Hair Transplant Repair Case

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Greetings,

Here is a patient of mine who had multiple old hair transplants harvested via FUT from another surgeon. He has a severe form of hairloss (norwood 6) and the surgeon gave him a very aggressive hairline (which is why I always do a more conservative hairline in younger patients). His results ended up being very unnatural with massive hairloss happening behind the hairline. The gap between the hair on the bottom sides and the bald areas on top (the alleys as I call them), is a give away for a hair transplant. Also because he had extensive scarring from his previous procedures he had very little donor hair left in the back. I harvested 1613 grafts via FUE primarily from the sides which still had decent density and transplanted extensively into the alleys and the mid scalp and crown. The results are impressive and much more natural than before. Also we are going to do another procedure in the future using neck beard hair, which will also increase the density even more. The patient is thrilled.

Marc Dauer, MD

hair transplant repair photos

hair transplant repair by Dr. Marc Dauer

/by Dr. Marc Dauer

FUE Hair Transplant-All About the Art

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Greetings,

Here is another one of our FUE hair transplant patients showing his result approximately 1 year after his procedure. As you can see the results are very natural. Something that I try to convey to prospective patients is the fact that not all hair transplants are not created equal. This is living art, and as such every artist will create a different hairline, with different densities of hair, different angles and orientations of the transplanted hair, etc. There are so many variables that make the difference between an excellent result, versus a decent result, versus a bad result. There are also many variables in the donor harvesting that can diminish or ruin the donor zone for the future, versus preserving as much donor hair as possible for future procedures and taking out only the grafts necessary for the current situation. Many clinics don’t expect the ever see the patient again and take most or all of their donor hair in a single procedure. This is extremely shortsighted as hair loss is a continuing process and its very important to evaluate any prospective hair transplant patient not just what they look like today, but to predict their endpoint of hairloss to the best of our ability and then determine how many grafts will be required over time to address current loss, and also keep up with continuing loss. This is why I perform every hair transplant consultation personally and don’t have “consultants” performing these on my behalf. I want every patient to be evaluated by myself  and to hear realistic expectations for the  short term and long term from me personally. I also want the opportunity to examine the patient and get their hair loss history so that I can have a good idea about future loss as well. This is also why I personally extract every hair follicle from the donor zone as well, while many other doctors delegate this to technicians. This is a crucial step both in getting intact follicular units for a successful hair transplant, while also preserving as much of the donor zone as possible for future procedures. Before choosing your hair transplant surgeon/ artist, make sure you have seen many hundreds of before and after photos by that surgeon that look aesthetically pleasing to you. Also make sure your surgeon is seeing you in the consultation and performing the harvesting of the hair personally. Finally, make sure your surgeon has a singular focus in hair restoration and doesn’t have a menu with many different cosmetic procedures and hair is just one item on the menu. There is a reason why specialists do nothing else but hair restoration, and to be great at something is to do that same thing many times over.

Marc Dauer, M.D.

hair transplant result

This is a FUE hair transplant result by Dr. Marc Dauer

FUE hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

FUE hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

/by Dr. Marc Dauer

Male Eyebrow Transplant Result

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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

/by Dr. Marc Dauer

No Shave FUE

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Greetings,

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.

Marc Dauer, MD

/by Dr. Marc Dauer

Long Hair FUE- The Latest and Greatest

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Greetings,

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.

All the best,

Marc Dauer, MD

/by Dr. Marc Dauer

Hair Transplant Testimonial

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Greetings,

Here is a patient of mine who received just under 2000 grafts via FUT. He had 2 previous procedures with another physician which left him with less than desirable density.

In the video he describes his experience undergoing his hair transplant procedure.

I hope you enjoy watching.

All the best,

Marc Dauer, MD

/by Dr. Marc Dauer

Plastic Surgeon Patient Describes His Hair Transplant Procedure with Dr. Marc Dauer

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Greetings,

Dr. Kian Karimi is a world renowned Los Angeles based Facial Plastic Surgeon. In the video below Dr. Karimi describes his experience undergoing a hair transplant procedure that I performed.

I am grateful to have the opportunity to treat such amazing patients and also grateful that Dr. Karimi has agreed to share his experience undergoing the procedure, which no doubt will help others.

I hope you enjoy watching.

Marc Dauer, M.D.

/by Dr. Marc Dauer

Beware of Hair Transplant In Young Patients

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Greetings,

Here is a patient I recently saw in consultation who had received a FUE hair transplant of over 3000 grafts at age 21 from another physician. He is now age 24 and wanted me to evaluate his results and ask my opinion about his options moving forward. I was dismayed to see how his donor region had been completely depleted to the point where it was almost see through at a #4 haircut. When FUE is done properly in a patient with average density you should be able to cut your donor hair to at least a #2 haircut without seeing any sign of thinning. In addition, his hairline had been transplanted in a very aggressive pattern (meaning very low). To perform a hair transplant on a 21 year old male who is predicted to advance to a severe hair loss pattern is never a good idea. To to this to a 21 year old patient with an aggessive hairline is just plain wrong.

After more questioning the patient shared that he was treated by a local plastic surgeon who does not specialize in hair transplants. The surgeon had purchased the Neograft machine and had technicians perform the entire procedure. I was not surprised to hear this after seeing his results. Beware of other specialists that do not  specialize in hair transplant procedures with the Neograft machine offering hair transplants through their clinics. I have seen many cases over the past few years of botched hair transplants and routinely I hear the same thing. They went to a physician who is well known for another specialty and got sold on having their technicians perform the entire procedure with their Neograft machine.

Hair transplant surgery is both an art and a science. it is not a specialty that one learns in a weekend course, and it is not an art that should be taken lightly.

In this patient’s case he does not have enough donor hair to fill in the massive area of balding below his unnaturally low thin hairline. In addition, he is only 24 and will lose all his additional hair on top of his head over the next 8-10 years. His options include removal of the unnatural hairline via FUE and recycling of the grafts further back. His donor on the back and sides is almost depleted so his best option is to use beard and body hair for increased density.

In the photos below I have drawn in where his hairline should have been transplanted to show the contrast to where it actually was. I always say it is better to have a higher hairline with higher density versus a lower hairline with lower density. No one has unlimited donor hair and especially in young patients predicted to proceed to advanced hair loss there is never enough donor hair and it all needs to be used very judiciously.

This patient looked like he had less than 1/3 of his harvested grafts actually grow. Received a very unnatural hairline. Should not have had a procedure at age 21 to begin with.

Beware of having a hair transplant under the age of 24 and when done it should be in a very conservative fashion.  Also, beware of physicians that do not specialize exclusively in hair transplant surgery.

All the best,

Marc Dauer, M.D.

 

This is a hairline transplanted too low in a young patient.

Hairline transplanted too low in a young patient.

This is a hairline transplanted too low in a young patient.

Unnatural Hair Transplant

Donor zone post FUE

/by Dr. Marc Dauer

New Patient Testimonial Video- FUE Hair Transplant

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Greetings,

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.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

Mustache FUE Hair Transplant

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Greetings,

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 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

this is the donor region for grafts harvested via FUE for transplantation into the mustache

/by Los Angeles Hair Transplant Specialist