Temporary or Permanent?

One of the more traumatic side effects of a bout with COVID appears to be temporary hair loss. Almost one-third of all people recovering from COVID are experiencing rather significant hair loss. In most cases, the noticeable hair loss is starting about 2 months after they recover from COVID and lasting as long as 12 months. Post COVID hair loss is ranging from minor thinning to extreme hair shedding.

Post COVID Hair Loss, TE, Hair Loss

Telogen Effluvium

The medical term for hair loss that is more than normal is Telogen Effluvium (TE). Doctors are not certain why TE is occurring in patients recovering from COVID. It is possible that fever and other extreme side effects of the COVID illness are forcing your body into a state of TE where large amounts of hair sheds. TE normally develops after your body experiences an extremely challenging event that can be either physical or mental. Since COVID-19 inflicts major stress on your body, by attacking your organs and causing lasting trauma, it makes sense that hair loss could follow. Luckily, TE is rarely a lifelong problem. For most people, the hair stops falling out and begins to regrow within six months.

On Going Hair Loss

Although the hair loss is most often temporary, the emotional stress and anxiety of watching clumps fall out every time you brush your hair or shower can make the situation even worse.  It’s important to try to de-stress and stop focusing on the hair loss. Only when the stress ends will the excessive hair shedding stop.

When It Doesn’t Grow Back

If your hair loss lasts longer than 6-12 months, you may want to explore what continuing issues may be contributing to your hair loss. There are many different tests that medical professionals can run to determine if something more than temporary TE is causing your hair loss. A good starting point for testing is to check your thyroid and other hormones. An imbalance in your hormones can manifest as hair loss.

Advanced Surgical Arts specializes in hormone balancing for men and women. They also offer hair regenerative treatments using stem cell/PRP that can help to restart your hair growth. The studies on COVID hair loss indicate that this condition affects women more than men. If you are concerned that your post COVID hair loss is getting worse or continuing past a few months, you can contact us at 972-612-1900 for testing to determine if you have a problem needing medical attention. The solution might be as simple as improving your nutrition and adding a few supplements to help the regrowth process for your hair to return to normal.

Post COVID hair loss is gaining exposure as many celebrities in Hollywood are also experiencing it and speaking out. If you are concerned with post COVID hair loss, don’t be afraid to contact a doctor to discuss your options.

When the New Year arrives, most people have grand visions of self-improvement. If your self-improvement program caused you to recently step on the scale and you were shocked by what you saw, hold back on the self judgement. Your recent weight gain may not be caused by bad habits such as over eating or lack of exercise. Weight gain can be a symptom of hormone imbalance in both men and women. The cause of this hormone imbalance is most often natural aging. By the time men and women reach their 40’s, many have begun to experience naturally occurring hormone imbalance that is called Menopause in women and Andropause in men.

Hormone Imbalance and Weight Gain

Weight Gain and Hormone Imbalance

Hormone imbalance can cause a whole host of problems in men and women with one of the more obvious symptoms being unwanted weight gain. For women, it can be a complex combination of out of balance hormones that is responsible for the difficult to lose weight gain. For men, it is often times the responsibility of low testosterone that is the culprit for the added body fat. However, it could also be a combination of low testosterone and other out of balance hormones such as thyroid that causes the problem.

Adjusting out of balance hormones is something that can be done with a comprehensive blood test and a skilled medical professional. Unfortunately, many men and women suffer with symptoms of hormone imbalance such as weight gain, not realizing there are things that can be done to help alleviate the problem.

Oftentimes, men and women will wait years to fix their out of balance hormones believing they can just change their diet and increase exercise to lose the unwanted weight. However, if the weight gain is due to hormone imbalance, it will be almost impossible to lose the weight until your hormones are balanced.

Menopause and Weight Gain in Women

During menopause, key hormones in women tend to decline that impact metabolism, appetite and fat storage. Unwanted weight gain during menopause can make women self-conscious and threaten their health. Even if your diet and fitness habits haven’t changed, you may still find yourself gaining weight because of a hormone imbalance. The following out of balance hormones can impact your weight;


Generally during menopause, estrogen levels in women drops substantially. When the ovaries slow down or stop producing estrogen during menopause, the body looks for alternative ways of getting estrogen. Fat cells can be a rich source of estrogen so during menopause, it makes sense that your body would try to convert more calories into fat to produce more estrogen. As much as you might try to fight your bodies attempt to store more fat, your body finds ways to override your efforts and pack on the estrogen rich fat cells.


As your testosterone levels begin to drop during menopause, your body starts to build less muscle. This change in muscle mass and body composition can adversely affect your metabolism. When your body has more muscle, it burns more calories during rest and activities. The more your muscle to fat radio changes the harder it becomes for your body to burn calories.


Probably one of the first imbalances to affect menopausal and peri-menopausal women is low thyroid. Since the thyroid is responsible for regulating your body’s metabolic rate and calorie consumption, a low thyroid can cause you to gain weight and make it difficult to lose it.


One of the other hormones that can impact your weight during menopause is cortisol. If it gets out of balance, your body could release too much stress hormone (Cortisol). When your body gets an excessive amount of Cortisol, it will go into storage mode, thinking it is in danger and must preserve calories. When this happens, your body will hold tight to every calorie and most likely add the fat to your midsection.

Andropause and Weight Gain in Men

For men, keeping weight off can become difficult during a hormone imbalance called Andropause. The hormone imbalance can cause an unwanted increase in fat and is most often caused by an imbalance in testosterone. This testosterone imbalance tends to start as early as the 30’s and affects almost 100% of men by the time they are in their 50’s. When Andropause hits, the hormone imbalance can cause a host of symptoms from erectile dysfunction to weight gain. The more out of balance your hormones are, the more difficult it can be to overcome the symptoms. The hormone that can have the biggest impact on your physical appearance and weight gain is testosterone.


In men, testosterone helps maintain; muscle mass, adequate levels of red blood cells, bone density, sexual function and a sense of well-being. Low testosterone is one of the easiest to spot hormone imbalances in men since it can cause a host of symptoms from loss of muscle too low sex drive. When testosterone levels drop, many men experience a shift in body composition experiencing an increase in fat in the mid-section and breasts.

Andropause and low testosterone can also cause low energy and mood changes leading to a drop-in activity compounding the problem with a newly developed spare tire. This is mostly due to low testosterone, and also elevated estrogen. This kind of weight will be very difficult to lose, even with rigorous lifestyle habits without the help of a program that can balance your hormones.

Thyroid / Cortisol / Estrogen

Men will lose their testosterone and other hormones at different rates. However, in the absence of treatment, it is not just low testosterone that can cause men to gain weight. Hormone imbalances such as low thyroid, elevated Cortisol/adrenal fatigue and increased estrogen can also negatively impact weight. Low thyroid can cause your body’s metabolism to slow causing weight gain. Increased cortisol signals the body to retain fat. And most common is, as testosterone drops, men experience a spike in estrogen. This added estrogen can lead to body softening and increased body fat in the midsection and breast area.

Treatment For Hormone Induced Weight Gain

If you are in your 40’s or older and are experiencing difficulty with losing weight, it might be time to get your hormones tested to see if you are out of balance. A simple blood test could be the first step in solving the mystery of your weight gain issues.

Benefits of Hormone Replacement Therapy

Some of the benefits of replacement therapy include:

  • Loss of fat
  • Increased bone density
  • Improved sexual function
  • Improved mental sharpness
  • Greater muscle strength and physical performance

Dr. Doohi Lee at Advanced Surgical Arts is an expert at anti-aging medicine and balancing hormones. Call us today at 972-612-1900, to get back on track and fight the fat.

Excessive Sweating HyperhidrosisHyperhidrosis is a medical condition that causes your body to excessively sweat more than you need to

Approximately 2% of the population in the United States is affected by hyperhidrosis. It is a medical condition that causes profuse sweating in the hands, underarms and/or feet.

For people with hyperhidrosis, excessive sweating can weigh on every decision in life. Most people don’t think very hard about what shirt to wear or the color of their clothing. However, to a person with hyperhidrosis, these decisions are key and can dictate whether they participate in an activity or avoid it completely. Social events can be canceled simply because of a bout of excessive sweating makes it too embarrassing to be seen in public. Many sufferers of hyperhidrosis struggle just to leave the house each day because of excessive sweating.

Finding a Doctor

Finding a medical professional that really understands the problem and is able to offer a solution can be a daunting problem. Some patients go years without even knowing the name of the medical condition they are suffering from. Not surprising, there are a number of doctors and clinical professionals that fall short trying to treat excessive sweating.

Dr. Lee has dedicated his life’s work to looking for solutions to difficult health problems such as hyperhidrosis. He created a health model called Diamond Matrix. The foundation of the Diamond Matrix health model is that all health conditions are intertwined in a person.

Basically, a condition such as hyperhidrosis has the ability to completely derail a person in every aspect of their life leading to other more serious health conditions such as chronic depression and other significant psychological problems.

Causes of Hyperhidrosis

Hyperhidrosis is a medical condition that is marked by excessive sweating that is not triggered by temperature or physical activity. The excessive sweating is instead a result of an overactive sympathetic nerve chain. This chain of nerves delivers information to the body about stress and impending danger. Sometimes these nerves, that control sweat glands, can exaggerate response to situations that normally would not cause sweating. This is considered hyperhidrosis and could be a hereditary condition.

Sometimes excessive sweating can be caused by medical conditions such as anxiety, obesity, diabetes, menopause, leukemia, overactive thyroid and others. This type of sweating is not considered primary hyperhidrosis and should be treated by addressing the underlying medical condition responsible for the excess sweating.

Typical Hyperhidrosis Treatments

Many of the doctors that treat hyperhidrosis offer patients marginally successful options such as;

  • Prescription Medications
  • Creams
  • Neurotoxin Injection(Botox)
  • Special Antiperspirants
  • Acupuncture
  • RF Micro-needling

If you have tried any of these treatments, it is likely you are not completely satisfied with the results. Treatments such as neurotoxin injections can be painful, expensive and require regular repeat injections every 3-4 months. The success rates for the other options such as pills and antiperspirants are so low that most patients look for alternative treatments.

Advanced Hyperhidrosis Surgical Procedures

For more than 50 years doctors have been performing surgical procedures to try to rid patients of excessive sweating. These early procedures were very invasive requiring surgeons to cut the patient wide open at the back, chest and neck. In 1990, endoscopic surgery revolutionized procedures for hyperhidrosis and made it an outpatient procedure. Since then, medical advances have developed even safer procedures for hyperhidrosis with the 1065 advanced surgical laser.

For Hands and Feet

Sympathectomy – Is an endoscopic surgical procedure to permanently or temporarily sever the nerve signals that are responsible for sweating in hands and/or feet. During the endoscopic sympathectomy procedure, a very small incision is used to either clamp or completely sever the nerve chain.

The procedure is done on an outpatient basis and is much less invasive than the early day surgeries. There is little to no scaring and the results are immediate. The nerves responsible for hand sweating are in the upper part of the chest (thoracic cavity) and the nerves responsible for foot sweating are in your lower back (lumbar region).

A sympathectomy has proven to be very successful at eliminating sweating in hands and feet. However, it is complex surgical procedure that can also have unintended consequences, not related to sweating, because it involves cutting or clamping the sympathetic nerves.

For Underarms

Surgical Laser Procedure – Advances in technology have enabled doctors to perform minimally invasive hyperhidrosis surgical procedures using advanced lasers. During the procedure, a special surgical wand is inserted under the skin through a very small incision. The wand delivers a laser beam to the targeted sweat glands permanently eliminating them. Prior to the procedure, a special iodine solution is used to map where the sweat glands to be treated are located in the underarm region.

A Clinical Trial for the surgical laser procedure demonstrated a 93% reduction in sweating in patients with hyperhidrosis. Dr. Lee in one of only a few experts in the United States that performs this procedure on the underarms. The results of this surgical procedure are immediate and most patients only need one treatment to achieve maximum results.

Finding the Right Doctor

These advanced surgical procedures can be very effective in treating hyperhidrosis and are done on an outpatient basis with immediate results. The problem with these procedures can be finding a qualified doctor that is able perform them. It takes years of practice to expertly perform these delicate procedures and only a handful of skilled surgeons have mastered them through years of practice.

Get Help Today

The staff at Advanced Surgical Arts in Plano Texas invites you to meet our team during a complimentary consultation and learn more about our minimally invasive surgical procedure for combating hyperhidrosis. This procedure can change your life forever and help eliminate your chronic sweating problem.

If you have been searching for help with your hyperhidrosis, Advanced Surgical Arts has a solution. Contact us at 972-612-1900 to meet with Dr. Doohi Lee, one of the world’s leading experts on the surgical laser procedures for hyperhidrosis.

What is the Best Option?

At some point, everybody looks in the mirror and realizes that they look older. Starting as early as our forties, we can begin to see significant changes to our facial features. Facial aging appears as;

  • Sagging Skin in the Mid-face
  • Loss of Defined Jawline Resulting in Jowls
  • Wrinkling and Sagging Neck Skin
  • Fat Deposits Under Eyes
  • Drooping Eyebrows
  • Increased Wrinkles on Face and Forehead
  • Hollowed Temples
  • Lost Facial Fat and Tissue Volume
  • Deep Nasolabial Lines Near Your Nose
  • Lines Running from Corners of your Lips Down to Chin
  • Loss of Muscle Tone in Lower Face
  • Double Chin, Extra Fat Deposits in Chin

When facial features begin to undergo noticeable changes, many people consider getting a facelift. But, they have to decide if they want a surgical or non-surgical facelift procedure.

Surgery Is Not the Only Option

Surgical or Non-Surgical Facelift and Neck-LiftSurgery is no longer the only option for achieving a facelift. Non-surgical alternatives range from aggressive laser procedures to PDO thread-lifts. These non-surgical procedures can be very effective at restoring a youthful appearance.

Depending on the condition of your skin, options such as fillers, PDO threads and/or lasers could give you months of restored youth. The following are some of the non-surgical facelift options currently available;

Botox – Can address lines around the eyes and on the forehead

Fillers – Dermal fillers can be used to add volume, lift cheek area, diminish nasolabial folds and define jawlines.

PDO Threads – are a very good alternative to a surgical facelift. They can be used to lift skin in almost every location on the face and neck. They enable the doctor to securely lift skin and tissue to a more youthful position. The treads can last 15-18 months and encourage collagen to regenerate in areas they are placed.

Lasers – Advances in laser technology has enabled doctors to offer non-surgical facelift alternatives that are FDA approved, safe and effective at restoring youthful appearances. Lasers such as Fotona offers procedures that can tighten skin, increase collagen growth and improve skin appearance with long lasting results.

Advantages to Non-Surgical Facelift

  • Non-invasive
  • Little to No Downtime
  • Minimal Pain and Discomfort
  • No Anesthesia
  • No Scars
  • Minimal Risks
  • Fast and Effective
  • Cost is Less than Surgical Facelifts

Disadvantages to Non-Surgical Facelift

  • Results Don’t Last as Long
  • Requires Repeat Procedures to Maintain Results
  • Effects Can Be Less Dramatic
  • Not Appropriate for Every Patient – If you have Too Much Skin Laxity or Lost Volume, Surgery Might be Your Only Option.
  • Some of the Products Can Cause Allergic Reactions
  • Bruising

Surgical Facelift

The traditional or surgical facelift is performed to remove excess facial skin and reposition the soft tissues to rejuvenate the appearance of the face. The mid-face area is often the focus of most surgical facelifts because it tends to have the most severe aging problems. Mid-facelifts can address several problems areas including sagging cheeks, nasolabial folds, drooping jowls and excess neck skin.

To get a more youthful and refreshed look, patients can also surgically address; drooping brows, wrinkles on the forehead, eyelid problems and bags beneath eyes.

Advantages of Surgical Facelift

  • Tighten Facial Muscles to Help Facelift Last Longer
  • Trim and Tighten Sagging Skin
  • Improve Facial Contours
  • Eliminate Wrinkles on Cheeks
  • Improve Eyelids
  • Eliminate Jowls and Define Jawline
  • Smooth the Neck Area.
  • Results Can Last 10 Years or More

Disadvantages of Surgical Facelift

  • Incisions Scars – Small but Might Be Visible
  • Long Healing Period
  • Might Need Help with Post-Operative Care for a Few Days
  • Cost is Higher than Non-Surgical Treatments
  • Requires Anesthesia
  • Pain, Swelling and Bruising Could Last for Several Days
  • Risks – All Surgeries Have Some Inherent Risk of Serious Complications

A surgical facelift is safe when performed by certified and experienced surgeons. It can bring long lasting youthful changes to your face in a single procedure.

Talk to With an Experienced Surgeon

Any alteration to your face should be a carefully thought-out decision. Whether you choose a surgical facelift or one of the alternative non-surgical options, take the time to review all the advantages and disadvantages. Your face is the first thing people see when they meet you. It is how we identify each other. Even making a subtle adjustment, can cause a major change in your appearance. Get expert advice from an experienced surgeon with an artistic eye. Don’t rush to a decision and make sure that your doctor reviews all your options that can best meet your desired results.

Advanced Surgical Arts provides both surgical and non-surgical facelift solutions to address a wide range of issues. If you are ready to restore your youthful appearance, contact us at 972-612-1900 to schedule a complimentary consultation to discuss which facelift method is best for your cosmetic goals.

Post-acute Covid-19 SyndromeSurvived COVID-19, but feeling less than yourself?

Even after surviving COVID-19, you can find yourself fighting with damage to your immune system, lungs and other parts of your body. Post COVID-19 Syndrome is persistent and prolonged side effects after a COVID-19 infection. This syndrome is characterized by complications that last beyond 4 weeks from the onset of the virus. Common residual side effects of COVID-19 include; fatigue, shortness of breath, chest pain, joint pain and decline in quality of life.

Many medical professionals have turned to regenerative medicine to try to help bring patients back to pre-COVID health status. A key component in regenerative medicine is mesenchymal stem cells (MSCs). These MSC’s have an innate ability to regenerate immune systems, control inflammatory responses, and promote recovery of damaged organs.

Stem Cell Studies and Clinical Trials

Since the beginning of the pandemic, more than 200 scientific studies and clinical trials have been conducted on the use of MSCs in reducing lung damage and improving COVID-19 patient recovery. The results are promising and have shown that regenerative medicine treatments with MSCs can help patients with severe or critical COVID-19 recover from lung damage. The mesenchymal stem cells do this by controlling inflammatory response while encouraging regeneration of damaged tissue and organs.

Advanced Surgical Arts in Plano, Texas is a leader in regenerative medicine therapeutics. Dr. Lee offers patients regenerative medicine treatments with Stem Cell, Exosomes and PRP. Regenerative medicine utilizes cellular biology to help the body to return to normal function after injury or disease. Regenerative medicine can also help to reduce pain, control inflammation and regenerate damaged tissue and organs.

If you have recovered from the COVID-19 infection, but are still struggling to feel yourself, contact Advanced Surgical Arts at 972-612-1900 for a regenerative medicine consultation to find out if Mesenchymal Stem Cell (MSC) therapy can help promote healing and improve your medical condition.

Snoring Has Serious Health Ramifications

Is your snoring impacting your personal relationships and leaving you sleeping in a second bedroom? You are not alone, more that 89 million Americans snore. Your snoring may bother your loved ones and keep them awake at night, but for you snoring can have some very serious health ramifications. It can cause; migraines, fatigue, irritability,Nightlase, Snoring daytime fogginess, depression, sexual dysfunction, heart conditions, and more.

NightLase Snoring Procedure

NightLase is an FDA approved laser procedure that can help with your snoring and sleep apnea problem.  Scientific studies have shown that the Fontona NightLase procedure is 85% effective in eliminating or reducing the incidence of snoring in treated patients.

The procedure uses a gentle laser beam inside the mouth to address the tissue at the back of the throat. It is this tissue at the back of the throat, that at times, can block your airway causing snoring sounds as it vibrates. The laser has unique characteristics that enable it to tighten this tissue and open an obstructed airway.

Test Yourself

To help understand your level of snoring, Advanced Surgical Arts recommends that each patient take a series of night-time tests. They have you use a mobile app called ‘SnoreLab’ to record your snoring to establish baseline results. This test will show you how aggressively you snore, and how many minutes per night you snore. The app will also track your progress at reducing or eliminating snoring after each NightLase treatment.

The Results Are Impressive

The non-surgical NightLase snoring procedure is an effective, alternative to CPAP machines and traditional snoring surgery. It has successfully reunited sleeping partners by eliminating or reducing snoring problems. The procedure is fast and effective. Most patients are satisfied after only 4-5 treatments. Call us today at 972-612-1900 and get back your rightful place in the master bedroom!

Could Vein Disease be causing your Restless Leg Syndrome?

More than 30% of people who suffer from Restless Leg Syndrome (RLS) also have problems in their leg veins, a condition called chronic venous insufficiency.  RLS is a problem that causes an uncontrollable urge to move your legs, most often at night resulting in disturbed sleep for you and your sleeping partner. It is a common condition, but often without a clear cause. The usual treatments include; supplements, leg wraps, and even medications Restless Leg and Varicose Veinssuch as opioids and muscle relaxers. Unfortunately, these only treat the symptoms, but not the cause.

Chronic Venous Insufficiency

If your Restless Leg Syndrome is associated with a vein problems you are likely to have leg veins that have become inefficient with blood pools. This condition is called chronic venous insufficiency and results in tired throbbing legs with heaviness, cramps and varicose veins. Varicose veins and other vein diseases can cause constant pressure on surrounding muscles from fluid buildup in the veins. The distended veins apply pressure on the muscle all day but decompress at night. As the muscle is relaxing, it can cause twitching and other symptoms associated with RLS.

Oftentimes, a vascular cause for Restless Leg Syndrome is missed. Numerous studies have shown that more than 90% of patients treated with vein disease (venous insufficiency), that also had RLS, had complete relief from restless leg symptoms. These are patients that had been taking Restless Leg Syndrome medication for years without success. If you have RLS and signs of vein disease (which can be hidden), you should consider a complete ultrasound evaluation of your legs. Treating your veins with procedures such as Endovenous Laser Ablation (EVLA) may help you to eliminate the need for RLS medication.

Symptoms of RLS

  • Involuntary Leg Movement
  • Uncontrolled Kicking
  • Aching
  • Throbbing
  • Itching
  • Crawling
  • Creeping
  • Leg Spasms

Symptoms of Vein Disease

  • Appearance of Spider Veins
  • Appearance of Varicose Veins
  • Darkening or Changes in Skin Color
  • Pain
  • Leg Swelling
  • Heaviness
  • Throbbing
  • Restless Leg Syndrome

The symptoms associated with vein disease can be painful and unsightly. However, the bigger problem with vein disease is that it can adversely affect your health leading to; sleep problems, Restless Leg Syndrome, blood clots, thrombophlebitis, leg ulcers and strokes. Vein disease is progressive with many potentially serious complications. Treatment for it is covered by most insurance companies including Medicare. If you are suffering from RLS and your medication isn’t working, consider getting evaluated for vein disease. Call Advanced Surgical Arts at 972-612-1900 for an appointment.