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Non-Physicians Performing Hair Transplant Procedures

Greetings,

With the advent of the NeoGraft machine and it’s accompanying marketing that includes ideas for the prospective “NeoGrafter” that an attending physician is only necessary in order to “lend” his license to the practice so that they be allowed to perform hair transplant procedures, it has opened up a new chapter in the discussion of what is acceptable to delegate in Hair Transplantation. Physicians performing Hair Transplants have delegated certain tasks for years including dissection of the grafts and placement of the grafts. In some practice they even practice the “stick and place” method where the nurse create the incision site and places the hair graft in the incision. In my practice I create each and every insertion site for the placement of the hair grafts. My thought is that the exact design is based on the creation of the receptor sites. The hairline design, as well as the angle and orientation of the hair growth are all affected by the creation of the receptor site. I believe that the surgeon should have the complete control of this step as it is the surgeon who will take full responsibility for the outcome of the procedure. For patients exploring the idea of having a Hair Transplant procedure it is important that they ask important questions such as, “what are the steps in the procedure that the physician will be performing, if any, and what are the steps that the physicians assistants will be performing?” Knowing as much information about the physician and the medical group that is performing your procedure will assist in making an informed decision, and hopefully one that will lead to positive results.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

FUE Into Previous Strip Scar From FUT

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Greetings,

In this blog I will demonstrate a patient who came to me after he underwent the strip harvest procedure from another physician and his donor scar was wider than he expected and he could no longer wear his hair at the short length he wanted. In some cases these wide scars can be revised by excising them and closing them again under less tension than they were previously closed. In this case, the physician who performed the original procedure had already attempted to revise the donor scar and was unsuccessful in reducing it’s size. I recommended to the patient that I perform Follicular Unit Extraction (FUE) by harvesting follicles ones by one  with a special tool and then placing these harvested follicles into the strip scar to cover it with hair. Here are the results after 9 months. It made a significant difference to the donor scar and the patient is very happy as he can now wear his hair shorter and not be conscious of his wide donor scar. I have treated a large number of patients like this and it remains a good option for those with wide donor scars who wish to wear their hair shorter.

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All the best,

Marc Dauer, MD

/by Los Angeles Hair Transplant Specialist

Transplanting hair via FUE into mustache scar

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Greetings,

Today I will discuss a very interesting case I just performed. This patient presented with a skin graft in his mustache region from a previous accident that required extensive Plastic Surgery. He was left with a large scar  and no ability to cover the scar as it would only grow a scant amount of hair. The patient prefers to wear a goatee but it is very unnatural with only one side growing hair. In this case I performed follicular unit extraction otherwise know as FUE by harvesting the hairs from his beard on the neck individually with a .8mm punch. I harvested the neck hairs as these will most closely resemble the beard hairs we are meant to recreate. After I harvested all the beard hairs via FUE we placed the grafts individually to recreate a mustache.The angles and orientation of the grafts placed in the mustache were made to mimic the angles of the hairs on the unaffected part of the mustache. Typically there is a slightly lower growth rate of grafts transplanted into scar tissue, but these patients usually have excellent cosmetic results. Below you can see the pre operative photo and the post operative photo and the immediate difference that is seen with the transplanted grafts present over the scar.

All the best,

Marc Dauer, M.D.

/1 Comment/by Los Angeles Hair Transplant Specialist

Letter of Appreciation From Visiting Physician

Greetings,

I periodically have physicians come to me from all over the world to spend time learning my techniques and approach to the field of Hair Restoration. I just received a letter from a physician who recently visited with me. This physician has been a practicing Head and Neck Surgeon for 25 years and he is looking to expand his practice to include Hair Restoration. Below is the letter.

Training with Dr. Marc Dauer and staff.
I would describe the week as full immersion . You taught the finest details regarding FUE and strip harvesting … And the transplanting itself is art!

But there was so much more involved.

Seeing you educate the patient (and me) with respect to the advantages and disadvantages of all options was invaluable.

You are confident, kind, empathetic, and engaging. You do not over promise. During the days there, previous patients consistently returned – thrilled with their results.

Your entire staff was outstanding, and patiently demonstrated and explained to me every step and question I had.

What I especially appreciated was the fact that each treatment was tailored to the patient’s specific needs, and not to the surgeon who might have only one single device or technique available.

Thank you for your very comprehensive training, for your friendship, and for your willingness to stay in touch. I would strongly recommend your training to any highly motivated individual.

Chris Peers MD

Goshen Indiana

/7 Comments/by Los Angeles Hair Transplant Specialist

Rogaine and Propecia For Hair Loss

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Greetings,

Today I will discuss the usage of Rogaine and Propecia for hair loss. Rogaine is an over the counter medication that comes in a liquid form and a foam form and comes in 2% and 5% strengths. For male patients I typically recommend Rogaine foam 5% twice a day after showering and before bed. Rogaine typically works only in the crown region and is best at slowing down the rate of hair loss and in some cases taking the miniaturized hair (hair that is on it’s way out for good) and turning it back into healthy hair. The exact mechanism of Rogaine is unknown, but it is thought to promote increased blood flow to the scalp by relaxing the small blood vessels that supply the blood flow to the scalp. Rogaine 5% is approved for men, and only the 2% formulation is approved for use in women. The 5% formulation may have better efficacy in women, but it can cause hair growth on the face that is reversible when discontinued.

Propecia is an oral medication that is taken once a day. It works by blocking the conversion of testosterone into DHT which can cause hair loss. The effect of taking the medication is that it can regrow hair in some instances and can also convert miniaturized hair that is on the verge of falling out forever into healthy hair, that is cosmetically significant. Propecia is not indicated for use in women.

There have been many claims about Propecia recently, and various side effects it may cause. I typically have all my patients that are considering Propecia read a detailed explanation of all the benefits and possible side effects prior to beginning to take the propecia. I have seen excellent results with patients using propecia, and in my experience younger patients tend to respond the best to this medication.

There is also anecdotal evidence that propecia and rogaine together produce a more significant effect than either medication independent of the other. The exact cause is unknown, but there seems to be some sort of synergy between the two medications.

/399 Comments/by Los Angeles Hair Transplant Specialist

Dr. Dauer Discussing Female Hair Loss on The Doctors TV Show

Greetings,

Here is a clip of me discussing Female Hair Loss and different reasons why women seek out Hair Restoration procedures.

All the best,

Marc Dauer, MD

/by Los Angeles Hair Transplant Specialist

New Hair Transplant Video Patient Testimonial

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Greetings,

Here is a new hair transplant vedio patient testimonial discussing his experience before, during, and after his hair transplant procedure. It is very informative for anyone considering the procedure.

All the best,

Marc Dauer, M.D.

/by Los Angeles Hair Transplant Specialist

Body Hair FUE for Hair Transplant

Greetings,

Here is a video I put together showing FUE to extract chest hair for Hair Transplantation into the scalp. I hope it is informative and helpful video of Body Hair FUE for Hair Transplant.

All the best,

Marc Dauer, MD

/by Los Angeles Hair Transplant Specialist