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.
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Greetings,
Here is a brand new hair transplant patient testimonial of one of my patients. His story is touching and personal, and his results dramatic. This is after a single procedure so the hairline is very conservative, but in additional procedures we may lower the hairline slightly. I prefer to be conservative in the placement of the hairline on the first procedure, giving the patient a higher density of hair, as opposed to a lower hairline and lower density of hair. My patients are very happy with this plan and the results it affords them.
All the best,
Marc Dauer, M.D.
Here is a question I received from a prospective patient and my answer.
Question: My wife keeps telling me that I need a hair transplant so here I am doing some research. Here’s my situation, I am 31 years old and seem to be a 3V on that baldness scale. One of my friends is taking propecia a says it’s great stuff, but I am afraid of the side effects that I keep reading about. Is it even worth having a hair transplant if I don’t take Propecia to stop the rest of my hair from falling out? I’ve also read that once I start this process I might have to go through several surgeries and if I don’t take Propecia I can still look bald in time. Please advise. Thank you.
Answer:
This is an excellent question. Firstly, there have been reports of sexual side effects with Propecia, but the vast majority of people taking Propecia report no adverse side effects and the benefits of taking Propecia, especially in younger patients, are significant. In my practice, I have all patients read and sign a detailed Propecia consent form that discusses in depth the benefits of Propecia as well as all the possible side effects and any associated risks. I let the patients know if they start to feel any of the adverse side effects to discontinue the medication. In addition, to patients who are thinning in the crown region, which it sounds like you are, I also recommend Rogaine 5% foam twice a day. Studies have shown that patients who use Rogaine and Propecia together experience a synergy between the 2 medications which show more positive results than either medication taken independent of the other. I routinely perform a video microscopy on the scalp with my patients and if I see a large amount of miniaturization of follicles I may also recommend low light laser therapy. I have become a fan of the new LaserCap which, with it’s ease of use, provides excellent compliance among patients. I have seen great results with it low light laser therapy in patients who have a large amount of miniaturization. Finally, in order for me to determine if you are a candidate for Hair Transplant surgery I would need to see you in consultation or look at your photos, but if you are a 3V it sounds like you likely could be a candidate. I always tell my patients that you will definitely have between 2-4 procedures in your lifetime to keep up with continuing hair loss. The number of procedures is affected by the rate of your future hair loss, which Propecia, Rogaine, and Laser Therapy can markedly slow down. I hope this answers your questions.
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,
I have just added an exciting new device to my hair restoration practice called the “HairCheck”. This revolutionary device allows us to measure hair thinning and breakage in quantitative terms. Usually once hair thinning is noted you have already lost 50% of the original density of hair that existed in that area. HairCheck allows us to measure the “hair mass” in any region of the scalp and gives us a numerical value. HairCheck also allows us to measure damaged or broken hair. For the first time, we now have a tool to give us a quantitative analysis of the exact amount of hair mass present in any given area of the scalp. We can take measurements before beginning non surgical hair restoration treatments (low light laser therapy, propecia, rogaine, PRP), or prior to hair transplant surgery, and compare the measurements after a period of time to see how well the treatments have worked. We can also take measurements in the donor region (this is the area of the scalp that is not supposed to be affected by hair loss in most individuals) and compare these measurements to the affected areas of the scalp to determine exactly how much hair density has been lost. Photographs will always be very important, but the ability to quantify the exact amount of hair in any given region of the scalp is incredibly valuable. Please don’t hesitate to inquire about the HairCheck when you come to see me for a consultation. For more information about HairCheck visit www.HairCheck.com.
All the best,
Marc Dauer, M.D.
Greetings,
I will be appearing on the TV show “The Doctors” this coming Tuesday October 11 discussing female hair loss and why women seek out hair restoration and hair transplant procedures. On that topic I would like to write some tips I have picked up through the years on ways for women to avoid hair loss.
1) Limit the use of pony tails or hair ties. If you are going to tie your hair up in any fashion make sure that there is not too much traction applied to the hair and that you do not leave on a hair tie for long periods. Under no circumstances should you sleep with ties in your hair. Traction on the hair may cause it to fall out and the damage in some instances can be permanent.
2) Avoid hair coloring and tinting formulas that contain ammonia. Ammonia can be damaging to hair and the scalp and can cause permanent hair loss.
3) Avoid using excessive direct heat to your hair while blow drying. Try and keep the setting on warm as opposed to hot.
4) Avoid rubbing your scalp as repeated rubbing can cause permanent damage to the scalp.
5) Do not wash your hair too often especially if you are in a shedding period where you are losing more hair than usual.
These little tips may be useful to avoid hair loss and to minimize hair loss in individuals undergoing an active loss period.
I hope they are helpful.
All the best,
Marc Dauer, M.D.
Greetings,
I just returned from the International Society Of Hair Restoration Surgery annual meeting in Anchorage Alaska. It was an amazing meeting as usual, but this year there were many less attendees which made it even more intimate than ever before. I had the opportunity to meet and re-connect with many of my friends and colleagues and discuss the latest advancements in the field and compare and contrast what others are doing and what seems to be improving the process and results. I definitely took home many new ideas that I plan to implement into my practice ranging from a new low level laser light device I will be offering, to a new storage medium for my hair grafts.
Other things I plan to look into for the future will be Platelet Rich Plasma therapy. I also purchased the new Hair Check system which measures hair mass and I plan on using this on new patients to measure their hair mass prior to initiating treatment and also after treatment has been implemented. This is an amazing new tool which measures hair mass which is an excellent indicator of the amount of hair in any given region on the scalp. I will attach a few photos from the meeting and my day trip excursion to the glaciers.
All the best,
Marc Dauer, MD
Greetings,
I just completed a private Hair Transplant teaching course with Dr. Alejandro Jaime Ledesma from Mexico. It was a pleasure hosting Dr. Ledesma in my clinic for the week and I know he will put to good use the knowledge he gained during our time together. As always, it is enjoyable for me to conduct these teaching courses, especially one to one, as it allows me to impart quality private instruction to physicians entering the field of Hair Transplant Surgery. I am greatly looking forward to attending the annual meeting of the International Society of Hair Restoration Surgery in Anchorage, Alaska in a few weeks. it is always a great opportunity to hear the latest and greatest in the field, and to reconnect with old friends, colleagues, and students. I will post my thoughts of the conference in a few weeks.
All the best,
Greetings,
Today I will discuss the general timeline post hair transplant. Typically within 24 hours after the procedure tiny crusts that look like grains of sand form around the transplanted hairs whether they are on the scalp, eyebrow, face, or body. These tiny scabs begin to fall off around post op days 3-4 and are usually gone within 7-10 days. Keeping the grafts moist or applying an antibiotic ointment may loosen the crusts and have them fall off earlier. Most of the transplanted hairs being to fall out at around 2 weeks post operatively and usually by the end of the first month post transplant most of the transplanted hairs are all gone and the patient looks like they did prior the procedure. Typically , the hair begins to grow back at around 12 weeks. The patient usually does not notice any change until around 5-6 months, at which point approximately 50% of the new hair growth may be seen. Full growth is usually not achieved until 12 months post procedure and continued growth may be seen for up to 24 months post procedure. Patients who have undergone a second or third procedure may see a slightly delayed growth timeline.
I hope this information is helpful to all of those considering Hair Restoration.
All the best,
Marc Dauer, MD
Greetings all,
Today I would like to discuss the issue of donor strip scars and how to approach them when they are too wide, or noticeable, or the patient just wishes to cut their hair very short. In the world of Hair Restoration today there are many physicians trying to push the envelope of grafts in a single session. Physicians trying to perform 4000, 5000, or even 6000 grafts in a single session. Using the strip method, the only way to achieve these numbers is by taking a donor strip that is very wide. This puts undue tension on the skin closure and can then result in very wide donor scars. Sometimes though, even under the best of circumstances and a proper closure, a wider than expected donor scar can also occur. I have been seeing more and more of these patients from other physicians recently.
After much experience I am finding that when you attempt to excise these scars, often times they will just come back again. The best approach to this situation is to harvest grafts via FUE ( Follicular Unit Extraction) and then transplant the grafts into the scarred areas that are devoid of hair or have very little hair in them. Typically the grafts grow nicely through the scar tissue and provide hair coverage of the scar which acts to conceal the scar thus making it more feasible to cut the hair short.
I have included photos below of a patient who had multiple strip scars from a procedure performed by another physician. The ‘before’ photos show the donor area shaved and the donor scars. The ‘after’ photo shows the FUE punctate sites (these heal in about a week) and the hair immediately transplanted into the donor scars. A difference in the donor scars with hair transplanted into them is immediately visible and when the hair grows in this should provide nice coverage to the donor scars and allow the patient to cut their hair much shorter than was possible before.
Dr. Marc Dauer, MD is a board certified leader in hair restoration, hair transplants, eyebrow restoration for men and women, hair transplants for scars, and facial hair transplants. Dr Dauer is experienced with successfully treating and restoring hair loss of the scalp, eyebrows, sideburns, male pattern baldness, female pattern baldness and from scarring. Dr. Dauer is board certified by the American Board Of Hair Restoration Surgery and a member of the prestigious International Society of Hair Restoration Surgery. Dauer Hair Restoration provides hair restoration, FUE and FUT, hair transplants. Los Angeles hair loss treatments, eyebrow transplants, sideburn transplant, treatment for male pattern baldness and female pattern baldness, and transplantation for scarring. We serve patients from the Los Angeles area including, Santa Monica, West Hollywood, West Los Angeles, Culver City, Brentwood, Bel Air, Beverly Hills, Hollywood, Manhattan Beach, Redondo Beach, Malibu and beyond. Consider Dr. Dauer for your hair restoration needs.
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