Botched Eyebrow Transplant In A Child

Greetings,

Today I will show a case I was recently sent.  A young child under the age of 10 had an accident and part of the eyebrow and face had a laceration that needed a plastic surgery repair. The plastic surgeon repaired the wound and told the parents that he could correct the defect of missing hair in the eyebrow by transplanting hair into the eyebrow. The photo below shows the results of the eyebrow transplant. Unfortunately the grafts were placed way above the skin causing what is called “cobblestoning” meaning there are bumps throughout the eyebrow because of incorrect placement. In addition, the grafts were placed sticking straight out. Finally, too few grafts were placed to  correct the defect. Bottom line, the result is unsightly and much worse than if nothing at all had been done. This is yet another unfortunate example of a plastic surgeon not respecting the art of eyebrow transplantation and performing a procedure he was not trained in and should have been doing. Unfortunately now there is a problem and the grafts probably need to be removed, the skin resurfaced, and a corrective eyebrow transplant performed.

All the best,

Marc Dauer, M.D.

Follicular Graft 12.22 through 2.24.15

/by Los Angeles Hair Transplant Specialist

Bad Strip Scars versus Trichophytic Closure Strip Scar

Greetings,

I recently saw a patient in consultation who had received 3 previous hair transplants from another physician and wanted to be evaluated for an additional procedure from me.

On examination of his donor area I was surprised to  find 3 separate strip scars. One for each procedure, stacked on top of each other. The effect was significant scarring in the donor area and an inability to harvest another strip scar secondary to the extensive scarring from the previous procedures.

For reference I have also attached a photo of one of my patient’s who had 2 strip procedures, but only one scar. This is because whenever I go back for additional procedures on a patient, I always attempt to harvest the new strip to include the old strip scar. In essence instead of creating train track multiple stacked scars, I keep the scar as a singular scar, thus minimizing the overall scarring to the donor region. In addition, I also performed a trichophytic closure in my patient, which allows the hair to grow through the scar, thus further concealing the scar.

It is imperative to treat the donor region with as much care as the recipient region. Donor hair is finite, and proper care and attention must be given to ensure that we can minimize donor scarring and maximize donor harvesting over the patient’s lifetime.

All the best,

Marc Dauer, M.D.

This is a photo of a patient who had multiple strip hair transplant procedures.

This is a photo of a patient who had multiple strip hair transplant procedures.

 

Hair transplant strip scar with trichophytic closure.

Hair transplant strip scar with trichophytic closure.

/by Los Angeles Hair Transplant Specialist

A Note From A Fellow Hair Restoration Surgeon

, ,

Greetings,

Today I received the kindest email from a well renown hair restoration surgeon regarding my eyebrow transplant results.

I will post it below.

All the best,

Marc Dauer, M.D.

Dr. Dauer,
I have been doing hair transplants for 11 years. And yeah, I’m a Diplomate of the American Board of Neurological Surgery and the American Board of Hair Restoration Surgery, and I’m a “FISHRS,” but the truth is that I’ve not done (or seen, for that matter) more than a couple of eyebrows I’ve been happy with. I stumbled across your website in search of what a good eyebrow transplant could look like……and I was totally blown away. Your work is, hands down, the best I’ve ever seen. And the lack of swelling or bruising in the early post-op period is remarkable. What really impressed me is that, unlike some other surgeons who show the one or two good results they’ve had, you seem to have an endless number of outstanding Before & After photos.
I was going to just go on with my day after leaving your website, but I couldn’t do so without complimenting you and your team on having set the bar for eyebrow restoration. Some day, perhaps I’ll ask if I could come for a visit and learn some of your tricks.
/by Los Angeles Hair Transplant Specialist

Eyebrow Transplant Patient Testimonial In Spanish

Greetings,

Here is a spanish speaking patient of mine who underwent an eyebrow transplant procedure describing her experience.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

Male Eyebrow Transplant Patient via FUE

, ,

Greetings,

Here is a male patient on whom I performed an FUE eyebrow transplant procedure.

The patient describes the experience undergoing the procedure, and photos are shown before and 1 week after the procedure.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

New Hair Transplant Testimonial By Physician Patient

Greetings,

Here is a new hair transplant testimonial by a patient of mine who happens to be an Emergency Room physician. It is interesting to hear the perspective of a physician who has undergone the procedure himself.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

New Hair Transplant Video Testimonial

Greetings,

I recently had the pleasure of seeing one of my patients who is just over 1 year after his first hair transplant procedure. He is thrilled with his results and shares his experience in the video below.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

FUE Hair Transplant AT 6 Months

Greetings,

Here is a patient who received just over 1600 grafts via FUE into the frontal and mid scalp. The patient is destined for severe baldness, probably a norwood 6/7, and he wanted to create a good frontal tuft of hair in the front so that it frames his face accordingly. He also wanted the option to cut his hair to a #1 buzz cut so that is why we performed FUE so that he would not have a visible linear scar. His results are shown after 6 months, and this only represents about 60% of his final result as there will be more growth and thickening of the hair over the next 6 months that will contribute to increasing cosmetic density. Already his result is impressive and the patient is thrilled. He will return for more grafts in the next year.

All the best,

Marc Dauer, M.D.

This is a patient who had an FUE transplant of 1602 grafts after 6 months.

This is a patient who had an FUE transplant of 1602 grafts after 6 months.

The donor region shown 6 months after 1602 Grafts harvested with a .9mm punch.

The donor region shown 6 months after 1602 Grafts harvested with a .9mm punch.

/by Los Angeles Hair Transplant Specialist

Factors Affecting Cosmetic Density In Hair Transplants

,

Greetings,

Today I want to address the factors that affect cosmetic density in hair transplants. Firstly there are the anatomic factors. The single most important factor anatomically is the caliber of the hair. An increase in just .1mm of the diameter of the hair follicle can add up to 30% increased cosmetic density. The other anatomic factors that contribute are skin color to hair color contrast (the more contrast, the more you see through the hair), and curly versus straight hair (curly hair looks thicker than straight hair).

Then there is the follicles per cm squared, which is the amount of follicles transplanted in any given area. Normal non balding scalp can have a density of between 60-100 follicles per cm squared. The minimum density that should be transplanted into any bald area should be at least 30 follicles per cm squared. As we transplant more follicles per cm squared we achieve greater cosmetic density. It requires a much higher degree of skill to transplant a high number of follicles per cm squared.

In summary, there are both anatomic and surgical factors that contribute to cosmetic density. It is imperative that prospective patients looking at pre and post hair transplant photos take the anatomic characteristics into account when considering hair transplant results.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

Female Hairline Lowering

,

Greetings,

Here is a a female patient of mine who has a genetically high hairline and thinning of hair in the existing hairline. I slightly lowered the hairline and increased the density in the existing hairline. Female patients have a very different hairlines than male patients and it is imperative that this is taken into account when creating the recipient sites for the transplanted hairs. The photo below shows the patient pre operatively and then 2 weeks post procedure. Some of the transplanted grafts have already shed, which is normal. They will begin to grow back at about 12 weeks. From the “after” photo you can see the very specific angle and orientation of the transplanted grafts to match exactly the existing hair that that when the hairs grow out they are all flowing in the same directions as the native hair. The goal is that you should not be able to tell any difference between the transplanted hair and the native hair.

All the best,

Marc Dauer, M.D.

This is photos of a female patient who received a hair transplant to lower the hairline.

This is photos of a female patient who received a hair transplant to lower the hairline.

/by Los Angeles Hair Transplant Specialist