Greetings,

Today I saw a patient of mine in follow up who had his procedure approximately 12 months ago. The patient was referred to me by his hair stylist who is also a patient of mine.

The patient received 2617 grafts via FUT.

He is absolutely thrilled with his results.

I have also included a photo of his strip scar which is almost invisible. It measures approximately 1mm wide and has hair growing through it thanks to a trichophytic closure.

All the best,

Marc Dauer, M.D.

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

 

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

Marc Dauer, M.D. Hair transplant photos

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

Strip scar after hair transplant. patient of Dr. Marc Dauer

Strip scar after hair transplant. patient of Dr. Marc Dauer

 

Greetings,

Here are the results of an eyebrow transplant I performed recently. The patient is 6 months post procedure but there is already a dramatic difference in the before and after photos.

The patient had severe genetically weak eyebrows and had them tattooed multiple times before she discovered the option of eyebrow transplants.

She received just over 350 single hair grafts per eyebrow in a single session. Her “after” photo was emailed to me as she lives across the country.

She is absolutely thrilled with her results and states that the procedure has been “life changing”.

All the best,

Marc Dauer, M.D.

before and after eyebrow transplant photos

before and after eyebrow transplant photos

Greetings,

In the most recent issue of the International Society Of Hair Restoration Surgery journal there is an extensive very interesting debate between those who advocate FUT over FUE and those who advocate FUE over FUT.

Many of the salient points discussed I have previously written about here in my blog. I will briefly review a few of the most important points here.

FUE Advantages- less invasive, diffuse dot scarring versus strip scarring with FUT which in most but not all cases allows the patient with FUE to cut the hair down to a #1 or #2 without showing any evidence of scarring, less discomfort post procedure

FUT Advantages- no need to shave the head to harvest the donor hair, ability to harvest more hair in a single day, more donor hair available to harvest throughout the patient’s life (start with FUT and convert to FUE after FUT is no longer possible thus maximizing the donor zone overall), less expensive than FUE

There are many subtleties to the advantages and disadvantages of both of these procedures.

What is most important is that your hair transplant surgeon is proficient in both procedures and offers both procedures to patients.

I prefer to educate my patients as to the benefits and drawbacks of both FUT and FUE and let them choose the procedure that suits them best. I enjoy performing both FUT and FUE and let patient’s know that if everything goes as planned they should have a great result no matter which method they choose.

All the best,

Marc Dauer, M.D.

Greetings,

Today the NY Times did a nice article on facial hair transplants. They quoted me and one of my patients. Unfortunately they stated that the donor hair for his procedure came from his scalp (which is most commonly used in these procedures). But in actuality this patient’s donor hair came from his neck beard hair. This is because the patient no longer possessed any additional donor hair from his scalp because he had received prior procedures to treat scalp balding from another physician and his donor scalp hair was depleted in the process.

Regardless it was an informative article and I was honored to be included.

Below is the link and a copy of the text.

All the best,

Marc Dauer, M.D.

 

Baby-Faced Men Opt for Beard Transplants

By ANDREW ADAM NEWMAN

Photo

Jose Armos, 28, a paramedic who lives in Miami, looked so young that, when responding to 911 calls, he seemed to add to some patients’ distress.

“They would look at me and be like, ‘O.K., is this 16-year-old really going to take care of me?’ ” said Mr. Armos, who had the sparsest of beards. “It was hard for people to trust me because I had that baby face.”

Earlier this year, Mr. Armos visited the Miami office of Dr. Jeffrey S. Epstein, a hair restoration surgeon. “I wanted that stronger, manlier look,” Mr. Armos said.

He had a full beard transplant, from sideburns to chin, at a cost of about $7,000. More than a thousand individual hair follicles were harvested from the back of his head, where hair grows thickest, and transplanted to his face.

“It does play a role in me looking more mature, more manly, and just kind of getting respect from people,” Mr. Armos said.

Dr. Epstein, who has offices in Miami and Manhattan, performed four or five facial hair transplants annually a decade ago. Now, he said, the average is three a week.

According to the International Society of Hair Restoration Surgery, a nonprofit medical association, beard transplants grew from 1.5 percent of all hair restoration procedures performed internationally in 2012 to 3.7 percent in 2014.

Hair transplants from a generation ago had the unfortunate effect of making the scalp look like a doll’s head, because what were transplanted were pluglike grafts of about 15 hair follicles. Those who underwent the procedure could disguise the plugs by growing their hair longer and teasing it into Trumpian swirls.

A beard transplant was not possible then because the procedure would have left the patient with a cobblestoned complexion.

Today, surgeons, whether working on a scalp or face, transplant single hair follicles instead of plugs of 15 of them. That means more natural-looking beards, which can be shaved and then regrown, just as with regular beards .

“No one suspected,” said Jeff, 30, a health care consultant who lives outside of Toronto. (Like other men interviewed, he asked that his last name not be used.) Dr. Jamil Asaria, a facial plastic surgeon in Toronto, performed the beard transplant at a cost of about $10,000. “It’s like I was never a beard guy, and now I grew a beard,” Jeff said, “so I would say it was pretty stealth.”

Dr. Marc Dauer, a hair transplant surgeon in Los Angeles, said that five years ago he performed about five beard transplants in a year. Now he does that many in a month.

Phira, 33, who works in talent management in Los Angeles, went to see Dr. Dauer last December because of the large patches on his cheeks where no whiskers grew. “It looked like I had facial-hair leprosy or something,” said Phira, who had the spots filled in with follicles transplanted from the back of his scalp at a cost of roughly $4,000.

Ray, 53, who works at a Pittsburgh university, said he had always looked forward to growing a beard, from as young as age 12. But whiskers never appeared on his cheeks.

After his first procedure, in 2011, Ray wanted his beard to be denser and climb higher up his cheeks. He had a second transplant in 2012, from another hair restoration specialist, Dr. Glenn Charles, who practices in Boca Raton, Fla. In 2013 Ray returned to Dr. Charles for a third go-round. Total cost: $22,000.

“I don’t really even care that much if people know that I’ve had the transplants,” Ray said. “I just don’t want them to know how much I’ve spent on it, because then they’ll think I’m crazy.”

But whenever he catches his reflection as he passes a mirror, he gets a jolt of satisfaction. “A lot of guys go through a midlife crisis and they buy the sports car,” Ray said. “I just got a beard.”

 

Greetings,

I just returned from the annual meeting of the International Society of Hair Restoration Surgery in Chicago. This is the largest annual  gathering of hair transplant surgeons from around the world. It is an amazing opportunity to share ideas with colleagues from around the world and learn of the newest advances in the field of hair restoration. It also provides an excellent opportunity for me to reconnect with many colleagues who have become close friends over the years.

I had the honor and privilege to be the course director for the Eyebrow Transplant Symposium. I presented my “How I Perform Eyebrow Transplants” lecture and moderated a panel of eyebrow transplant specialists. It was very gratifying to share my knowledge with others and was nice to hear how others approach their eyebrow transplant procedures.

Here is a photo I took of the beautiful Chicago skyline at night.

chicago

 

Greetings,

Here is a patient of mine who received 1532 grafts to the hairline and frontal scalp. I included close up photos of the hairline as well and the patients donor strip scar which is virtually invisible with his short haircut.

The patient is thrilled with his results!

All the best,

Marc Dauer, M.D.

This is the donor zone after the patient had a strip harvest for hair transpant.

This is the donor zone after the patient had a strip harvest for hair transpant.

Hair Transplant Slides.736 Hair Transplant Slides.735 Hair Transplant Slides.737 Hair Transplant Slides.738

Greetings,

Here is an interview I did recently with Spencer Kobren of “The Bald Truth” where I explained my approach to treating young patients wanting hair transplants.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

This is a very interesting patient of mine. This patient, whom both he and his wife happen to both be physicians, presented to me complaining of hair loss in the frontal scalp, sideburns, and eyebrows over a number of years. The patient denied any other medical conditions.

On examination I determined that the patient most likely had a form of scarring alopecia and referred the patient to a local dermatologist for confirmation. A biopsy confirmed Frontal Fibrosing Alopecia and the pathology revealed that the disease appeared inactive.

After discussion with the patient and the treating Dermatologist we agreed that I would transplant a small number of test grafts in different areas of hair loss and we would see how they grew before proceeding with a larger procedure.

The test grafts grew well and the patient returned requesting a much larger procedure to create cosmetic density in the frontal scalp, sideburns, and eyebrows.

I explained to the patient that even if we were successful with the transplant procedure, there was always the possibility that the disease could recur in the future and possibly destroy the transplanted grafts. The patient understood and wished to proceed with the procedure.

The patient received 2521 grafts via FUT to the frontal scalp, mid scalp, and sideburns, and approximately 250 grafts per eyebrow. Care was taken not to pack the grafts too densely because of possible vascular compromise of the tissue to be transplanted secondary to the scarring alopecia process.

The results are shown after 1 year.

The patient is absolutely thrilled with his results and is now requesting a second procedure to increase the density.

I hope to provide updates in the future.

All the best,

Marc Dauer, M.D.

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received a hair transplant

Patient with Scarring Alopecia who received an eyebrow transplant

Patient with Scarring Alopecia who received an eyebrow transplant

Greetings,

Here is a patient who presented to me after undergoing 2 previous procedures with another physician. He was having constant pain in the  donor region. On examination his strip scar was raised and 7-9mm wide and in certain spots there were 2 separate scars.

I decided to revise the scar in the context of the patients procedure to increase the density in his hairline.

While I was extracting the old scar I noticed that there were a number of retained nylon sutures in the wound that were left there and had never been removed. These were likely contributing to the pain and poor healing. I removed the retained sutures and revised the scar closing with a triuchopytic closure to get hair to grow through the scar.

I then placed 1003 grafts into the hairline.

The results of the hair transplant and the donor scar revision are shown below.

All the best,

Marc Dauer, M.D.

Hair Transplant Slides.674 Hair Transplant Slides.676 Hair Transplant Slides.673 Hair Transplant Slides.675

hair transplant strip scar revision

hair transplant strip scar revision

Greetings,

Here is a patient of mine who I perfumed a hair transplant of 2258 grafts via FUT. The patient has very fine, straight hair, which is the least ideal hair type when trying to maximize cosmetic density, but despite this the results are still significant and the patient is pleased.

The patient also had a previous procedure with another physician and discusses the difference between my procedure and his previous one.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.