What causes Male Pattern Baldness (MPB)?

In the overwhelming majority of males with hair loss, the cause is Male Pattern Baldness (MPB), which is genetically inherited from either side of the family and begins to develop after puberty. MPB occurs when a man is genetically susceptible to the presence of the hormone dihydrotestosterone (DHT). Hair on the scalp that is affected by DHT (the hairline, crown and top of the scalp) starts to shrink in its shaft diameter and potential length, until it eventually disappears—a process known as hair miniaturization. The hair on the back and sides of the scalp is not affected by DHT and therefore is “permanent” hair, and is not subject to male pattern baldness. For the very latest technology in hair restoration, Dr. Mark Bishara is now using the ARTAS System. This interactive, computer assisted equipment employs image guidance to enhance the quality of hair follicle harvesting.

The ARTAS® Robotic System


The ARTAS® Robotic System safely and effectively extracts hair for transplantation. With over 8 years of research and development, the ARTAS Robotic System delivers outstanding hair restoration results in an outpatient procedure. Rigorously tested, cleared by the FDA and other international regulatory bodies, the ARTAS Robotic System achieves outstanding results for hair restoration physicians.

ARTAS ScreenshotEach follicular unit is digitally tracked. 

Dr. Bishara uses advanced digital imagery to map and analyze the hair in its natural groupings on the scalp. These natural groupings of hair are called follicular units. The ARTAS Robotic System’s precision robotics allow for the precise extraction of intact follicular units for transplantation. Follicular units are removed in a random fashion, within the existing hair, so those areas of the scalp maintain their natural appearance. The ARTAS Robotic System continuously monitors for any movement of the patient’s head, and dynamically adjusts accordingly.

How does The ARTAS® Robotic Procedure Work?

The ARTAS Procedure restores your hair by transplanting permanent hair from the back or side of the head into thinning areas. Dr. Bishara uses the ARTAS System to harvest healthy hair. Using digital imaging technology, the ARTAS System identifies and maps hair in its natural groupings on the scalp. The hair is then removed so that the area retains its original appearance, and then meticulously transplanted into the scalp, based on your treatment goals, to provide a natural looking result.
The transplanted hair grows in gradually over time. Over a period of 3-4 months, you should start to see new permanent hair. At six months, most patients notice steady growth and increasing fullness. Most patients experience complete results in about a year. This new, permanent hair can be styled and cut normally, so you can experience the confidence of fuller hair.

Some of the ARTAS Robotic System’s advanced features:

  • Precision robotics: for precise and accurate movement
  • Image guidance: stereo digital imagery guides all movement
  • Digital visualization: tracks each follicular unit in 3-D space
  • Visual servoing: dynamically adjusts to patient movement
  • Selective harvest pattern: to maintain the look of the donor area
Testimonial of one of Dr. Bishara’s satisfied patients:
“My name is Jonathan W.and I wanted to let you know how amazing my hair transplant surgeries have been due to the ARTAS system. I have experienced only minor irritation in the donor areas and was amazed with the efficiency of the system to be placed in an automatic mode to harvest hair. In my opinion this system is the wave of the future as it relates to hair transplants. Also, I have no visible scarring in the donor areas which to me is wonderful. I hope they continue to improve and expand the abilities of the ARTAS system and thank all those involved for making my great transplant experiences possible.”
The ARTAS Robotic Hair Transplantation procedure is preferred because of its minimally invasive nature and no need for anesthesia or downtime. This procedure is designed to produce effective results with minimal downtime and no damage to surrounding hair follicles. Dr. Bishara is highly experienced in performing this, and will help you determine how to achieve the best possible results.
Please contact us for more information at (817) 473-2120
robotic hair transplants

 

The ARTAS Robotic Hair Restoration Procedure

The ARTAS® System enhances manual surgical performance in three key areas where robotics are proven to extend human capability. For the very latest technology in hair restoration, Dr. Bishara is now using the ARTAS System. This interactive, computer assisted equipment employs image guidance to enhance the quality of hair follicle harvesting. ARTAS is the first hair transplant robot to improve the most challenging aspects of Follicular Unit Extraction (FUE). It received clearance from the Food & Drug Administration (FDA) for use in April 2011.

About the ARTAS® Robotic Procedure:

  • Skin tensioner is placed on the trimmed donor area to keep the area taut
  • High resolution visualization identifies follicular units on the surface of the patient’s skin and targets them for harvesting
  • Image-guided robotic arm maneuvers and deploys the two-needle system, compensating for patient movement
  • Inner needle scores the skin, then the dissecting punch separates the follicular unit from the remaining tissue
  • Gentle suction lifts the dissected graft partially out of the scalp, so technicians can remove using forceps
  • Grafts are manually transplanted in the desired scalp areas

A Better Patient Experience

Nearly 35 million American men are candidates for hair restoration, but only a small fraction choose the procedure. Uncertainty about the procedure results and the long recovery times may be too high a hurdle for many patients. Candidates are demanding a minimally invasive technique that provides consistent, safe results.
With the minimally invasive ARTAS® Robotic System, Dr. Bishara can build patient confidence with reproducible, natural-looking outcomes with fast recovery times. There are many patient benefits including:

  • Robotically precise and consistent
  • Reduced treatment times
  • Less discomfort
  • Faster healing and return to normal activities
  • Nearly undetectable donor area with no linear scar
Before and after pictures of some of our patients:



A Commitment to Clinical Excellence
The ARTAS® Robotic System is the product of nearly a decade of research and development by Restoration Robotics in collaboration with some of the most respected leaders in hair restoration medicine.  After rigorous testing in clinical trials, the ARTAS Robotic System received clearance from the Food and Drug Administration in 2011.  Restoration Robotics continues to partner with a growing number of hair restoration physicians, such as Dr. Bishara, to apply robotic technology to improve patient outcomes.
Please call our office for more information on this unique and effective robotic hair restoration procedure at (817) 473-2120 or click on one of the buttons below:

 

 

Male or female, we all take pride in our hair. It is probably the second most sexually appealing segment of the human anatomy. So what happens when our hair starts falling out? While balding can happen to both men and women, it usually affects males more than females. Up to 50 percent of men suffer from this debilitating disease and this can cause low self-esteem and loss of quality of life. People with severe hair loss, or those that do not respond to more conservative treatments, may require surgery to restore hair loss and promote new hair growth.
Male pattern baldness or androgenic alopecia is usually caused by the dihydrotesterone (DHT) hormone. DHT is commonly synthesised in the adrenal glands, testes, prostate and, of course, the hair follicles. Androgenic alopecia causes hair follicles to be extremely sensitive to the DHT hormone and thus, the hair follicles begin to shrink, resulting in an abnormal production of hair. While androgenic alopecia accounts for over 90 percent of male pattern baldness, other causes can include, stress, traction alopecia (in people who aggressively pull their hair back to form ponytails or cornrows), trichotillo- mania (compulsive pulling of hair), chemotherapy and more.

There have been many treatments claiming to help or even cure male and female pattern bald- ness. While some of them might actually work, some of them don’t. Dr. Mark Bishara is highly experienced in performing all hair restoration procedures, and will help you determine which one is right for you in order to achieve the best possible results. The only treatment that guarantees hair regrowth are hair transplants. There are two types of hair transplant methods. The first is Follicular Unit Transplantation (FUT) which requires long, thin donor strips of hair not effected by DHT to be transplanted to areas of the scalp that are balding. This procedure is not only lengthy and tedious, it is also extremely painful, requires a decent amount of downtime and leaves a long scar at the back of the scalp.
The other harvesting method is Follicular Unit Extraction (FUE), this method is much safer and also involves minimal scarring, invisible to the naked eye. How this method works is by extracting individual follicular units and transplanting them to the balding areas. Although the FUE method is preferred, this manual process still means lengthy procedure time. Dr. Bishara is proud to offer a wide range of comprehensive hair restoration procedures, including FUT and FUE methods. Combined with his extensive experience and advanced skills, these procedures are often highly effective. The best treatment option for each patient depends on the location and extent of hair loss.
For the very latest technology in hair restoration, Dr. Bishara is now using the ARTAS System., which Neoasia Sdn Bhd has introduced– a fully robotic system that has the capability to replicate the FUE method with unmatched precision and rapid speed. We spoke to Dr. Mark Bishara, cosmetic surgeon from Texas and Dr. Ko, the first doctor to offer the ARTAS Robotic System in South East Asia.
 
According to Dr. Bishara, the ARTAS Robotic System utilises a robotic arm and sophisticated digital imaging to harvest follicular units. It has the amazing capacity to target each hair follicle in random fashion to ensure donor areas retain their natural appearance. The individual hairs are then implanted into the affected area, resulting in natural looking hair re-growth. Dr. Bishara says, “The ARTASTM Robotic System is the most sophisticated automated device in the medical field today.” Dr. Ko adamantly concurs and believes this machine is just so “clever”. Dr. Ko says that be- fore this system was installed in his clinic, he only used the FUT method which was very tedious and would take many hours off his busy schedule. Now with the ARTAS Robotic System, patients suffering from androgenic alopecia can have a full head of hair in just two hours.

Unlike the FUT method which requires patients to run the risk of going through general anaesthesia, the ARTAS Robotic System procedure only requires a local anaesthetic. Not only will patients suffer minimal to zero pain, they can also head back to their daily activities after one or two days. According to Dr. Ko, the procedure is non-invasive and guarantees 100 percent hair regrowth! Along with said benefits, the ARTASTM Robotic System also provides tremendous cost saving. Dr. Ko believes we are very lucky to be the first in South East Asia to have access to this state-of-the-art system. Already installed in America, London and Japan, this system is American FDA approved and is able to operate 24 hours a day, seven days a week. Men and women who are balding most definitely experience depressed self-esteem and confidence. With the ARTASTM Robotic System, they need not wear ill-fitting wigs any longer. With the ARTASTM Robotic System, they can get a full tuft of hair with a blink of an eye.
Dr. Bishara will take the time to evaluate each patient, discuss his/her individual goals and together develop a personalized treatment plan using one of his many successful hair loss treatment options.  Please contact us for more information: (817) 473-2120

 
 

 

By age 50, about 50% of American men—and a substantial number of women—are affected by hair loss, much of which is hereditary. Patients with severe hair loss may require surgery to restore hair loss and promote new hair growth. Hair Transplantation is designed to produce effective results with minimal downtime and no damage to surrounding hair follicles. Dr. Bishara is highly experienced in performing all of these procedures, and will help you determine which one is right for you in order to achieve the best possible results.Surgical Treatments

Follicular Unit Transplantation (FUT)

FUT is a method of hair restoration surgery in which hair is transplanted only as natural, individual follicular units. This ensures that patients will achieve the most natural results and also allows Dr. Bishara to transplant the maximum amount of hair into a small area. These follicular units consist of up to four individual hairs in each follicle. Hair growth typically begins about three months after the FUT procedure.

Total Crown Renewal® (Frechet Triple Flap)

Total Crown Renewal® is the only procedure that effectively treats the entire top and back of the scalp by redistributing 12,000-15,000 hairs over the balding area. This creates a natural appearance even when treating large areas of baldness on the front, top and crown of the head.
This procedure is performed under local anesthesia on an outpatient basis. Patients usually experience little to no discomfort during this procedure, and can return to their regular activities after three days.


Temporal Peaks Restoration

Temporal Peaks Restoration restores a natural and youthful hairline by recreating the temporal peaks, the areas at the front of the head that are common sites of hair loss. Restoration of hair in this area includes transplantation with proper placement to recreate a natural hairline and restore the patient’s original appearance.

Follicular Unit Extraction (FUE)

Follicular Unit Extraction (FUE) is a minimally invasive hair restoration procedure that moves the patient’s own hair graft by graft to maximize the likelihood of regrowth after it has been transplanted in the balding area. This procedure involves moving the entire follicle with special micro-instruments in order to prevent damage and maintain the health of the hair for optimum results. FUE offers many benefits over traditional hair transplant procedures, including: minimal scarring and discomfort and a quick return to work.
More hair restoration information, including Propecia information, is available in our office. Please contact us at 817.473.2120 to schedule an appointment.

 

Folliculitis, or commonly known as “barbers itch” or “hot tub folliculitis” is a very mild side effect often noticed after a hair transplant procedure.  These pimple-like inflamed hair follicles can show up anywhere from a few days to a few months following a hair transplant procedure. Although it may look worse than it is, the lesions typically clear up on their own without any form of treatment within a few days.

In some cases there can be more severe folliculitis that show signs of infection such as, the spreading of redness and inflammation to areas surrounding the follicle and discharge which are caused by the bacteria known as Streptococcus.  If you feel as though you are experiencing a more severe case of Hair Transplant Folliculitis then you should consult with the doctur who performed your procedure to see if antibiotics are needed to clear the infection.
Dr. Mark Bishara, MD is an experienced cosmetic surgeon specializing in a wide range of hair restoration treatments, as well as face and body plastic surgery procedures.
Dr. Bishara’s unique treatments offer patients effective hair restoration through the most minimally invasive techniques. Some of his most popular procedures include Follicular Unit Transplantation, Low Level Laser Technology, Individual Graft Techniques, and more.
Please call our office for more information (817) 473-2120