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.
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.
Here is a patient of mine who had hair loss classified as norwood 6 on the norwood hair loss scale. This essentially means that most of the hair on top of his head had been lost secondary to genetic hair loss.
I performed a follicular unit extraction (FUE) hair transplant using a 0.85mm punch tip. I personally extracted each and every follicle. Many other physicians delegate the extraction component of the procedure to technicians but I prefer to perform the extractions myself.
The patient is thrilled with his results and plans to return for another procedure to create even more cosmetic density.
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 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
DAUER HAIR RESTORATION
2080 Century Park East Suite 1802
Los Angeles, CA 90067
Phone: (310) 748-2224
Dr. Marc Dauer, MD is a board certified leader in hair restoration, hair transplants, eyebrow restoration for men and women, hair transplants
for scars, and facial hair transplants.
Dr Dauer is experienced with successfully treating and restoring hair loss of the scalp, eyebrows, sideburns, male pattern baldness, female pattern baldness and from scarring. Dr. Dauer is board certified by the American Board Of Hair Restoration Surgery and a member of the prestigious International Society of Hair Restoration Surgery. Dauer Hair Restoration provides hair restoration, FUE and FUT, hair transplants. Los Angeles hair loss treatments, eyebrow transplants, sideburn transplant, treatment for male pattern baldness and female pattern baldness, and
transplantation for scarring. We serve patients from 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. Consider Dr. Dauer for your hair restoration needs.