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Hair transplantation has been around for quite some time now. From FUT’s, manual FUE to what now has become the best technique ROBOTIC FUE. Yes! it is an actual robot!. Dr. Mark Bishara has performed the most Robotic FUEs in the world. It is definitely a huge upgrade in the world of hair restoration.

Artas Robot

The ARTAS Robot was cleared by the FDA in 2011. The ARTAS Robot allows Dr. Mark Bishara to maneuver the robot to dissect the best follicular units. The robot is equipped with multiple cameras to help capture the best video and images of the patients hair.  The robot does the dissecting part of the procedure.   The follicular units are checked for quality as the robot dissects and the units get extracted. The robot is built to make recipient sites as well, once the sites are made and the follicular units are checked the planting begins. The new hair is then planted on to the patients recipient area. Local anesthetic is used to help with any pain and discomfort along with Valium to help the patient relax. The ARTAS Robot cuts down on time from a FUT procedure. Instructions on how to care for the new hair is provided before and after the procedure.
Dr. Mark A Bishara is the only known physician to own 3 ARTAS Robots that exclusively uses them in north Texas and has done more FUE procedures with the robot in the world. As if that isn’t enough Dr. Mark Bishara has great bed side manners. He is a great listener and is very attentive to patient needs. He works out of 2 offices located in Mansfield and Southlake to make it more convenient for his patients.
 
 
TO LEARN MORE ABOUT OUR ARTAS ROBOTIC SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN APPOINTMENT.
 
 
   
 

 
 

BEFORE

 

AFTER

 

What to expect from procedure

When consulting with Dr. Mark Bishara, he will explain what will be done through out the procedure and give you and idea on what to expect after your first Robotic Fue. In some cases, it can take more than one procedure to achieve your goal.
 

Day of the procedure

On the day of your procedure here at the Paragon Plastic Surgery and Med Spa we recommend  for you to be well rested. Your Robotic Fue procedure will start early in the morning and take anywhere from 5 to 8 hours. Make Sure to wear comfortable lose fitting clothes.
 

During the procedure

During your Robotic Fue procedure expect to be sitting in the same position for a couple of hours. The Paragon Plastic Surgery and Med Spa staff will do everything to make sure  you are comfortable. Dr. Mark Bishara will have his staff shave your head completely or partially shaving only the donor area. Local anesthetic will be used to numb the areas being worked on. The robotic part of the procedure will then begin, a tensioner will be placed on the donor area to help with the direction and depth of the hair. The robot will start capturing images of the patient’s donor area in order to identify the different angles and density of the patient’s hair. Dr. Mark Bishara will then start maneuvering the robot and the direction begins. Dr. Mark Bishara’s techs will go behind the robot and manually extract the hair. Once the robot portion is done Dr. Bishara’s techs will completely extract all hairs and begin the manual implantation of the hair.
 

After the procedure

Once completing the implantation of the hair, Dr. Bishara’s techs will go over all instructions to help take care of your new hair and donor area. At the Paragon Plastic Surgery and Med Spa we will provide you with all items needed for the first week. You will be called the day after and at two weeks to follow up.

 

Advice..

After your robotic fue you want to make sure you follow instructions, the first three days are the most important. Make sure to take pain medications at the first sign of pain to help minimize discomfort. Avoid bending over to much, no exercising or heavy lifting at least for the first week. Avoiding touching your new hair as any rubbing etc. can easily dislodge the hair. Keep in mind that if your in doubt about anything you can always call the office.
 
 
Respectfully yours,
 
Mark A Bishara, M.D., P.A. Medical Director
 
 
TO LEARN MORE ABOUT OUR SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN APPOINTMENT.
 
 
   


 
 

 

What causes hair loss?

There are many causes for hair loss. In most cases it can be heredity, hormonal changes, medical conditions and even medications. The most common is hereditary condition also known as male-pattern baldness or female-pattern baldness. Hereditary also takes affect in the age in which you begin to lose hair.  This can be very disheartening.

What is DHT?


Dihydrotestosterone, or DHT  is a natural but powerful metabolite of the human body and the main cause of hair loss in both men and women.

How does DHT cause hair loss?

DHT plays a huge roll in hair loss. What it does is it restricts the follicles the ability to produce hair growth.

Does stress cause hair loss?

In some cases stress can play a roll in hair loss. Generally stress induced loss regrows with in a year, however, some stress responses simple speed up the genetic predisposition to losing hair. Extreme emotional tension for prolonged periods of time can have an effect as well.

Is there a cure for hair loss?

There are many treatments to help with hair loss. Consulting with a hair loss specialist can help determine what treatment will benefit you. There are treatments such as:

  • -Propecia
  • -Laser Therapy
  • -Minoxidil
  • -Finasteride
  • -Hair restoration surgery
  • PRP injections
How can i know what treatment i should do?

Being that there are many treatments for hair loss the best way to go is consulting with a hair specialist like Dr. Mark A. Bishara. Depending on the type and amount of hair loss Dr. Mark A. Bishara will be able to recommend the best treatment.  The best results of regrowth in hairless patients ALWAYS are using multiple different measures to combat hair loss. For example, patients willing to take finasteride (Propecia), use the Capillus Laser 272 30 minutes every other day for 6 months, undergo post procedural PRP injections and use Minoxidil compounded for best results.

Can home remedies cure baldness?

When hair loss is genetic home remedies or more likely to fail. To have effective results the best way to go is medication, laser therapy or hair transplantation.  Delaying the treatment of hairless prevention can severely limit the options and decrees the lifetime presence of hair mass.

Does the use of helmets or hats contribute with hair loss?

The answer is NO! Wearing a hat or helmet has no effect whatsoever in the amount or type of hair loss in a person.

Can someone donate their hair to get transplanted?

Using another persons hair is not possible due to the way foreign tissue is rejected.  If you have a monozygotic twin or genetically identical twin you can successfully transplant.  If not, you would be required to take anti rejection drugs that haves risks that outweigh the benefits.

How long does a hair transplant last?

Transplanted hair is known to be permanent and last a life time, although in some cases a small perecantage of transplanted hair can be lost due to age.  This concept is known as follicular senescence.
 
TO LEARN MORE ABOUT OUR HAIR LOSS  SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.
 
   

Hair Loss

With there being many types a hair loss people frequently ask themselves what is best for them to treat their hair loss. When coming in to see Dr. Mark A. Bishara the type of hair loss the patient is experiencing plays a big part in deciding between PRP injections or Hair Transplantation. Male or female pattern baldness is typically on top of the head. The hair on the back and sides its what gets transplanted on the top of the scalp being that it wont be affected by the hormones.
Although PRP can be used during hair transplantation there are patients that rather not go through Hair Transplantation surgery. PRP treatments as same as hair transplantation can be used to treat male and female pattern baldness.

The Difference….

The process of PRP treatments are considerably different from a hair transplantation surgery. At the Paragon Plastic Surgery and Med Spa the first step in PRP treatments starts with drawing the patients blood. The Blood Sample is placed in a centrifuge so that the plasma separates from other cells. The Plasma then gets drawn into a syringe and injected to the areas in the scalp that Dr. Mark A Bishara has recommended to the patient.

Hair Transplantation it takes more involvement from Dr. Mark A. Bishara and his surgical techs. The hairs that will be transplanted are taken from the back and sides of the head using the ARTAS Robotic system which is the preferred method by Dr. Mark A. Bishara. The follicular units removed are check for quality as Dr. Mark A. Bishara makes the new home for the new hair. The Paragon Plastic Surgery and Med Spa techs then take the follicular units are then carefully transplanted on to the sites made, making sure they are positioned in the same direction Dr. Mark A. Bishara has made the sites.
 

The Results

It normally takes the same time to see results for both PRP treatments and Hair Transplantation. As far as Hair transplantation the transplanted hair will shed days after surgery. Patients usually see results of new hair growing within 6 to 7 months after their hair transplantation surgery. As for PRP treatments new growth can be expected with in a few months after treatment since the plasma needs to work itself in the follicles and stimulate growth. Results vary from patient to patient but in both cases the majority of patient see results of fuller hair with in 8 months!
TO LEARN MORE ABOUT OUR PRP & HAIR TRANSPLANT SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.
 
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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