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.
 
   

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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What is a PRP Injection treatment?



Platelet Rich Plasma (PRP) injections are used to stimulate healing using the patient’s very own blood. At the Paragon Plastic Surgery and Med Spa one of Dr. Mark A. Bishara’s experienced techs will draw your blood and place it in a centrifuge where the platelets are separated. Platelets are known to release growth factors.
 

What does a PRP treat?



As we all know PRP injections are used to treat multiple conditions in the hip, knee’s, arms, shoulders and feet. Ready for good news? PRP injections are now being used to help with hair loss. Dr. Mark A. Bishara offers the PRP treatments at the Paragon Plastic Surgery and Med Spa.

Whos is a candidate?



PRP injections are best for patients who’s hair has began to thin. Patients with and active scalp infection, diabetes, or patients who are currently on blood thinning medications are not good candidates for PRP.
 

How does PRP work?



PRP is blood plasma that has been enriched with platelets. PRP is rich in growth factors so when applied to the patient’s scalp it contributes with hair growth.

Why use PRP injections?



Hair loss is becoming more and more common in both women and men whether it’s due to stress, medical conditions, or genetics. With adequate research on all techniques used for hair loss PRP injections have become quite popular especially at Dr. Mark. Bishara’s office, The Paragon Plastic Surgery and Med Spa. Dr. Mark A. Bishara’s patients that have gotten PRP treatments have shown very impressive results.
 

Are PRP injections painful?



Needles in the head? Ouch! Sounds painful already, but at the Paragon Plastic Surgery and Med Spa we make sure our patients are well taken care of. Before beginning PRP injections Dr. Mark A. Bishara’s tech will use local anesthetic to help with alleviate any discomfort.

Are PRP Treatments safe?


Absolutely! Why are PRP injections safe? PRP injections are due to it being the patient’s blood components that are being used. There  are no other foreign substances that are being injected in to your scalp, that making the PRP treatment safe.
 
TO LEARN MORE ABOUT OUR PRP INJECTION TREATMENT  SERVICES, PLEASE CONTACT US (817) 473-2120 OR EMAIL APPOINTMENTS@MARKBISHARAMD.COM TO SCHEDULE AN  APPOINTMENT.
 
 
 
   


 

Platelet Rich Plasma (PRP)

As we may all know there are many ways to help with hair loss. Have you heard of PRP? or Platelet Rich Plasma? You may have heard of Platelet Rich Plasma (PRP) used to promote the healing of injured tendons, ligaments, joints and most musculoskeletal problems. Well now you can get a PRP treatment to help with hair loss and hair thinning! How cool is that! Whats more exciting is that you can get it done at Dr. Mark A. Bishara’s office, The Paragon Plastic Surgery and Med Spa.

What exactly is Platelet Rich Plasma (PRP)

So what exactly is PRP? PRP is a very natural, non surgical alternative for the treatment of hair loss or hair thinning. PRP is an injectable treatment which uses the patients own blood. Our own blood (PRP) contains active growth factors which can promote hair growth. PRP can be used as a treatment itself or it can be injected during a hair transplant/restoration surgery. PRP needs to be done 2-3 times a year to maintain any benefit, it is well worth it. Because who wouldn’t want their hair looking fuller and healthier? Dr. Mark A. Bishara and  the staff at The Paragon Plastic Surgery and Med Spa highly recommend it!
 

 

Lets Get It Done

The first thing to do is come in to The Paragon Plastic Surgery and Med Spa and have a  consultation with Dr. Mark A. Bishara. If a candidate you can get your PRP done as soon as the day of your consultation. So how exactly does it work? The Paragon Plastic Surgery and Med Spa, staff draws a couple of tubes of the patients own blood. After the collection the staff sets into the centrifuge for ten minutes as the centrifuge creates your PRP. Once PRP is ready the staff at The Paragon Plastic Surgery and Med Spa uses a very thin needle to inject your very own PRP into your scalp. The PRP is injected all over. I know, I know, you?re thinking Ouch! Needles in my head? Don’t freak out! Local anesthetic is used to help with any discomfort. The PRP treatment itself can take anywhere from 60 to 90 minutes. There is nothing to worry about, the treatment is simple, safe and has reliable results. Recovery time is fairly quick and in no time you will have beautiful results!
 
 

TO LEARN MORE ABOUT OUR PLATELET RICH PLASA (PRP), PLEASE CONTACT US AT (817) 473-2120 TODAY TO SCHEDULE AN APPOINTMENT.

 
 
   



 
 
 

4 Year PRP Case Study

In the last 4 years The International Hair Research Foundation carried out a scientific evaluation of the effectiveness and safeness of the PRP (Platelet-Rich Plasma) technique. Their study was performed on 568 men (56%) aged from 18 to 72. 465 women (44%) aged from 16 to 78. International Hair Research Foundation Study found a significant increase in the number of hairs after the treatment was obtained in 80% of cases (both in male and female subjects). In 93% of cases a therapeutic effect was obtained and a significant improvement of hair miniaturization, hair loss, itching or trichodynia (discomfort or pain in the scalp or hair) – if present – was observed. Please visit the International Hair Research Foundation for more information on this study.

Platelet Rich Plasma

PRP Platelet Rich Plasma Treatments are injections to the patients scalp and are used to stimulate the growth of hair follicles, thereby halting or reversing miniaturization (thinning hair) seen in androgenic alopecia (common baldness) cases.

Human Blood Flow & PRP Integration

Human blood is comprised primarily of red blood cells (RBC), as well as white blood cells (WBC), platelets, and plasma. By initiating the first step of coagulation, platelets are the key to the body’s ability to heal wounds. It is thought that by increasing the platelet count in a wounded area, the body’s healing to that area would be accelerated – explaining the use of PRP in wound healing. Its possible effects on promoting hair growth make it potentially useful as both used in addition to hair transplantation surgery and for the medical treatment of hair loss. Platelet Rich Plasma (PRP) is a concentrated blood plasma which contains approximately three to five times the number of platelets found in normal circulating blood. In addition to the platelets, it contains growth factors and other bioactive proteins that aid in wound healing and hair growth.

Growth Factors

The human growth hormone (hGH), insulin-like growth factor-1 (IGF-1), insulin-like growth factor binding protein-3 (IGFBP-3), basic fibroblast growth factor (bFGF or FGF-2), vascular endothelial growth factor (VEGF), and platelet-derived growth factor-BB (PDGF-BB)- levels are significantly elevated after PRP injection, supporting a possible ergogenic effect of PRP.

How it Works


The Paragon Plastic Surgery & Med Spa uses a double centrifuge technique that allows the active biologic factors to be administered at the most effective concentration. The treatments are administered by one of our Nurses and take about a half hour. If Dr. Mark A. Bishara, M.D. P.A. decides that you are in fact a good candidate, we may be able to perform the PRP procedure at the time of the consult. If the procedure cannot be performed at the time of consultation, you can schedule one very soon after. In either case, the consult fee will be deducted from your first treatment.

Candidates

Platelet rich plasma offers an additional way to stimulate hair growth, especially in people who cannot use other forms of treatment. For example, it may be useful for someone that is not a candidate for a hair transplant, or cannot use finasteride. It is also useful in the treatment of crown thinning where a hair transplant may not be appropriate. It works best where there is existing thinning hair not a completely bald area. We are only using Platelet Rich Plasma to treat hair loss on the scalp at this time.

Downtime

The treatment is done during a simple office visit and takes about 30-45 minutes. The patient is able to go back to regular routine after the treatment. One may have some very temporary soreness and swelling, but many patients experience no side affects after the treatment.

Results

Usually patients see results in 3 to 6 months. However, the response time may be variable. Research also agrees that about 70%-90% of patients will see a degree of improvement of hair mass/density. The latest data indicates 3 PRP therapy treatments has the greatest effectiveness for hair growth stimulation and many patients get PRP once every other year following the initial 3 treatments.