Greetings,

I recently saw a patient in consultation that had an eyebrow transplant procedure performed in the office of a very well known physician. The issue is that the physician did not perform the procedure. In fact, the physician is not trained in hair transplantation at all and does not even perform hair transplant or eyebrow transplant procedures himself. What he did was have a medical assistant perform the entire procedure, from beginning to end, and the physician did not perform any aspect of it. The medical assistant performed the harvest using the neograft automated FUE machine and then created the recipient sites and placed the grafts. The patient ended up having 2 procedures like this.

The entire procedure was an epic failure. Only about 20 hairs grew from both procedures on each eyebrow and the hairs that grew were growing straight out from the skin in unsightly directions. The donor area in the back of the head was also significantly scarred from the attempted extraction of many hundreds of hair follicles.

In addition, the patient also had an eyebrow tattoo performed in the same physicians office prior to the 2 eyebrow transplants which created even more scarring in the eyebrow.

To have a medical assistant perform the entire hair or eyebrow transplant procedure is not only unethical, it is against the law in many states including California.  Unfortunately this represent a growing trend in the field of hair and eyebrow transplantation. More and more companies are pitching “automated” devices to harvest hair follicles and selling physicians who have no experience in the field with a new device to increase their revenue growth. Their pitch is that you don’t need to know anything about hair and eyebrow transplants, just buy the machine and the company will supply per diems technicians to do the rest. This is the result of that.

I performed an eyebrow transplant procedure on the patient and placed approximately 300 follicles per eyebrow. The results are shown a week after the procedure. In a few months I will updated with follow up photos. Because of all the scarring from the previous eyebrow tattoo and botched eyebrow transplants, the patient will have less growth yield than someone with healthy tissue. She should still have an excellent result and I already told her she should expect to have a second procedure in 9-12 months to increase the density.

This should be a lesson to anyone considering hair or eyebrow transplants. Make sure you go to a physician who specializes EXCLUSIVELY in hair transplants or if you are going to have an eyebrow transplant someone who does many of these procedures, and that they have dozens if not hundreds of results to show you. Just because the physician is skilled in another field does not make them an excellent hair or eyebrow transplant surgeon.

All the best,

Marc Dauer, M.D.

This is a botched eyebrow transplant with pre existing eyebrow tattoo present.

This is a botched eyebrow transplant with pre existing eyebrow tattoo present.

This is a botched eyebrow transplant with pre existing eyebrow tattoo showing the hairs growing in different directions incorrectly.

This is a botched eyebrow transplant with pre existing eyebrow tattoo showing the hairs growing in different directions incorrectly.

 

This is a botched eyebrow transplant with pre existing eyebrow tattoo immediately post corrective eyebrow transplant procedure.

This is a botched eyebrow transplant with pre existing eyebrow tattoo immediately post corrective eyebrow transplant procedure.

 

This is one week after approximately 300 grafts were placed in each eyebrow to correct a botched eyebrow transplant procedure.

This is one week after approximately 300 grafts were placed in each eyebrow to correct a botched eyebrow transplant procedure.

 

This is one week after approximately 300 grafts were placed in each eyebrow to correct a botched eyebrow transplant procedure.

This is one week after approximately 300 grafts were placed in each eyebrow to correct a botched eyebrow transplant procedure.

 

 

Greetings,

This is a male patient who cuts his hair very short and wanted more density in the outer half of his eyebrows. I harvested the donor follicles from the scalp using FUE so that the patient would not have a strip scar and the results are shown after 8 months.

Respectfully,

Marc Dauer, M.D.

Eyebrow transplant utilizing grafts harvested via FUE.

Eyebrow transplant utilizing grafts harvested via FUE.

Eyebrow transplant utilizing grafts harvested via FUE.

Eyebrow transplant utilizing grafts harvested via FUE.

Greetings,

Here is a video of a patient of mine who had just under 1700 grafts harvested from his donor zone with a 0.9mm FUE punch tip. The harvesting was done by me personally with a serrated tip and a motorized hand held punch allowing for minute changes in angles to ensure the greatest quality grafts and graft survival. The patient’s donor zone is shown at 6 months in the video and even with a very short haircut there is no evidence of the FUE harvest that was performed in the area that you see in the video.

I have also included the patients recipient zone at 6 months to show the amazing result that this patient already sees at 6 months. The patient should see significantly more growth over the next 6-8 months and what we are seeing in these photos is about 50% – 60% of the final results, but the growth is already impressive and the patient is very happy.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

Greetings,

I would like to share a new video of a hair transplant patient of mine who describes his experience undergoing the procedure and his results 6 months after the procedure. The patient is seeing about 50-60% of the final result at present, but the difference is already dramatic. The patient also describes how the change has affected his life. I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

Here is a video documenting a patient of mine’s FUE (follicular unit extraction) hair transplant harvest. The grafts were placed into the patient’s previous strip scar (which was created by another doctor), and the frontal scalp and hairline. The results are dramatic and are shown 7 months after the patient’s procedure. I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

The patient in this video had a wide donor strip scar performed by another physician. The physician tried to resect the scar multiple times with no improvement. The patient also had scalp micro pigmentation which only provided slight improvement. I harvested approximately 500 beard grafts via FUE and placed them into the scar. The result show 2 weeks after the procedure shows significantly visible improvement and it will get even better when the hairs grow longer. In addition there is no visible scarring in the heard area from where the grafts were taken.

I hope you enjoy watching and I will provide a follow up video in 6 months.

All the best,

Marc Dauer, M.D.

Greetings,

Today I want to highlight an article I came across from the UK. A well known athlete Phil Tufnell underwent a hair transplant recently and discussed his experience with the British press. More and more celebrities are discussing their hair transplant experiences allowing people to know that hair transplants are very common amongst the celebrity crowd. In most cases the public never knows if the celebrity has underwent a hair transplant procedure as most tend to keep the information to themselves, and of course we as physicians guard the privacy of our patients extremely closely. Privacy is of the utmost concern in most of these cases. However, when the occasional celebrity decides to go public with their experience it helps to give people a feeling of confidence in the procedure. If someone who makes their living based on their looks is comfortable undergoing a hair transplant, than certainly the average person should feel comfortable that in the “right” hands they can have completely natural results with a hair transplant procedure. I have provided a link to the original article below.

All the best,

Marc Dauer, M.D.

http://www.mirror.co.uk/tv/tv-news/phil-tufnell-hair-transplant-isnt-3062284

Greetings,

Today I want to discuss the tool I use in performing Follicular Unit Extraction otherwise known as FUE. Every person’s scalp is different and therefore it is important that we do not approach what we do as Hair Transplant surgeons as a one size fits all approach. Along those lines, I recently started using a sharp tip punch with serrated edges as an option for my FUE cases. Prior this the only punch I had found that produced good results was a blunt tip punch. I will still continue to use the blunt tip as an option in some cases that do not respond well to a sharp tip punch, but I can truly say that these special sharp tip punches with serrated edges allowed me to harvest FUE grafts that are completely on par with strip harvested and dissected grafts, which continue to be the gold standard by which all hair transplant grafts are measured by. In the photo below you can see the perfectly intact FUE grafts and the large hair grouping that are present in these grafts harvested with a 1mm sharp serrated punch. In one side you can see the single hair grafts that were dissected out of the larger grafts in order to restore the patient’s hairline. In the other corner you can see the total of transected grafts which amounted to under 50 grafts. Based on this case of 1656 grafts harvested total the transection rate was approximately 3% which is incredibly low for any sort of FUE case, manual or automated. If you look closely at the grafts you can also see the amazing consistency of the grafts which you do not see with FUE grafts obtained with automated machines. I have showed this photo to a number of highly respected hair transplant surgeons and they have stated that these FUE grafts look just like dissected strip grafts which is the biggest compliment one can give to an FUE graft.

In summary, every individuals scalp and anatomy are different and it is imperative that we as Hair Transplant surgeons have many useful tools at our disposal in order to give each and every patient the best result possible.

All the best,

Marc Dauer, MD

These are FUE grafts harvested with a serrated sharp tip. The natural intact groupings are seen in the bottom right and top left corners, the single hair grafts in the top right corner, and the transected grafts in the bottom left corner.

These are FUE grafts harvested with a serrated sharp tip. The natural intact groupings are seen in the bottom right and top left corners, the single hair grafts in the top right corner, and the transected grafts in the bottom left corner.

 

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