Today I will address the question of who is a good candidate for hair restoration surgery. To begin with, it should be determined that the loss of hair is due to genetic causes and that the donor area (the sides and back of the scalp) are not affected by hair loss and have robust density of hair present. The next major factor is determining the patient’s eventual total loss of hair (their genetic hair loss pattern) and eventual total donor reserves. This allows us to approximate how much donor hair will be available over the patient’s lifetime and how much donor hair they will require to cover the eventual area of hair loss. This is most important in younger individuals who are usually destined to lose significantly more hair over time. This also allows the patient to have an idea of what they can expect not only in the short term, but in the long run as well. Some patients would opt not to proceed with hair restoration surgery if they know that they cannot cover their entire head with a thick mane of hair, and others would be more comfortable with this. It is our job as hair restoration surgeons to educate the patients as to their realistic expectations in the short term and long term so that they make the proper decision now and one that they will be happy with later on in life. Too often I meet patients who were “sold” an unrealistic bill of goods by an unscrupulous hair restoration surgeon and they subsequently end up regretting their decision to have had the procedure in the first place because they had no idea that their hair loss would progress to such an extent.
In summary, responsible hair restoration surgeon should educate their patient as to all the possibilities and allow them to make the informed decision as to how to proceed with hair restoration surgery, or not to proceed. This is an amazing procedure when performed properly on the proper patient, and having had 3 hair transplants myself, I am a walking testimonial of this fact along with thousands of my patients. But make sure you have all the facts before making the decision for yourself to ensure that it something that you are happy with in the long run.
Here is a a patient of mine who lost the hair in front of her ears after her facelift procedure resulted in the pulling back of the hairline. She also had thinning in the temporal rescissions on both sides which was also probably exacerbated by the facelift procedure. I performed a hair transplant procedure on her and placed grafts in the temporal recessions and recreated a new hairline just in front of the ears on both sides.
Here is a male patient of mine who received just over 300 grafts per eyebrow to increase the density of the outer eyebrows on both sides. The hairs were harvested from the scalp via FUE. The results are shown after 6 months. The patient should see a bit more growth over the next few months but the results are already very visible. FUE harvest is a good option for men that like to cut their hair very short and don’t want any linear scar from the strip harvest procedure.
All the best,
Marc Dauer, M.D.
This is a male patient who had an eyebrow transplant harvested via FUE.
This is a male patient who had an eyebrow transplant with harvest via FUE.
Here is a patient of mine who received 2418 grafts to the frontal and mid scalp 8 months ago. The patient discusses his experience in the video and how the hair transplant procedure impacted his appearance.
Today the internet is ablaze with news of a new treatment for baldness. A patient with Alopecia Areata, which is an autoimmune disease which causes the body to attack its own hair follicles causing them to fall out, was treated with a medication used to treat Rheumatoid Arthritis. After a number of months the patient grew back all the hair on his scalp (which he had previously lost because of the alopecia areata). There are many issues to be worked out beginning with the fact that this medication ingested orally can cause a large number of harmful side effects to the body so using it widespread to treat this form of hair loss may be considered dangerous. Also, alopecia areata work by a different mechanism to make hair fall out, so this medication probably would not be effective in typical genetic hair loss which is the most common form of hair loss.
Regardless, this is an exciting development in the treatment of alopecia areata and I would imagine that a topical formulation of this medication could hold significant promise for safe treatment of hair loss secondary to this disease.
I have included a link to the CNN article describing the findings in the original study.
Here is a hair transplant patient of mine describing his experience undergoing the procedure immediately after the procedure and 2 weeks after the procedure. It provides good insight into the initial time frame of the procedure.
Here is a video of a patient of mine who received FUE grafts to the frontal scalp, the crown, and into a previous strip scar (created by another physician) to help conceal the strip scar. The results are shown after 7 months and already look dramatic. The patient will have additional cosmetic coverage over the next 7 months as additional transplanted hair grow in a nd continue to thicken in diameter. I hope you enjoy watching.