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.
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
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.
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 male patient of mine who wanted more fullness to his eyebrows. We extracted his donor follicles via FUE. In the video the patient shares his experience undergoing the procedure and his satisfaction with the results.
Here is a patient of mine who received 1560 grafts via FUE to the frontal scalp and temporal peaks. He has graciously agreed to share his experience undergoing the procedure from day 1 until now, 1 year post procedure.
Here is a patient of mine who wanted a Tom Selleck circa Magnum PI mustache. His mustache was a little thin genetically.
I harvested just over 700 grafts via FUE using a 0.75mm extraction tip from the neck beard. That way I would be transferring hair from one area to another that has the same quality to it.
The “after” photos show the patient one week after the procedure and as you can see the scarring from the extractions in the donor area is almost invisible and the mustache appears significantly wider and denser than it was pre procedure. The patient will shed most of the transplanted mustache hairs and they will regrow starting at 3-4 months but this photo is a sneak peak into the final result that we should see in 9-12 months.
The patient is thrilled and excited to see his final results then.
All the best,
Marc Dauer, MD
this is a patient of Dr. Marc Dauer who had grafts extracted from the neck via FUE and transplanted into the mustache beard
this is the donor region for grafts harvested via FUE for transplantation into the mustache
Here is a patient who came to me after having undergone several previous procedures and scalp reductions with other hair transplant physicians.
He wanted to add hair to his mid scalp and crown (where there was virtually no hair and a scalp reduction scar) and to attempt to conceal a very wide donor scar from his previous strip hair transplant procedures.
I extracted just over 900 grafts from the neck beard and placed them into the scalp and scar. The results are shown after 9 months and they are already impressive.
The patient should see some increased density over the next 3-6 months as the hairs thicken in diameter.
Although the beard hair is a different consistency than scalp hair it works well in cases like this where there is no more scalp hair to donate and when “filler” hair is needed for increased cosmetic density.
The patient is looking forward to another procedure to add more density in the scalp from the beard hair.
A patient with a relatively thick beard can have up to 2000 grafts to donate from the area below the jaw line.
All the best,
Marc Dauer, M.D.
beard hair extracted via FUE transplanted to the scalp
beard hair follicles extracted via FUE and transplanted into strip scar
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.