Here is a patient of mine who had hair loss classified as norwood 6 on the norwood hair loss scale. This essentially means that most of the hair on top of his head had been lost secondary to genetic hair loss.
I performed a follicular unit extraction (FUE) hair transplant using a 0.85mm punch tip. I personally extracted each and every follicle. Many other physicians delegate the extraction component of the procedure to technicians but I prefer to perform the extractions myself.
The patient is thrilled with his results and plans to return for another procedure to create even more cosmetic density.
Here is a male patient of mine who has a case of LPP which is a form of scarring alopecia. He has lost small patches of scalp hair in no specific distribution secondary to the disease process and he los all his eyebrow hair as well. He previously had an eyebrow tattoo and was disappointed with the look and presented to me for eyebrow transplants.
I explained to the patient that scarring alopecia is a very unpredictable process and that no guarantees could be made as to the success of the eyebrow transplant. Due to the fact that he had scattered patched affected in the scalp I felt our greatest chance of success was to perform the procedure with an FUE harvest and to find unaffected areas of the scalp to harvest the donor hair from.
I personally harvested every follicle using a 0.8mm motorized punch. We only placed single hair grafts into the eyebrows. We placed approximately 270 hairs per eyebrow.
The results here are shown after only 6 months. The patient should see some increased growth over the next 2-3 months.
The patient is beyond thrilled. The lack of eyebrow hair previously was a constant reminder of his disease process and the new eyebrows have given him a new self confidence.
This is a patient who previously underwent an FUE procedure performed by another physician with unnatural results secondary to the placement of large grafts in the hairline. I created more density and placed single hair grafts into the hairline to create a more natural look. The grafts were harvested via FUE using a 0.8mm motorized punch tip. Approximately 400 single hair grafts were placed into the hairline to create a much more natural look.
Unfortunately there are many physicians offering hair transplants that are not properly trained. It is imperative that you do your research before deciding on your surgeon and always chose someone who specializes exclusively in hair restoration.
Here is a patient from Asia who underwent an eyebrow transplant procedure with a local surgeon. Unfortunately her results were very unnatural. She had “cobble stoning” in the eyebrows (usually from incorrect grafts placement) as well as a very small amount of growth and unnatural growth of the hairs.
I placed approximately 450 grafts into each eyebrow over 2 procedures and the results are shown below.
The patient is thrilled with her results and states that her eyebrows have given her a renewed self confidence.
It is imperative to chose a surgeon with extensive eyebrow transplant experience as this is a very nuanced procedure that requires a tremendous amount of artistic vision as well as technological expertise.
Here is a male patient of mine who wanted more fullness to his eyebrows. We extracted his donor follicles via FUE. In the video the patient shares his experience undergoing the procedure and his satisfaction with the results.
Here is a very interesting case of a patient who was a frequent break dancer in the day. His continued head spinning cause the hair at the top of his head to fall out in the exact spot where the scalp received repetitive trauma. Anything that causes repetitive trauma to the scalp can cause the hair in those places to fall out.
I harvested approximately 150 grafts via FUE from the back of the scalp and we transplanted these grafts into the area devoid of hair.
The results are show after 1 year. The patient is thrilled.
Marc Dauer, M.D.
FUE grafts transplanted into scalp scar from break dancing
Here is a patient I recently saw in consultation who had received a FUE hair transplant of over 3000 grafts at age 21 from another physician. He is now age 24 and wanted me to evaluate his results and ask my opinion about his options moving forward. I was dismayed to see how his donor region had been completely depleted to the point where it was almost see through at a #4 haircut. When FUE is done properly in a patient with average density you should be able to cut your donor hair to at least a #2 haircut without seeing any sign of thinning. In addition, his hairline had been transplanted in a very aggressive pattern (meaning very low). To perform a hair transplant on a 21 year old male who is predicted to advance to a severe hair loss pattern is never a good idea. To to this to a 21 year old patient with an aggessive hairline is just plain wrong.
After more questioning the patient shared that he was treated by a local plastic surgeon who does not specialize in hair transplants. The surgeon had purchased the Neograft machine and had technicians perform the entire procedure. I was not surprised to hear this after seeing his results. Beware of other specialists that do not specialize in hair transplant procedures with the Neograft machine offering hair transplants through their clinics. I have seen many cases over the past few years of botched hair transplants and routinely I hear the same thing. They went to a physician who is well known for another specialty and got sold on having their technicians perform the entire procedure with their Neograft machine.
Hair transplant surgery is both an art and a science. it is not a specialty that one learns in a weekend course, and it is not an art that should be taken lightly.
In this patient’s case he does not have enough donor hair to fill in the massive area of balding below his unnaturally low thin hairline. In addition, he is only 24 and will lose all his additional hair on top of his head over the next 8-10 years. His options include removal of the unnatural hairline via FUE and recycling of the grafts further back. His donor on the back and sides is almost depleted so his best option is to use beard and body hair for increased density.
In the photos below I have drawn in where his hairline should have been transplanted to show the contrast to where it actually was. I always say it is better to have a higher hairline with higher density versus a lower hairline with lower density. No one has unlimited donor hair and especially in young patients predicted to proceed to advanced hair loss there is never enough donor hair and it all needs to be used very judiciously.
This patient looked like he had less than 1/3 of his harvested grafts actually grow. Received a very unnatural hairline. Should not have had a procedure at age 21 to begin with.
Beware of having a hair transplant under the age of 24 and when done it should be in a very conservative fashion. Also, beware of physicians that do not specialize exclusively in hair transplant surgery.
All the best,
Marc Dauer, M.D.
This is a hairline transplanted too low in a young patient.
Hairline transplanted too low in a young patient.
This is a hairline transplanted too low in a young patient.
Last week I had an eyebrow transplant patient who flew in from Dallas for her procedure. She had lost her eyebrows after a laser treatment gone awry that removed most of her existing eyebrow hair. Her story was featured on the local news and you can watch it from the link below. In the video she is approximately one week post procedure but you can already see the dramatic change.