The patient in this video had a wide donor strip scar performed by another physician. The physician tried to resect the scar multiple times with no improvement. The patient also had scalp micro pigmentation which only provided slight improvement. I harvested approximately 500 beard grafts via FUE and placed them into the scar. The result show 2 weeks after the procedure shows significantly visible improvement and it will get even better when the hairs grow longer. In addition there is no visible scarring in the heard area from where the grafts were taken.
I hope you enjoy watching and I will provide a follow up video in 6 months.
Today I want to discuss hair transplantation into a mustache scar. This patient was referred to me by a Plastic Surgeon and the patient had the mustache scar for many years and wished to conceal it with hair transplant grafts. I have performed hair transplants into scars all over the face and scalp. It proves very effective in minimizing the appearance of the scar. When scars form, they destroy the hair follicles in that area. When we place hair transplant grafts into the scar it makes the scar appear less noticeable as hair then begins to grow through the scar, like it did before the scar was formed. The growth rate of the hair follicles transplanted into scar is slightly less than hair transplants into normal tissue because of the decreased blood flow present in the scar. In typical healthy tissue we usually see growth rate of transplanted follicles around 90%. When transplanting into scar the growth rate may be somewhere between 70-80%. This still presents with a great opportunity to conceal scars by performing hair transplants into them. I will show the before and after mustache scar photos below and in future blogs I will address scars in other areas where I have performed hair transplants with excellent results.
All the best,
Marc Dauer, MD
Scar In the Mustache Region Before Hair Transplant
Today I will discuss a very interesting case I just performed. This patient presented with a skin graft in his mustache region from a previous accident that required extensive Plastic Surgery. He was left with a large scar and no ability to cover the scar as it would only grow a scant amount of hair. The patient prefers to wear a goatee but it is very unnatural with only one side growing hair. In this case I performed follicular unit extraction otherwise know as FUE by harvesting the hairs from his beard on the neck individually with a .8mm punch. I harvested the neck hairs as these will most closely resemble the beard hairs we are meant to recreate. After I harvested all the beard hairs via FUE we placed the grafts individually to recreate a mustache.The angles and orientation of the grafts placed in the mustache were made to mimic the angles of the hairs on the unaffected part of the mustache. Typically there is a slightly lower growth rate of grafts transplanted into scar tissue, but these patients usually have excellent cosmetic results. Below you can see the pre operative photo and the post operative photo and the immediate difference that is seen with the transplanted grafts present over the scar.
On the heels of my appearance on “The Doctors” TV show discussing Hair Transplants for female patients, I have decided to write about different causes of hair loss in women. Common causes of hair loss in women can be traction alopecia, which results from constant pulling on the hair as in braiding or tight pony tails. Alopecia Areata, which is an autoimmune disease which results in smooth round patches of hair loss. Medications such as blood thinners, seizure medication, anti inflammatory medications, Beta blockers, prednisone, mood altering drugs, chemotherapy, oral contraceptives, thyroid medications, and illicit drugs such as cocaine, can all be causes of hair loss. Anemia, which is a low blood count can also cause hair loss. Other causes include thyroid disease, connective tissue diseases such as lupus, crash diets, stress, and post general anesthesia. Major events where big hormonal changes occur, such as childbirth and menopause, can also cause hair loss in females. Scars caused by trauma or other surgical procedures can also cause hair loss in those areas. Probably the most common cause of female hair loss is a genetic form of hair loss that is an inherited trait that can come from either the mother or father’s side of the family. This typically manifests as diffuse thinning in the scalp. Often the hairline can be preserved in these cases. Some of these causes of hair loss may be treated with medications or a hair transplant procedure but it is important to have a thorough medical work up and examination to determine the exact cause, and then we can determine the treatment.
I have just added an exciting new device to my hair restoration practice called the “HairCheck”. This revolutionary device allows us to measure hair thinning and breakage in quantitative terms. Usually once hair thinning is noted you have already lost 50% of the original density of hair that existed in that area. HairCheck allows us to measure the “hair mass” in any region of the scalp and gives us a numerical value. HairCheck also allows us to measure damaged or broken hair. For the first time, we now have a tool to give us a quantitative analysis of the exact amount of hair mass present in any given area of the scalp. We can take measurements before beginning non surgical hair restoration treatments (low light laser therapy, propecia, rogaine, PRP), or prior to hair transplant surgery, and compare the measurements after a period of time to see how well the treatments have worked. We can also take measurements in the donor region (this is the area of the scalp that is not supposed to be affected by hair loss in most individuals) and compare these measurements to the affected areas of the scalp to determine exactly how much hair density has been lost. Photographs will always be very important, but the ability to quantify the exact amount of hair in any given region of the scalp is incredibly valuable. Please don’t hesitate to inquire about the HairCheck when you come to see me for a consultation. For more information about HairCheck visit www.HairCheck.com.
Hello all, lately I have been treating an increasing number of patients who have suffered hair loss after various surgical procedures. The most common cases that I treat are loss of the sideburns after face lift procedures. I have also treated patients who have undergone previous brow lift procedures where their hairlines were brought up too high, or a scar was left in front of the hairline. In addition, patients who have had cranial surgery are often left with patches of hair loss secondary to the surgery. In all these cases, hair can be harvested from the patients “donor” region (usually in the back of the scalp, and if necessary, on the sides as well), and this donor hair can be used to graft to the areas that require coverage. This includes scars in the scalp, eyebrows, mustache, and beard regions. The end result is a completely natural appearance with coverage of the pre-existing scars. These hair transplants are effective because there is rich blood supply to the face and scalp, which allows hair transplants to grow well through most scars. In the photo section of my website I have posted some of my patients who are in this category of hair loss. I also have additional photos available for viewing in my office.