Here is a patient of mine who had a Mohs surgery to excise a basal cell lesion in the scalp. It unfortunately resulted in a large scar in the frontal scalp and when the operating surgeon attempted to minimize the scar it actually got significantly worse.
The patient presented to me extremely depressed over the large scalp defect just behind her hairline. I transplanted approximately 1000 FUE grafts in two procedures spaced 8 months apart.
The patient is thrilled with her results and this has been a life changer for her. She can now style her hair normally and go out without fear of a heavy wind exposing a large bald patch in the front.
I am often asked if hair can be transplanted into scars and the answer is yes. There is a lower growth rate through scars and we are not able to transplant as dense in a single procedure due to the compromised blood supply, but when performed correctly these cases can be very successful.
All kinds of physical and emotional damages can result when the negligent actions of others lead to accidents. Although it might not be the first thing that comes to mind, an accident can lead to temporary or permanent hair loss. Any type of personal injury, such as motor vehicle accidents, slip, and fall accidents, and workplace accidents, can lead to both physical and emotional trauma that triggers hair loss. If this has happened to you or a loved one, you may want to consult with a Baltimore, MD personal injury attorney.
Accidents and Hair Loss
If you have hair loss, you may be overwhelmed, upset, and unhappy, and those feelings are entirely understandable. Every time you gaze in the mirror at what was formerly a full head of hair, you’re reminded of what the accident took from you. That can lead to even more hair loss, as it is often brought on by stress. As a result, you may be considering a hair restoration treatment but want to know if the cost of treatment can be included in any accident-related compensation for damages.
If you’re working with a personal injury attorney and filing a claim, you should inform them about any hair loss resulting from the accident. And you will also likely want to ensure that the hair treatment doctor you choose will provide the needed medical documentation to help provide evidence for your lawsuit validating your need for hair replacement. Fortunately, a hair loss treatment doctor has options that can cover thinning or bald spots and can work to restore the fullness of your hair, such as Platelet-Rich Plasma (PRP) therapy.
Platelet-Rich Plasma Therapy and Hair Loss
Regular PRP treatments applied to the scalp may be able to strengthen and rejuvenate your hair follicles and stimulate them to grow new hair. A patient’s own platelet-rich plasma can be an excellent option for treating hair loss, as PRP has concentrated growth factors that have demonstrated the ability to promote new hair growth. This can result in an increase in the overall health of the scalp and thickening of thinning hair.
PRP is a multistep process performed in the hair treatment doctor’s office. A patient’s blood is drawn and then processed in a centrifuge to concentrate the platelets and the growth factors. These are then injected into the scalp through tiny needles, targeting the hair follicles. PRP works to promote hair growth by prolonging the growth phase of the hair follicle. Hair follicles go through both a growth and shedding phase. PRP can keep the follicle in the growth phase for a more extended period.
PRP is delivered to the scalp via injections, microneedle-assisted topical application, or both. The treatment is typically repeated every 2-3 months. Hair loss treatment with PRP usually takes several months to complete. During this time, a hair treatment doctor can monitor your progress to ensure that your hair follicles are fully activated and growing new hair.
If you are interested in receiving PRP therapy for your thinning hair, consult with a hair treatment doctor in your local area to discover the best course of action for your individual situation.
Thanks to Cohen & Cohen, P.C. for their insight into personal injury claims and hair loss after an accident.
Today FUE hair transplant procedures have made hair transplants less invasive and much more comfortable for the patient than ever before. Unfortunately one of the drawbacks of FUE is that there is a lower overall yield of the number of grafts from the donor zone as compared with FUT plus subsequent FUE procedures afterward. What this means is that it is very important to accurately estimate the end point of hair loss as well as the total available donor graft count so that a proper plan for hair restoration can be formulated at the beginning rather than running out of grafts later on and have to leave large areas of bald scalp without transplants.
There is a push to create very low, non balding hairlines, in young patients using large number of grafts. Unfortunately many of these patients will end up with a severe form of hair loss and won’t have enough donor hair to cover the eventual bald zones. In these cases it will actually look even worse with a low rounded hairline and larges areas of bald scalp behind.
Here is a case showing how I used a relatively conservative number of grafts to augment the hair in the frontal scalp. Even though it wasn’t a huge number of grafts it created a huge visual impact. The after photos are only 9 months post procedure so the patient will continue to see thickening of the hairs and cosmetic improvement up to 18 months post procedure. The patient his already thrilled with his results and it show how a relatively moderate number of grafts can still have a significant impact while still leaving a good amount of donor grafts available in the future for continuing loss.
FUE has become more popular than ever given the fact that in the hands of a skilled surgeon the results can be as good as FUT (The strip harvest method) or even in some cases better (due to the fact that with FUE we can choose which follicles to harvest and therefore choose the follicles with the most amount of hairs per follicle). Up to now one of the downsides of FUE was that it required the entire back and sides (harvest zone) to be shaved in order to harvest the follicles. Now we have a new way to perform FUE cases without shaving the entire donor zone. I call it “No Shave FUE”. What we do is go through the donor zone and cut short individual follicles that we plan to harvest and leave the surrounding hairs at their normal length. This makes the donor zone appear untouched to the naked eye, and is much less visually impactful than a head shave, and gives us the same results as a traditional FUE shaved case. The no shave technique is more time consuming and thus more expensive, but for those people (like myself) who refuse to shave the back and sides of their heads but want the FUE procedure, this is a great option. Below you can see an unshaven FUE patient one day after just over 2000 grafts were extracted via FUE.
All the best,
Marc Dauer, MD
This is a patient’s donor zone one day after FUE was performed.
I am often asked what the donor zone looks like post FUE hair transplant so in response I have decided to post thesis photos showing the progression. Not all FUE hair transplant are created equal and some physicians use large punches which create large holes in the donor region. I typically use 0.8mm-0.9mm punch size tips and harvested properly the scars in the donor zone should be barely visible at very short haircuts.
All the best,
Marc Dauer, MD
Donor zone in an African American patient post FUE hair transplant
The patient below took photos with his hair wet over the course of his post hair transplant timeline.
It very clearly shows typical timeline results.
This patient had a previous procedure with another physician which resulted in low density and an unnatural hairline. I placed 1562 grafts via FUE to the frontal scalp and the patient is thrilled with his results.
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.
In the past we needed to shave the back and sides of the scalp to perform FUE because the follicles can only be extracted as short hairs.
Noe we have a new technique called long hair FUE. With this technique we go through the donor region and individually cut short the follicles we will extract while leaving the hair around it ling. This allows the patient to keep their hair long for the procedure and creates no significant change to the patients visual appearance.
This technique is a but more expensive than short hair FUE but for those that don’t want to shave their head it can be the difference between doing the procedure and not doing it.
The photo below shows a long hair FUE patient of mine’s donor region one week post procedure.
For a long time the only way to perform FUE was to shave the entire back and sides of the scalp as the hair needs to be a few millimeters long in order to extract. That has now changed.
Now we can perform long hair FUE which allows the patient to keep their hair long and completely conceal any evidence that FUE was performed in the donor region.
The patient leaves their hair at least 1.5 inches long and we go through the donor hair individually and randomly cut short the follicles we plan to extract. This allows us to completely conceal the donor region. It also allows up to choose the follicles with the most hairs per follicle which gives the patient the best ultimate result.
Since I have had multiple strip harvest hair transplant procedures in the past, I wanted to have this technique performed on myself to better understand what it felt like, which would in turn give me greater insight into the process. I can wholeheartedly state that this process was so much easier than my previous strip harvest procedures. I had virtually no pain the next day and was back to work a day later.
The photo below shows my donor zone the day after over 2000 follicles were harvested via long hair FUE.
I believe that this process will revolutionize FUE and open it up to so many more people that were hesitant, like myself, because they did not want to shave their head for the procedure.
DAUER HAIR RESTORATION
2080 Century Park East Suite 1802
Los Angeles, CA 90067
Phone: (310) 748-2224
Marc Dauer, MD provides professional hair
transplant and restoration and eyebrow hair transplantion, using follicular unit
transpantaton. Our offices are located in Beverly Hills, California and we serve the Los Angeles area, including Santa Monica,
West Hollywood, West Los Angeles, Culver City, Brentwood, Bel Air, Beverly Hills, Hollywood, Manhattan Beach, Redondo Beach, Malibu, and beyond.
Dr. Dauer is board certified and a member of the prestigious International Society of Hair Restoration Surgeon. our hair restoration center focuses on natural
and long lasting results for people suffering from hair loss. For hair restoration, hair transplants, Los Angeles hair loss treatments, eyebrow restoration, sideburns,
treatment for male pattern baldness, and treatment for female pattern baldness, transplantaton for scarring,consider Dr. Dauer.