Typically FUE has been performed by shaving the entire back and sides of the scalp as the hairs harvested via FUE need to be very short. Recently I have been performing no shave FUE or long hair FUE. This technique involves cutting short the hairs to be harvested from the donor region individually while leaving the hair around it long. This allows us to perform FUE without shaving the entire back and sides of the scalp and makes the entire process much less visually invasive. This process requires very specific expertise but for many people that want FUE but don’t want to shave their heads this is a great option. I recently posted a video of the process on my youtube channel which shows the entire process.
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 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
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 comfort during the hair transplant procedure. Since I have had multiple hair transplant procedures myself I understand exactly how it feels to sit in the hair transplant chair for 5-8 hours for a procedure. Because of this, I designed a custom memory foam cushion to sit on top of my exam chairs to provide the maximum amount of comfort during the procedure. This makes the chair feel like a soft bed as opposed to a typical exam chair, which is not necessarily made with the idea of sitting in it for hours at a time. The feedback from this memory foam cushion has been amazing and it’s just one more small detail that makes the entire day of the hair transplant procedure that much more comfortable. My thinking is that the day of the procedure should feel more like a day at the spa as opposed to an uncomfortable experience.
I have been performing eyebrow transplants for over 10 years and was one of the first physicians to focus on this aspect of hair transplantation. The creative component to eyebrow transplants is very different than transplanting hair on the scalp. In many cases we need to fit hundred of hair follicles into a very tiny space, all with a very particular angle and orientation and all to create a completely natural shape which is very visible on the face. It is for this reason that the best eyebrow transplant results typically come from physicians that are performing many of these cases and have a very high artistic component to their work.
More often recently I am getting inquiries from men asking for eyebrow transplants. In the past it was traditionally women who inquired about this procedure, but as more people find out about it, men are opting for the procedure as well. In this particular case the male patient had very weak eyebrows from birth and had an eyebrow tattoo performed to create the illusion of eyebrows. Most people are very dissatisfied with eyebrow tattoos and this patient was no exception. He did not like the shape of the tattoo (he felt the arch was too feminine) and it was very unnatural looking overall. He presented to me to create a more masculine shape (flatter) and to create natural looking eyebrows over the existing tattoo. The results below are shown 6 months after the patient received his eyebrow transplant. He should see a little more growth over the next 3-6 months, but he is already very happy with the current results.
All the best,
Marc Dauer, M.D.
Eyebrow Transplant over pre existing tattoo in male patient.
I am often asked what is the best age for a hair transplant? The answer is that this is different for everyone.
In the past 2 days my patient’s ages were 28 and 83. Mt 28 year old patient was just beginning to thin in his hairline region and was requesting increased density to keep up with his recent hair loss.
My 83 year old patient had undergone multiple hair transplant procedures in the past and was requesting additional density in his frontal and mid scalp. He is a very healthy 83 year old taking no medications and with no major medical conditions. He still had good donor supply and was deemed an excellent candidate for an additional hair transplant procedure. I harvested 1000 grafts via the strip method and the hair transplant procedure went very smoothly.
My 28 year old patient had undergone a small hair transplant procedure with another doctor a few years ago and was requesting additional density in the hairline and frontal scalp. He had robust donor supply and his previous hair transplant procedure was performed using the strip harvest procedure. I harvested a new strip, including the old scar (so the patient still has only one scar), and transplanted just over 1500 grafts into the frontal and mid scalp.
So to answer the original question, the best age for a hair transplant can be anywhere from 25-85. It is the time when there is enough thinning in any particular region of the scalp that transplanting hair in between the native hair will lead to an increase in hair density. This is something that must be evaluated by an experienced hair transplant surgeon, but when done properly in the “right” time, this procedure can lead to excellent results.
Below please find a new patient’s Hair Transplant testimonials of a patient of mine. The video of hair transplant was taken 9 months after the hair transplant patient’s first procedure. The patient describes his thought process in choosing his doctor, and then his subsequent procedure experience and the recovery afterward.