Greetings,

Today I want to discuss a very new exciting development. For the past year I have been prescribing a compounded topical prescription formula that contains Dutasteride, Finasteride, Minoxidil, Retin A, and Triamcinolone. Dutasteride and Finasteride (propecia) are potent DHT blockers. Minoxidil is a vasodilator which has been proven to help genetic hair loss. Retin A helps with absorption and triamcinolone helps with scalp irritation. I call the formula “hair defense” as it’s defending the native hair. It does not grow back dead follicles that have been lost. It does however prevent susceptible follicles from falling out, and can turn miniaturized follicles (follicles that are on their way out and have become cosmetically insignificant) back into healthy terminal follicles, which can then give the appearance of greater density.

Below, you can see examples of patients of mine who haven been on the topical at least 6 months and all the photos shown below are just with the topical only as treatment.

This is not a substitute for a hair transplant procedure. Rather it is a an adjunct meant to preserve the native hair so that the results of the hair transplant procedure look better for longer. In some cases it can be used as an intermediate treatment meant to slow or stop the continuing loss before the transplant is indicated.

Finally, one of the best things about the topical is that the incidence of sexual side effects (though low in frequency can still occur in 1-2% of patients taking oral finasteride) are even more uncommon with this topical as the systemic absorption of the medication is less than the oral medication.

I have seen a profound impact of this topical medication on my own scalp and hundreds of my patients.

For a small number of patients that may get irritation from any of the components, the formula is customizable and components can be pulled out in any amount.

If you would like to consider this or have a friend who could benefit please contact our office and we can schedule a short consultation and arrange for a prescription of the product. It ships directly to your home via fedex.

This is one of the biggest game changers in hair restoration I have come across over the past number of years and I am very excited to share it with you all.

Best,

Marc Dauer, MD

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Greetings,

Here is a patient of mine who had micro blading and tattoos done to her eyebrows because she lost most of her natural eyebrow hair due to over plucking and genetic factors. She was unhappy with the results of the eyebrow tattoos and decide to undergo an eyebrow transplant procedure. The results shown here are after a single FUE eyebrow  transplant and approximately 250-300 hairs were placed per eyebrow. The patient, who happens to be a registered nurse herself,  is thrilled with her results and shares her experience  on this video.

I hope you enjoy watching.

Marc Dauer, M.D.

Greetings,

Here is a patient who went to a hair transplant surgeon in Florida and had an ARTAS Robotic FUE procedure. The photo below shows how his donor looked after only about 1300 grafts were extracted by the robot. The donor area was very scarred as you can see from the photos. I harvested just over 1300 grafts with a handheld FUE tool in the areas that were left untouched from the previous procedure and the results are shown here.

Bottom line is choose your physician wisely and choose a physician who personally extracts the follicles by hand and focuses exclusively on hair transplants in order maximize chances for a successful outcome and natural result.

All the best,

Marc Dauer, MD

before and after FUE hair transplant

fue hair transplant

before and after FUE hair transplant

fue hair transplant

before and after FUE hair transplant

fue hair transplant

before and after FUE hair transplant

FUE hair transplant

after ARTAS hair transplant and after handheld FUE harvest

Greetings,

Here is a patient of mine who had numerous FUT strip harvest procedures by other physicians that resulted in severe scarring in the donor area, plug grafts throughout the scalp, and an overall very unnatural appearance. The result was so unnatural that the patient would not go outside without a hat.

I extracted approximately 1500 grafts from the neck via FUE in multiple sessions and placed them throughout the scalp, especially in the “alleys” on the sides to connect the transplanted hair to the native hair on the sides, and the crown in the back.

The patient also had some SMP performed on his scalp and will have more in the future.

The result is already so much improved from prior and the patient still has some more beard donor hair and will have more SMP to improve the result even more. I will also be “de-bulking” some of the plug grafts to make them more natural  looking.

Neck and beard hair can be a very valuable source of donor hair for those that are out of scalp donor hair. Though the character of the hair is a little different, it works very well as filler and can make a nice impact in improving visual cosmetic density. Also, the neck heals so well from the small punch sites of the FUE removal that the tiny dots are barely visible on close inspection.

Choose your surgeon wisely so that you end up with an aesthetically natural result both in the short term and long term.

All the best,

Marc Dauer, MD

pre beard hair FUE repair

post FUE beard hair repair to scalp

pre beard hair FUE repair

post FUE beard hair repair to scalp

pre beard hair FUE repair

post FUE beard hair repair to scalp

Greetings,

Here is a result of a male patient of mine who received approximately 350 grafts to each eyebrow harvested via FUE. The results are shown approximately 1 year after the procedure.

Eyebrow transplant procedures are becoming more popular amongst male and female patients with weak eyebrows secondary to hereditary issues, scarring, or over plucking. The results can be very natural looking when

performed by a qualified eyebrow transplant surgeon.

All the best,

Marc Dauer, MD

Male eyebrow transplant patient

Greetings,

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.

Marc Dauer, M.D.

FUE hair transplant into scalp scar

Greetings,

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.

All the best,

Marc Dauer, MD

FUE hair transplant patient of Dr. Marc Dauer

FUE hair transplant patient of Dr. Marc Dauer

FUE hair transplant patient of Dr. Marc Dauer

Greetings,

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.

Greetings,

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

Greetings,

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.

All the best,

Marc Dauer, MD

FUE Hair Transplant Timeline