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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

Greetings,

Today I want to discuss a very new exciting development. For the past year I have been prescribing a compounded topical prescription formula that contains Dutasteride, Finasteride, Minoxidil, Retin A, and Triamcinolone. Dutasteride and Finasteride (propecia) are potent DHT blockers. Minoxidil is a vasodilator which has been proven to help genetic hair loss. Retin A helps with absorption and triamcinolone helps with scalp irritation. I call the formula “hair defense” as it’s defending the native hair. It does not grow back dead follicles that have been lost. It does however prevent susceptible follicles from falling out, and can turn miniaturized follicles (follicles that are on their way out and have become cosmetically insignificant) back into healthy terminal follicles, which can then give the appearance of greater density.

Below, you can see examples of patients of mine who haven been on the topical at least 6 months and all the photos shown below are just with the topical only as treatment.

This is not a substitute for a hair transplant procedure. Rather it is a an adjunct meant to preserve the native hair so that the results of the hair transplant procedure look better for longer. In some cases it can be used as an intermediate treatment meant to slow or stop the continuing loss before the transplant is indicated.

Finally, one of the best things about the topical is that the incidence of sexual side effects (though low in frequency can still occur in 1-2% of patients taking oral finasteride) are even more uncommon with this topical as the systemic absorption of the medication is less than the oral medication.

I have seen a profound impact of this topical medication on my own scalp and hundreds of my patients.

For a small number of patients that may get irritation from any of the components, the formula is customizable and components can be pulled out in any amount.

If you would like to consider this or have a friend who could benefit please contact our office and we can schedule a short consultation and arrange for a prescription of the product. It ships directly to your home via fedex.

This is one of the biggest game changers in hair restoration I have come across over the past number of years and I am very excited to share it with you all.

Best,

Marc Dauer, MD

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Greetings,

FUE hair transplants are the process where individual hair follicles are extracted with a tool and then transplanted into areas of hair loss. In order to extract the follicles the hair needs to be cut down to it’s shortest length above the skin so that the hair doesn’t get tangled in the tool extracting the grafts. This means shaving the scalp in most cases.

For patient’s having procedures which require less than 1500 grafts extracted there is now another option. The patient can grow the hair in the back and sides longer and we can shave either one large strip (smaller than the length of the hair) or multiple smaller strips (also smaller than the length of the hair) which allows the native long hair to hang down and cover up the extracted areas.

This allows the patient to keep the long hair and not shave the entire back and sides of the scalp and still have an FUE hair transplant. This technique is becoming very popular amongst actors (who can’t change their appearance if they have longer hair in the midst of a recurring show) and other individuals that do not want such a dramatic change to their appearance. The results are just as good as the full shaven technique and it is proving to be a very popular alternative to traditional FUE shaving.

I have included some photos of a recent patient I performed this technique on.

All the best,

Marc Dauer, M.D.

This is a photo of the "long hair FUE" process in a patient showing his donor region immediately post procedure with his hair wet and combed down.

This is a photo of the “long hair FUE” process in a patient showing his donor region immediately post procedure with his hair wet and combed down.

This is a patient's donor region immediately post harvesting approximately 1400 grafts via FUE with the hair raised.

This is a patient’s donor region immediately post harvesting approximately 1400 grafts via FUE with the hair raised.

Greetings,

Here is a patient who came to me after having undergone 2 previous trip harvest procedures from another local physician. He decided he was done with the strip harvest procedure and wanted to have an FUE procedure. When I shaved the scalp to perform FUE his precious strip scars were clearly visible and also demonstrated how his previous physician had created “stacked scars” in certain locations instead of including the old strip scar in the new incision.

This is against the 10 commandments of hair transplant surgery.

In every instance of a patient having another strip harvest hair transplant procedure after having one prior, the previous scar should be removed.

If the previous scar is too wide or the scalp too tight FUE should be considered.

NEVER should a physician create a stacked scar, which in reality just creates  one huge scar.

This is a prime example of what not to do and is either laziness or ignorance on the part of the hair transplant surgeon who did this.

On this procedure the patient was primarily concerned with creating density in the frontal scalp, but after seeing these photos, the patient has decided in the future to have me place FUE grafts into these scars to help cover them.

Just another example of why it is imperative to do thorough research prior to choosing your hair transplant surgeon.

All the best,

Marc Dauer, M.D.

bad hair transplant strip scar

bad hair transplant strip scar

bad hair transplant strip scar

bad hair transplant strip scar

Greetings,

Here is a patient of mine who underwent the FUT hair transplant procedure.

His results are shown after 12 months.

In the video the patient talks about his experience undergoing the procedure and I demonstrate his results and donor strip scar.

I hope you enjoy watching.

All the best,

Marc Dauer, MD

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

hair transplant strip scar

hair transplant strip scar

Greetings,

After an article a few weeks ago that was picked up by multiple press publications about facial hair transplantation there has been a great deal of press focus on this topic. I have been performing facial hair transplantation for many years now. The donor hair to be transplanted on the face can be harvested either from the scalp via FUT or from the neck beard using FUE. I prefer to use the neck beard hair whenever possible as it provides the exact same character hair as opposed to scalp hair which is different from beard hair. This procedure can be very useful for cosmetic purposes to augment ones beard, goatee, or sideburns, or even reconstructive purposes in cases when one has a scar in the beard region and wishes to cover the scar with hair in order to minimize its appearance. When transplanting into scar tissue the growth rate is not the same as with healthy tissue, but there is still good growth, and it just may require more sessions to accomplish the patient’s goals.

I have attached a photo of a patient  of mine who I transplanted hair into a mustache scar with excellent results. I have also attached a link to the ABC news article on beard transplantation below.

All the best,

Marc Dauer, M.D.

http://abcnews.go.com/Health/beards-hair-raising-transplants-rise-ny-doctors/story?id=22682089

Here is a patient with a scar in his mustache who received transplanted hair grafts to cover the scar and enhance his mustache.

Here is a patient with a scar in his mustache who received transplanted hair grafts to cover the scar and enhance his mustache.

Greetings,

In a few weeks I will be traveling to attend the (International Society Of Hair Restoration Surgery)  ISHRS annual meeting in San Francisco. I always look forward to these meetings to see my old friends and hear from my respected colleagues on the latest and greatest in the field of Hair Restoration Surgery. In addition, I usually present lectures and conduct teaching workshops at these meetings and this year I will be conducting a Board Review course and teaching the FUE (Follicular Unit Extraction) course. I plan on blogging from San Francisco and writing about the new advances I find interesting. I look forward to reporting my findings in a few weeks.

All the best,

Marc Dauer, MD

Greetings,

Here is a patient of mine who received 746 grafts to both eyebrows 4 days prior. There is minimal residual swelling present and some minor crusting, but the overall photos give a very nice idea of what the final result of the eyebrow transplant will look like after the new hair is all grown in. Typically most of the transplanted hairs will fall off after 1-4 weeks. The new follicles leave stem cells in the dermis that will sprout the new eyebrow hair follicles after 12 weeks. The final  result will be visible after about 9 months, but there will be a marked improvement after 6 months.

This patient is thrilled with how her eyebrows look now immediately after the eyebrow transplant procedure, and I will follow up this post with 6-9 month post procedure photos in the future.

All the best.

Marc Dauer, M.D.

Here is a patient pre eyebrow transplant and 4 days after the eyebrow transplant procedure.

Here is a patient pre eyebrow transplant and 4 days after the eyebrow transplant procedure.

Greetings,

Today I will discuss a bad hair transplant procedure result that I recently saw in consultation. The patient was on vacation in Pakistan and responded to an advertisement for an inexpensive hair transplant procedure. The patient subsequently was told that he would receive 2000 grafts (which would equate to about 5000 hairs with typical density) for $500. The patient underwent the procedure and stated that he experienced significant pain during and after the hair transplant procedure. I took the photo below approximately 18 months after his hair transplant procedure in Pakistan. What you see in the photo is very sparse growth of grafts. A patient with no hair in the frontal scalp receiving 2000 grafts should have exponentially more hair growth then you see in the photo. You also see an aggressive hairline design, which means that they placed the hairline lower than it should have been placed in a patient with severe hair loss undergoing a first hair transplant procedure. I always tell my patients undergoing their initial procedure that I would prefer to be more conservative with the hairline and create greater density than getting aggressive with the hairline thus having to spread the same number of grafts over a larger area subsequently getting a lower density result. You can always lower the hairline in successive procedures, but once the hairline is placed too low, you have a problem. There are also 2 hair grafts present in the hairline. This should never be. Only single hair grafts should be placed in the hairline to create a completely natural result. Finally, if you look closely it appears that many of the grafts are emerging from a small crater around them. As if they are not flush with the skin, but coming out of a little hole. This is called “pitting” and occurs when the grafts are placed to deep. This also should not occur in a well done hair transplant procedure.

Unfortunately there are many more unqualified physicians performing hair transplants, or delegating the essential functions of the hair transplant procedure to unqualified personnel, then there are qualified Hair Transplant surgeons performing great work. The consumer needs to beware of these unscrupulous practitioners, both in the US and abroad in order to avoid a result like you see here. This patient can have repair work to fix this, but if it had been performed correctly initially, the corrective work would not be necessary. Unfortunately in this case the damage is already done, but hopefully others can learn from this and not make the same mistake.

Bad Hair Transplant Result

All the best,

Marc Dauer, MD

Greetings,

I decided to commission an animated video which would convey all the basic Hair Transplant Information that anyone interested in Hair Restoration and Hair Transplants should know. It was an enjoyable project for me to create the text copy for the video and I believe it answers many of the basic questions that people interested in Hair Transplants may have. I hope you enjoy this video titled “Hair Restoration and Me”.

All the best,

Marc Dauer, M.D.

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