A recent survey conducted by the International Society of Hair Restoration Surgery (ISHRS) showed that men and women around the world are seeking to correct hair loss while they’re younger rather than putting it off until later in life.
Since the ISHRS starting tracking data on hair restoration in 2004, the extrapolated worldwide volume of surgical hair restoration procedures performed from 2004 to 2012 increased 85 percent.  What explains this tremendous increase in people seeking help for hair loss, even during tough economic times?  We believe the unprecedented growth and increased popularity in hair restoration over the past decade can be directly attributed to the continual refinements and advances in this type of surgery – together with proven medical therapies – that produce natural-looking, permanent results.
Other key findings of the survey include:

  • The number of women undergoing hair restoration surgery worldwide increased 20 percent from 2004 to 2012
  • Patients aged 30 to 49 sought treatment for hair loss more than any other age group
  • In 2012, ISHRS members chose John Mayer and Sofia Vergara as the celebrities with the best hair

The ARTAS System is a 21st-century technological innovation that was introduced into the hair treatment field in 2011 to treat male pattern baldness, or androgenetic alopecia. The system is sophisticated, utilizing computer assistance to harvest hair follicles during the actual process of hair replacement. ARTAS incorporates a number of elements in its operation, including an image-guided robotic arm and special imaging technologies that coordinate together for the purpose of implementing the “follicular unit extraction (FUE)” technique upon the recipient of the system.
In our practice, we offer patients some of the latest techniques in hair restoration surgery and proven medical treatments that can help men and women permanently restore thinning hair.  If you are interested in hair restoration treatments, including ARTAS robotic hair transplants, and the latest treatment options, we would be happy to speak with you or invite you for a consult at our office.  Please call our office at (817) 473-2120, visit our website at www.MarkBisharaMD.com, or click on the link below.
Get our Free Guide on Robotic Hair Restoration


Hair transplant surgery has come a long way since it was first introduced in the 1950s. Back then, Dr. Norman Orentreich started testing a theory that hairs located at the sides and back of the head were genetically “programmed” to resist balding and that when relocated to balding areas, these “donor hairs” would retain this characteristic. It was an idea that was, quite literally, ahead of its time because while the theory was sound, the available surgical techniques were too crude to produce consistently natural-looking results.

The Bad Old Days of Hair Transplantation
In the 1960s and 1970s, hair transplants consisted of removing clumps of donor hairs with a round punch and then transplanting these plugs of hair into regularly spaced rows. Sometimes, if the patient had enough donor hair and dutifully completed all the sessions of hair transplant surgery, a doctor might be able to achieve good coverage, albeit with a very solid-looking hairline and limited ways the patient could style his hair. Too often, however, the patient would run out of donor hair before a good result could be achieved and the result would be the dreaded “doll’s head” look with obvious, evenly spaced plugs of hair. For an entire generation, the words “hair transplant” became virtually synonymous with “hair plugs” and many people, quite understandably, preferred to live with their hair loss than get an obvious-looking hair transplant.
When It Got Better
In the 1980s, hair transplant technique took a giant leap forward with the introduction of smaller grafts. Instead of large plugs of hair, surgeons would excise a strip of hair from a balding-resistant patch and section it into two types of grafts, mini grafts (4-8) hairs and micro grafts (units of 1, 2, and 3 hairs). The mini grafts were placed where fullness was desired and the micro grafts were places along the hairline for a more natural look. More grafts could be transplanted in each session than when surgeons used the “punch” technique and the results were definitely better looking.
When It Got Great
In the 1990s, we finally achieved a truly natural-looking hair transplant method called Follicular Unit Transplantation or Follicular Unit Grafting (FUG) that mimics the way hair naturally grows. The introduction of a new and powerful microscope, called the binocular microscope, made it possible for surgeons to take that same strip of donor hair and section the hairs the way they naturally grow, in units of 1, 2, 3, and 4 hairs. These “follicular units” can be transplanted into very tiny incisions placed very closely together. The result is excellent density, even after just one session. And because the hair is transplanted the same way it grows, there’s never an awkward phase where the patient looks strange or like a work in progress.
A further refinement of the technique, called Follicular Unit Extraction (FUE) does away with the strip. Instead, these follicular units of donor hair are removed one at a time using a small circular punch. There is no incision with FUE and the minimally invasive procedure leaves no visible scars. The donor hairs are placed the same way they would be with FUG and the results of both types of procedure are completely natural. When performed by an accomplished surgeon — no one will know that you’ve had a hair transplant.
Hair restoration product literature, including Propecia information, is available in our office. Please contact us at 817.473.2120 to schedule an appointment or visit our website at www.MarkBisharaMD.com

Whether it is genetic, due to stress, or any medical condition – hair loss is a prime concern for many men and women these days. Various new techniques have cropped up in the market which can combat the condition with ease. Platelet-Rich Plasma or PRP, is the latest treatment to hit the hair loss market and is showing impressive results.
What is PRP?
PRP therapy, also known as Platelet-Rich Plasma therapy is a procedure that involves drawing out one’s own blood and centrifuging it so that the plasma with platelets collects in the tube. This plasma rich in platelets and growth factors is very useful in tissue regeneration and healing.  It is then injected on the scalp or rubbed on the scalp after performing a dermaroller treatment in the areas which suffer from hair loss.
Who should opt for PRP?
People who have thinning hair, and those with androgenetic alopecia (male pattern baldness – hair loss at the top of the scalp and a receding hairline particularly along the temples), women with male pattern alopecia can all benefit from it.
The treatment requires about eight sittings, each two weeks apart for best results. Along with it, one may have to take medications like minoxidil and propecia. Your doctor may also alternate between stem cell therapy and PRP as combination treatments have shown to provide good results.
Expected results
Patients will soon see a fuzz of hair after the fourth sitting. The treatment not only promotes hair growth but also strengthens hair follicles. It is quite a safe procedure without any side-effects. Since it involves drawing out blood and multiple needle pricks, it may seem uncomfortable and scary but a numbing cream is used prior to the procedure to reduce the discomfort.
Who can’t opt for PRP?
Though PRP treatment yields great results for people suffering from hair loss, it’s not for everyone.  People who have lost all hair cannot undergo this treatment as it does not help grow new hair on a bald patch. It can only make the existing thinning hair thicker by strengthening the hair follicles.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa

Low dose laser therapy for hair loss

What is low dose laser therapy?

Low level laser therapy is a safe form of light treatment (a type of ) under investigation for a variety of health indications. It is being used to treat the genetic forms of hair loss common in men and women, androgenetic alopecia or pattern balding.
Low level laser therapy is also called red light therapy, cold laser, soft laser, biostimulation and photobiomodulation.

Low level laser therapy for pattern balding

Laser therapy used for hair loss treatment depends on devices that emit a light that can penetrate the scalp. Low level laser therapy (LLLT) uses devices with diodes that emit red light (wavelength 630-670 nanometers

Who are the best candidates for low level laser therapy for hair loss?

Low level laser therapy is intended for men and women with thinning hair or pattern baldness caused by a hereditary condition.

How is laser hair therapy supposed to work?

The hair growth cycle consists of three phases: growth (anagen phase), resting (telogen phase) and shedding (catagen phase). Hair loss in androgenetic alopecia depends on a testosterone derivative in the skin, dihydrotestosterone (DHT). Low level laser therapy is believed to increase blood flow in the scalp and stimulate metabolism in catagen or telogen follicles, resulting in the production of anagen hair. In theory:

  • The photons of light act on cytochrome C oxidase leading to the production of adenosine triphosphate (ATP). This is converted to cyclic AMP in the hair follicle cells, releasing energy and stimulating metabolic processes necessary for hair growth.
  • Release of nitric oxide from cells leads to increased vascularisation to the scalp distributing nutrients and oxygen to the hair roots.
  • Excessive build-up of DHT is prevented.

What is the clinical evidence to show laser hair therapy is effective?

Physicians have varying views on whether or not low level laser therapy is effective. While some physicians reject its use entirely, others believe that low level laser therapy can provide benefit for some men and women suffering from androgenic alopecia (genetic baldness). It has also been suggested that it may assist a hair transplant patient’s postoperative wound healing process and expedite hair growth.
Benefits of laser therapy for hair loss

  • Low level laser thereapy can be used in both men and women
  • No adverse effects have been reported
  • It is clean and painless
  • Low level laser hair therapy is relatively inexpensive
  • It requires minimal time commitment
  • Some low level laser therapy devices are portable
  • Hair growth may occur on the top of the head/crown and along the hairline of forehead

Improvement is reported in at least some users after 12 to 26 weeks of use, with reduced hair fall and noticeable hair growth.

How is low level laser hair therapy administered ?

Two to three times weekly treatments are typically recommended, and consist of a 8 to 15-minute exposure of the scalp to light-emitting diodes under a head cap.
Scalp treatment and massages that promote blood circulation may be used additionally as part of the program.
Proprietors of low level laser therapy services speak about the importance of regularity, which includes frequent appointments (twice a week, more or less) over a long duration (typically one year).
Please call the office of Dr. Bishara at The Paragon Plastic Surgery & Med Spa for more information on LLLT at (817) 473-2120 or visit our website and www.MarkBisharaMD.com

Please also visit our website to learn more about ARTAS Robotic Hair Transplants System at www.MarkBisharaMD.com or call our office at (817) 473-2120