Many reasons contribute to hair loss including genetics and ones lifestyle. Regardless what the reason may be, hair loss is a condition that can impact one’s confidence and outlook on life. A more common occurrence amongst men, many opt for a clean shave upon the first signs of balding or resort to the classic “back-comb” technique.
Now, thanks to advancement in technology, there are other possibilities for hair restoration. Restoration Robotic, Inc together with NeoAsia (M) Sdn Bhd introduced the latest technology in hair restoration at its finest with short recovery time and prominent permanent results called ARTASTM System. It is the first and only advanced Robotic technology which is FDA-approved using computer assisted image guided system for follicular unit extraction (FUE) for natural and consistent results.  For the very latest technology in hair restoration, Dr. Bishara is now using the ARTAS System in both his Mansfield and Southlake locations.
“When men reach a certain age, male pattern baldness becomes more visible due to genetic sensitivity. Now with ARTAS™ System, they can get the procedures done within hours, without having to undergo long hours of surgery. The procedure is convenient and patients will regain confidence when they see consistent results within six months. I am certain that ARTAS™ System with the robotic technology will appeal to many Malaysians as they don’t have to undergo major surgery and it’s almost a painless procedure” said Dr. Mark A Bishara, M.D.

Old fashioned “hair plugs” results in unnatural-looking hair once implanted. However, with the ARTASTM system, a robotic arm which is controlled digitally, identifies the area on the head that is suitable to be dissected.  It then extracts the hair follicles from there; hence resulting in more natural-looking hair. The ARTAS™ System with its Robotic technology also delivers their patients with a speedy and precise result when they undergo the treatment.
Please contact our office to find out more about ARTAS Robotic Hair Transplant:  (817) 473-2120

Before and After Pictures of the ARTAS Robotic Hair Transplant:


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Proscar and Propecia have been FDA approved since 1992 and 1997 and are recorded with low adverse event profile.
Finasteride at 1mg and 5mg have similar effects on lowering PSA, prostate gland size, and serum DHT and T levels. 5mg was more effective in reducing symptoms of benign prostatic hyperplasia. The request for a product label change reflecting that Proscar was safe and effective for the reduction of prostate cancer was rejected because the reduction in low-grade prostate cancer was apparent, but the concern was the increased incidence of high-grade cancer.
5-alplha reductase inhibits (5 ARIs) have also been effective in treating prostatic hyperplasia and androgenetic alopecia (AGA). Since the approval of 5 ARIs millions of men have benefited from the treatment of AGA. As with the Proscar, the positive effects are apparent. The reduction in low-grade cancer diagnosis has increased, but the detection of high-grade cancer diagnosis has increased as well. Patients taking 5ARI should notify their physician or urologist in being evaluated because 5 ARI will lower their PSA value, which could lead to a misdiagnosis. All adverse events should be discussed during consultation and informed consent discussion. The Medicines and Healthcare products Regulatory Agency also suggested a breast cancer warning be present in product information due to an increase in male and female breast cancer in patients using Proscar and Propecia.
Placebo controlled double blind studies involving finasteride 5mg and 1 mg were reviewed. 8 cases were detected with 5 in the finasteride group and 3 in the placebo group. The incidence of reported male breast cancer in finasteride and dutasteride trials is higher than the general population, but the numbers are too small to support a cause and effect explanation.
Both finasteride and dutatsteride appear to reduce low grade prostate cancer while dutasteride may also be effective in prostate cancer precursors. Hair transplant physicians prescribing 5ARIs should include routine breast examinations and discussion of changes in breast tissues between patient and physician.
Mark A Bishara, M.D., P.A. Medical Director
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Dear Friends,
Hair transplantation is universally accepted as a treatment for hair loss. While it was developed and first offered for men with hair loss, women have increasingly found hair transplantation an option to correct the cosmetic deficit of thinning hair. Today many women are being proactive about seeking hair transplantation.
Studies have shown that about 80% of women experience some degree of hair loss before menopause. Hair loss has a basis female pattern therefore, a women who has history of hair loss in her family may be especially aware of the possibly that she may also begin to lose hair as she matures. A family history of hair loss in women is an indication that a woman may be genetically predisposed to lose hair. However, a woman’s hair loss is not always genetically predisposed and is not always permanent.
Hair loss is common during pregnancy and is usually restores on a normal pattern after pregnancy. Also some hair may be due to a condition such as hypothyroidism that requires treatment before hair transplant can be undertaken. Whether hair transplant is an option for a woman that is experiencing hair loss is a question to be answered by close consultation with a physician hair restoration specialist. Hair transplantation is a surgical procedure associated with some degree of discomfort and small risk for complications. It is a procedure that should be undertaken with great amount of deliberation. Hair restoration is also a procedure with a high success rate of meeting the expectations of patients.

Respectfully yours,
Mark A Bishara, M.D., P.A. Medical Director
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Typical pattern baldness is something both men and women struggle with and we have our parents and ancestors to thank for it. Your hormones and what’s in your DNA cause baldness. Enzymes in our body react with hormones and cause the follicles in the scalp to shrink and stop growing new hair. Hair on the sides and back of the head isn’t vulnerable to pattern baldness and will typically grow for the duration of a persons life. We use these areas “donor areas” to extract from and move to the top of the head or balding areas “recipient site”. There are two different methods in which donor hair can be harvested: Follicular Unit Transfer (strip harvesting) and Follicular Unit Extraction.

In strip harvesting we take a strip of the scalp from the donor area and then suture the area back together. The strip of scalp is then cut into small pieces of hair follicles that have one to four hairs per graft. Holes are then placed in the recipient area and the grafts are placed in the holes in a natural but random pattern. The patient will be left with almost no visible scar on the back of the head and is typically hard to see once the surrounding hair grows out and conceals it.

Follicular Unit Extraction (FUE) is a procedure that uses a punch method to extract the hairs from the donor area. The head is first shaven and a local anesthetic is used to numb the head. The FUE surrounds the hair follicle and punches the follicle loose so it can be easily extracted from the head. The small holes left behind start to heal immediately and continue to disappear over the next few days. Tiny holes are then placed in the recipient area using a microscope and the hair follicles are planted.

The scalp takes about 3 to 5 days to heal and you should not attempt to resume normal activities for 48 hours to prevent the transplanted hair from falling out. The majority of the hair shafts in the follicle will fall out, don’t be alarmed. After a few months new hair will begin to grow from the relocated follicles. It takes about two days for the transplanted hair to settle permanently into the recipient sites. Small scabs will develop were the grafts were inserted so do not pick them or it will cause the hair follicle to dislodge. The scabs will fall off within 10-14 days. Re-growth is expected to occur within 3 months. It can take up to 6 to 10 months to see full regrowth.

Hair transplant is a major component of hair restoration. With the supporting medical management using 5% minoxidil (Rogaine) and finesteride (Propecia), 97% of androgenetic hair loss can be stopped and regrowth of hair can be seen in the large majority of these patients. Stop by for a In-Office or Virtual Consultation or visit us via internet consult to see if you are a potential candidate for hair restoration or a hair transplant procedure.


This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX


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