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Frequently Asked Questions
 On The ARTAS® Robotic Hair Transplant

How does the ARTAS Robotic Procedure work?

The ARTAS Robotic Procedure is a minimally invasive hair restoration solution that leverages digital imaging and precision robotics to harvest healthy grafts for transplantation. Unlike the earlier methods of hair restoration, there is no need for the surgical removal of a band of tissue from the back and sides of the head, no linear scar left after surgery and no need for stitches or staples to close the wound. The benefit is a quick recovery time and the ability to return to normal activities and work sooner.

Should I cut my hair before treatment?

Yes. Trimming your hair in the donor area allows the ARTAS Robotic System to accurately visualize, track and harvest each grouping of hairs. You will receive instructions on having your hair cut shorter in preparation for your ARTAS Robotic Hair Transplant.

How will my hair look after the ARTAS Robotic Hair Transplant?

The ARTAS Robotic Hair Transplant provides extremely natural looking results. After the procedure, you are able to wear your hair any length or style with confidence.

How is the ARTAS Robotic Hair Transplant different than “Hair Plugs”?

Old fashioned “hair plugs” included the harvesting of large patches of hair that resulted in an awkward and unnatural appearance once implanted. In the ARTAS Robotic Procedure, hairs are harvested in their natural groupings and then transplanted individually by your physician. Individual transplantation provides you with the look you desire, including a great looking hairline and a fuller head of hair.

Are ARTAS Robotic Hair Transplant results permanent?

Yes. The ARTAS Robotic Hair Transplant uses your own permanent growing hair, typically from the back of your head, and your physician then implants this hair to the thinning areas of your scalp. As this hair is not susceptible to the conditions that cause male pattern baldness, transplanted hair will last a lifetime.

How long does it take to recover and heal?

Recovery time with the ARTAS Robotic Hair Transplant is less than with most surgical cosmetic procedures. As there is no surgical incision or stitches required with the ARTAS Robotic Hair Transplant, healing time is short, and you can usually go back to your daily activities after a day or two. Some doctors schedule a follow up visit the morning after the procedure to examine your scalp and to teach you how to take care of your newly implanted hair.

When will my new hair start to grow?

Transplanted hair grows naturally in phases. New hairs are seen about three months after the procedure, and will continue to increase over the course of a full year. At approximately six months, you will enjoy a noticeable improvement and after a full year, you will see final results.

Will people know I have had a hair transplant procedure?

With the ARTAS Robotic Hair Transplant, any scarring is minimal and is nearly undetectable. Your new hair grows in gradually, reducing the chance that people will notice the procedure. Your friends and family will comment that you look better, but the results from your hair transplant are subtle and natural.

Does the ARTAS Robotic Hair Transplant procedure hurt?

The ARTAS Robotic Hair Transplant, an outpatient procedure performed in the doctor’s office, requires only a local anesthetic. The patient feels virtually no pain. Some patients can experience minor discomfort and swelling post-procedure, which subsides in one to three days.

Will there be visible scarring in the donor area?

Because the ARTAS Robotic System selectively harvests individual hair groupings rather than removing a large area of scalp requiring sutures, there is minimal scarring in the donor area. Hair can be worn fashionably short, or in longer styles, whatever you prefer. You’re not limited by having to cover scarring from strip surgery.

What is the price of the ARTAS Robotic Hair Transplant?

Treatment costs will be determined during your consultation with your doctor and depend on the amount of new hair that you desire. Discuss the procedure pricing with your doctor, as some doctors may offer payment options.

How long does the ARTAS Robotic Hair Transplant procedure take?

The ARTAS Robotic Hair Transplant usually takes from four to eight hours as determined by your doctor to achieve your hair restoration goals. You are comfortably seated during the process, and the doctor and staff are there with you to maximize your comfort throughout the procedure.
[calltoaction]To learn more about our Robotic Hair Transplant Services, please contact us at (817) 473-2120 today to schedule an appointment.[/calltoaction]

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International Society of Hair Restoration Surgery (ISHRS) 2015 Practice Census Facts and Figures

An estimated 397,048 surgical hair restoration procedures were performed worldwide in 2014 (a 28% increase from 2012)

  • In the United States, 112,409 hair restoration procedures were performed
  • In Canada, 5,488 hair restoration procedures were performed o In Mexico/Central & South America, 28,456 hair restoration procedures were performed
  • In Europe, 46,849 hair restoration procedures were performed o In Asia, 143,239 hair restoration procedures were performed o In Australia, 3,724 hair restoration procedures were performed o In the Middle East, 56,883 hair restoration procedures were performed

Estimated Surgical Hair Restoration Worldwide Market Size
Based on the estimated number of 397,048 hair restoration procedures performed in 2014, multiplied by the average fee* charged to patients for a procedure, the estimated worldwide market for hair restoration was calculated as follows (expressed here in various currencies).
This is a 28% increase since 2012.
• $ 2,472,332,531 USD (U.S. Dollars)
• $ 3,243,082,197 AUD (Australian Dollars)
• R$ 7,769,181,361 BRL (Brazil Real)
• $ 3,077,386,471 CAD (Canadian Dollars)
• € 2,225,840,977 EUR (European Euros)
• $ 19,166,832,114 HKD (Hong Kong Dollars)
• 158,528,434,200 INR (Indian Rupees)
• ¥ 310,606,552,827 JPY (Japanese Yen)
• ₩ 2,779,470,400,966 KRW (Korean Won)
• $ 38,837,130,025 MXN (Mexican Peso)
• SR 9,271,617,840 SAR (Saudi Riyal)
*The “average fee” charged for a procedure reported by survey participants and used in this calculation represents the overall average fee charged to all patients treated. Since the cost of procedures performed on individual patients may vary depending on the number of grafts and several other factors, the “average fee” as it related to this survey did not represent what all patients would expect to pay for a procedure, and should not be construed as a typical price for a hair restoration procedure.
Extrapolated Number of Hair Restoration Surgical & Non-Surgical Patients Worldwide
The extrapolated worldwide number of hair restoration patients treated in 2014 was approximately 1,055,480 (358,109 surgical patients and 697,372 non-surgical patients) – a 9% increase from 2012

  • In the United States, 244,207 hair restoration patients were treated
  • In Canada, 21,028 hair restoration patients were treated
  • In Mexico/Central & South America, 120,767 hair restoration
  • patients were treated
  • In Europe, 100,530 hair restoration patients were treated
  • In Asia, 427,709 hair restoration patients were treated
  • In Australia, 15,867 hair restoration patients were treated
  • In the Middle East, 125,372 hair restoration patients were treated

By Age and Gender

  • In 2014, 84.7% of all hair restoration surgical patients worldwide were male
  • In 2014, 15.3% of all hair restoration surgical patients worldwide were female
  • Since 2006, the proportion of female surgical hair restoration patients worldwide increased 11%
  • In 2014, 59.9% of all non-surgical hair restoration patients worldwide were male
  • In 2014, 40.1% of all non-surgical hair restoration patients worldwide were female
  • In 2014, more than half of both male and female surgical patients worldwide fell between the ages of 30 to 49 years old, 58.6% and 54.7% respectively

Trends by Country
Of the estimated 397,048 hair restoration procedures performed worldwide in 2014:

  • Mexico/Central & South America experienced the biggest increase in the number of procedures, with 28,456 procedures performed in 2014 (an 82% increase from 2012)
  • Since 2006, the number of hair restoration procedures around the world jumped 76 percent by 2014
  • From 2006 to 2014, the Middle East saw the largest increase (363%) in the number of procedures
  • From 2006 to 2014, Mexico/Central & South America experienced the second largest increase (167%) in the number of procedures

Trends by Recipient Area
From 2012 to 2014, hair restoration procedures performed on non-scalp areas jumped in every category worldwide.
Facial (moustache/beard) procedures increased 196% o Chest procedures increased 170%
Eyelash procedures increased 90%
Pubic procedures increased 62%
Eyebrow procedures increased 52%
 

  • Asia conducted the largest amount of eyelash (1,256), eyebrow (7,515), facial hair restorations (4,199), chest (491) and pubic (706) hair restoration procedures.
  • The largest increase in facial hair restoration procedures from 2012 to 2014 occurred in Mexico/Central & South America (814%), followed by Europe (297%).
  • When members were asked which of the following non-scalp hair restoration procedure sites males and females were most interested in discussing, the majority of members reported women were most interested in discussing eyebrow procedures (92.2%). Men were most interested in discussing facial (63.8%) or eyebrow (31.5%) procedures.

Notice: Please refer to the full report of the 2015 ISHRS Practice Census, located at:
https://www.ishrs.org/statistics-research.htm.
The objective of the survey was to gather reliable statistics with regard to the volume of hair restoration procedures performed, patient demographics, surgical techniques, treatments used, and other practice dynamics. The margin of error for the sample is plus or minus 4.9 percent at the 95 percent confidence level.
 
The ISHRS commissioned Relevant Research, Inc. of Chicago, IL, USA, to help develop the survey instrument, collect the data, analyze the findings, and prepare the summary report. Relevant Research, Inc. is an independent survey research company specializing in surveys and statistical programs for professional societies and trade associations. All data collected from ISHRS members was kept completely confidential by Relevant Research, Inc.
The 2015 ISHRS Practice Census is published by the International Society of Hair Restoration Surgery (ISHRS) and is a compilation of information provided solely by participating physicians. The information published in this survey was developed from actual historical information and does not include any projected information. Neither Relevant Research, Inc. nor ISHRS has verified the accuracy, completeness or suitability of any information provided here, and ISHRS does not recommend, encourage, or endorse any particular use of the information reported in this survey. ISHRS makes no warranty, guarantee or representation whatsoever and assumes no liability or responsibility in connection with the use or misuse of this survey.

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Body Hair Transplantation 6 FAQ'S

 

Body Hair Transplantation is essentially taking hair from other areas of the body rather than the most common, the back or sides of the head, and then planting those hairs to the balding area. The other donor areas that hair follicles can be taken from includes: beard, chest, shoulders, stomach, arms and legs. Below are 6 Frequently asked questions concerning Body Hair Transplantation.

 

Typical Candidate

In cases where the head hair has depleted or the type of hair needed to transplant is different than the type of hair on the head.

Color

If someone wants a beard transplantation from their blonde head hair to their patchy red beard, the blonde hair color is not going to change to red once the hairs are transplanted to the beard. However, the mixing of these colors and those alike could potentially create a strawberry blonde look. If mixing different colors of hair is the only option available, the patient has the option to dye the hair all over once it’s completely healed because it is normal hair by then and can be treated that way.

Length

Hair length will grow as it did in the donor site. So if you’re using hair from other parts of the body besides the head you are committing to having shorter hair. Beard and hair from the head are hairs that for most never stop growing at a certain length or amount of time. Hair on the chest, legs and arms essentially stop growing at a certain length usually around 3 to 6 cm.

Texture

Hair texture will keep the same texture as it had before it was transplanted to another area. For instance if one was wanting eyebrow restoration, the typical donor site would be arm or leg hair. Arm or leg hair would be used in eyebrow transplantation because this hair is finer and the growth isn’t going to be long.

Structure

Body hair can change its structure. In some cases the hairs would become longer and straighter which is adapting to normal hair on the head. In others, the hairs wouldn’t change from their original structure.

Scaring

FUE otherwise known as Follicular Unit Extraction using ARTAS is a procedure that extracts the hair follicles with one-millimeter punches. The tiny size of each extraction makes scaring almost out of the question, in most cases leaving only little white dots if anything at all.

Please give us a call at 817-473-1220 – email: bisharamd@appointments.com – or reach us via Skype today!

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Robotic Follicular Unit Extraction in Hair Transplantation

Robotic Follicular Unit Extraction in Hair Transplantation
Marc R. Avram, MD,* and Shannon A. Watkins, MD†
BACKGROUND In recent years, there has been a shift toward minimally invasive procedures. In hair trans- plantation surgery, this trend has manifested with the emergence of follicular unit extraction (FUE). Recently, a robot has been introduced for FUE procedures.
OBJECTIVE- To determine the transection rate of a robotic FUE device. In the attached article, the authors discuss the procedure, technical requirements, optimal candidates, advantages, and disadvantages of robotic FUE compared with the standard ellipse.
RESULTS- Optimal candidates for robotic FUE are those with dark hair color who can sit for 45 to 120 minutes and are willing to shave a large area for donor harvesting. The main advantages of robotic FUE compared with the standard ellipse are its minimally invasive nature and the lack of a linear scar.
CONCLUSION- The robot is a new and innovative method for FUE hair transplantation of which hair transplant surgeons should be aware.page1image10600 page1image10760
In the 1990s, hair transplant surgery underwent a revolution in the graft size used for transplantation. From the 1960s into the mid 1990s, 2 to 4 mm grafts containing 10 to 20 hair follicles were the standard graft used in the procedure. In spite of its scientific success, they were often a cosmetic failure because they resulted in a “pluggy” unnatural appearance. In the 1990s, there was a shift toward smaller graft sizes. Currently, the follicular unit, which contains 1 to 4 hair follicles, is the standard graft size used in transplant surgery.1,2 This shift in graft size has allowed patients to consistently grow naturally appearing transplanted hair, as it mimics the natural size of follicular groupings on the scalp1 (Figure 1). In addition, the use of follicular groupings eliminates textural changes and scarring in the recipient area. Large grafts containing 10 to 20 hair follicles required larger recipient sites, which resulted in unnatural “cobblestone” scarring on the scalp. Recipient sites for follicular groupings are less than
In the era of follicular unit transplantation, the only visible scar on the scalp is the linear scar left from the donor ellipse. For the majority of men and women, a linear scar has no short or long- term practical effect. Their existing donor hair will camouflage the scar. A linear scar can create an issue, however, for some patients who wear their hair shorter or want the option of a shorter hairstyle in the future. In addition, there has been an inexorable trend in all surgical procedures toward minimally invasive procedures, which result in less scarring and quicker recovery times.
Donor Harvesting Techniques
Over the past several years, the focus of discussion in the field has begun to shift away from the size of the graft used to transplant hair toward the harvesting method used to obtain the donor grafts. For decades, 2 to 4 mm punch trephines were used to obtain donor hair from the posterior scalp. Typically, the grafts were removed and wounds were allowed to heal by secondary intention. This resulted in widespread “hon- eycomb” scarring (Figure 2). In 1994, the concept of elliptical donor harvesting, also known as strip har- vesting, was introduced and has been the standard method for obtaining donor grafts.3 It is based on the same dermatologic surgery techniques used in removing nevi, skin carcinomas, and cysts. It allows efficient harvesting of hundreds to thousands of fol- licular groupings. As with any cutaneous excision, there is a scar created from removing the donor ellipse. For the majority of patients, this is neither a medical nor a cosmetic issue. For a minority of patients, medical and cosmetic challenges may arise. A small percentage of patients will develop hyper- trophic or broad scars. Others feel limited in the hair styling options because of the donor scar. For these
Follicular Unit Extraction Versus Elliptical Donor Harvesting
The concept of follicular unit extraction (FUE) was introduced in the early 21st century and refined over the past decade.4–6 Follicular unit extraction used the same concept of using a steel trephine to harvest donor hair, but instead of being 2 to 4 mm in diameter as was used in the past, the FUE punches range from 0.8 mm to 1.2 mm. This technique is a natural extension of the concept of follicular unit hair transplantation—the utilization of individual follicular groupings in the recipient and donor sites.
Challenges of this technique include the following: increased risk of transection of hair follicles, operator fatigue when harvesting hundreds of follicular groupings, and appropriate spacing of harvested grafts to yield the maximum amount of donor hair without creating the appearance of a depleted donor density.6 Throughout the posterior scalp, the angle of hair growth varies, which presents a challenge to surgeons. Magnification and excellent lighting reduce but do not eliminate the risk of transecting follicles. Compounding this challenge is the need to remove dozens to many hundreds of follicular groupings for each case. Harvesting larger numbers of grafts can result in increased operator fatigue and a higher rate of transected hair follicles. Some experienced sur- geons are able to harvest large numbers of follicular groupings with minimal transections, but others are unable to do so.
To improve the accuracy and efficiency of FUE, numerous FUE devices have been developed; of which some are motorized, some are suction assisted, and some are single user-directed robotic system. The NeoGraftautomatedhairtransplantsystem,7–9 SAFE (surgically advanced follicular extraction) system,10 and ARTAS Robotic System (Restoration Robotics, Inc, San Jose, CA) are a few of the more well-known FUE devices on the market. In this article, the authors discuss about robotic follicular unit extraction with the robot.
Robotic Follicular Unit Extraction

Technical Aspect
The robotic system was approved by the Food and Drug Administration for hair transplantation in 2011.  This robotic device is used to harvest follicular units from the donor region (Figure 3). A 1-mm punch is attached to the robotic arm consisting of a “needle- within-needle”; there is a sharp inner punch sur- rounded by a blunt outer punch. The sharp inner punch creates a shallow 1-mm incision, subsequently, the blunt outer punch spinning at 400 to 800 rpm dissects deeper and separates the follicular units from surrounding tissue. A suction system attached near the punch elevates the follicular unit from the surrounding skin allowing for easier extraction of the graft. A combination of stereoscopic cameras managed by image processing software allows the sharp and blunt punches to identify the precise angle and direction of hair growth. This continuous imaging feedback allows the robot to precisely harvest each follicular grouping. Because of the high level of automation, the robot is able to remove 400 to 600 grafts per hour.11–13 The software requires a minimum distance of 1.6 mm between extracted follicular groupings to minimize risk of overharvesting donor hair. In Table 1, the authors compare strip harvesting with robotic FUE donor harvesting.
See the attached article for more information.
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Robotic Hair Transplant Pioneer Introduces Automated Graft Selection

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

 

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