Male Hair Loss
Androgenetic alopecia or common male pattern baldness (MPB) accounts for more than 95% of hair loss in men. By the age of thirty-five two-thirds of American men will experience some degree of appreciable hair loss, and by the age of fifty approximately 85% of men have significantly thinning hair. Approximately twenty five percent of men who suffer with male pattern baldness begin the painful process before they reach the age of twenty-one.
Contrary to societal belief, most men who suffer from male pattern baldness are extremely unhappy with their situation and would do anything to change it. Hair loss affects every aspect of the hair loss sufferer’s life. It affects interpersonal relationships as well as the professional lives of those suffering. It is not uncommon for men to change their career paths because of their hair loss.
Diagnosis of Men’s Hair Loss
Typical male pattern baldness is usually diagnosed based on the appearance and pattern of the hair loss, along with a detailed medical history, including questions about the prevalence of hair loss in your family.
 

Women’s Hair Loss
Mistakenly thought to be a strictly male disease, women actually make up forty percent of American hair loss sufferers. Hair loss in women can be absolutely devastating for the sufferer’s self image and emotional well being.
Unfortunately, society has forced women to suffer in silence. It is considered far more acceptable for men to go through the same hair loss process. Even more unfortunately, the medical community also treats the issue of women’s hair loss as if it were nonexistent. Since hair loss doesn’t appear to be life threatening, most physicians pay little attention to women’s complaints about hair loss and essentially tell their patients that “it’s no big deal”, and that “you’ll just have to live with it.”
Of course what these physicians don’t seem to realize is that the psychological damage caused by hair loss and feeling unattractive can be just as devastating as any serious disease, and in fact, can take an emotional toll that directly affects physical health.
We recognize that hair loss is women is a serious life altering condition that can no longer be ignored by the medical community and society as a whole.

Diagnosis of Female Hair Loss
Hair loss in women isn’t always as straightforward as it is in most men. In men about 90 percent of all cases are caused by hereditary male pattern baldness. In women, however, hair loss can be triggered by a multitude of conditions and circumstances.
The below battery of diagnostic tests should be performed when attempting to pinpoint the hair loss trigger, as well as a scalp biopsy. These tests can at the very least eliminate the possibility of certain disorders causing your hair loss and perhaps aid in finding the actual cause. The truth of the matter is that for many patients these test usually come back with a reading of “within the normal range,” but it’s important to remember that the proper diagnosis of female hair loss usually starts of with the process of elimination.
Hair loss affects both men and women of all ages. Fortunately, there are several treatments available to help promote hair growth or restore hair loss. These treatments are minimally invasive and affordable, and allow patients to enjoy a renewed confidence as thick, full and beautiful hair is restored. Hair loss treatment includes topical and/or oral medications, laser comb therapy, and transplantation.
Dr. Mark Bishara is proud to offer a wide range of comprehensive hair restoration procedures. 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. 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.
 

robotic hair transplants

 

Men suffering from hair loss may be getting fed up with all the miracle pills and potions being touted on the internet.
According to an opinion poll of hair experts conducted by WhatClinic.com, there has been a 260% increase in men enquiring about hair transplants, and a staggering 180% increase in men actually traveling abroad for cheaper hair transplant procedures.

HuffPost UK LIfestyle spoke to Dr Maurice Collins, medical director of Hair Restoration Blackrock, to find out why there is a surge of interest.
He said: “Two factors, the technology of hair transplantation has improved dramatically over the last 10 years. A good hair transplant carried out by a trained team of technicians and a specialist hair transplant surgeon should not be noticeable, not even to ones barber.
“The old toilet brush style transplants of the 70s are definitely a thing of the past. Secondly, the likes of James Nesbitt and Wayne Rooney going public has helped remove the stigma of having a hair transplant. Men in their 40s, 50s and 60s are still unlikely to talk openly about their hair loss concerns, but men in their 20s and 30s are much more open.”
Follicular unit transplantation (FUT) is where a strip of the scalp, including the hair follicles, is removed and replanted at the front of the head. Follicular unit extraction (FUE), sometimes called FUE Harvesting, takes individual hair clusters (of between one and four hairs) and replants them one by one, which although more time-consuming, gives better results and less chance of scarring.
In a recent poll of cosmetic surgeons, 78% confirmed that interest from men in cosmetic surgery was definitely growing. Of those asked, almost nine out of 10 (89%) said they believe men are now far more conscious of their appearance than ever before.
The bottom line, says Dr Collins, is that there is no cure for hair loss. “The drugs that are currently available (Minoxidil and Finasteride) can arrest hair loss for a limited number of years but do not reverse hair loss. Hair transplantation takes existing hair from the back of the head and plants it on top and at the front. It restores a hair line and fills in the gaps, but it is not a cure. It is likely that if a cure is found it will come from stem cell research. ”
As for men travelling overseas for the procedure, Turkey has proven to be the destination of choice for UK men, aided by the considerably lower costs, and affordable flights. India boasts the most competitive average prices, however it may well be the cost of flights that has deterred patients.
So are transplants the only option if you’re worried about your hair? No, says Dr Collins.
“Only one in four men who visit proceed to have a transplant. For those who choose not to have a transplant, the first option is to accept your hair loss and shave your head. Many men are not too worried about their hair loss and look great with a shaved head – think Andre Agassi or Bruce Willis. Others are not suitable candidates. For example they may not have enough donor hair for transplantation. The donor hair comes from the back of the head, which is immune to hair loss. Budget and age are also factors.
“Many men benefit greatly from taking Minoxidil and Finasteride. The synergistic effect of taking both drugs can arrest hair loss and strengthen the existing hairs for a number of years, which has the effect of more hair, as if the patient has new hair. Young men will often opt for this option for a number of years before considering a hair transplant. Lastly, a patient may not be suitable if their hair loss pattern is not yet established, meaning it would be too soon for a transplant. Men in their mid-thirties and older, where their hair loss pattern is established are more suitable than those in their 20s.”
For men who are considering transplants however, Dr Collins advises doing your research.
“Shop around, compare a few clinics,” he says. “Don’t got for the cheapest. You get what you pay for. Look for a clinic that is run by trained surgeons. Look for experience and qualifications. The industry is currently unregulated, meaning anyone can set up a clinic, a GP, a nurse, a salesman. Make sure your consultation is with the surgeon who will carry out your transplant, not a salesperson. If the consultation is free then it’s a sales pitch not a consultation. Look for patient testimonials on the clinic website.”
This news is brought to you courtsey of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa, with offices in Mansfield and Southlake, TX


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). We do this procedure on both men and women. Please conact out office for more information at (817) 473-2120 or click below.
 

robotic hair transplants

 

The Denver Broncos receiver had the procedure done prior to last season’s training camp with the Patriots.

No, the Denver Broncos wideout didn’t have surgery on his knee or ankle last summer but a robotic hair transplant procedure at the Rhode Island office of Dr. Robert Leonard.
“[The growth] doesn’t happen right away,” Welker told For The Win. “You start to see a little bit after two or three months and in six months you get to see a little more. Once you get up to a year you’re really starting to see the difference. It takes a full 18 months till it’s fully grown in.”
While plenty of pro athletes wouldn’t want to make such a public admission of cosmetic procedures, Welker has no problem with his role as the president of the NFL’s new de facto hair club for men.
“It’s nothing to be embarrassed about,” he said. “If you want to have hair, have hair. I don’t like to sit there and say ‘What are you talking about? I never got my hair done.” People can notice it without wondering.”
And what of Welker’s former teammate Tom Brady? Brady’s hair has been the center of its transplant speculation.
“You know what – that’s still out for debate. He claims he hasn’t but who knows,” Welker said.
Welker said he’s received calls from numerous other NFL players asking him for his doctor’s number, although he didn’t name any specific current or former teammates. He was equally tight-lipped when asked about the effect that the Aaron Hernandez investigationRob Gronkowski injuries and acquisition of Tim Tebow could have on the locker room of his former team, the New England Patriots.
“I hope the best for them but it’s not my concern to worry about them,” Welker said. “I’m just trying to worry about myself.”
This news is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX
robotic hair transplants


 

For the very latest technology in hair restoration, Dr. Mark Bishara is 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).
There are two common ways to treat balding including strip harvesting and follicular unit extraction (FUE).  Strip harvesting is the most commonly used technique right now, and it is an efficient means of harvesting large quantities of follicles.
However, we have stopped offering it as a primary modality for a number of reasons, including patient recovery time and wound morbidity.

Benefits of ARTAS System
Robotic technology is used in numerous surgical and diagnostic procedures to improve the efficacy of treatments.  Restoration Robotics has incorporated robotic technology into FUE resulting in the ARTAS system which is the first and only FDA-cleared technology that allows the physician to control the image-guided robot.  I am able to make minor adjustments to dissection depths and angles during the extraction process ensuring my patients receive optimal results.
The ARTAS system also greatly reduces post procedure pain or disomfort as compared to strip-harvesting where patients report a sense of tightness and some degree of numbness for two to three months after a strip harvest.
Before and After Pictures some of our patients:

 

How the Procedure Works

The patient’s hair is first trimmed before the ARTAS system digitally scans areas of the scalp to identify hair in natural groupings. The selected hair is then precisely harvested using the robot and then transplanted into the thinning areas. These grafts will then grow just like they did before the areas where they are needed to fight balding.
Results will start to show in 3 months and by the 6th month, patients can expect to see noticeable improvements.  The hair will continue to grow and full results will be achieved a year after the treatment.
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. I will help you determine how to achieve the best possible results.  Please contact our office for more information at (817) 473-2120.

 

robotic hair transplants

 
 

For many women, hair loss can be very difficult to deal with. It is important for women to be evaluated by a doctor, who specializes in hair loss, at the first signs of a problem – whether she notices that her ponytail is smaller than it used to be, she sees more hair in the shower, or if her part is widening. Determining the cause of the hair loss is the first step in treating it and preventing future hair loss.

Female-Pattern Hair Loss
The most common form of hair loss in women is female-pattern hair loss, which is a hereditary condition also referred to as androgenetic alopecia. While pattern hair loss affects both men and women, it is very different in women and does not display the classic receding hairline or bald spot on top of the scalp as it does in men. In women, the frontal hairline is usually maintained, but there is visible thinning over the crown. In both male- and female-pattern hair loss, the hair stays on the head for a shorter time due to a short growth phase, resulting in baby fine hairs that do not reach their full length or diameter.
Fortunately, several treatment options are effective for women with hair loss. Minoxidil 2% is the only topical medication approved by the U.S. Food and Drug Administration (FDA) for female-pattern hair loss. Minoxidil 5% is only FDA-approved for male-pattern hair loss, but it has been shown to be very effective in women as well. Both the 2% and 5% solutions are available over-the-counter. While minoxidil does not grow new hair, it works by prolonging the growth phase of hair – providing more time for hair to grow out to its full density.
Although minoxidil is an over-the-counter treatment, women should consult their doctor who is experienced with the product and can explain how it works and off-set any known side effects.
In some cases, other medications may be used off-label to treat female hair loss, including finasteride (which is FDA-approved for male-pattern hair loss) for women of non-childbearing age only, and the anti-androgens spironolactone and flutamide that work by blocking the male hormone testosterone at the cellular level of the hair follicle. These oral medications also may be an option for women who may not want to spend time applying minoxidil every day. Dr. McMichael also noted that hair transplantation is an extremely effective procedure for women who want to fully restore their lost hair and works best in conjunction with topical or oral medications to prevent further hair loss.

Low Level Laser Technology (LLLT)

The low- level laser therapy treatment is also known as “The Cold Laser”. The laser light generated by low-powered (cold) lasers has recently come into use as a non-surgical hair restoration treatment for patten hair loss.
The LLLT lasers are called “cold” because their light is absorbed by targeting tissue but does not heat the target tissue as occurs with lasers used to cut and remodel tissue. Instead the laser has an interaction with the living tissue which is defined as photobiology. This laser therapy has been proven to have the best results when combined with other medical therapies such as minoxidil or finasteride. Treatments must be repeated to maintain hair growth and the only permeant treatment for pattern hair loss is still hair transplantation.
The LaserCap® using Low Level Laser Technology (LLLT) can help men and women of all ages who suffer from hair loss by emitting pulses of laser light energy to the scalp to stimulate the hair follicles and improve blood circulation in the area, encouraging hair growth once again.
Recently, the FDA has announced its approval of Low Level Laser Technology for use in the promotion of hair growth for men, with approval for women anticipated soon as well. Dr. Bishara fully endorses the results of this advanced technology and is proud to offer LLLT in his office through treatment with the LaserCap.
During the LLLT procedure, beams of light are absorbed by the scalp to stimulate blood flow and allow more nutrients to flow to the hair follicles. As a result, hair begins to grow again. Many patients experience significant improvement to the amount and quality of their hair after this procedure, and report benefits such as:

  • Reduction of excessive hair loss
  • Improvement of hair shaft quality
  • Repair of damaged hair follicles
  • Thicker, easier-to-manage hair
  • Reduction of excess oil production in the scalp
  • Relief from itchy scalp symptoms

This treatment is non-invasive and is considered safe for most patients, with no known side effects. The technology used during LLLT ensures that no damage will occur to surrounding living tissues, providing maximum results. LLLT has been used in Europe for over 30 years before its recent approval in the US.
Anyone can use the LaserCap. All you have to do is insert the LaserCap into any hat you desire. The cap can fit into any hat large enought to hold it. Then connect a fully charged battery pack in the cap and turn on the power switch. You will see results within 60 days. LaserCap can be used with other treatments such as Propecia.

Robotic Hair Transplants for Men and Women

For the very latest technology in hair restoration, Dr. Mark Bishara is 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).
There are two common ways to treat balding including strip harvesting and follicular unit extraction (FUE).  Strip harvesting is the most commonly used technique right now, and it is an efficient means of harvesting large quantities of follicles.
However, we have stopped offering it as a primary modality for a number of reasons, including patient recovery time and wound morbidity.

Benefits of ARTAS System
Robotic technology is used in numerous surgical and diagnostic procedures to improve the efficacy of treatments.  Restoration Robotics has incorporated robotic technology into FUE resulting in the ARTAS system which is the first and only FDA-cleared technology that allows the physician to control the image-guided robot.  I am able to make minor adjustments to dissection depths and angles during the extraction process ensuring my patients receive optimal results.
The ARTAS system also greatly reduces post procedure pain or disomfort as compared to strip-harvesting where patients report a sense of tightness and some degree of numbness for two to three months after a strip harvest.
Before and After Pictures some of our patients:

How the Procedure Works

The patient’s hair is first trimmed before the ARTAS system digitally scans areas of the scalp to identify hair in natural groupings. The selected hair is then precisely harvested using the robot and then transplanted into the thinning areas. These grafts will then grow just like they did before the areas where they are needed to fight balding.
Results will start to show in 3 months and by the 6th month, patients can expect to see noticeable improvements.  The hair will continue to grow and full results will be achieved a year after the treatment.
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. I will help you determine how to achieve the best possible results.  Please contact our office for more information at (817) 473-2120.