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Greetings,

The temporal peaks in both males and females are an important characteristic in hairline design and create and youthful aesthetic appearance. It is always important to keep in mind the overall donor supply in making the decision to restore the temporal peaks. One must also understand  that patients with curly hair will have a more noticeable difference to the character of the typically finer and straight temporal hair. Also, it is important the primarily single hair follicles are utilized.

This patient has abundant donor supply and wished to have his temporal peaks restored. He received approximately 150 grafts per temporal peak via FUE. Finer hairs from the inferior aspect of his occipital region were used to recreate the naturally finer temporal hair. He should see some additional density over the next 6 months, but he is already thrilled with his results.

All the best,

FUE Hair Transplant To Temporal Peaks

FUE Hair Transplant To Temporal Peaks

Marc Dauer, M.D.

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,

This is a male patient who cuts his hair very short and wanted more density in the outer half of his eyebrows. I harvested the donor follicles from the scalp using FUE so that the patient would not have a strip scar and the results are shown after 8 months.

Respectfully,

Marc Dauer, M.D.

Eyebrow transplant utilizing grafts harvested via FUE.

Eyebrow transplant utilizing grafts harvested via FUE.

Eyebrow transplant utilizing grafts harvested via FUE.

Eyebrow transplant utilizing grafts harvested via FUE.

Greetings,

This patient received a beard hair transplant harvested via FUE. The results shown after 5 months are already impressive, but the patient should see significantly more growth over the next 6 months.

All the best,

Marc Dauer, M.D.

This patient received just over 600 grafts via FUE (follicular unit extraction) to the beard.

This patient received just over 600 grafts via FUE (follicular unit extraction) to the beard.

This patient received just over 600 grafts via FUE (follicular unit extraction) to the beard.

This patient received just over 600 grafts via FUE (follicular unit extraction) to the beard.

Greetings,

Here is a video of a patient of mine who had just under 1700 grafts harvested from his donor zone with a 0.9mm FUE punch tip. The harvesting was done by me personally with a serrated tip and a motorized hand held punch allowing for minute changes in angles to ensure the greatest quality grafts and graft survival. The patient’s donor zone is shown at 6 months in the video and even with a very short haircut there is no evidence of the FUE harvest that was performed in the area that you see in the video.

I have also included the patients recipient zone at 6 months to show the amazing result that this patient already sees at 6 months. The patient should see significantly more growth over the next 6-8 months and what we are seeing in these photos is about 50% – 60% of the final results, but the growth is already impressive and the patient is very happy.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

FUE Hair Transplant Results

Greetings,

I am often asked when is it a good time to use beard / neck hair for a hair transplant. Firstly the only way to harvest beard hair is via FUE. Also, since beard hair is slightly courser than scalp hair it should not be used in the hairline but for filler throughout the rest of the scalp. It can also be used effectively for beard augmentation or to cover beard scars. Beard follicles are typically 1 or 2 hairs as opposed to scalp which has larger follicular units. It also requires a high degree of FUE proficiency in order to be successful at harvesting intact grafts from the beard via FUE. Also, I prefer to only harvest from below the jaw line as it does leave very slight white dots after the grafts has been harvested. These dots are very hard to see in most individuals, however I prefer to leave these dots below the jaw line which makes them even harder to  find. Neck hair is a good alternative when looking for this type of hair or when the scalp donor is exhausted. It needs to be harvested with a high degree of efficiency and placed properly for maximum results.

All the best,

Marc Dauer, M.D.

Greetings,

Today I will discuss the grafts from FUE and how they can differ. Firstly there is the size of the tool used to extract the grafts. Even though many tools claim to be a certain size some are measured from the internal diameter and some from the outside diameter. This may not see like that much difference but an extra .1mm of punch size can leave significantly more pinpoint scarring in the donor region. Many of the automated systems including the ARTAS robotic system tend to use larger punch sizes (1mm and even larger) which can leave significantly more scarring in the donor region. I use a sharp tip that measures .9mm from the outer diameter. For very course curly hair types I also have sizes that go up to 1.05mm when necessary and when extraction body or beard hair I also have tips as small as .8mm. The .9mm is an excellent “work horse” tip that allows for beautiful graft extractions in experienced hands. I have a photo of the grafts from my FUE patient yesterday and as you can see they are all intact and most are multi hair follicular units which is another advantage of FUE in that it allows you to choose the larger follicular units and leave the smaller ones behind.

Not all FUE hair transplant surgeons are created equal and it is of utmost importance that you see good examples of your surgeons FUE results and grafts prior to proceeding with this type of procedure.

All the best,

Marc Dauer, M.D.

FUE grafts extracted with a 0.9mm punch tool.

FUE grafts extracted with a 0.9mm punch tool.

 

Greetings,

Here is a follicular unit extraction hair transplant patient of mine who describes the results from his procedure and how it has changed his appearance.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

Greetings,

Today I want to share a new patient testimonial of a patient of mine who had FUE, follicular unit extraction of just over 1550 grafts into the frontal scalp. The patient discusses his experience with the procedure and the donor area is shown after 2 weeks with almost no sign of any procedure.

I hope you enjoy watching.

All the best,

Marc Dauer, MD