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Recently, Restoration Robotics launched  ARTAS Hair Studio.  This state of the art product allows the patient and surgeon plan and produce a simulation of a possible outcome.  Although this product has some limitations to the realistic look of the transplanted hair, it does allow for a formal interaction between the surgeon and the patient that spawns more thought into the over- all operative goal and leads to increased numbers of hairs being transplanted.

The most common cause of dissatisfaction of hair transplant patients in my practice and in patients that come to me from other practices is that they didn’t get the thickness that they wanted.  The ARTAS Hair Studio allows the patient to “Test Drive” their appearance and modify the operative plan under the guidance of the surgeon.  It becomes the surgeon’s ethical and responsible role to provide guidance on safe and age appropriate hairline design, donor capacity, and realistic expectations on social and physiologic downtime.  The ARTAS Hair Studio becomes paramount providing a sneak preview to esthetic results that vary with amount of hair.
Put together with a well informed consult discussing preventative hairless measures backed by randomized double-blinded placebo controlled trials, the ARTAS Hair Studio is quickly becoming the standard of care in hair restoration planning and patient education.
ARTAS Hair Studio also integrates directly with the robot and becomes the operative plan for the patient ensuring that the patient is receiving exactly what he is intending to recieve.
For a consultation please call 817-473-2120 or email appointments@markbisharamd.com.  Skype and other internet-based consultations are available.
Mark A Bishara M.D., P.A. and Paragon Hair Clinics care for patients world-wide.
Dr. Mak A Bishara, M.D. P.A. performs robotic follicular unit graft selection for residents living around Mansfield, Southlake, Dallas, Arlington, Fort Worth, and surrounding the DFW area in North Texas.

How many hairs come out of a graft area?

The number of hair ranges from one hair to four hair for each graft. We have an advantage by using a robot to select only two hair grafts if we need to provide more density. On the other hand single hair grafts are very important for the front of the hairline to get a feathered natural look.  We also have the ability to program the robot to only take single hair follicular units.

What % of hairs actually take?

90% of transplanted grafts or better will survive in the recipient site. Much of this is determined by the use of PRP, the use of high potassium based  holding solutions, and decreasing the time to transplantation. Limiting our hair transplant sizes the 800 g per session Minimizes the time of out of body and oxidative stress on the follicle.

What is the long term aftercare?

After transplant you may begin to use minoxidil at one week or once the scabs fall out. In the immediate postoperative period, there is a shampoo, conditioner, spray, and copper impregnated guaze pads. These are very important for healing and specifically Helps decrease the downtime from the procedure. I highly recommend the graft site kit and it is available at our office. After the hair transplant several months later you will begin to see your new hair growing. PRP injections would be advisable in your case at 4 weeks and 8 weeks. We would look at your overall hair Results of 10 months and recommend additional transplants in that area if it looks beneficial. You can of course transplant another area after two months allowing the donor site to heal appropriately.  There is no long-term of you care needed the transplanted hair. It is your hair and you don’t need to do anything to it to the transplants.

Will I need prp with the transplant?

This is answered above, PRP treatments will provide you with more hair mass. The recommendation is to do this might not only help your transplanted here but more importantly to prevent your natural hair from falling out.   As discussed in our consult, there has been no large multi institutional randomized double-blind placebo-controlled trials that have been peer-reviewed to support a statistical significance of hair mass to date.  Existing here should go from the flimsy hair to thicker more robust hair and will give Is the appearance of more hair in some individuals.

Should I stop rogaine so you can really see the troubled area in its entirety before transplant?

No, you should not stop rogaine use.
Will I lose the transplanted hair over time since I am diagnosed with hereditary hair loss?

Most likely yes but by using hair laser you will slow your hair loss down.

Is it harder to transplant African American hair?  Does it take to the new site as well?  Does it take longer?  Have you performed any transplants on African Americans?

It is not technically harder to transplant African American hair.  The success of hair restoration at the receipt site is acceptable. It does take a little bit longer and yes we have conducted African American hair transplants. AA have acceptable results usually require multiple procedures.
What should I expect during procedure, and what should I expect at home after procedure?

You can expect to come to our office early in the morning take before pictures, have blood drawn, sign consent forms, and be placed in the chair where the nerve block will be performed. You’ll be given antibiotics and a sedative by mouth, next PRP will be injected into the recipient bed followed by recipient site creation. You will then be placed into the robot where we will dissect out a number of grafts that correspond to the number of recipients sites that we created. Then we will place you back into the chair to implant you.

You will rest for two days without increasing your blood pressure and we will follow up with you 2 weeks later on the phone call. Most of the scabs and existing hair connected to the follicle with fall out by seven days. You’ll have some existing scabs. Social downtime is about a week.


We look forward to helping you through your hair restoration journey!

Please give us a call 817-473-2120 or email us at Appointments@markbisharamd.com

What is a Robotic Hair Transplant?

robotic hair transplant is a type of hair restoration procedure where donor hair is removed directly from the back and sides of the scalp using robotic control. The specific type of hair transplant where robotic technology is used is called follicular unit extraction (FUE). In FUE, a small, round instrument, or punch, is use to separate individual follicular units (naturally occurring groups of 1-4 hairs) from the surrounding tissue, so that they can be extracted and then implanted into the balding area. This process is very tedious and exacting and when done manually often leads to significant injury to the follicles.
Robotic surgery allows this procedure to be done in a more precise and consistent way, ultimately maximizing the growth of the grafts. In a robotic hair transplant, follicular units are extracted one at a time by the image-guided, computer-driven system called ARTAS, a technology developed by the company Restoration Robotics. At The Paragon Plastic Surgery & Med Spa, all Follicular Unit Extraction (FUE) procedures employ the speed and precision of the robotic system.

How Does the ARTAS Robotic Procedure Differ from Other Hair Transplant Procedures?

There are two basic types of hair transplant procedures, Follicular Unit Transplantation (FUT or strip surgery) and Follicular Unit Extraction (FUE). In FUT, donor hair is harvested by removing a long thin strip from the back of the scalp. Individual follicular units are then obtained from this strip using stereo-microscopic dissection. In FUE, individual follicular units are harvested directly from the donor area using a sharp, round cutting instrument. The ARTAS Robotic Hair Transplant system performs the follicular unit isolation step of an FUE procedure and can also create recipient sites according to specifications determined by the hair restoration surgeon. In performing each of these steps, the robot uses its image-guided technology to locate the next target and position the cutting instrument, and it does so with precision and speed that cannot be accomplished using manual FUE techniques or instruments.
Hair restoration information is available in our office. Please contact us at 817.473.2120 to schedule an appointment.  You can also visit our website at www.MarkBisharaMD.com.

https://www.prweb.com/releases/robotic-hair-transplant/bernstein-medical/prweb12539444.htm

Robotic Hair Transplant Pioneer Introduces Automated Graft Selection

Dr. Robert M. Bernstein, Clinical Professor of Dermatology at Columbia University and founder of Bernstein Medical – Center for Hair Restoration, introduced robotic follicular unit graft selection using the ARTAS® Robotic System at the 2015 ARTAS User Group Meeting in Newport Coast, CA. By automatically selecting follicular units with two or more hairs, the robot can harvest the number of donor hairs needed to achieve the greatest cosmetic benefit in the transplant while creating the least amount of wounding to the scalp.
 


Dr. Bishara’s office locations in Mansfield and Southlake, TX have also added this important step in the Follicular Unit Extraction (FUE) procedure, a step that until now needed to be performed by hand. The goal of the new function is for the robot to automatically obtain the maximum number of donor hairs with the least amount of wounding and the greatest cosmetic benefit for the patient.  Dr. Bishara is the only doctor in Texas that offers Graft Site Selection.
How Does it Work?
Using robotic graft selection, the hair restoration surgeon programs the ARTAS robot to harvest follicular units which contain two or more hairs by selectively skipping over the 1-hair units. Using its advanced optical guidance system, the robot orients itself to the scalp by way of special markings on a tensioner, a plastic frame-like device that is positioned on the donor area. The software then rapidly analyzes each graft and selects the appropriate ones for extraction. It then dissects these follicular units from the surrounding scalp tissue.
The Importance of Graft Selection in FUE
In FUE hair transplant procedures, the surgeon wants to harvest as much donor hair as possible while leaving the fewest number of wounds. To minimize the number of wounds, you would want to extract only the units that contain the largest amount of hair. However, smaller grafts of 1-hair are typically needed to create a natural-looking hairline and temples. By selecting and extracting larger grafts first, and then extracting smaller ones only as needed, surgeons can both minimize wounding and harvest an adequate number of follicular units of varying size so as to enhance the cosmetic benefit of the procedure. Smaller grafts can be generated by dividing the larger grafts without increasing the donor wounding.
This News is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

 

 
The ARTAS robot is the only robotic arm controlled by the doctor that is FDA cleared in the United States for hair restoration. Dr. Bishara has been awarded most ARTAS robotic hair transplant cases in the world.
https://www.8newsnow.com/story/27258714/robotic-hair-restoration
A high-tech solution for a very common problem – by age thirty-five two-thirds of American men will have some degree of hair loss. By the age of 50, 85 percent are a lot thinner on top. A doctor becomes the patient – as he tests out a new robotic hair restoration procedure.
“Well my biggest concern is my hairline.” Robert Leonard, D.O., told Ivanhoe.
Normally Dr. Robert Leonard is the one performing hair transplant surgery but this time he is the patient, trying out a new FDA-approved robotic device to restore his hairline.
Under the control of a hair transplant surgeon, the ARTAS system uses a robotic arm and digital imaging. Every 20 milliseconds it re-calculates hair position to achieve the best results from a patient’s donor area.
“The robot will line up to each hair follicle each hair shaft either one grouping up to almost four groupings and will punch each one out by a one millimeter punch.” Matthew Lopresti, D.O., told Ivanhoe.
Unlike traditional hair transplant surgery the ARTAS robot leaves no linear scar allowing patients to wear their hair shorter at the donor site.
“I just had this technique just done a very short time ago, and my whole hair line was transplanted,” said Leonard.
Dr. Lopresti says the ARTAS is more precise, than the traditional surgery – cutting down on time by approximately 25-percent. Under local anesthesia it takes about five to seven hours to perform.
“Most patients do not complain of any discomfort whatsoever especially at night time lying on a pillow versus the traditional method where you do have a line with skin that was taken out with sutures in the back,” said Dr. Lopresti.
In about eighteen months Dr. Leonard can expect to see full hair growth.
As hair transplants are considered elective procedures, health plans do not pay for hair transplantation surgery.
BACKGROUND: No matter what causes baldness, many people decide to undergo hair transplants to regain self-confidence. Primary causes can include ageing, hormone change, and family history, although there are several external factors that can contribute as well. Poor scalp circulation, vitamin deficiencies, dandruff, and excessive hat-wearing have been debunked as possible causes of baldness.
NEW TECHNOLOGY: Since the ARTAS Robotic Hair Procedure harvests individual groupings of hair without the removal of a large section of the scalp, there is almost no scarring in the donor area – no need for stitching or staples. Due to this primary factor, recovery time is drastically reduced. The goal of the ARTAS system is to create the most natural appearance for hair transplants.
(Source: https://www.artashair.com/faqs/)
En Espanol
El robot ARTAS es el único brazo robótico controlado por el médico que es aprobado por la FDA en los Estados Unidos para la restauración del cabello. Dr. Bishara ha sido galardonado con la mayoría de los casos de trasplante de cabello robótico ARTAS en el mundo.
https://www.8newsnow.com/story/27258714/robotic-hair-restoration
Una solución de alta tecnología para un problema muy común – por treinta y cinco años dos tercios de los hombres estadounidenses tendrán algún grado de pérdida de cabello. A la edad de 50, el 85 por ciento son mucho más delgado en la parte superior. Un médico se convierte en el paciente – como él pone a prueba un nuevo procedimiento de restauración del cabello robótica.
“Bueno, mi mayor preocupación es mi cabello.” Robert Leonard, DO, dijo a Ivanhoe.
Normalmente el Dr. Robert Leonard es la realización de la cirugía de trasplante de cabello, pero esta vez es el paciente, probando un nuevo dispositivo robótico aprobado por la FDA para restaurar el nacimiento del pelo.
Bajo el control de un cirujano de trasplante de cabello, el sistema ARTAS utiliza un brazo robótico y la imagen digital. Cada 20 milisegundos se vuelve a calcular la posición cabello para lograr los mejores resultados de la zona donante de un paciente.
“El robot se alineará a cada folículo piloso cada tallo del pelo, ya sea una agrupación hasta casi cuatro agrupaciones y perforará cada uno por un golpe de un milímetro.” Mateo Lopresti, DO, dijo a Ivanhoe.
A diferencia de la cirugía de trasplante de pelo tradicional robot ARTAS no deja cicatriz lineal permite a los pacientes llevan el pelo más corto en la zona donante.
“Acabo de tener esta técnica sólo hecho hace muy poco tiempo, y mi línea pelo todo transplantado”, dijo Leonard.
Dr. Lopresti dice el ARTAS es más precisa, que la cirugía tradicional – reduciendo el tiempo en aproximadamente un 25 por ciento. Bajo anestesia local se tarda alrededor de cinco a siete horas de realizar.
“La mayoría de los pacientes no se quejan de las molestias que sea especialmente durante la noche acostado en una almohada contra el método tradicional, donde usted tiene una línea con la piel que fue llevado a cabo con suturas en la espalda”, dijo el Dr. Lopresti.
En unos dieciocho meses el Dr. Leonard puede esperar ver el crecimiento del cabello lleno.
Como los transplantes de cabello se consideran procedimientos electivos, los planes de salud no pagan por la cirugía de trasplante de cabello.
ANTECEDENTES: No importa lo que causa la calvicie, muchas personas deciden someterse a trasplantes de cabello para recuperar confianza en sí mismo. Las causas primarias pueden incluyen el envejecimiento, el cambio hormonal, y los antecedentes familiares, aunque hay varios factores externos que pueden contribuir también. La mala circulación del cuero cabelludo, deficiencias de vitaminas, la caspa, y con sombrero excesiva han sido desacreditado como posibles causas de la calvicie.
NUEVA TECNOLOGÍA: Desde el Procedimiento de pelo robótica ARTAS cosecha agrupaciones individuales de cabello sin la eliminación de una gran parte del cuero cabelludo, no hay casi ninguna cicatriz en la zona donante – sin necesidad de costuras o grapas. Debido a este factor primario, el tiempo de recuperación se reduce drásticamente. El objetivo del sistema ARTAS es crear la apariencia más natural para los trasplantes de cabello.
(Fuente: https://www.artashair.com/faqs/)