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Greetings,

Here is another interview I did with Spencer Kobren of “The Bald Truth” discussing the things to look out for in your hair transplant surgeon and in the planning of your hair transplant procedure.

It is imperative to “get it right” the first time so that you don’t end up with an unnatural look or a problem in the donor or recipient region.

I hope you enjoy watching.

All the best,

Marc Dauer, MD

Hair Transplants – Get It Right The First Time from Spencer Kobren’s The Bald Truth on Vimeo.

Greetings,

Here is a patient who came to me after having undergone several previous procedures and scalp reductions with other hair transplant physicians.

He wanted to add hair to his mid scalp and crown (where there was virtually no hair and a scalp reduction scar) and to attempt to conceal a very wide donor scar from his previous strip hair transplant procedures.

I extracted just over 900 grafts from the neck beard and placed them into the scalp and scar. The results are shown after 9 months and they are already impressive.

The patient should see some increased density over the next 3-6 months as the hairs thicken in diameter.

Although the beard hair is a different consistency than scalp hair it works well in cases like this where there is no more scalp hair to donate and when “filler” hair is needed for increased cosmetic density.

The patient is looking forward to another procedure to add more density in the scalp from the beard hair.

A patient with a relatively thick beard can have up to 2000 grafts to donate from the area below the jaw line.

All the best,

Marc Dauer, M.D.

beard hair extracted via FUE transplanted to the scalp

beard hair extracted via FUE transplanted to the scalp

beard hair follicles extracted via FUE and transplanted into strip scar

beard hair follicles extracted via FUE and transplanted into strip scar

beard hairs extracted via FUE

beard hairs extracted via FUE

Greetings,

Here is a 30 year patient of mine who received 1553 grafts via FUE. The patient is in the military which is why he opted for FUE as he did not want a strip scar to show through his short haircut.

There is a video below of the patient describing his experience undergoing the FUE hair transplant procedure.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

hair transplant photos hair transplant photos hair transplant photos hair transplant photoshair transplant photos

Greetings,

In the most recent issue of the International Society Of Hair Restoration Surgery journal there is an extensive very interesting debate between those who advocate FUT over FUE and those who advocate FUE over FUT.

Many of the salient points discussed I have previously written about here in my blog. I will briefly review a few of the most important points here.

FUE Advantages- less invasive, diffuse dot scarring versus strip scarring with FUT which in most but not all cases allows the patient with FUE to cut the hair down to a #1 or #2 without showing any evidence of scarring, less discomfort post procedure

FUT Advantages- no need to shave the head to harvest the donor hair, ability to harvest more hair in a single day, more donor hair available to harvest throughout the patient’s life (start with FUT and convert to FUE after FUT is no longer possible thus maximizing the donor zone overall), less expensive than FUE

There are many subtleties to the advantages and disadvantages of both of these procedures.

What is most important is that your hair transplant surgeon is proficient in both procedures and offers both procedures to patients.

I prefer to educate my patients as to the benefits and drawbacks of both FUT and FUE and let them choose the procedure that suits them best. I enjoy performing both FUT and FUE and let patient’s know that if everything goes as planned they should have a great result no matter which method they choose.

All the best,

Marc Dauer, M.D.

Greetings,

Here is a patient of mine who wanted empty patches in his beard and mustache filled in. I used a 0.8mm FUE punch to extract hair follicles from the neck and transplanted these follicles into the beard and mustache. The results are shown after 6 months and the patient is thrilled.

All the best,

Marc Dauer, M.D.

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Beard FUE Hair Transplant

Greetings,

Here is a patient who recently presented to me with these strip scars from another physician. The patient had multiple strip hair transplant procedures and on the last procedure these very wide scars formed. I do not know exactly what the physician did, or how the patient presented to the physician prior to the last procedure, but this should serve as a warning to both physicians and patients that this can happen if you are not careful. Each patient must be throughly evaluated to determine elasticity, especially after multiple procedures. Each time a strip is harvested the donor elasticity decreases, thus increasing the possibility of scar widening, or the inability to close the would. Tension on the would closure also increases the chances of shock loss of hair around the donor region. Many times the hair lost from shock loss comes back over time, but sometimes it does not.

Sometimes you don’t know you’ve gone too far, until you’ve gone too far. Patients will push the physician in some cases to go for more grafts. Physicians  will want to make the patients happy and feel confident in their abilities. No matter how good you are, you must always be cautious and prepared for the unknown. It’s always obviously better to stop before you get to a problem.

With my success performing FUE I have been encouraging my patients who have had multiple strip procedures to consider an FUE procedure which will not affect a previous strip scar. If I feel it is medically permissible to harvest another strip, I always try to educate the patient that there is always the possibility of scar widening or shock loss around the donor region.

In this case, the treating physician tried to resect the scar with no success. I opted to treat the patient by extracting FUE grafts from the beard and transplanting them into the scars. I hope to post a follow up photo in 6 months showing the results of my procedure.

All the best,

Marc Dauer, M.D.

This is a patient who had a widened strip scar following strip hair transplant.

This is a patient who had a widened strip scar following strip hair transplant.

This is a patient who had beard hair extracted via FUE transplanted into a previous strip scar.

This is a patient who had beard hair extracted via FUE transplanted into a previous strip scar.

This is one of my patients who had a strip hair transplant procedure and his strip scar.

This is one of my patients who had a strip hair transplant procedure and his strip scar.

Greetings,

I am often asked what you look like 7 days after an FUE hair transplant so here are the images.

This patient received just over 1500 grafts to the frontal and mid scalp via FUE using a 0.85mm extraction tip.

As you can see with this small extraction tip the donor zone heals very well and there is basically no sign of any harvest after 7 days.

All the best,

Marc Dauer, M.D.

 

Immediately post FUE hair transplant

Immediately post FUE hair transplant

 

This is the donor region one week after extracting just over 1500 grafts via FUE

This is the donor region one week after extracting just over 1500 grafts via FUE

 

recipient region 1 week post FUE after just over 1500 grafts

recipient region 1 week post FUE after just over 1500 grafts

 

 

 

Greetings,

Here is a patient of mine who received old hair transplants with larger grafts from another physician many years ago. He came to me requesting greater density and more irregularity in the hairline to create more naturalness. He was not a candidate for another strip procedure and he had very limited donor reserves on his scalp.

I extracted approximately 600 grafts from the sides of his scalp via FUE and just over 600 grafts from his neck via FUE as well. I used a 0.8mm punch tip for my extractions so that the extraction sites would not be visible. The neck grafts were placed in the frontal and mid scalp for greater density and the scalp grafts were placed in the hairline to create a more natural look overall.

The results are shown after 12 months.

Beard hair FUE is an excellent option for patients who do not have any scalp hair available and this case demonstrates that very well.

All the best,

Marc Dauer, M.D.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

This is a patient who had beard hair harvested via FUE for placement in the scalp.

Greetings,

Here is a patient of mine who had 2 strip scars from another physician. This in itself is wrong as whenever possible I always include the old strip scar in the new strip in order to only leave the patient with a single strip scar even after multiple procedures. The patient wished to conceal these strip scars so that he could cut his hair much shorter. The after photo is 1 year after I placed approximately 500 FUE grafts into the strip scars. Though they are not completely invisible they are much improved and the after photo is at a #0 hair cut so that at a #1 or #2 you should not be able to see the scars. We will place a few more FUE grafts in the future to conceal even more, but the patient is already thrilled with his results.

All the best,

Marc Dauer, M.D.

This is a patient with hair transplant strip scars who had FUE grafts placed into the scars.

This is a patient with hair transplant strip scars who had FUE grafts placed into the scars.

Greetings,

Here is a patient of mine who is a norwood 6 (severe for of hair loss) with very fine straight hair. As I have previously discussed fine straight hair will give a completely different amount of cosmetic density in comparison to coarse curly hair (which is the best and most ideal for greatest cosmetic density).

The patient was looking to frame his hairline with hair and create as much density as possible over the frontal and mid scalp, while having FUE to preserve the option to cut the hair on the sides and back very short and avoid a linear scar.

His results are shown below after 2 procedures and a total of 2663 grafts. We are going to do an additional procedure to increase the density, but there is already a huge difference between the pre op photos and the current photos.

It can be described as turning him from someone who is perceived as bald, to someone who is perceived as having a thinning receding hairline, which is a big difference in look and perception.

All the best,

Marc Dauer, M.D.

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient

FUE hair transplant photo in a norwood 6 patient