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Greetings,

Today the NY Times did a nice article on facial hair transplants. They quoted me and one of my patients. Unfortunately they stated that the donor hair for his procedure came from his scalp (which is most commonly used in these procedures). But in actuality this patient’s donor hair came from his neck beard hair. This is because the patient no longer possessed any additional donor hair from his scalp because he had received prior procedures to treat scalp balding from another physician and his donor scalp hair was depleted in the process.

Regardless it was an informative article and I was honored to be included.

Below is the link and a copy of the text.

All the best,

Marc Dauer, M.D.

 

Baby-Faced Men Opt for Beard Transplants

By ANDREW ADAM NEWMAN

Photo

Jose Armos, 28, a paramedic who lives in Miami, looked so young that, when responding to 911 calls, he seemed to add to some patients’ distress.

“They would look at me and be like, ‘O.K., is this 16-year-old really going to take care of me?’ ” said Mr. Armos, who had the sparsest of beards. “It was hard for people to trust me because I had that baby face.”

Earlier this year, Mr. Armos visited the Miami office of Dr. Jeffrey S. Epstein, a hair restoration surgeon. “I wanted that stronger, manlier look,” Mr. Armos said.

He had a full beard transplant, from sideburns to chin, at a cost of about $7,000. More than a thousand individual hair follicles were harvested from the back of his head, where hair grows thickest, and transplanted to his face.

“It does play a role in me looking more mature, more manly, and just kind of getting respect from people,” Mr. Armos said.

Dr. Epstein, who has offices in Miami and Manhattan, performed four or five facial hair transplants annually a decade ago. Now, he said, the average is three a week.

According to the International Society of Hair Restoration Surgery, a nonprofit medical association, beard transplants grew from 1.5 percent of all hair restoration procedures performed internationally in 2012 to 3.7 percent in 2014.

Hair transplants from a generation ago had the unfortunate effect of making the scalp look like a doll’s head, because what were transplanted were pluglike grafts of about 15 hair follicles. Those who underwent the procedure could disguise the plugs by growing their hair longer and teasing it into Trumpian swirls.

A beard transplant was not possible then because the procedure would have left the patient with a cobblestoned complexion.

Today, surgeons, whether working on a scalp or face, transplant single hair follicles instead of plugs of 15 of them. That means more natural-looking beards, which can be shaved and then regrown, just as with regular beards .

“No one suspected,” said Jeff, 30, a health care consultant who lives outside of Toronto. (Like other men interviewed, he asked that his last name not be used.) Dr. Jamil Asaria, a facial plastic surgeon in Toronto, performed the beard transplant at a cost of about $10,000. “It’s like I was never a beard guy, and now I grew a beard,” Jeff said, “so I would say it was pretty stealth.”

Dr. Marc Dauer, a hair transplant surgeon in Los Angeles, said that five years ago he performed about five beard transplants in a year. Now he does that many in a month.

Phira, 33, who works in talent management in Los Angeles, went to see Dr. Dauer last December because of the large patches on his cheeks where no whiskers grew. “It looked like I had facial-hair leprosy or something,” said Phira, who had the spots filled in with follicles transplanted from the back of his scalp at a cost of roughly $4,000.

Ray, 53, who works at a Pittsburgh university, said he had always looked forward to growing a beard, from as young as age 12. But whiskers never appeared on his cheeks.

After his first procedure, in 2011, Ray wanted his beard to be denser and climb higher up his cheeks. He had a second transplant in 2012, from another hair restoration specialist, Dr. Glenn Charles, who practices in Boca Raton, Fla. In 2013 Ray returned to Dr. Charles for a third go-round. Total cost: $22,000.

“I don’t really even care that much if people know that I’ve had the transplants,” Ray said. “I just don’t want them to know how much I’ve spent on it, because then they’ll think I’m crazy.”

But whenever he catches his reflection as he passes a mirror, he gets a jolt of satisfaction. “A lot of guys go through a midlife crisis and they buy the sports car,” Ray said. “I just got a beard.”

 

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.

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.

Greetings,

I have just begun using Hypothermasol -New Storage Media For Hair Transplant Grafts which is a new storage media for storing hair grafts while they are out of the body and awaiting transplant. In the past we have had excellent results storing the hair grafts in saline or lactated ringers solution, but recent studies have shown that there can be an increased growth yield of the transplanted hair grafts by storing them in hypothermasol. Hypothermasol has been used for a number of years to store organs awaiting transplantation. It is thought to keep the cellular mechanisms more stable while the organ is out of the body, thus decreasing any cellular degradation. Applying the same concept to hair transplants, some new studies have shown that this storage media can lead to possibly better growth rates. Even though the hypothermasol is much more expensive than the traditional storage solutions, in my quest for the best hair transplant results that can be achieved, I have decided to incorporate this into my storage process of the hair grafts. I will check in with an update on this topic in 6-9 months with the results that I am seeing in clinical use.

All the best,

Marc Dauer, MD

Greetings,

Today I would like to discuss Facial Hair Transplants. Many people of varying ethnicities have varying amounts of facial hair due to hereditary factors or even due to facial scarring secondary to trauma or surgical intervention. Facial hair transplants are also beneficial in female to male transgender patients to allow the individual to grow more of a full beard. It is possible to take hair from the head and transplant it to areas of the face where the patient may desire more hair. It is possible to harvest the donor hair for facial hair transplantation by either the strip harvesting method or follicular unit extraction. The hairs placed on the face are almost entirely single hair follicles and they are placed in receptor sites that are created with a custom size blade that measures between .5mm-.7mm depending on the caliber of the individuals hair. It is imperative that the receptor site angles are created almost parallel to the skin to make the new hair grow in as naturally as possible. Is it also very important to follow the changing directions of facial hair as you move along to different areas of the face. The growth timeline is very similar to other areas where we perform hair transplantation in that most of the transplanted hairs initially stay for about 2-4 weeks and then fall out. The new hairs then begin to grow in at 3-4 months and about 50% growth is seen at 6 months and full growth is seen at around 12 months. Below I have shown an example of a patient with almost no hair in the goatee region. The first photo shows the patient before the procedure with the transplanted areas marked out. The second photo is immediately after the procedure and the third photo is 10 days after the procedure with many of the transplanted hairs still present and appear to be growing. Most of these grafts will fall out in the next few weeks and they will begin to grow back at 3-4 months post operatively. I hope to post a follow up photo at 9-12 months.

All the best,

Marc Dauer, MD

This is a pre op photo of a beard transplant.

This Photo is 2 weeks post operatively after a beard transplant.

Immediately Post Op Beard Transplant