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Hair Loss FAQ's

 

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.
 
   

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After HAIR TRANSPLANT SURGERY

 

What to expect after a Hair Transplant

Making the decision to get a Hair Transplant was a huge step. Now its done and now comes the waiting game for your new hair to grow in. As with any surgical procedure come post operative instructions. Here at the Paragon Plastic Surgery and Med Spa, Dr. Mark A. Bishara has made sure to have a list with step by step instructions to follow after your Hair Transplant surgery.

All done….

After your Hair transplantation you will be tired as you will be sitting all day and still have sedative in the your body (at least most patients). At the Paragon Plastic Surgery and Med Spa we make sure we answer all questions about your Hair Transplantation surgery, as well as Dr. Mark A. Bishara. Patients are also advised to feel free to contact us here at the Paragon Plastic Surgery and Med Spa with any questions after leaving the office.

What to do and what not to do..

1. DO NOT lean over to tie your shoes or pick-up objects for the first 48 hours, as this may provoke bleeding.
2. DO NOT drink any alcoholic beverages for 2 days following the transplant procedure, to avoid excessive bleeding. Also avoid the use of marijuana or other chemical substances not prescribed, for one week following surgery.
3. If bleeding occurs in the donor area, apply firm, steady pressure for 20-30 minutes.Repeat if necessary. If bleeding persists, locate the exact bleeding point and apply pressure directly to the area with an ice pack. If bleeding continues, contact us or your family physician. If you are out of town, go to the nearest emergency department. If he/she has any questions, they should call Dr. Bishara at 877-70- NEW LOOK any time day or night.
4. Take your medication for pain at the first signs of discomfort. DO NOT WAIT UNTIL YOU HAVE PAIN. Take one tablet approximately 20 minutes before retiring for the evening. Take this medication with food.
5. Sleep with your head elevated on two or three pillows for 2 days. We have provided you with disposable pillowcases for use on your top pillow.
6. Crusts (scabs) will form over the transplant sites and solidify the first few days.These crusts will naturally fall off within 1week. DO NOT pick at these crusts at anytime.
7. You may develop some post-operative edema (swelling) of the forehead and eyes for up to 2-3 days post-op. Ice packs can be applied to the forehead area. Do not apply ice to the grafts. This is not serious and resolves itself spontaneously. We have applied tape across your forehead to reduce swelling. If in the unlikely event you have fever, redness or pain call the doctor immediately.
 
TO LEARN MORE ABOUT OUR ROBOTIC HAIR TRANSPLANT SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.
 
   

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Veterinary study helping humans with hair loss?

Finding hair on your pillow, covering the shower drain and filling your hairbrush can be daunting, but don’t panic yet. Yes, you are losing hair, but how much is normal?
Most of us are born with about 100,000 hairs and 90% of those hairs are in a constant growth mode. Some follicles will go into a resting or dormant phase and shedding hair simply allows new hair to take its place, so its fair to say losing 50 to 100 hairs is considered normal.
Folic acid, one of the vitamin B complexes has been shown to play a role in keeping skin and hair healthy and thanks to a veterinary study, noted that folic acid was instrumental in improvement of the calf with significant hair loss. A three week old Charolais calf presented with hair loss was given a daily oral dose of 1mg/kg. The results were substantial, starting with a gradual decrease in tiny crusts that had formed on the skin. And his hair back to a normal state within 8 weeks of treatment.
Deficiency in folic acid has the potential of causing hair loss and/or slow regrowth due to lack of oxygen and blood flow to the cells responsible for growth. We can derive that taking folic acid may eliminate the deficiency of hair loss, although it has not been demonstrated in humans, we have Mr. Calf to thank.
Studies show that folic acid in the B vitamin family is essential for the generation of new cells and the recommended dose for humans is 400 micrograms per day. Prefer to get your vitamins via food groups, try dark leafy vegetables, spinach and greens. Asparagus and broccoli are also rich in folic acid and citrus fruits, especially oranges, papaya, grapefruit, bananas and strawberries are rich in this needed acid.
Since hair growth relies on frequent cell regeneration as well as a consistent supply of folic acid, a supplement and or food sources are excellent options. A physician may prescribe folic acid in addition to your diet, however, if you choose a route like a vitamin shop or herbal store, do your research on the purity of the product as all products are not created equal.
TO LEARN MORE ABOUT OUR HAIR LOSS   SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.
   

 
 

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PRP vs. HAIR TRANSPLANT

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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Hair Loss 411

 

What causes Traction Alopecia?

 
Traction alopecia is a pattern of baldness you may be experiencing due to traction or pulling of the hair. Common causes for traction alopecia are:

  • -Tight Pony tails
  • -Tight Braids
  • -Extensions
  • -Long term use of wigs
  • -Relaxers or hair dye
  • -Headgear(helmets when wearing to tight or daily use)

Keep in mind that if your hair is damaged, you may have some reversal after 6-8 months. If the follicle is dead, only option is to get help with hair restoration and Dr. Mark Bishara at The Paragon Plastic Surgery and Med Spa is just the right person to consult with.
 

Can i regain my old hair by long term use of minoxidil 5%?

Will minoxidil help grow new hair? The answer is No. The purpose of minoxidil is to help stop hair loss and reverse some miniaturization of the hair adding density to existing hair. The only way to adding new hair is via hair transplantation.
 

Will blood test rule out other hair loss causes, other than male pattern baldness?

Anyone can seek out blood test to learn the cause of their hair loss, but don’t be surprised if everything comes back normal. Hypothyroidism can be indicative of hair loss, most men suffer form androgenic alopecia where your testosterone converts to DHT via 5 alpha reductase.

 

Can any treatments halt or reverse loss at temples recovering from CTE/TE?

Most physicians believe that CTE or TE will resolve on its own, therefore a specific treatment is not recommended. However, treating the hair gently, shampooing daily with a gentle shampoo is a great start.  As hard as it sounds, try not to obsess about the loss, this just adds unneeded stress to an already stressful situation.

 

Im 5 weeks post op from my FUE transplant and my hair is falling!

As the body heals and the tiny scabs fall off the scalp, it is natural for the scabs surrounding the short hairs to fall out with it.  Typically 2 to 3 days post procedure, blood vessel grow into the bottom of the follicular unit that was just transplanted, essentially cementing them in.  Any hair lost after that time will be replaced with new hairs.

18 and already have male pattern baldness?

It is definitely possible, the most important thing to  do is be evaluated. There are many treatments out there such as minoxidil, Propecia, Laser therapy, and Platelet Rich Plasma (PRP) injections. Dr. Mark Bishara at the Paragon Plastic Surgery and Med Spa is highly experience in hair restoration. Coming in for a consultation will get you the best suitable treatment.
LEARN MORE ABOUT OUR HAIR LOSS SOLUTION  SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM
 
   

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