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FUE Hair Transplant-All About the Art

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Greetings,

Here is another one of our FUE hair transplant patients showing his result approximately 1 year after his procedure. As you can see the results are very natural. Something that I try to convey to prospective patients is the fact that not all hair transplants are not created equal. This is living art, and as such every artist will create a different hairline, with different densities of hair, different angles and orientations of the transplanted hair, etc. There are so many variables that make the difference between an excellent result, versus a decent result, versus a bad result. There are also many variables in the donor harvesting that can diminish or ruin the donor zone for the future, versus preserving as much donor hair as possible for future procedures and taking out only the grafts necessary for the current situation. Many clinics don’t expect the ever see the patient again and take most or all of their donor hair in a single procedure. This is extremely shortsighted as hair loss is a continuing process and its very important to evaluate any prospective hair transplant patient not just what they look like today, but to predict their endpoint of hairloss to the best of our ability and then determine how many grafts will be required over time to address current loss, and also keep up with continuing loss. This is why I perform every hair transplant consultation personally and don’t have “consultants” performing these on my behalf. I want every patient to be evaluated by myself  and to hear realistic expectations for the  short term and long term from me personally. I also want the opportunity to examine the patient and get their hair loss history so that I can have a good idea about future loss as well. This is also why I personally extract every hair follicle from the donor zone as well, while many other doctors delegate this to technicians. This is a crucial step both in getting intact follicular units for a successful hair transplant, while also preserving as much of the donor zone as possible for future procedures. Before choosing your hair transplant surgeon/ artist, make sure you have seen many hundreds of before and after photos by that surgeon that look aesthetically pleasing to you. Also make sure your surgeon is seeing you in the consultation and performing the harvesting of the hair personally. Finally, make sure your surgeon has a singular focus in hair restoration and doesn’t have a menu with many different cosmetic procedures and hair is just one item on the menu. There is a reason why specialists do nothing else but hair restoration, and to be great at something is to do that same thing many times over.

Marc Dauer, M.D.

hair transplant result

This is a FUE hair transplant result by Dr. Marc Dauer

FUE hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

FUE hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

hair transplant

This is a FUE hair transplant result by Dr. Marc Dauer

/by Dr. Marc Dauer

New Compounded Prescription Topical

Greetings,

Today I want to discuss a very new exciting development. For the past year I have been prescribing a compounded topical prescription formula that contains Dutasteride, Finasteride, Minoxidil, Retin A, and Triamcinolone. Dutasteride and Finasteride (propecia) are potent DHT blockers. Minoxidil is a vasodilator which has been proven to help genetic hair loss. Retin A helps with absorption and triamcinolone helps with scalp irritation. I call the formula “hair defense” as it’s defending the native hair. It does not grow back dead follicles that have been lost. It does however prevent susceptible follicles from falling out, and can turn miniaturized follicles (follicles that are on their way out and have become cosmetically insignificant) back into healthy terminal follicles, which can then give the appearance of greater density.

Below, you can see examples of patients of mine who haven been on the topical at least 6 months and all the photos shown below are just with the topical only as treatment.

This is not a substitute for a hair transplant procedure. Rather it is a an adjunct meant to preserve the native hair so that the results of the hair transplant procedure look better for longer. In some cases it can be used as an intermediate treatment meant to slow or stop the continuing loss before the transplant is indicated.

Finally, one of the best things about the topical is that the incidence of sexual side effects (though low in frequency can still occur in 1-2% of patients taking oral finasteride) are even more uncommon with this topical as the systemic absorption of the medication is less than the oral medication.

I have seen a profound impact of this topical medication on my own scalp and hundreds of my patients.

For a small number of patients that may get irritation from any of the components, the formula is customizable and components can be pulled out in any amount.

If you would like to consider this or have a friend who could benefit please contact our office and we can schedule a short consultation and arrange for a prescription of the product. It ships directly to your home via fedex.

This is one of the biggest game changers in hair restoration I have come across over the past number of years and I am very excited to share it with you all.

Best,

Marc Dauer, MD

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

Results shown of a patient on Hair Defense topical formulation

/by Dr. Marc Dauer

Donor Beard Hair for Scalp Hair Transplant

Greetings,

Here is a patient of mine who had numerous FUT strip harvest procedures by other physicians that resulted in severe scarring in the donor area, plug grafts throughout the scalp, and an overall very unnatural appearance. The result was so unnatural that the patient would not go outside without a hat.

I extracted approximately 1500 grafts from the neck via FUE in multiple sessions and placed them throughout the scalp, especially in the “alleys” on the sides to connect the transplanted hair to the native hair on the sides, and the crown in the back.

The patient also had some SMP performed on his scalp and will have more in the future.

The result is already so much improved from prior and the patient still has some more beard donor hair and will have more SMP to improve the result even more. I will also be “de-bulking” some of the plug grafts to make them more natural  looking.

Neck and beard hair can be a very valuable source of donor hair for those that are out of scalp donor hair. Though the character of the hair is a little different, it works very well as filler and can make a nice impact in improving visual cosmetic density. Also, the neck heals so well from the small punch sites of the FUE removal that the tiny dots are barely visible on close inspection.

Choose your surgeon wisely so that you end up with an aesthetically natural result both in the short term and long term.

All the best,

Marc Dauer, MD

pre beard hair FUE repair

post FUE beard hair repair to scalp

pre beard hair FUE repair

post FUE beard hair repair to scalp

pre beard hair FUE repair

post FUE beard hair repair to scalp

/by Dr. Marc Dauer

Male Eyebrow Transplant Result

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Greetings,

Here is a result of a male patient of mine who received approximately 350 grafts to each eyebrow harvested via FUE. The results are shown approximately 1 year after the procedure.

Eyebrow transplant procedures are becoming more popular amongst male and female patients with weak eyebrows secondary to hereditary issues, scarring, or over plucking. The results can be very natural looking when

performed by a qualified eyebrow transplant surgeon.

All the best,

Marc Dauer, MD

Male eyebrow transplant patient

/by Dr. Marc Dauer

FUE Hair Transplant with shaved strips

Greetings,

FUE hair transplants are the process where individual hair follicles are extracted with a tool and then transplanted into areas of hair loss. In order to extract the follicles the hair needs to be cut down to it’s shortest length above the skin so that the hair doesn’t get tangled in the tool extracting the grafts. This means shaving the scalp in most cases.

For patient’s having procedures which require less than 1500 grafts extracted there is now another option. The patient can grow the hair in the back and sides longer and we can shave either one large strip (smaller than the length of the hair) or multiple smaller strips (also smaller than the length of the hair) which allows the native long hair to hang down and cover up the extracted areas.

This allows the patient to keep the long hair and not shave the entire back and sides of the scalp and still have an FUE hair transplant. This technique is becoming very popular amongst actors (who can’t change their appearance if they have longer hair in the midst of a recurring show) and other individuals that do not want such a dramatic change to their appearance. The results are just as good as the full shaven technique and it is proving to be a very popular alternative to traditional FUE shaving.

I have included some photos of a recent patient I performed this technique on.

All the best,

Marc Dauer, M.D.

This is a photo of the "long hair FUE" process in a patient showing his donor region immediately post procedure with his hair wet and combed down.

This is a photo of the “long hair FUE” process in a patient showing his donor region immediately post procedure with his hair wet and combed down.

This is a patient's donor region immediately post harvesting approximately 1400 grafts via FUE with the hair raised.

This is a patient’s donor region immediately post harvesting approximately 1400 grafts via FUE with the hair raised.

/by Dr. Marc Dauer

Bad Strip Scar

Greetings,

Here is a patient who came to me after having undergone 2 previous trip harvest procedures from another local physician. He decided he was done with the strip harvest procedure and wanted to have an FUE procedure. When I shaved the scalp to perform FUE his precious strip scars were clearly visible and also demonstrated how his previous physician had created “stacked scars” in certain locations instead of including the old strip scar in the new incision.

This is against the 10 commandments of hair transplant surgery.

In every instance of a patient having another strip harvest hair transplant procedure after having one prior, the previous scar should be removed.

If the previous scar is too wide or the scalp too tight FUE should be considered.

NEVER should a physician create a stacked scar, which in reality just creates  one huge scar.

This is a prime example of what not to do and is either laziness or ignorance on the part of the hair transplant surgeon who did this.

On this procedure the patient was primarily concerned with creating density in the frontal scalp, but after seeing these photos, the patient has decided in the future to have me place FUE grafts into these scars to help cover them.

Just another example of why it is imperative to do thorough research prior to choosing your hair transplant surgeon.

All the best,

Marc Dauer, M.D.

bad hair transplant strip scar

bad hair transplant strip scar

bad hair transplant strip scar

bad hair transplant strip scar

/by Los Angeles Hair Transplant Specialist

Hair Transplant Result In A Younger Patient

Greetings,

Here is a patient of mine who happens to be a physician himself who was experiencing thinning in the frontal scalp. The patient is in his late 20’s so we were not going to consider lowering the hairline, but rather increasing the density in the frontal scalp. Also, because of the patient’s young age and the fact that he will likely lose significantly more hair in the future, the decision was made to use a judicious number of grafts so as to maintain donor grafts for the future when more hair loss occurs.

The patients results are shown after 1 year and he is thrilled!

All the best,

Marc Dauer, M.D.

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

hair transplant patient of Dr. Marc Dauer

/by Los Angeles Hair Transplant Specialist

Hair Transplant Patient Video

Greetings,

Here is a patient of mine who underwent the FUT hair transplant procedure.

His results are shown after 12 months.

In the video the patient talks about his experience undergoing the procedure and I demonstrate his results and donor strip scar.

I hope you enjoy watching.

All the best,

Marc Dauer, MD

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

before and after hair transplant photos

hair transplant strip scar

hair transplant strip scar

/by Los Angeles Hair Transplant Specialist

Hair Transplants- Get It Right The First Time

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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.

/by Los Angeles Hair Transplant Specialist

Hair Transplants In Young Patients- Video

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Greetings,

Here is another video in my series of interviews with Spencer Kobren of “The Bald Truth” discussing hair transplants in young patients and things to be aware of.

I hope you enjoy watching.

All the best,

Marc Dauer, M.D.

More On The Issues of Young Patients Having Hair Transplant Surgery Too Early – Dr. Marc Dauer, Los Angeles from Spencer Kobren’s The Bald Truth on Vimeo.

/by Los Angeles Hair Transplant Specialist