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.

An estimated 397,048 surgical hair restoration procedures were performed worldwide in 2014 (a 28% increase from 2012)

  • In the United States, 112,409 hair restoration procedures were performed
  • In Canada, 5,488 hair restoration procedures were performed o In Mexico/Central & South America, 28,456 hair restoration procedures were performed
  • In Europe, 46,849 hair restoration procedures were performed o In Asia, 143,239 hair restoration procedures were performed o In Australia, 3,724 hair restoration procedures were performed o In the Middle East, 56,883 hair restoration procedures were performed

Estimated Surgical Hair Restoration Worldwide Market Size
Based on the estimated number of 397,048 hair restoration procedures performed in 2014, multiplied by the average fee* charged to patients for a procedure, the estimated worldwide market for hair restoration was calculated as follows (expressed here in various currencies).
This is a 28% increase since 2012.
• $ 2,472,332,531 USD (U.S. Dollars)
• $ 3,243,082,197 AUD (Australian Dollars)
• R$ 7,769,181,361 BRL (Brazil Real)
• $ 3,077,386,471 CAD (Canadian Dollars)
• € 2,225,840,977 EUR (European Euros)
• $ 19,166,832,114 HKD (Hong Kong Dollars)
• 158,528,434,200 INR (Indian Rupees)
• ¥ 310,606,552,827 JPY (Japanese Yen)
• ₩ 2,779,470,400,966 KRW (Korean Won)
• $ 38,837,130,025 MXN (Mexican Peso)
• SR 9,271,617,840 SAR (Saudi Riyal)
*The “average fee” charged for a procedure reported by survey participants and used in this calculation represents the overall average fee charged to all patients treated. Since the cost of procedures performed on individual patients may vary depending on the number of grafts and several other factors, the “average fee” as it related to this survey did not represent what all patients would expect to pay for a procedure, and should not be construed as a typical price for a hair restoration procedure.
Extrapolated Number of Hair Restoration Surgical & Non-Surgical Patients Worldwide
The extrapolated worldwide number of hair restoration patients treated in 2014 was approximately 1,055,480 (358,109 surgical patients and 697,372 non-surgical patients) – a 9% increase from 2012

  • In the United States, 244,207 hair restoration patients were treated
  • In Canada, 21,028 hair restoration patients were treated
  • In Mexico/Central & South America, 120,767 hair restoration
  • patients were treated
  • In Europe, 100,530 hair restoration patients were treated
  • In Asia, 427,709 hair restoration patients were treated
  • In Australia, 15,867 hair restoration patients were treated
  • In the Middle East, 125,372 hair restoration patients were treated

By Age and Gender

  • In 2014, 84.7% of all hair restoration surgical patients worldwide were male
  • In 2014, 15.3% of all hair restoration surgical patients worldwide were female
  • Since 2006, the proportion of female surgical hair restoration patients worldwide increased 11%
  • In 2014, 59.9% of all non-surgical hair restoration patients worldwide were male
  • In 2014, 40.1% of all non-surgical hair restoration patients worldwide were female
  • In 2014, more than half of both male and female surgical patients worldwide fell between the ages of 30 to 49 years old, 58.6% and 54.7% respectively

Trends by Country
Of the estimated 397,048 hair restoration procedures performed worldwide in 2014:

  • Mexico/Central & South America experienced the biggest increase in the number of procedures, with 28,456 procedures performed in 2014 (an 82% increase from 2012)
  • Since 2006, the number of hair restoration procedures around the world jumped 76 percent by 2014
  • From 2006 to 2014, the Middle East saw the largest increase (363%) in the number of procedures
  • From 2006 to 2014, Mexico/Central & South America experienced the second largest increase (167%) in the number of procedures

Trends by Recipient Area
From 2012 to 2014, hair restoration procedures performed on non-scalp areas jumped in every category worldwide.
Facial (moustache/beard) procedures increased 196% o Chest procedures increased 170%
Eyelash procedures increased 90%
Pubic procedures increased 62%
Eyebrow procedures increased 52%
 

  • Asia conducted the largest amount of eyelash (1,256), eyebrow (7,515), facial hair restorations (4,199), chest (491) and pubic (706) hair restoration procedures.
  • The largest increase in facial hair restoration procedures from 2012 to 2014 occurred in Mexico/Central & South America (814%), followed by Europe (297%).
  • When members were asked which of the following non-scalp hair restoration procedure sites males and females were most interested in discussing, the majority of members reported women were most interested in discussing eyebrow procedures (92.2%). Men were most interested in discussing facial (63.8%) or eyebrow (31.5%) procedures.

Notice: Please refer to the full report of the 2015 ISHRS Practice Census, located at:
https://www.ishrs.org/statistics-research.htm.
The objective of the survey was to gather reliable statistics with regard to the volume of hair restoration procedures performed, patient demographics, surgical techniques, treatments used, and other practice dynamics. The margin of error for the sample is plus or minus 4.9 percent at the 95 percent confidence level.
 
The ISHRS commissioned Relevant Research, Inc. of Chicago, IL, USA, to help develop the survey instrument, collect the data, analyze the findings, and prepare the summary report. Relevant Research, Inc. is an independent survey research company specializing in surveys and statistical programs for professional societies and trade associations. All data collected from ISHRS members was kept completely confidential by Relevant Research, Inc.
The 2015 ISHRS Practice Census is published by the International Society of Hair Restoration Surgery (ISHRS) and is a compilation of information provided solely by participating physicians. The information published in this survey was developed from actual historical information and does not include any projected information. Neither Relevant Research, Inc. nor ISHRS has verified the accuracy, completeness or suitability of any information provided here, and ISHRS does not recommend, encourage, or endorse any particular use of the information reported in this survey. ISHRS makes no warranty, guarantee or representation whatsoever and assumes no liability or responsibility in connection with the use or misuse of this survey.

Recently, Restoration Robotics launched  ARTAS Hair Studio.  This state of the art product allows the patient and surgeon plan and produce a simulation of a possible outcome.  Although this product has some limitations to the realistic look of the transplanted hair, it does allow for a formal interaction between the surgeon and the patient that spawns more thought into the over- all operative goal and leads to increased numbers of hairs being transplanted.


The most common cause of dissatisfaction of hair transplant patients in my practice and in patients that come to me from other practices is that they didn’t get the thickness that they wanted.  The ARTAS Hair Studio allows the patient to “Test Drive” their appearance and modify the operative plan under the guidance of the surgeon.  It becomes the surgeon’s ethical and responsible role to provide guidance on safe and age appropriate hairline design, donor capacity, and realistic expectations on social and physiologic downtime.  The ARTAS Hair Studio becomes paramount providing a sneak preview to esthetic results that vary with amount of hair.
Put together with a well informed consult discussing preventative hairless measures backed by randomized double-blinded placebo controlled trials, the ARTAS Hair Studio is quickly becoming the standard of care in hair restoration planning and patient education.
ARTAS Hair Studio also integrates directly with the robot and becomes the operative plan for the patient ensuring that the patient is receiving exactly what he is intending to recieve.
For a consultation please call 817-473-2120 or email [email protected]  Skype and other internet-based consultations are available.
Mark A Bishara M.D., P.A. and Paragon Hair Clinics care for patients world-wide.
Dr. Mak A Bishara, M.D. P.A. performs robotic follicular unit graft selection for residents living around Mansfield, Southlake, Dallas, Arlington, Fort Worth, and surrounding the DFW area in North Texas.

Surrounding Areas

Dr. Mak A Bishara, M.D. P.A. performs robotic follicular unit graft selection for residents living around Mansfield, Southlake, Dallas, Arlington, Fort Worth, and surrounding the DFW area in North Texas.

Importance of Robotic Follicular Unit Graft Selection

Robotic follicular unit graft selection is important during hair restoration surgery because the surgeon can select 2 hair, 3 hair or 4 hair follicular unit grafts and avoid taking single hair grafts when they’re not needed. This supplies more total hair transplanted during the transplant procedure than a typical nonselective process will provide.

How does this work?

The robot sees different hairs that are grouped together with two or more hairs.   Using the optical guidance system with two separate cameras you can distinguish these from single hair grafts.  Dr. Mark A. Bishara, M.D. P.A. programs the robot to only select out thick, more robust follicular units which provides the patient with more hair and a thicker result with minimal soft tissue wounding in the donor area.  This advancement is by far the most significant benefit towards the economy of motion during the procedure.
 

Please call 817-473-2120 or email us at [email protected] today!