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.
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.
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.
Greetings,
Here is a new hair transplant video testimonial by actor Grainger Hines.
Grainger describes his experience undergoing the Hair Transplant procedure and how it has changed his life.
I hope you enjoy watching.
All the best,
Marc Dauer, M.D.
Greetings,
As more and more physicians purchase the ARTAS robotic machine for automated FUE there seems to be much more information and misinformation regarding the benefits of FUE and specifically of the ARTAS machine performing the extractions. I am a self described “tech geek” and “gadget fanatic”. This is why when the robot was initially introduced I was very intrigued and wanted to immediately investigate it as it seemed like a perfect fit for my personality. What I found was grafts that did not looks as good as my manual FUE grafts and scars in the donor region that were significantly larger than my hand held FUE scars. It was so dramatic that I decided not to purchase the machine.
Regarding the scarring from the ARTAS FUE, most of the reasons for undergoing FUE in the first place is the elimination of the linear scar and the ability to cut the hair very short without any scarring evident. What I saw from the ARTAS was “moth-eaten” donor regions after a single procedure (see photos below) thus negating the possibility to even shave the hair short! In addition this moth eaten donor area after a single procedure would also preclude the patients from harvesting additional grafts from the same area, which is also a huge negative, as almost all people continue to need additional grafts over time as hair loss progresses with age.
What the ARTAS does provide to physicians who purchase it is the marketing “wow” factor of having a robot harvest their FUE grafts. This can be a powerful marketing tool and in many cases can even allow the physician to switch the patient out to a strip procedure if they realize that FUE is not for them. It also can take the physician completely out of the harvesting equation by delegating technicians to perform the entire FUE harvest without the physician even being in the room. Finally, manual FUE is an acquired art, and not every hair transplant surgeon is capable or proficient in this art, and the ARTAS machine allows everyone to get into the FUE game without knowing how to extract grafts manually.
In my practice, I perform all my FUE harvesting personally with a hand held punch that typically measures 0.9mm in diameter. I perform about 50/50 FUE and FUT and am equally proficient in both. My job as a hair transplant surgeon is to educate my patient as to the benefits and drawbacks of both FUE and FUT and to let them make the decision that works best for them.
My advice is to research extensively before choosing a physician. Make sure you have seen many results (both donor and recipient regions) of both procedures. Most importantly, don’t be fooled by the “marketing hype”. Choose a physician that you truly trust, as a competent and ethical physician will always afford the best chance of a great result.
All the best,
Marc Dauer, M.D.
This is a patient who had a small number of FUE grafts harvested via the ARTAS one time. The scarring is very evident.
This is a photo from the latest edition of the ISHRS magazine showing the difference between the holes from the ARTAS and a manual .8mm FUE punch.
This is a photo of one of my FUE patients 6 months after harvesting just over 1600 grafts with a 0.9mm punch tool.ARTAS
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.
Greetings,
Here is another patient that presented to me after undergoing an eyebrow transplant in Canada by a hair transplant surgeon who has been performing hair transplants for many years but has not performed many eyebrow transplant procedures. Her results showed very sparse density of hairs and unsightly 2 haired follicles present in the eyebrow. The patient was very dissatisfied and presented for a corrective eyebrow transplant. I placed just under 400 single hair follicles per eyebrow and the results are shown immediately post procedure. The patient should have significant density with a completely natural result after 7-9 months.
All the best,
Marc Dauer, M.D.
This shows a botched eyebrow transplant and then immediately post eyebrow transplant repair.
This shows a botched eyebrow transplant and then immediately post eyebrow transplant repair.
Greetings,
Here is a patient of mine who was a norwood 6 with extensive hair loss. He had 3 previous strip harvest procedures with excellent results and was looking to add density to the crown region. Unfortunately the patient was no longer a candidate for another strip harvest procedure so we decided to harvest follicles via FUE from the scalp and the neck portion of the beard. The beard donor site is shown after 8 days and the patient describes the experience in his own words.
I hope you enjoy watching.
All the best,
Marc Dauer, M.D.
Greetings,I am often asked by prospective patients which harvesting procedure is preferable for hair transplantation. Follicular unit extraction or the strip harvest procedure? My answer is that it depends on the individual. If a person needs the option to cut his hair down to a number 1 or a number 2 buzz cut then follicular unit extraction is the needed procedure so as to avoid a visible linear scar. If the person is comfortable leaving their hair at a number 3 or preferably number 4 cut or longer, then the strip harvest procedure is absolutely an option. Typical linear scars from strip harvest procedures should measure between 1 and 3 mm in width and the length is determined by the amount of hair follicles needed to be harvested. This is in contrast to tiny white dots that are left in the donor region after the follicles are harvested in follicular unit extraction. Neither procedure is scarless. There is no such thing as a scarless hair transplant procedure. In fact, the scarring from follicular unit extraction in the donor region is greater when measured in surface area then the scarring from the strip harvest procedure. The difference is that in the strip harvest procedure the scarring is concentrated in a linear scar which is more noticeable when the hair is very short as opposed to the diffuse pinpoint scarring which is the result of follicular unit extraction. Some patients who have been overharvested in follicular unit extraction still do not have the option to cut their hair very short as the confluence of many pinpoint scars can start to show as “moth eaten” scalp with a short haircut. Also, it is usually not advisable to cut the hair down to a number zero haircut after follicular unit extraction hair transplants as you will probably see the tiny white dots left from the extraction of the follicles. To be clear, when follicles are removed from the donor area in follicular unit extraction one by one, they do not grow back in the donor area. They are taken out and moved to another area where they then begin to grow.In follicular unit extraction every third or every fourth hair follicle is randomly extracted so as not to create bald patches in the donor area. Because of this it is important to draw the hair follicles from the entire safe donor area. This means that the entire donor area is affected in the first hair transplant procedure. This is in contrast to the strip harvest procedure where only about a 1 to 1 1/2 cm wide area is extracted by a length that is determined by the amount of hair follicles needed to harvest, typically leaving behind a 1 to 3 mm linear scar with untouched robust donor area above and below the strip scar. When the patient returns for a second procedure the physician should harvest the second strip from the same area removing the original strip scar so as to leave the patient with only one strip scar even after multiple hair transplant procedures. If for some reason the strip scar widens and the physician is not able to extract the old scar, there is still untouched donor zone above and below the original strip scar allowing the physician to either take a new strip in a new area or begin follicular unit extraction in the surrounding areas around the original strip scar. What this means is that the ultimate donor zone in a patient will probably be contain more follicles if the patient begins with the strip harvest procedure versus follicular unit extraction. This also means that patients who are predicted to experience severe hair loss should strongly consider leaving their hair a little bit longer and undergoing the strip harvest procedure to begin with, in order to maximize the number of donor hair follicles from their permanent donor zone.When harvesting follicles in follicular unit extraction, the patient must shave their head down to a number zero cut in order to extract the follicles, versus the strip harvest procedure which allows the patient to leave their hair longer and use the existing hair to cover up the strip scar.In follicular unit extraction the physician can choose the larger follicular units i.e. the two, three, and four haired follicular units, while in the strip harvest procedure you only get what’s in the strip which may typically ends up being 2/3 one hair and two haired follicles. What this means is that the hair count can possibly be slightly higher in follicular unit extraction.Follicular unit extraction can be much more variable than the strip harvest procedure because a high degree of skill and efficiency required to extract the follicles intact. This is in contrast to the strip harvest procedure which involves less handling of the hair follicles. Because of this we often see more variable rates of growth in the hands of inexperienced practitioners practicing follicular unit extraction. It is imperative that the prospective patient see multiple results of the physician you are considering with the follicular unit extraction procedure as well as the strip harvest procedure.In summary there is no right or wrong when comparing follicular unit extraction and the strip harvest a procedure. Both are excellent procedures and both can provide excellent results in the hands of an experienced hair transplant surgeon. What’s most important is that the patient chooses the procedure that suits them the best both in the short term and the long run.All the best,Marc Dauer, M.D.
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 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 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.