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Frequently Asked Questions
 On The ARTAS® Robotic Hair Transplant

How does the ARTAS Robotic Procedure work?

The ARTAS Robotic Procedure is a minimally invasive hair restoration solution that leverages digital imaging and precision robotics to harvest healthy grafts for transplantation. Unlike the earlier methods of hair restoration, there is no need for the surgical removal of a band of tissue from the back and sides of the head, no linear scar left after surgery and no need for stitches or staples to close the wound. The benefit is a quick recovery time and the ability to return to normal activities and work sooner.

Should I cut my hair before treatment?

Yes. Trimming your hair in the donor area allows the ARTAS Robotic System to accurately visualize, track and harvest each grouping of hairs. You will receive instructions on having your hair cut shorter in preparation for your ARTAS Robotic Hair Transplant.

How will my hair look after the ARTAS Robotic Hair Transplant?

The ARTAS Robotic Hair Transplant provides extremely natural looking results. After the procedure, you are able to wear your hair any length or style with confidence.

How is the ARTAS Robotic Hair Transplant different than “Hair Plugs”?

Old fashioned “hair plugs” included the harvesting of large patches of hair that resulted in an awkward and unnatural appearance once implanted. In the ARTAS Robotic Procedure, hairs are harvested in their natural groupings and then transplanted individually by your physician. Individual transplantation provides you with the look you desire, including a great looking hairline and a fuller head of hair.

Are ARTAS Robotic Hair Transplant results permanent?

Yes. The ARTAS Robotic Hair Transplant uses your own permanent growing hair, typically from the back of your head, and your physician then implants this hair to the thinning areas of your scalp. As this hair is not susceptible to the conditions that cause male pattern baldness, transplanted hair will last a lifetime.

How long does it take to recover and heal?

Recovery time with the ARTAS Robotic Hair Transplant is less than with most surgical cosmetic procedures. As there is no surgical incision or stitches required with the ARTAS Robotic Hair Transplant, healing time is short, and you can usually go back to your daily activities after a day or two. Some doctors schedule a follow up visit the morning after the procedure to examine your scalp and to teach you how to take care of your newly implanted hair.

When will my new hair start to grow?

Transplanted hair grows naturally in phases. New hairs are seen about three months after the procedure, and will continue to increase over the course of a full year. At approximately six months, you will enjoy a noticeable improvement and after a full year, you will see final results.

Will people know I have had a hair transplant procedure?

With the ARTAS Robotic Hair Transplant, any scarring is minimal and is nearly undetectable. Your new hair grows in gradually, reducing the chance that people will notice the procedure. Your friends and family will comment that you look better, but the results from your hair transplant are subtle and natural.

Does the ARTAS Robotic Hair Transplant procedure hurt?

The ARTAS Robotic Hair Transplant, an outpatient procedure performed in the doctor’s office, requires only a local anesthetic. The patient feels virtually no pain. Some patients can experience minor discomfort and swelling post-procedure, which subsides in one to three days.

Will there be visible scarring in the donor area?

Because the ARTAS Robotic System selectively harvests individual hair groupings rather than removing a large area of scalp requiring sutures, there is minimal scarring in the donor area. Hair can be worn fashionably short, or in longer styles, whatever you prefer. You’re not limited by having to cover scarring from strip surgery.

What is the price of the ARTAS Robotic Hair Transplant?

Treatment costs will be determined during your consultation with your doctor and depend on the amount of new hair that you desire. Discuss the procedure pricing with your doctor, as some doctors may offer payment options.

How long does the ARTAS Robotic Hair Transplant procedure take?

The ARTAS Robotic Hair Transplant usually takes from four to eight hours as determined by your doctor to achieve your hair restoration goals. You are comfortably seated during the process, and the doctor and staff are there with you to maximize your comfort throughout the procedure.
[calltoaction]To learn more about our Robotic Hair Transplant Services, please contact us at (817) 473-2120 today to schedule an appointment.[/calltoaction]

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Robotic Beard or Facial Hair Transplants by Dr Mark Bishara


Beard hair or facial hair is often time desired in people who lack the ability to grow facial hair.  This can be a for a several reasons.  Religious reasons, social status and self esteem all contribute to why men seek out a fuller-thicker beard!

Beard Shapes and Sizes

Beard Anatomy

7 Regions: Cheek Beard, Mustache, Forebeard, Side Beard, Jaw Beard, Under Beard and Neck Hair

Usually, when I am transplanting the beard, I will use advanced harvest techniques at 3000 RPM with a 19G punch using the FUE ARTAS robot and taking hair from back of the head.  If I am taking hair from under the angle of the mandible I like to use a 1.0MM or 0.9MM sharp punch.
Most patients will need around 32 weeks for the beard to become fully developed from the transplant procedure. It usually takes 2 beard transplants to get a desired result however we occasionally will perform up to 4 transplants to achieve the amount of thickening that patients will want.
Average Cost ranges from about $5000.  Average number of Hairs needed to transplant varies dramatically but it is very common to go over 4,000 total hairs over 2,200 to 2,500 grafts.
For a consultation appointment at one of our offices or for a Skype Online consultation please email [email protected]
Dr Mark A Bishara MD and Paragon Plastic Surgery and MedSpa and the Paragon Hair Clinics, LLC offer Beard and Facial Hair Transplants to patients both in North Texas from Dallas, Mansfield, Southlake, , Fort Worth, Austin, Houston, San Antonio, Los Angeles, Las Vegas, Miami, New York, Brooklyn, Manhattan, Staten Island, Chicago, Oklahoma City, Little Rock, New Orleans, Tyler, Arlington, Washington D.C., Plano and Boston.

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ARTAS Hair Studio Increases the Amount of Hair Transplanted

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.

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Robotic Follicular Unit Extraction Hair Transplant Questions

How many hairs come out of a graft area?

The number of hair ranges from one hair to four hair for each graft. We have an advantage by using a robot to select only two hair grafts if we need to provide more density. On the other hand single hair grafts are very important for the front of the hairline to get a feathered natural look.  We also have the ability to program the robot to only take single hair follicular units.

What % of hairs actually take?

90% of transplanted grafts or better will survive in the recipient site. Much of this is determined by the use of PRP, the use of high potassium based  holding solutions, and decreasing the time to transplantation. Limiting our hair transplant sizes the 800 g per session Minimizes the time of out of body and oxidative stress on the follicle.

What is the long term aftercare?

After transplant you may begin to use minoxidil at one week or once the scabs fall out. In the immediate postoperative period, there is a shampoo, conditioner, spray, and copper impregnated guaze pads. These are very important for healing and specifically Helps decrease the downtime from the procedure. I highly recommend the graft site kit and it is available at our office. After the hair transplant several months later you will begin to see your new hair growing. PRP injections would be advisable in your case at 4 weeks and 8 weeks. We would look at your overall hair Results of 10 months and recommend additional transplants in that area if it looks beneficial. You can of course transplant another area after two months allowing the donor site to heal appropriately.  There is no long-term of you care needed the transplanted hair. It is your hair and you don’t need to do anything to it to the transplants.

Will I need prp with the transplant?

This is answered above, PRP treatments will provide you with more hair mass. The recommendation is to do this might not only help your transplanted here but more importantly to prevent your natural hair from falling out.   As discussed in our consult, there has been no large multi institutional randomized double-blind placebo-controlled trials that have been peer-reviewed to support a statistical significance of hair mass to date.  Existing here should go from the flimsy hair to thicker more robust hair and will give Is the appearance of more hair in some individuals.

Should I stop rogaine so you can really see the troubled area in its entirety before transplant?

No, you should not stop rogaine use.
Will I lose the transplanted hair over time since I am diagnosed with hereditary hair loss?

Most likely yes but by using hair laser you will slow your hair loss down.

Is it harder to transplant African American hair?  Does it take to the new site as well?  Does it take longer?  Have you performed any transplants on African Americans?

It is not technically harder to transplant African American hair.  The success of hair restoration at the receipt site is acceptable. It does take a little bit longer and yes we have conducted African American hair transplants. AA have acceptable results usually require multiple procedures.
What should I expect during procedure, and what should I expect at home after procedure?

You can expect to come to our office early in the morning take before pictures, have blood drawn, sign consent forms, and be placed in the chair where the nerve block will be performed. You’ll be given antibiotics and a sedative by mouth, next PRP will be injected into the recipient bed followed by recipient site creation. You will then be placed into the robot where we will dissect out a number of grafts that correspond to the number of recipients sites that we created. Then we will place you back into the chair to implant you.

You will rest for two days without increasing your blood pressure and we will follow up with you 2 weeks later on the phone call. Most of the scabs and existing hair connected to the follicle with fall out by seven days. You’ll have some existing scabs. Social downtime is about a week.


We look forward to helping you through your hair restoration journey!

Please give us a call 817-473-2120 or email us at [email protected]

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What is a Robotic Hair Transplant?

What is a Robotic Hair Transplant?

A robotic hair transplant is a type of hair restoration procedure where donor hair is removed directly from the back and sides of the scalp using robotic control. The specific type of hair transplant where robotic technology is used is called follicular unit extraction (FUE). In FUE, a small, round instrument, or punch, is use to separate individual follicular units (naturally occurring groups of 1-4 hairs) from the surrounding tissue, so that they can be extracted and then implanted into the balding area. This process is very tedious and exacting and when done manually often leads to significant injury to the follicles.
Robotic surgery allows this procedure to be done in a more precise and consistent way, ultimately maximizing the growth of the grafts. In a robotic hair transplant, follicular units are extracted one at a time by the image-guided, computer-driven system called ARTAS, a technology developed by the company Restoration Robotics. At The Paragon Plastic Surgery & Med Spa, all Follicular Unit Extraction (FUE) procedures employ the speed and precision of the robotic system.

How Does the ARTAS Robotic Procedure Differ from Other Hair Transplant Procedures?

There are two basic types of hair transplant procedures, Follicular Unit Transplantation (FUT or strip surgery) and Follicular Unit Extraction (FUE). In FUT, donor hair is harvested by removing a long thin strip from the back of the scalp. Individual follicular units are then obtained from this strip using stereo-microscopic dissection. In FUE, individual follicular units are harvested directly from the donor area using a sharp, round cutting instrument. The ARTAS Robotic Hair Transplant system performs the follicular unit isolation step of an FUE procedure and can also create recipient sites according to specifications determined by the hair restoration surgeon. In performing each of these steps, the robot uses its image-guided technology to locate the next target and position the cutting instrument, and it does so with precision and speed that cannot be accomplished using manual FUE techniques or instruments.
Hair restoration information is available in our office. Please contact us at 817.473.2120 to schedule an appointment.  You can also visit our website at www.MarkBisharaMD.com.

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