Greetings,

Here is a patient who came to me after having undergone several previous procedures and scalp reductions with other hair transplant physicians.

He wanted to add hair to his mid scalp and crown (where there was virtually no hair and a scalp reduction scar) and to attempt to conceal a very wide donor scar from his previous strip hair transplant procedures.

I extracted just over 900 grafts from the neck beard and placed them into the scalp and scar. The results are shown after 9 months and they are already impressive.

The patient should see some increased density over the next 3-6 months as the hairs thicken in diameter.

Although the beard hair is a different consistency than scalp hair it works well in cases like this where there is no more scalp hair to donate and when “filler” hair is needed for increased cosmetic density.

The patient is looking forward to another procedure to add more density in the scalp from the beard hair.

A patient with a relatively thick beard can have up to 2000 grafts to donate from the area below the jaw line.

All the best,

Marc Dauer, M.D.

beard hair extracted via FUE transplanted to the scalp

beard hair extracted via FUE transplanted to the scalp

beard hair follicles extracted via FUE and transplanted into strip scar

beard hair follicles extracted via FUE and transplanted into strip scar

beard hairs extracted via FUE

beard hairs extracted via FUE

Greetings,

Here is a female patient of mine who had genetic thinning in her temporal recessions that she wanted to fill in.

These are areas of the scalp that are commonly affected by genetic hair loss.

They can also be affected by various cosmetic procedures, such as face lifts and brow lifts.

The results here are shown after 1 year and the patient is absolutely thrilled.

All the best,

hair transplant to temporal recessions

hair transplant to temporal recessions

 

hair transplant to temporal recessions in a female patient

hair transplant to temporal recessions in a female patient

Marc Dauer, M.D.

Greetings,

Here is an interview I did recently with Spencer Kobren of “The Bald Truth” where I explained my approach to treating young patients wanting hair transplants.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

Today I will discuss the difference in hair type for hair transplants. Based on studies 0.1mm increase in the diameter of the hair follicle can add up to 30% increased cosmetic density. This means that the greatest factor affecting cosmetic density is the thickness of the hair follicle. People with coarse hair will have a much better cosmetic result than people with fine hair with the same number of follicles. In addition, curly hair will yield a better cosmetic result than straight hair. Also, the less color contrast between the hair and the scalp (grey hair on light skin versus dark hair on white skin) the better the cosmetic result.

The analogy I typically use it to imagine a forest of trees in front of you. If the trees are thick with large wavy branches you will see through less of the forest than thin trees with small flimsy branches. This is the same with hair. Coarse curly hair will always yield a better cosmetic result than fine straight hair.

This is not to say that people with fine straight hair are not good candidates for the procedure, on the contrary they can be excellent candidates. Prospective hair transplant patients need to know this information in order to prepare themselves for realistic expectation of the outcome of their hair transplant procedure.

All the best,

Marc Dauer, M.D.

 

Greetings,

I am often asked what you look like 7 days after an FUE hair transplant so here are the images.

This patient received just over 1500 grafts to the frontal and mid scalp via FUE using a 0.85mm extraction tip.

As you can see with this small extraction tip the donor zone heals very well and there is basically no sign of any harvest after 7 days.

All the best,

Marc Dauer, M.D.

 

Immediately post FUE hair transplant

Immediately post FUE hair transplant

 

This is the donor region one week after extracting just over 1500 grafts via FUE

This is the donor region one week after extracting just over 1500 grafts via FUE

 

recipient region 1 week post FUE after just over 1500 grafts

recipient region 1 week post FUE after just over 1500 grafts

 

 

 

Greetings,

Here is a patient of mine who wished to augment his beard and goatee region.

I extracted just over 1500 follicles from the scalp with a .85mm punch tip and using a flat blade to create coronal incisions which keep the hair lying flatter on the skin, I created the receptor sites for the beard grafts.

The photos below show the beard before and 1 week afterward as well as the donor region.

With the small extraction tip the donor regions heal very quickly with almost no visible sign of donor harvest after 1 week.

There is still a bit of redness in the beard which should resolve over the next few weeks.

The transplanted hair will start to shed after 1 week and will then regrow after 12 weeks with approximately half the result at 6 months and the full result at 12 months.

This is sneak peak into the patient’s final result and he is already thrilled.

All the best,

Marc Dauer, M.D.

Scalp hair extracted via FUE for transplant into the beard and goatee

Scalp hair extracted via FUE for transplant into the beard and goatee

Scalp hair extracted via FUE for transplant into the beard and goatee

Scalp hair extracted via FUE for transplant into the beard and goatee

Scalp hair extracted via FUE for transplant into the beard and goatee

Scalp hair extracted via FUE for transplant into the beard and goatee

This is the donor region immediately post procedure and 1 week after 1500 grafts were harvested via FUE

This is the donor region immediately post procedure and 1 week after 1500 grafts were harvested via FUE

Greetings,

The temporal peaks in both males and females are an important characteristic in hairline design and create and youthful aesthetic appearance. It is always important to keep in mind the overall donor supply in making the decision to restore the temporal peaks. One must also understand  that patients with curly hair will have a more noticeable difference to the character of the typically finer and straight temporal hair. Also, it is important the primarily single hair follicles are utilized.

This patient has abundant donor supply and wished to have his temporal peaks restored. He received approximately 150 grafts per temporal peak via FUE. Finer hairs from the inferior aspect of his occipital region were used to recreate the naturally finer temporal hair. He should see some additional density over the next 6 months, but he is already thrilled with his results.

All the best,

FUE Hair Transplant To Temporal Peaks

FUE Hair Transplant To Temporal Peaks

Marc Dauer, M.D.

Greetings,

Here is a letter I just received from a patient of mine who decided not to proceed with his hair transplant procedure.

I hope you enjoy reading.

All the best,

Marc Dauer, M.D.

Dr. Dauer:

This letter is a bit different than those you receive from patients who have undergone procedures. I have read testimonials given by others on your website and fully appreciate their words. While I think they are of great value, my experience with you, I think, adds to their comments as to your professionalism, dedication to your craft and concern for your patients. It is said that people show their true character under adverse circumstances. If so, I believe the following serves as an excellent example of the kind of doctor and person you are.

Before visiting you, I had been to a well-known clinic as well as a renowned plastic surgeon to consider my options. Frankly, at our initial contact, you were so engaging, it kind of caught me off guard. It became obvious from that meeting you were going to be the guy! During my consult, you couldn’t have been more personable or informative. There was no sales pitch or pressure put upon me. You freely gave of your time and encouraged me to ask questions (of which I had many). You made it clear that it was a personal determination and your goal was to educate me, answer my questions and provide me with whatever information was available so that I could make an intelligent decision. You thoughtfully and thoroughly described the procedures and what I might expect from them. I couldn’t have asked for a better explanation of what was involved. You also created a comfort level that made me feel as if I was talking to a nonjudgmental friend, someone whom I could confide and trust in what was, for me, a very difficult choice.

My procedure was scheduled for Monday morning. That Sunday night, for personal reasons, I came to the conclusion that this wasn’t the right time for me to undergo a transplant. I dreaded the thought of the conversation that would take place the next morning.  I was bitterly conflicted- I couldn’t sleep! I knew that you had arranged your schedule so as to be able to devote the entire day to my procedure and I figured (correctly) that it would be too late for you to call off those who would assist you. When we met, I couldn’t believe your empathy and understanding, most particularly when I spoke of my reservations and apprehensions. You were the consummate professional. Although I know you must have been greatly disappointed, you patiently listened to what I had to say and made it clear that if I was less than completely ready and comfortable with undergoing the procedure, we wouldn’t do it that day. This meant that, in essence, you wound up eating a full day’s work and virtually your entire fee. Your compassion and class was extraordinary! Through no fault of yours, I actually felt as if I was letting you down, not because of any pressure applied upon me (quite the contrary), but rather because your were so gracious about it- that goes for your staff as well, who couldn’t have been nicer or more congenial, even after I delivered the bad news.

Your kindness and consideration did not go unnoticed. I consider myself lucky to have found you. I can’t imagine anyone having handled this situation at significant personal expense, with any greater compassion and understanding. Hopefully, the time will come when I’ll be ready to go forward, make the move and have the opportunity to comment upon your skills much like others have done.

You put your patient’s concerns and best interests above personal financial benefit and convenience. I felt the very least I could do was memorialize how grateful I am for the way you handled the situation and give others the benefit of my thoughts. If they are looking for someone to perform hair restoration who truly cares about his or her patients, they couldn’t find a better doctor and, just as importantly, a better person.

Sincerely,

Stu Glovin

Greetings,

Today I want to talk about something that everyone experiences to some extent. Pre-hair transplant procedure anxiety. I have undergone 3 procedures myself, and know exactly what to expect, and yet I still experienced some degree of anxiety prior to each procedure. Everyone is different and comes into this procedure with a different perspective. Some are more excited and less nervous and some are the other way around. I am very sensitive to this in my interactions with my patients. I will always do everything in my power to re-assure the patient and let them know that they are in great hands. I will also give my patients as much information as possible regarding what to expect throughout the procedure and post procedure time period. In addition, unlike many other clinics that perform hair restoration procedures, we are not trying to “sell” our services. That means starting with myself, who performs each and every consultation without the assistance of a “patient advisor”, “counselor” or “sales person”, my job is to educate the prospective patient, answer their questions, and give them realistic expectations as to what they can look forward to if they decide to undergo the procedure.  In no way and at no time will I or anyone in my practice pressure the prospective patient into moving forward with the procedure if they are not comfortable with it. I would prefer that a patient not move forward if they are not completely comfortable with all the aspects that it entails. Again, I can educate, help to alleviate irrational fears, and provide moral support throughout the process. I can also attest to the fact that almost every single patient of mine tells me a year after their procedure that their only regret is not having the procedure performed sooner and enjoying the results for longer. But at the end of the day, the prospective patient needs to be psychologically ready to move forward.

The video below is of a patient of mine who considered canceling his procedure on the day of his procedure, and he describes the day in detail and his subsequent decision to undergo the procedure.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

Here is a patient who was treated by another hair transplant surgeon who agreed to place 300 FUE grafts into each temporal peak. The temporal peaks are definitely a sign of a youthful hairline, but special care needs to be taken in these areas for many reasons. Firstly, the natural hair in this region is finer than the other scalp hair and it also does not grow long like the other scalp hair. For this reason you must explain to the patient that if you are going to transplant hair into this area, since the typical donor hair comes from the back and sides of the scalp, the new temporal transplanted hair will be coarser and will grow long. Also in a patient with curly hair it can look very unnatural. In addition,  the hair lies extremely flat in these regions so it is imperative that the angles for the grafts are made as acute to the skin as possible so the hair does not grow outward. In a very young patient with significant hair loss I think it is a bad idea to address the temporal peaks because without knowing how severe the ultimate hair loss will be you can end up wasting grafts on an area that will ultimately be less important if you have to sacrifice density in more important areas, ie. the frontal and mid scalp.

Getting back to this patient, he was 26 years old with significant hair loss in the frontal scalp when he presented to this hair transplant surgeon who agreed to place 300 FUE grafts into each temporal peak, and not even address the thinning frontal scalp! Here are his results after 2 years which show less than 30 grafts growing on each side. The patient was so disappointed he ended up having scalp micro pigmentation in the area,  but I personally do not believe this helps the situation at all. I think the scalp micro pigmentation looks very unnatural and I believe it can also harm adjacent hair follicles and create permanent scarring in the tissue. His photos are below.

Lesson to learn from this. BEWARE of physicians claiming to be FUE experts unless you have seen many before and after photos of their patients who they have specifically performed FUE on. In addition, be very careful before deciding to transplant into the temporal peaks, especially in the younger patient. Unfortunately many hair transplant surgeons in this field will do anything you are willing to pay them to do, but this is not always the right thing. Do you diligent research before having your hair transplant procedure.

All the best,

Marc Dauer, M.D.

This is a failed FUE transplant into temporal peaks with subsequent scalp micro pigmentation.

This is a failed FUE transplant into temporal peaks with subsequent scalp micro pigmentation.

This is a failed FUE transplant into temporal peaks with subsequent scalp micro pigmentation.

This is a failed FUE transplant into temporal peaks with subsequent scalp micro pigmentation.