dr. Bishara is demonstrating results while generating clinical data.
Using recently developed technology, an interactive computer system called ARTAS employs image guidance for individual hair follicle harvests. FUE, a traditionally labor-intensive process involving repetitive transplants of tissue, now employs the image-guided robotic arm in an extremely precise procedure that reduces scarring and other difficulties of the surgical FUE process.
Highest Quality Results Seen To Date
A computerized robotic arm delivers the highest quality results seen to date in the hair transplant field. Problems such as tightness or numbness of scalp, and painful healing have become resolved. With increased graft survival rates and reduced time spent harvesting follicles, forward progress in the technology of medical science is also being noted.
Image guidance enhancement provided by the ARTAS computer system supports the faster harvesting process likely to replace the strip transplant method that leaves hairline scars. Guided by cameras and 3D imaging software, the unit dissects follicles into units and removes them at a rate of 1,000 per hour. The carefully tested equipment is maintained for safety and precision.
A Physician Controlled, State Of The Art System
Harvesting the hair follicle during the restoration procedure offers numerous benefits. Precise technology makes dermal punches using a computer interface. The only natural, permanent and now– completely undetectable hair replacement process is  available in this clinically supported, comfortable office environment. Experience less discomfort and much faster healing using a less invasive method.
Using the FUE with the ARTAS, Dr. Bishara moves healthy follicles to bald areas for a surprisingly effective result. The implants begin to develop a blood supply to grow and soon new hair is visible. Within a short time hair is growing and normal appearances have been restored.
Accuracy and Increased Survival Rates
With the robotic FUE using ARTAS accuracy, an increased harvest time is accomplished. This minimizes general damage for increased new-hair thickness and minimizes damage to the individual follicles in particular. It also enhances graft survival rates. Removed in groups of one to four, Dr. Bishara removes units from the skin and moves and replants them in a process taking one to four hours.
Robot Hair Transplant
Separation of  follicular units from surrounding donor-tissue, is highly repetitive and labor intensive. It requires great precision. For success the action requires perfect centering of a punch over a follicle unit. Perfect alignment of the dissecting instrument over follicles prevents damage. Human variability and error are more common in this manually labor-intensive process. Robotics make things far more precise. Long hours of manual surgical removal in repetition with replanting of follicle units is currently the only other viable treatment options that has slower healing times, higher levels of pain and discomfort and is not as reliable in the end.
Manual FUE procedures require repeated follicle moves hundreds to thousands of times in a typical hair restoration procedure. Bishara Costmetic Surgery is the only location in Texas this specific robot hair transplant system is being researched, documented clinically and made available for the public by private appointment.
This safer, faster, more productive robot hair-treatment and hair-growth system cannot be equaled from within the medical field. The highest available modern technology can be delivered with this ARTAS system for FUE by robot–the hair transplant with extraction and replanting of hair follicles used because it is effective, non invasive, pain free with limited anesthesia, while showing markedly improved hair growth, thickness and longevity in results.
Mark A Bishara, M.D., P.A. Medical Director
The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX
 






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Imagine meticulously counting the hairs on a portion of your head. Now imagine identifying and manually extracting tiny, randomly-spaced units of hair follicles, moving them to another location, and re-implanting them. If that sounds labor- and time-intensive, you’re right. For patients desiring quality FUE hair transplants (follicular unit extraction) with a natural hairline and acceptable density, however, it was the state of the art for many years. Fortunately, technology wasn’t standing still. Today, the ARTAS robotic hair transplant system—now offered exclusively in Texas by Dr. Mark Bishara—has brought digital optics and cutting-edge computer-aided robotics together to substantially automate what was once a tedious, prolonged procedure.
 
FUE hair transplants are the gold standard in hair replacement—minimally invasive, no staples or sutures, and offering quick recovery plus a high success rate of transplanted hairs. Typically, the surgeon employs a 1 mm dermal punch to manually extract follicular units containing from one to four hairs from donor areas of at the back and sides of the scalp. These follicles are genetically immune to  male pattern balding and remain viable for life. After the follicular units are removed, the surgeon transplants them to balding areas to restore a natural hairline and scalp coverage.
 
While the results are highly aesthetic, there are downsides to conventional FUE hair transplants. Sessions are extremely lengthy and costly, as well as fatiguing to both surgeon and patient. Most of this results from the time-intensive process of identifying, isolating and extracting FUEs from the donor area. Accuracy in the extraction process—an important factor in the survival of follicle units in FUE hair transplants—is also dependent upon human factors which may be inconsistent, particularly in long, tiring sessions. This is one reason why only ten percent of hair restoration surgeons perform challenging FUE hair transplants, despite their incontestably superior results.
 
The ARTAS system utilizes digital imagery to magnify and track follicular units in the donor area, then precisely isolates and extracts them with a dissecting needle punch on a robotic arm, monitored by the surgeon. The time required for the extraction process is effectively cut in half. ARTAS can extract up to 1,000 follicular units per hour for FUE hair transplants which are then manually implanted by the surgeon in the balding area. Follicular units extracted by ARTAS are removed intact and with a reduced rate of “transection” (damage to the follicle caused by extraction). ARTAS boasts a transection rate of just 8 percent compared to up to 30 percent for manually-extracted FUE hair transplants.
 
ARTAS software identifies and isolates follicular units for extraction in a random pattern, preserving a  natural appearance in the donor area. To prepare for FUE hair transplants, patient’s donor area is shaved down to a 1 mm length and numbed with a local anesthetic. The patient sits in an ergonomically-designed chair with the robotic arm positioned over him. A skin tensioner placed on the scalp has markings which serve as optical reference points, enabling the computer to track and compensate for movements of the patient’s head. ARTAS identifies the location and angle of each follicle within the donor area and utilizes complex algorithms and programming to determine the proper approach for extraction. Each extraction is previewed by the surgeon on a monitor, who inputs additional instruction to the computer. The robotic arm uses a sharp needle to score the skin, then a punch to dissect the follicular unit from the skin.
 
Follicular units extracted by ARTAS generally require no trimming or processing and are available for implantation immediately after extraction, enhancing the success rate of the grafts and the ultimate cosmetic appeal of FUE hair transplants.
 
Mark A Bishara, M.D., P.A. Medical Director
Bishara Cosmetic Surgery and Hair Restoration
Bishara Cosmetic Surgery and The Paragon Med Spa 76063 serves clients from the Dallas Fort Worth Metroplex:
,    , , Tyler